NURS- Vitals & Pain Flashcards

1
Q

What are vitals?

A

a person’s temp, pulse, respiration, and blood pressure (pain is often the 5th vital sign)

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2
Q

What is pain?

pg. 1112

A

Body’s defense mechanism that usually indicates that something is wrong. It’s a subjective symptom that only the patient can identify and describe.

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3
Q

When should a person’s vitals and pain level be checked?

pg. 517

A
  • on admission to facility
  • as frequent as facility policies state
  • any-time there’s a change in pt. status
  • any time there’s a loss of consciousness
  • before and after surgical or invasive
    procedure
  • before and after ambulation after surgery
  • before administering meds that affect
    cardiovascular and respiratory function
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4
Q

What are the ways pain can be classified by?

pg. 1112

A
  • duration
  • location or source
  • mode of transmission
  • etiology
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5
Q

Cutaneous pain

A

involves the skin or subcutaneous tissue

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6
Q

Somatic pain

A

pain that is diffuse or scattered and originates in the tendons, ligaments, bones, blood vessels, and nerves

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7
Q

Visceral pain

pg. 1112

A

pain that is poorly localized and originates in body organs in the thorax, cranium, and abdomen

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8
Q

Neuropathic pain

pg. 1113

A

pain that results from an injury to or abnormal functioning of the PNS or the CNS

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9
Q

Psychogenic pain

pg. 1113

A

physical cause for the pain cannot be identified

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10
Q

What are the different types of pain?

pg. 1113

A
  • radiating
  • referred
  • intractable
  • neuropathic
  • phantom
  • pain syndrome
  • burning
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11
Q

What are the different durations of pain?

A
  • acute
  • chronic
  • remission
  • exacerbation
  • intractable
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12
Q

What is exacerbation?

A

When pain goes away and reappears

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13
Q

What is intractable pain?

A

pain that is resistant to therapy and persists despite a variety of interventions

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14
Q

What is referred pain?

pg. 1113

A

pain that originates in one part of the body but is perceived in an area distant from its point of origin

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15
Q

What is pain threshold?

pg. 1116

A

the lowest intensity of a stimulus that causes the subject to recognized pain

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16
Q

What are concepts associated with pain?

A
  • pain threshold
  • pain sensation
  • pain reaction
  • pain tolerance
17
Q

nociceptors

A

peripheral nerve fibers that transmit pain

18
Q

What are some substances that stimulate nociceptors?

A
  • bradykinin
  • prostaglandins
  • Substance P
19
Q

What are neuromodulators?

pg. 1117

A

endogenous opioid compounds, morphine-like chemical regulators in the spinal cord and brain.

20
Q

List three types of neuromodulators?

pg. 1117

A

1) Endorphins
2) dynorphins
3) enkephalins

21
Q

What factors affect the pain experience?

pg. 1117-1120

A
  • culture/ ethnic values
  • family, gender, age variables
  • religious beliefs
  • environment and support group
  • anxiety and other stressors
  • past pain experience
22
Q

What are some nonpharmacological relief methods?

pg. 1130-1132

A
  • distraction
  • humor
  • cutaneous stimulation
  • music
  • hypnosis
  • acupuncture
    ….
23
Q

adjuvant

A

drugs that are typically used for purposes other than pain, but enhance the effect of opioids…i.e. antidepressants

24
Q

physical dependence

A

the body becomes accustomed to a drug and suffers withdrawal symptoms if the drug is suddenly removed or rapidly decreased

25
Q

tolerance

A

the body becomes accustomed to a drug and needs a larger dose each time for pain relief

26
Q

addiction

A

a pattern of compulsive drug use for means other than pain control

27
Q

what does PCA stand for?

A

patient-controlled analgesia