Unit 1 Flashcards

(34 cards)

1
Q

What are 5 characteristics of chronic pain?

A
  • Dull pain
  • Shallow pain
  • hard to locate
  • Neuropathic pain
  • Grimacing, dull, shallow pain
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2
Q

What are 3 defining characteristics of acute pain?

A
  • Sudden
  • Stabbing
  • Elevated heart rate, blood pressure and respiratory rate
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3
Q

What is referred pain?

A
  • Pain that is felt in one area but originates from another
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4
Q

What is neuropathic pain?

A
  • Numbness but hurting
  • tingling
  • Bugs crawling on their back
  • burning
  • Painful cold
  • Electric shock
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5
Q

What three things can impact pain?

A
  • Biological factors (disease)
  • Psychological factors (mood/affect)
  • Social factors (Cultural factors and social support)
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6
Q

What are the 3 different ways to measure pain?

A
  • Simple descriptive pain scale
  • 0-10 pain scape
  • Visual analog scale (VAS) faces
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7
Q

What is the nurses role in assessing pain?

A
  • To actually assess the pain
  • measure the pain
  • Perform a focused assessment on the pain
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8
Q

What are forms of pharmacological therapies?

A
  • Locals
  • NSAIDs
  • Non-opiate analgesics
  • Corticosteroids
  • Other medications
  • Opiates
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9
Q

NSAIDS have the three A’s which are?

A
  • Antipyretic effects (reduces fever)
  • Analgesic (reduces pain)
  • Anti-inflammatory effects (blocks prostlandins)
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10
Q

What are corticosteroids?

A
  • End in “one” often
  • Help with analgesia but not inflammation
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11
Q

What do corticosteroids affect?

A
  • Those with diabetes
  • They can impact the immune system
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12
Q

What 7 things affect the experience of pain?

A
  • Culture
  • Religion
  • Environment
  • Financial situation
  • Age
  • Experiences with healthcare
  • Genetics
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13
Q

What are 4 ways to assess pain?

A
  • 1-10 Scale
  • PQRSTU
  • FACES scale
  • Ask what makes it better or worse
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14
Q

How often should pain be assessed?

A
  • Initially on assessment
  • Every 2 hours afterwards
  • Prior to and after giving medication
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15
Q

What are the three A’s of NSAIDs?

A
  • Antipyretic
  • Anti-inflammatory
  • Analgesic
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16
Q

Are NSAIDs Steroidal?

17
Q

What are 5 NSAID names? KINDC

A
  • Ibuprofen
  • Naproxen
  • Diclofenac
  • Ketorolac
  • Celebrex
18
Q

What are the 6 negative effects of NSAIDs?

A
  • Upsets GI tract
  • Can cause ulcers and GI bleeding
  • Renal damage
  • Can cause liver damage
  • Can increase cardiovascular levels and cause heart attacks
  • Can thin the blood
19
Q

What is the normal level of serum creatinine in the body?

20
Q

What is the normal level of BUN in the blood?

21
Q

What is one non opioid analgesic?

A

Acetaminophen

22
Q

What are the 2 A’s of Non opioid analgesics?

A
  • Antipyretic
  • Analgesic
23
Q

What are the 2 side effects of using acetaminophen?

A
  • liver damage
  • GI Upsets
24
Q

What levels are measured when assessing liver condition?

25
What are 5 Opiates?
- Morphine - Fentynal - Percocet (Oxycodone/APAP - Methadone - Oxycodone
26
What are 5 adverse effects of opiates?
- Respiratory depression - Addiction - Constipation - GI upsets - Drowsiness
27
What are short acting opiates used for?
- Breakthrough pain
28
What is Gabapentin?
- Anticonvulsant - Is occasionally used for nerve pain
29
What is metoprolol used for?
- Controlling blood pressure - Is a beta blocker - Causes vasodilation - Can be used for migraines
30
What is addiction?
Your body wanting more and more and doing anything it takes to get it
31
What is tolerance?
- Your body not responding the same as it used to to the same treatment
32
What is dependancy?
- Your body needing a drug to continue to function.
33
What routes can Opiates be given through?
- PO - IV - Topical - Intrathecally - Sublingual - Buccal
34
What 3 populations are hard to assess pain in?
- Children - Older adults - Those who can't communicate