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Pain

Acute and chronic Exam 2

QuestionAnswer
Nonopioids include: Acetaminophen (no anti-inflamation), aspirin and other salicylates, and NSAIDs
Narcan An opioid antagonist, is used to reverse the respiratory sedation accompanying acute overdoses of opioids and to ameliorate other opioid side effects.
Patients at risk for respiratory depression when using morphine are. A) Opioid naive. B) Elderly. C) Receiving antihistamines. D) All of the above. E) A & B. Patients at risk for respiratory depression include those who are opioid naive, are elderly, have underlying lung disease, or are receiving other CNS depressants (e.g., sedatives, benzodiazepines, antihistamines).
Common side effects of opioids include: What? Which does not resolve with time and use? Constipation, nausea and vomiting, sedation, respiratory depression, and pruritus. Constipation still persist after development of opioid tolernace.
T or F? Patients who have just had heart surgery should take some form of NSAIDs. Drug Alert - Nonsteroidal Antiinflammatory Drugs (NSAIDs). NSAIDs (except aspirin) have been linked to a higher risk for increased cardiovascular events such as stroke and myocardial infarction.
hyperalgesia increased responses to noxious stimuli
allodynia painful responses to normally innocuous stimuli
persistent pain prolonged pain after the original noxious stimulus ends
referred pain the spread of pain to uninjured tissue
Corticosteroid drugs include: These drugs, which include dexamethasone [Decadron], prednisone, and methylprednisolone [Medrol], are used for management of acute and chronic cancer pain, pain secondary to spinal cord compression, and inflammatory joint pain syndromes.
NSAIDS drug actions Transduction is the conversion of a mechanical, thermal, or chemical stimulus into a neuronal action potential. Decreasing the effects of chemicals released at the periphery is the basis of several drug approaches to pain relief. NSAIDs, such as ibuprofen
What is the side effect of morphine to watch for? Drug Alert - MorphineMay cause respiratory depression.If respirations are #12 per minute, withhold medication and contact health care provider.
______ is the movement of pain impulses from the site of transduction to the brain. Transmission is the movement of pain impulses from the site of transduction to the brain.
______ is the conversion of a mechanical, thermal, or chemical stimulus into a neuronal action potential. Transduction is the conversion of a mechanical, thermal, or chemical stimulus into a neuronal action potential.
______ is the perception occurs when pain is recognized, defined, and responded to by the individual experiencing the pain. Perception occurs when pain is recognized, defined, and responded to by the individual experiencing the pain.
______ involves the activation of descending pathways that exert inhibitory or facilitatory effects on the transmission of pain Modulation involves the activation of descending pathways that exert inhibitory or facilitatory effects on the transmission of pain.
______ is pain caused by damage to somatic or visceral tissue Nociceptive pain is caused by damage to somatic or visceral tissue.
______ is pain resulting from tumor involvement or obstruction. Visceral pain, which may result from stimuli such as tumor involvement or obstruction, arises from internal organs such as the intestine and bladder.
______ is pain from bone, join, musle, skin, or connective tissue. Somatic pain, characterized as deep, aching, or throbbing that is well localized, arises from bone, joint, muscle, skin, or connective tissue.
______ is watching TV or a movie, conversing, listening to music, playing a game to decrease pain perception. Distraction involves redirection of attention onto something and away from the pain. It is a simple but powerful strategy to relieve pain and can be achieved by engaging the patient in any activity that can hold his or her attention.
Unrelieved pain leads to ? Consequences of untreated pain include unnecessary suffering, physical and psychosocial dysfunction, impaired recovery from acute illness and surgery, immunosuppression, and sleep disturbances.
A patient is severely hurt in a gas-leaked explusion with many broken bones but report no pain. Why? Endogenous opioids, which include enkephalin and β-endorphin, are chemicals that are synthesized and secreted by the body. They are capable of producing analgesic effects similar to those of exogenous opioids such as morphine.
Created by: laborduck