Exam 4 - Pain

Question 1

what is acute pain caused by

Answer 1

trauma

surgery

Question 2

what is chronic pain caused by

Answer 2

disease

healed tissue injury

Question 3

somatic

Answer 3

skin and other MSK structures

Question 4

visceral

Answer 4

organs

Question 5

what describes somatic superficial pain?

Answer 5

sharp and burning

Question 6

what describes deep somatic pain?

Answer 6

dull aching and cramping

Question 7

visceral pain

Answer 7

poorly localized
radiates
dull
ache
sharp/stab

Question 8

what is neuropathic pain?

Answer 8

from a nerve injury

Question 9

what does neuropathic pain feel like?

Answer 9

pooly localized
shooting
burning
fire

Question 10

how is pain transmitted

Answer 10

C-Fibers

Delta A fibers

Question 11

what are rapid A- delta fibers?

Answer 11

rapid response
found in skin and muscle
feels prickly and sharp

Question 12

what are C fibers

Answer 12

slow and more diffuse
found in muscle, periosteum, organs
unmyelinated, thermal, chemical, and mechanical impulse

Question 13

what are the three pain theories

Answer 13

specificity
gate control
neuromatrix

Question 14

specifiticty theory

Answer 14

input of pain travels to brain that processes

Question 15

gate control theory

Answer 15

occurs in spinal cord

can change impulse before heading to brain

Question 16

neuromatrix theory

Answer 16

whatever the brain says it is, it is

Question 17

relief of associated symptoms
rest
empathy
diversion
humor 
faith

all do what?

Answer 17

alleviate pain

Question 18

nausea
vomitting
fever
lack of sleep
poor nutrition
anxiety
fear
depression
anger

all do what?

Answer 18

increase pain

Question 19

how does acute pain effect the patient

Answer 19

inhibit coughing and deep breathing
enhance muscle reflex contraction
activation of stress

Question 20

how does chronic pain effect the patient

Answer 20

cause sleep disturbance
reduce energy
decrease socialization
decrease immune
cause depression

Question 21

Pain = Stress =

Answer 21

delayed healing

Question 22

how to assess pain

Answer 22

precipitating factors
aggravating factors
localization of pain
characterization
duration
physical signs

Question 23

PQRST

Answer 23

Precipitating factors
Quality or quantity
region or radiation
severity scale
timing

Question 24

what are assessment categories

Answer 24

localized
raditating
referred
projected

Question 25

three main analgesic classifications

Answer 25

opioid nonopioid adjuvant

Question 26

what are the receptors for opioids

Answer 26

mu kappa delta

Question 27

which receptor is most important

Answer 27

mu

Question 28

what receptor doesn't matter with opioid

Answer 28

delta

Question 29

what are the classifications of opioids

Answer 29

agonist antagonist agaonist-antagonist

Question 30

what do the agonist target?

Answer 30

kappa and mu receptors

Question 31

what do antagonist target?

Answer 31

used to reverse effects of opioids

Question 32

what do agonist antagonist target

Answer 32

block mu and activate kappa

Question 33

what happens when you give a agonist with an agonist antagonist?

Answer 33

it will act as an antagonist

Question 34

agonist opioids

Answer 34

fentanyl codeine hydromorphone oxycodone

Question 35

antagonist opioid

Answer 35

narcan (naloxone)

Question 36

combination drugs

Answer 36

norco (hydrocodone and acetaminaphen) | vicoprofen

Question 37

agonist antagonist

Answer 37

buprenorphine

Question 38

sedating adjuvants

Answer 38

anti emetic anti anxiety muscle relaxants anti histamine

Question 39

non sedating adjuvants

Answer 39

glucocorticosteroids anti convulsant anti depressant local anestetic

Question 40

side effects of opioids

Answer 40

sedation and resp depression

Question 41

types of COX inhibitors

Answer 41

anti inflammatory anti pyretic analgesics

Question 42

what is a FLACC scale

Answer 42

``` face legs activity cry consolibility ```

Question 43

CRIES scale

Answer 43

``` cry o2 hr and bp facial expression sleep ```

Question 44

what is a non pain scale on the FLACC scale

Answer 44

0

Question 45

what is a non pain scale on the cries scale

Answer 45

0

Question 46

non seizure medication

Answer 46

gabapentin

Question 47

antinausea

Answer 47

ondanestron and zofran

Question 48

non opioid analgesic IV

Answer 48

toradol

Question 49

how should you deliver narcan

Answer 49

every 2 to 3 minutes | 0.2 mg to 0.4 mg

Question 50

who should you not give morphine too?

Answer 50

gall bladder patients no head injuries pancreas

Question 51

miosis

Answer 51

pin point pupils

Question 52

Complementary alternative medicine

Answer 52

massage and other things

Question 53

how should you administer pain meds in elderly?

Answer 53

low and slow

Question 54

how should you administer pain meds in every one else for doses?

Answer 54

high to low