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C12 MedSurge
MedSurge
| term | Definition |
|---|---|
| Acute Pain | Short term, intense s/s, productive, easily identified source, comes on fast, often caused by tissue damage |
| Chronic Pain | Long term, less intense s/s, nonproductive, harder to dx, doesn't serve a purpose |
| Neuropathic pain | Damage or dysfunction of the PNS or CNS |
| Breakthrough Pain | Chronic pain with acute exacerbations |
| Nociceptive Pain | physiologic pain (tissue injury) |
| Neuropathic pain | pathophysiologic pain (damage to CNS or PNS) |
| Mixed Pain | Components of neuropathic pain and nociceptive pain |
| Who is the best source for pain? | The Pt |
| Components of Pain Assessment | Self-report, location, intensity, quality, onset and duration, aggravating and relieving factors, effects on function and quality of life, comfort-function goal |
| POSS (Pasero Opioid-Induced Sedation Scale) | unintentional sedation, safety scale |
| Numeric Scale | Pain 0-10, works for only alert and oriented pts |
| Faces Scale | Works best for peds |
| Use ___ pain scale | ONE |
| FLACC Scale | for babies, Face, Legs, Activity, Cry, Consolability |
| PAINAD | Pain assessment for adult dementia |
| CPOT | ICU pts that are intubated |
| RASS (Richmond Agitation Sedation Scale) | Intentional Sedation --> anesthesia, nurses can't fill out RASS |
| Pain Assessment | Focused Respiratory assessment before giving pain meds (how fast and deep) |
| How do opioids affect breathing | Slow down breathing and affect the depth |
| Multimodal | Use more than one class of drug when possible |
| IV drugs | take effect the fastest but can be damaging |
| Oral Drugs | Preferred, but take longer to take effect |
| Basal Rate in PCA Pump | small continuous amount set by dr in PCA |
| Bolus Rate in PCA Pump | Controlled by the pt, but set by the dr, set with an amount and a rate |
| NSAIDs work in what phase? | Transduction |
| Opioids work in what phase? | Transmission |
| Adjuvants work in what phase? | Perception |
| Overuse of Acetaminophen causes...? | Liver failure |
| 2 Categories of Nonopioids? | Acetaminophen and NSAIDs |
| Opioids do not have..? | ceiling effect |
| Physical Dependence | Body becomes dependent on drug and removal of the drug will cause withdrawal symptoms, a normal response (for 2 weeks or more) |
| Tolerance | Body needs more of drug to feel the effects (normal response with regular use) |
| Addiction | compulsive use and craving for the drug to use other than pain relief |
| Reduce stimuli for pts on? | Ketamine |
Created by:
aleahgoodson
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