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Flashcards in Pain Deck (19):
1

What are the biochemical mediators of pain?

1. prostaglandins
2. bradykinins
3. serotonin
4. histamines
5. substance p
6. NE

2

What is nociceptive pain?

1. caused by stimulation of peripheral nerve fibers
2. divided into visceral, deep somatic, and superficial somatic pain

3

What causes muscle pain?

1. Lactic acid levels

4

Treatment for muscle pain

1. NSAIDS
2. muscle relaxers
3. heating pads

5

What is fibromyaligia pain?

1. chronic widespread pain and allodynia (heightened and painful response to pressure)

6

What meds tx fibramyalgia?

1. duloxetine
2. milnacipran
3. pregabalin

7

What are neuropathic pain features?

1. burning, tingling, numbness, "pins and needles"
2. somatosensory pain

8

What diseases may be associated with neuropathic pain?

1. spinal disorders
2. DM
3. herpes zoster

9

Treatment for neuropathic pain

1. gabapentin
2. lyrica
3. SSRIs
4. antidepressants or narcotics

10

What is visceral pain?

1. vague, diffuse, and poorly defined sensation

11

What is most common presenting symptom for visceral pain?

chest pain, tightness, pressure, or squeezing

12

Considerations in pain assessment and management

1. cultural differences
2. individuals are different
3. biases and myths
4. recognize the cost of failure to treat pain

13

T/F drug abusers and alcoholics overreact to pain

F they are actually more truthful since inhibitions are lowered

14

T/F clients with minor illness have less pain

F for that patient, the experience could be major depending on previous experience

15

T/F giving analgesic regularly will start drug dependency

F studies show only 3% of patients develop true addiction

16

T/F amount of damage dictrates pain intensity

F minor injuries may cause bad pain

17

T/F psychogenic pain is not real

F in that patient's mind, the pain is real

18

T/F health care personnel know best the nature of patient's pain

F patient knows best

19

Neonatal/pediatric pain considerations

1. kangaroo care
2. facilitated tuck
3. swaddling
4. oral sucrose