Question | Answer |
Who is the only person who can say how much pain the patient is in? | The patient is the only person who can state that they are in pain. Any pain level that the patient is in is to be believed. Use your own judgement. |
What causes the feeling of pain to occur? | Delta fibers and C fibers. These are Nociceptors. |
Pain is mediated and modulated through what mechanism in the brain? | Forebrain mechanisms in the brain. They are spread throughout each region of the brain. |
The sensory dimension of pain encompasses: | Location, intensity, and quality. (Quality being how the pain feels to the patient; gnawing, stabbing, etc) |
Definition: Nociceptic Pain | Pain to painful stimuli, such as an injury, disease, or inflammation. This indicates real or potential tissue damage. It is caused by activation of the delta and C fibers. |
Definition: Visceral Pain | Deep tissue or organs. |
Definition: Neuropathic Pain | Pain caused by abnormal processing of stimuli in the CNS or PNS. |
Definition: Acute Pain | The immediate phase of response to an insult or injury, results from tissue damage. |
Definition: Chronic Pain | May persist beyond actual tissue injury and healing. This type of pain disrupts daily living. Cancer pain is also under this category of pain. This pain is usually progressive. Usually not responsive to normal treatments. |
NSAIDS stands for: | nonsteriodal anti-inflammatory drugs |
Definition: adjunct analgesics | These drugs are used secondary to pain medication in treating pain. Usually used with a mixture of pain-relieving medications. |
Strong Narcotic Agonists include: | morphine, hydromorphone, levorphanol, oxycodone, oxymorphone, meperidine, fentanyl, alfentanyl, sufentanyl, methadone, tramadol, and remifentanyl. |
The only narcotic agonist used to treat the acute MI pain is: | Morphine |
Onset of analgesic effect occurs within ______ to ________ and lasts from between _______ and __________. | Onset occurs within 15-30 minutes and lasts from 3-7 hours. |
Definition: dependence | When the patient experiences withdrawal or abstinence syndrome when morphine is discontinued. |
Definition: Addiction | Compulsive use of the drug for a secondary gain other than pain control. |