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11-05 Test II
M6 PII Managing Pain
| Question | Answer |
|---|---|
| Define Noxious | injurious to physical health |
| Pain causes _ _ _ _ _ _ _ | fatigue |
| Seven factors of pain assessment | Onset, Duration, Location, Intensity, Quality, Pattern, Relief Obtained |
| What does the acronym IASP stand for? | International Association for the Study of Pain |
| What does the acronym APS stand for? | American Pain Society |
| 12 classifications of pain | Mild, Acute, Severe, Chronic, Intermittant, Intractable, Burning, Dull, Sharp, Precise, Poorly Localized, Referred |
| What does Intractable mean? | Constant |
| Describe referred pain. | pain felt at a site other than the site injured |
| Acute pain is classified as pain lasting how long? | less than 6 months |
| Chronic pain is classified as pain lasting how long? | more than 6 months |
| Acute pain creates what kind of response? | Fight or Flight |
| describe the synergistic effect | act of two or more substances to achieve an effect which a single substance cannot |
| explain the Gate Control theory | pain impulses released and blocked by central nervous system in spinal cord subject to alteration by thoughts, feelings, and memories |
| Which society started classifying pain as the "5th Vital Sign" | American Pain Society |
| What four ways is the cutaneous stimulated by? | heat, cold, massage, TENS (transcutaneous electric nerve stimulation) |
| We can decrease pain in our patients by decreasing what? | Anxiety |
| Define Invasive. | anything that enters the body |
| What are Analgesics? | pain medications |
| What are Nonopioids? | non-steroidal anti-inflammatory drugs used for mild to moderate pain |
| What are Opioids? | pain medications that act on higher centers of brain to modify perception and reaction; used for moderate to severe pain |
| What is the maximum daily dose for Acetaminophen? | 4,000 mg / 24 hours |
| What is a side effect of Acetaminophen? | Hepatotoxicity |
| Side effect for Opioids. | Respiratory Depression |
| What is the maximum daily dose for Ibuprofin? | 3.2 G / 24 hours |
| The use of Demerol has the potential for? | inducing seizures |
| Physical dependancy on Opioids common after? | 1-4 weeks of regular administration |
| most common side effect of Opioids | Constipation |
| physicians commonly counter constipation by prescribing what? | stool softener with peristaltic stimulant |
| What is Narcan used for? | to block or reverse the effects of Opioids |
| What role do prostaglandin play? | sensitizes nerves to carry pain stimuli to brain (Non-Opioids inhibit prostaglandin) |
| Describe Adjuvant Analgesics. | diverse classes of drugs that relieve pain by variety of mechanisms |
| IM administration of Opioids has potential to cause what? | fibrosis of muscle and soft tissue |
| Oral route for Opioid medications are optimal for Acute or Chronic pain? | Chronic |
| Describe PCA BY PROXY. | when someone other than the patient pushes PCA button to self administer pain medications |
| Name six side effects of Epidural Opioid administration. | Urinary Retention, Postural Hypotension, Pruritus, Nausea, Vomiting, Respiratory Depression |
| During Opioid infusion, the nurse should monitor what every 15 minutes? | Respiratory Rate |
Created by:
raoul.lopez
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