Pain Intervention Flashcards Preview

Module 5 > Pain Intervention > Flashcards

Flashcards in Pain Intervention Deck (22):
1

what type of pain meds are used for mild to moderate pain

non opioids such as acetaminophen and ibuprofen
(target PNS)

2

why are non opioids called "ceiling effect"

you can only get so much response, may alleviate the pain all together or it won't at all

3

what type of pain meds are used for moderate to severe pain

opioids such as morphine, fentanyl, and dilaudid (target CNS)

4

do opioids have a "ceiling effect"

no

5

what is used to wean from opioids and to treat severe or chronic pain

methadone

6

what are 6 other types of meds that can be used as adjunct therapy

anticonvulsants
antidepressants
sedatives
muscle relaxants
antianxiety meds
and steroids

7

what is good for conscience sedation but NOT for long term use

demerol

8

what 3 forms come orally

liquid, pill, and lollipop

9

what 3 ways can pain medication be admin intravenously

bolus, continuous, and PCA (children as young as 4 years)

10

what topical works great for things that are more SCHEDULED and NOT hurried

EMLA because you have to apply it 1-2.5 hours before painful event

11

what can EMLA (combination of meds) be used on but what should you avoid doing an hour after application

used on intact skin (not used on infants less than 3 months)
avoid starting an IV in the first hour because it causes vasoconstriction

12

what topical should you wait 20-30 minutes after application for it to start taking affect

LMX4 (just lidocaine)
doesn't take long to take effect but does NOT last long

13

an instant topical anesthetic skin refrigerant that temporarily controls pain

pain ease (works for up to one minute) no doctors order needed

14

what does pain ease work for

needle procedures, minor surgical procedures, bruises, swelling, minor sprain, CUTs and abrasions

15

what is LAT gel or liquid good for

non intact skin for those who need sutures (NOT good on tips of fingers, nose, penis)

16

how long does LAT start to take effect

10-15 minutes

17

for fentanyl patches what is the onset and duration (for children 12 and up)

onset= 12-24 hours
duration= 72 hours

18

when is respiratory depression most likely to occur?

although it is rare, it is most likely to occur with the initial dose when there is NO history of previous exposure

19

what should be done if respirations become depressed

reduce infusion is continuous
stimulate client
administer oxygen

20

what should be done if child cannot be aroused or is apneic

administer narcan (naloxone) opioid antagonist

21

what is a common side effect of opioids and what should be done to prevent it

constipation!
admin stool softener or laxative
increase fluid and fiber

22

if pt has pruritus what should be given

diphenhydramine or hydroxyzine