Chpt 11/12

Question 1

Pain is whatever the pt says it is , occurs whenever the pt says it occurs and is the intensity the pt states

Answer 1

.

Question 2

Opioid agonists only change the perception of pain; they do nothing at the site of injured tissues to reduce the cause of pain

Answer 2

.

Question 3

0

Answer 3

No hurt

Question 4

1

Answer 4

Hurts a little bit

Question 5

2

Answer 5

Hurts a little more

Question 6

3

Answer 6

Hurts even more

Question 7

4

Answer 7

Hurts whole lot

Question 8

5

Answer 8

Hurts worst

Question 9

Category : face

Answer 9

O-No particular expression/ smile ( face)
1- occasional grimace or frown / withdrawn/ disinterested
2-frequent to constant quivering chin, clenched jaw

Question 10

Legs

Answer 10

0- normal position/ relaxed
1-Uneasy , restless, tense
2-kicking or legs drawn

Question 11

Activity

Answer 11

0-lying quietly normal position moves easily
1-squirming , shifting back and forth, tense
2- arched rigid jerking

Question 12

Cry

Answer 12

0- no cry (awake or asleep)
1-moans or whimpers, occasional complaint
2-crying steadily screams or so s or frequent complaints

Question 13

Consobility

Answer 13

0- content , relaxed
1-reassured by occasional touching hugging being talked to distractability
2-difficult to console or comfort

Question 14

4 main drugs used for pain management

Answer 14

Opioid agonist, opioid agonist - anti antagonists , non opioid centrally acting analgesics, miscellaneous analgesics

Question 15

Strong opioid analgesics include :

Answer 15

Morphine , hydro morphone, oxymorphone,fentanyl

Question 16

Opioid agonists

Answer 16

Used to manage moderate to severe acute pain and chronic pain

Question 17

Serious adverse reactions / symptoms of overdose for opioid agonist analgesics that require immediate medical attention are :

Answer 17

Resp of 8 or less per min
Very low bp
Excessive sedation or coma 
Below normal
Body temp

Question 18

Opioid agonist - antagonist analgesics are:

Answer 18

Pentazocine
Nalbuphine
Butorphanol
Buprenorphine

Question 19

Two common nonopiod centrally acting analgesics are:

Answer 19

Clonidine

Tramadol

Question 20

Common misc. drugs / classes of drugs used for pain mangt. Include

Answer 20

Acetaminophen
Corticosteroids
Nsaids 
Skeletal muscle relaxants 
Antidepressants 
Anticonvulsants

Question 21

Methacarbomol ( robaxin)

Answer 21

Huge side efffect risks , need to have crash cart near