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365 Exam 1

365 CH

TermDefinition
pain whatever the person says it is and exists when a person says it does; multidimensional, emotional, physical
nociceptive pain nociceptors in tissues send pain signals to the CNS
neuropathic pain damage to the nerve itself causes typical pain symptoms (pins and needles, numbness, shooting, tingling)
cutaneous/ superficial skin
deep somatic muscles, tendons, bones
visceral organs; cramping, stomach
radiating sensation moves to location
phantom amputee
psychogenic not physical
acute pain manifestations reflect sympathetic nervous system activation; increase HR, RR, BP
chronic pain gradual or sudden, continues past normal recovery time; ongoing, exacerbations
pain threshold fully experiencing can not take pain anymore
pain tolerance how much pain you can be exposed to before reaching threshold
hyperalgesia extreme reaction more so than one would expect
allodynia experiences a stimuli that would not normally cause pain but it does
titration dose adjustment based on analgesic effect versus side effects
parenteral bloodstream; subcutaneous, intramuscular, intravenous
intraspinal highly potent; smaller doses necessary
implantable pumps intra spinal catheters, patient controlled analgesia
cutaneous stimulation non drug therapy; transcutaneous electrical nerve stimulation (TENS)
heat therapy loosen/ vasodilate
cold therapy constrict (for inflamed, swell, bleed, bruising)
nonopioid analgesics mild to moderate; acetaminophen, aspirin, salicylates; do not produce tolerance or physical dependence
analgesic ceiling hits a top point, maximum amount it will work; giving more will not change it's effect
acetaminophen risk too much causes liver dysfunction
aspirin, NSAIDs, salicylates risk too much can cause GI distress and bleeding
morphine, oxycodone, codeine potent, no analgesic ceiling and several routes for administration; moderate to severe pain
morphine risk can cause respiratory depression
physical dependence normal response with opioid use of 2 weeks or more; manifested with withdrawal symptoms
tolerance normal response with regular use of opioid; increased usage needed to effect pain relief
non opioids combined with opioids provides optimal pain relief for moderate pain and limits use of opioids; limits risk of tolerance and dependence and adverse side effects
naloxone (narcan) reverses effects of opioids by competitively binding to opioid receptor; can treat over sedation and respiratory depression
adverse effects of analgesic agents respiratory depression, sedation, nausea, constipation (need bowel regimen)
adjuvant analgesics local anesthetics, anticonvulsants, antidepressants
opioid analgesics physiologic pain relief act on CNS to inhibit activity of nociceptive pathways
NSAIDs physiologic pain relief inhibit cycloxygenase
Created by: ahommel
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