pain, anxiety, and delirium Flashcards
(18 cards)
T/F. The Acute Pain Service (APS) should be established and be an integral part of casualty care starting at the role 1
false
T/F sedation should be optimized as a priority over pain control
false
adjuncts can greatly increase patient safety and the effectiveness of narcotics to treat pain while reducing side effects. What are examples of adjuncts?
acetaminophen, ketamine, non-steroidal anti-inflammatory drugs (NSAIDs), continuous peripheral nerve infusions, and continuous epidural infusions
If is it not feasible to incorporate the APS into trauma rounds, then the APS is responsible for ______ pain rounds, pain management consults, and reports to the trauma team leader
daily
what is scoring system for the assessment of pain?
DVPRS
what is scoring system for the assessment of anxiety?
RASS
what is scoring system for the assessment of delirium?
CAM
the goal for patients with delirium is to achieve a delirium free state as measured by the _______
cam
the ABCDEs should be incorporated into treatment care plans as efforts to prevent delirium in critically injured patients. The E stands for__
early exercise
T/F. Seriously injured patients who are not intubated should be assesses every 1-4 hours for the presence of pain.
True
T/F. Adequate early pain control has been shown to reduce post-traumatic stress disorder and ongoing pain control is an obligatory part of trauma care.
true
____________, in parenteral doses of 0.15-0.3 mg/kg, has been shown to reduce pain scores, total narcotic use, and need for rescue medication when used with morphine for acute pain control.20
ketamine
what is not a narcotic agent of choice approved for repeated patient controlled analgesia pump?
meperidine (demerol)
T/F. low molecular weight heparin (LMWH) use in patients undergoing epidural anesthesia greatly increases the risk of epidural hematoma, which can lead to paralysis.
true
what are the medications used to treat anxiety and agitation?
clonidine
T/F. continuous dosing of analgesics and anxiolytics, as opposed to intermittent dosing, has been shown to reduce the duration of mechanical ventilation and continuous dosing of analgesics and anxiolytics should be instituted prior to intermittent dosing.
false, flip the continuous and the intermittent
Continuous infusions should be stopped ______ to obtain a reliable physical examination, including neurologic assessment, and to perform a spontaneous breathing trial in ventilated patients.
daily
__________is a safe antiemetic in the adult population and is increasingly the therapy of choice for acute undifferentiated and trauma-related nausea.
Ondansetron
