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32 Cards in this Set

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  • Back
Name 3 tasks may be delegated to UAPs regarding pain management?
repositioning
massage
straightening linens
mouth care
soft music
using distractions
What tasks cannot be delegated to UAPs regarding pain management?
pain assessment
monitoring patient's response to pain mgmt strategies
evaluation of pain mgmt plan
The administration of analgesics prior to an invasive or operative procedure in order to treat pain before it occurs.
preemptive analgesia
When the doses of various opioid analgesics provide approximately the same pain relief.
equianalgesia
How does a fever affect the absorption of a transdermal medication?
increases the absorption rate
A regional / localized anesthesia where the patient loses sensation before function and regains function before sensation.
nerve block
What type of medication adminstration gives the patient control over their pain?
PCA pump
(patient-controlled analgesia)
What is pain?
Whatever the person says it is and existing whenever the person says it does.
This type of pain is complex and often chronic, such as in uncontrolled diabetes, stroke, or chemotherapy.
a)nociceptive
b)neuropathic
c)peripheral
d)vascular
b)neuropathic
This type of pain is the most common and occurs when pain receptors respond to stimuli that are potentially damaging, as in trauma or surgery.
a)nociceptive
b)neuropathic
c)peripheral
d)vascular
a)nociceptive
Give 3 types of pain scales.
1) simple descriptive (uses same words)
2) numeric pain intensity scale
3) visual analog scale (uses faces)
4) pain continuum
Give 4 responses of the body to acute pain.
increased SBP
increased HR
increased RR
dilated blood vessels to the brain (inc. alertness)
dilated pupils
rapid speech
Give 4 responses of the body to chronic pain.
decreased SBP
decreased HR
changeable breathing patterns
withdrawl
constricted pupils
slow, monotonous speech
What is an adjuvant medication? Give 3 examples.
They reduce the amount of opioid the patient requires in controlling pain.

Examples:
anticonvulsants
antidepressants
local anesthetics
topical agents
psychostimulants
muscle relaxants
neuroleptics
corticosteroids
The process by which pain signals are facilitated or inhibited, and the perception of pain can be changed.
a)transmission
b)transduction
c)modulation
c)modulation
The process where nociceptors become activated by the perception of potentially damaging stimuli.
a)transmission
b)transduction
c)modulation
b)transduction
The process where peripheral nerves carry the pain message to the dorsal horn of the spinal cord.
a)transmission
b)transduction
c)modulation
a)transmission
Which nerve fibers transmit fast pain impulses (acute pain)?
a)a-delta fibers
b)c fibers
a) a-delta fibers
Which nerve fibers transmit slow pan impulses (dull, diffuse pain)?
a)a-delta fibers
b)c fibers
b)c fibers
Name 3 side effects of opioids analgesics.
constipation
nausea/vomiting
pruritis
respiratory depression
drowsiness
Pain that is highly resistant to relief (e.g., uncontrolled cancer).
chronic malignant (intractable)
Chronic back pain is this type of pain.
chronic nonmalignant
Which type of pain is associated with depression?
chronic
Which type of pain is associated with anxiety?
acute
The following describes the origin of pain:
superficial, localized
a)referred
b)deep somatic
c)cutaneous
d)visceral
c)cutaneous
The following describes the origin of pain:
stimulation of deep internal pain receptors, most commonly in the abdominal cavity, cranium & thorax
a)referred
b)deep somatic
c)cutaneous
d)visceral
d)visceral
The following describes the origin of pain:
involving ligaments, tendons, nerves, blood vessels, and bones
a)referred
b)deep somatic
c)cutaneous
d)visceral
b)deep somatic
The following describes the origin of pain:
starts at source but extends to other locations
a)psychogenic
b)phantom
c)radiating
d)referred
c)radiating
The following describes the origin of pain:
occurs in an area distant from the original site (e.g., heart attack)
a)psychogenic
b)phantom
c)radiating
d)referred
d)referred
The following describes the origin of pain:
originates from an area that has been surgically removed
a)psychogenic
b)phantom
c)radiating
d)referred
b)phantom
The following describes the origin of pain:
arises from the mind, but no physical cause can be found
a)psychogenic
b)phantom
c)radiating
d)referred
a)psychogenic
Describe the mneumonic PQRST for pain assessment.
P - provocative (precipitating factors)
Q - quality (client's terms)
R - region/radiating (location)
S - severity (intensity)
T - timing