Fibromyalgia Flashcards

1
Q

What is fibromyalgia?

A

Widespread musculoskeletal pain.

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2
Q

How is the widespread pain of musculoskeletal pain characterized?

A

Stiffness, fatigue, sleep disturbances, and difficulty concentrating.

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3
Q

How many Americans does fibromyalgia affect?

A

10 million

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4
Q

What percentage of Americans affected by fibromyalgia are women?

A

75-90%

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5
Q

At what age does fibromyalgia typically get diagnosed?

A

Between 20-50 yrs.

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6
Q

What is the fibro cycle?

A
  • pain
  • muscle tension
  • daily stress
  • limited activity
  • fatigue
  • depression
  • muscle stiffness
  • pain

REPEAT

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7
Q

Does fibromyalgia have a known cause?

A

No,

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8
Q

What may trigger fibromyalgia?

A

Infection, trauma, or other stressors.

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9
Q

What are the specific tender points on the body for fibro?

A
  • neck
  • spine
  • shoulders
  • hips
  • elbows
  • knees
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10
Q

What are the risk factors for fibro?

A
  • female, 20-50 yrs old
  • family history
  • psychiatric disorder
  • medical disorder (RA, IBS)
  • Genetics
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11
Q

How can you prevent fibro?

A

There is no know way to prevent.

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12
Q

What can reduce flare ups and manage pain and fatigue?

A

Prompt diagnosis and treatment of symptoms.

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13
Q

What does maintaining a healthy lifestyle help prevent?

A

Fibromyalgia

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14
Q

What are the clinical manifestations of fibro?

A
  • widespread pain
  • fatigue, sleep disturbances
  • enhanced sensitivity to heat and cold
  • mood disorders, cognitive dysfunction
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15
Q

What is JPFS?

A

Juvenile primary fibromyalgia syndrome.

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16
Q

Are there any diagnostics tests for fibromyalgia?

A

NO.

17
Q

How is pain measured for fibro?

A
  • Pain scale: extent and duration of pain
  • pain in 4 quadrants of the body
  • painful response on 11 of 18 tender points,
18
Q

What are some examples of pharmacological therapy for fibro?

A
  • Duloxetine, milnacipran: SSNRI’s
  • Pregabalin: GABA analog
  • Acetaminophen, NSAIDs
  • Tricyclic antidepressants
19
Q

What is a tricyclic antidepressant?

A

Drugs to treat depression, mood disorders, chronic nerve-related pain, help with bed-wetting, manage OCD, prevent migraines.

20
Q

What are some examples of nonpharmacologic therapy treatments for fibro?

A
  • Aerobic exercise
  • Strength training
  • Cognitive-behavior therapy
  • relaxation therapy
21
Q

What is the MOA for pregabalin?

A

GABA analog: increases neuronal GABA levels.

22
Q

What is Contraindicated for pregabalin?

A

Suiccidal ideation, depression, renal impairment, history of drug or ETOH abuse, CHF

23
Q

What are the adverse effects of pregabalin?

A

Ataxia, amnesia, dizziness, neuropathy, abnormal thinking, vertigo. Chest pain, diplopia, edema, weight gain.

24
Q

Should you abruptly discontinue pregabalin?

A

NO.

25
Q

What is the trade name for pregabalin?

A

Lyrica.

26
Q

What are the goals of nursing care for fibro?

A
  • to reduce pain
  • increase restorative sleep
  • improve physical function
27
Q

WHat will the assessment of fibro consist of?

A

History, widespread pain for at least 3 months, pain at 11 of 18 tender points,, absence of disorder that would describe pain

28
Q

DX for fibro include:

A
  • insomnia
  • readiness for enhanced sleep
  • fatigue
  • activity intolerance
  • readiness for enhanced knowledge
  • hopelessness
  • anxiety
  • ineffective coping
  • chronic pain