NURS 175- Pain Flashcards

1
Q

SNS Response to Pain

A
  • increased resps
  • increased HR
  • Increased BP
  • Increased blood glucose
  • diaphoresis
  • muscle tension
  • dilated pupils
  • nausea
  • vomiting
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2
Q

PNS Response to Pain

A
  • pallor
  • muscle tension
  • decreased HR
  • decreased BP
  • rapid irregular breathing
  • weakness
  • exhaustion
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3
Q

Characteristics of Acute Pain

A
  • identifiable cause
  • predictable ending
  • short duration
  • quick onset
  • measurable/describable
  • responsive to analgesics
  • dissipates after healing
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4
Q

Characteristics of Chronic Pain

A
  • persistent or intermittent
  • may not have identifiable cause
  • symptoms can be vague
  • more difficult to manage
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5
Q

Characteristics of Cancer Pain

A
  • acute or chronic

- cancer or meds

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6
Q

Breakthrough Pain

A

pain breaks through despite medication

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7
Q

Physiological Perception Factors

A
  • analgesics
  • sedatives
  • anaesthetics
  • all depress CNS
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8
Q

Social Perception Factors

A
  • attention
  • previous experience
  • family and social support
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9
Q

Psychological Perception Factors

A
  • anxiety

- meaning of pain

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10
Q

Pain Assessment

A
L- location
O- onset
P- provokes
Q- quality 
R- radiates/region
S- severity 
T- timing 
U- understanding
A- associated symptoms
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11
Q

Non-Pharmacological Interventions

A
  • Reiki
  • transcutaneous electrical nerve stimulation (TENS)
  • biofeedback
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12
Q

Pharmacological Interventions (Analgesics)

A
  • NSAIDS
  • Opioids
  • Adjuvants/co-analgesics
  • sucrose (esp. in babies)
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13
Q

NSAIDS

A

non-steroial anti- inflammatory Drugs

  • Tylenol, ibuprofen, ASA
  • mild to moderate pain/fever
  • give lowest dose for shortest amount of time
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14
Q

Opioids

A
  • can cause respiratory depression
  • for when non-opioids aren’t enough
  • constipation
  • nausea
  • itching (puritis)
  • myoclonus (jerking muscles)
  • delirium
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15
Q

Adjuvants

A
  • meds not designed for pain control but can relieve pain
  • antidepressants
  • corticosteroids
  • cannabinoids
    anticonvulsants
  • local anaesthetics
  • anticholinergenics
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16
Q

Less Potent Opioids

A
  • codeine

- percocet

17
Q

More Potent Opioids

A
  • morphine
  • hydromorphone
  • fetanyl
18
Q

Pseudo Addiction

A
  • drug seeking behaviours

- under treated pain

19
Q

Physical Dependence

A
  • physiological adaptation
  • drug withdrawal syndrome
  • cessation or rapid dose reduction
20
Q

Drug Tolerance

A
  • diminution of one or more of the drugs effects over time
21
Q

Addiction

A
  • neurobiological disease
  • impaired control over drug use
  • craving
22
Q

Most essential ingredient one must have to care for someone in pain

A

empathy