Pain Assessment Flashcards

1
Q

What are the generalized pain behaviors?

A
Decreased appetite
Decreased sleeping time
Changes in facial expression 
Limping or lameness
Increased or decreased activity 
Abnormal posture
Licking, scratching or self mutilation 
Decreased grooming
Vocalization 
aggression 
poor body condition
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2
Q

What are the canine pain behaviors?

A
Lameness
"Praying Position" 
Head Tilt 
Guarding painful site 
Decreased activity 
Social withdrawal 
Aggression
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3
Q

What position signals abdominal pain?

A

“Praying position”

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4
Q

What behavior signals ear pain?

A

Head Tilt

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5
Q

What are Feline pain behaviors?

A
Hiding 
Social withdrawal
Decreased appetite
Decreased grooming 
Excessive licking 
lameness
reluctance to jump 
Reluctance to use litter box or "missing' the box 
Squinting eyes
Lowered ears
aggression 
crouching posture at back of cage
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6
Q

What are equine pain behaviors?

A
Lameness
Standing at back of stall 
Decreased social interaction or interest in surroundings
Decreased appetite
Pain Face
Colic
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7
Q

What are ruminant pain behaviors?

A
Bruxism (teeth grinding) 
hypersalivation 
Abnormal facial expression 
Decreased appetite and rumination 
Decreased Milk production 
Isolation from herd
Vocalization 
Grunting
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8
Q

What are some biological markers of pain?

A
Cortisol 
Glucose
Catecholamines
Endorphins
enkephalins
Lactic acid
free fatty acid
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9
Q

What are signs of pain seen under General anesthesia?

A
Movement 
Trembling 
Increased HR
Increased RR
Increased blood pressure
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10
Q

What are the two Analgesic strategies?

A

Preemptive

Multimodal

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11
Q

What is the mainstay treatment for perioperative pain?

A

Opioids

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12
Q

What are the three receptors of opioids?

A

Mu
Kappa
Delta

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13
Q

What are the three common opioids?

A

Pure Mu agonists
Partial mu agonists
Mu antagonists

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14
Q

How does Tramadol work?

A

Inhibits serotonin reuptake

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15
Q

How do NSAIDs work?

A

Inhibit COX-1 and COX-2 enzymes

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16
Q

COX-2

A

produces prostaglandins for inflammation and pain

17
Q

COX-1

A

produces prostaglandins for GI/Renal protection and platelet function

18
Q

What are common NSAIDs for small animals?

A

Carprofen
Meloxicam
Deracoxib
Robenacoxib

19
Q

What are common NSAIDs for large animals?

A

Phenylbutazone
Flunixin meglumine
Firocoxib
Diclofenac

20
Q

Where are NMDA antagonists located?

A

Spinal cord

21
Q

What facilitates pain transmission?

A

Glutamate

22
Q

What are common NMDA antagonists?

A

Ketamine

Amantadine