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medsurg1
| Question | Answer |
|---|---|
| All are duration categories of pain | Occasional, Slight, Constant |
| All are intensity categories | Mild, Severe, moderate |
| Which is considered to be “pharmacologic therapy” | Prescribed analgesics |
| The type of pain, ie. Tearing, dull, aching, tingling etc, is the | quality |
| The three classes of analgesics are | NSAID’s, Opiods and Adjuvant |
| Adjuvant drugs are | Anticonvulsants, antidepressants and muscle relaxants |
| The pain that lasts longer than six months is generally classified as | Chronic Pain |
| The stage of nociception that is the impulse traveling from the original site to the brain is the | Transmission |
| When a pt can no longer endure pain this is the | Pain Tolerance |
| When chronic pain resists therapeutic interventions and is severe unrelenting pain it is | Intractable Pain |
| The lowest intensity of a stimulant that causes the pt to recognize pain is the | Pain Threshold |
| The impact of chronic pain can lead to | destructive lifestyle, anger, depression and frustration |
| The stage of nociception where the brain recognizes, defines and responds to the pain | Perception |
| The pain that results from some sort of malignancy is referred to as | Cancer pain |
| When describing pain we need to verify | Onset and duration, Location and frequency, Quality and what makes it start |
| The pain that lasts less than six months and usually has a sudden onset is referred to as | Acute Pain |
| What is the kind of nursing most often associated with management of cancer pain | Hospice |
| The stage of nociception when the nervous system changes painful stimuli in the nerve endings into impulses, | Transduction |
| Which are the stages of nociception | Transduction, Transmission, Perception, Modulation |
| What is pain that originates in one body part but is percieved in another | Referred Pain |
| Pain medications for more major pain | Opiods (Lortab, morphine and dilaudid) |
| What are considered alternative pharmacological treatments for pain | ointments and ligaments, chiropractic care, accupuncture, hypnosis, biofeedback, surgery |
| Besides medication, what is a good combination for pain relief | Support from family, Stress management, Alternative therapies, Shivering |
| Whan the bdy activates needed inhibitory responses to the effects of pain it is | Modulation |
| The type of pain that is constant burning, tingling, sensations and/or shooting pain | Neuropathic Pain |
| What are naturally occuring substances that relieve pain temporarily | endorphins |
| Pain medications for minor pain | NSAID’S (Aspirin, acetaminophen and ibuprofen) |
| What is considered to be the new 5th vital sign | Pain |
| When taken for a long time opiods’s can cause | dependance |
| What are the types of surgery | elective, required/non-elective, emergency, urgent/nonelective |
| What are the three r’s of surgery | Repair, replace, remove |
| Which are the kinds of surgery | inpatient, day surgery |
| Which are the a perioperative phases | Pre-operative, Intra-operative, Post-operative |
| What are the three parts of the preoperative phase | Assessment, Preperation and Patient Education |
| When are all pt orders null and void | Right after surgery |
| What are the parts to the intraoperative phase | Sedation, Anesthesia, Recovery |
| What are the types of Anesthesia | General, Local, Regional, Conduction/spinal block |
| Which are the steps in the post-op phase | patient transferred for PACU, Support for family, Equipment, Notify MD of arrival on floor, Notify Respiratory |
| What are the discomforts post-op | Nausea/constipation, Flatulus/pain, Thirst/abd distention, Restlessness/sleeplessness |
| Who has to do the initial dressing change after surgery | surgeon |
| During a hemorrage, which is an immediate surgery complication, what happens to the BP and HR | BP down, HR up |
| During shock, another surgery complication, what happens to your BP and HR | BP down, HR up |
| Which scale is used for adults and children older than 7 to rate pain | compactMcGill-Melzack Pain Questionaire |
| What are the early post op complications | Hemorrhage/hypothermia, Hypoxia/hypoxemia |
| Which scale is used for children under three to rate pain | FLACC Scale |
| What are later post op complications | Pneumonia/thrombophlebitis, Atelectasis/embolis |
| What is it called when an incision opens up and a part of your insides come out | evisceration |
| What is it called when an incision splits opens | dehiscence |
| What are the meds called that are to be given right before the pt is rolled in | Pre meds |
| What is it called when the surgeon answers last minute questions before surgery | Time out |
| The most common sedation is | versed/fentenel |
| Which scale is used for children between 3 and 7 to rate pain | Wong-Baker Faces Scale |
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