PADIS

Question 1

Vital signs are valid indicators for pain assessment

a. true
b. false

Answer 1

b. false

should only be used as cues to initiate further assessment using appropriate and validate methods

Question 2

2 scales/tools for noncummunicative pts?

Answer 2

behavioral pain scale (BPS)

critical care pain observation tool (CPOT)

Question 3

Noncommunicative pts:

A CPOT score of what indicates significant pain?

Answer 3

> 2

Question 4

Noncommunicative pts:

A BPS score of __ indicates an unacceptable amount of pain

Answer 4

6-11

Question 5

Noncommunicative pts:

A BPS score of __ indicates maximum pain

Answer 5

> = 12

Question 6

What is acceptable RASS score range?

Answer 6

-2 to +1

\+1 = restless
0 = alert and calm
-1 = drowsy
-2 = light sedation

Richmond Agitation Sedation Scale

Question 7

Analgosedation is not appropriate for what 3 scenarios?

Answer 7

• drug/substance withdrawal (except opioids)
• drug-induced agitation or encephalopathy
• any agitation associated with a clear and reversible etiology (e.g. pain)

Question 8

Dexmedetomidine is a good option for a RASS score of -4

a. true
b. false

Answer 8

b. false

lighter sedation
used for RASS score 1-2

Question 9

What is the CAM-ICU assessment used for?

Answer 9

delirium

most common

3 out of 4 needed for delirium

Question 10

Rivastigmine is recommended to treat ICU delirium

a. true
b. false

Answer 10

b. false

cholinesterase inhibitors are associated with greater mortality

Question 11

4 parts of CAM-ICU delirium assessment?

Answer 11

• acute onset and fluctuating course (mental status)
• inattention (SAVEAHAART)
• altered consciousness (RASS/SAS)
• disorganized thinking (logic)