Pain Management Flashcards

(38 cards)

1
Q

Analgesia

A

Absence of normal sense of pain

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2
Q

Anesthesia

A

Partial or complete loss of sensation, with or without loss of consciousness as a result of disease, injury or anesthetic

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3
Q

Hyperalgesia

A

Excessive sensitivity to pain- painful stimuli perceived as more painful- chronic pain

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4
Q

Hyperesthesia

A

Increased sensitivity to sensory stimuli such as pain or touch- chronic pain

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5
Q

Allodynia

A

Non painful stimuli percieved as painful- chronic pain

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6
Q

Dysthesia

A

Unplesant sensation in the absence of sensation- pins & needles- chronic pain

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7
Q

Hyperpathia

A

All stimuli- noxious and innocuous- are more intense- chronic pain

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8
Q

Provacative/ pallative

A

What makes pain better or worse

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9
Q

Quality

A

Character of pain

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10
Q

Region & referral

A

where it hurts and radiates

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11
Q

severity

A

Pain scale- plus quantity, characteristics, frequency & variability

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12
Q

timing

A

duration, frequency & consistency

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13
Q

Neuropathic pain

A

chronic pain- aberrant somatosensory process in PNS.
Pain disproportionate to lesion-maladaptive- tingling, sharp, shooting, electric, burning.
Ex: herpes, DM

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14
Q

Complex regional pain syndromes

A

Chronic pain following injury- damage or malfunction of PNS

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15
Q

Neuralgias

A

pain occurring along the course of the nerve- pressure, nutritional deficiency, toxin or inflammation

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16
Q

Phantom pain

A

perception of pain from body part that is no longer there

17
Q

Radicular neuropathy

A

problem with specific spinal nerve- damage to nerve root

18
Q

Nocioceptive pain

A

Ongoing activation of neural pain systems due to tissue damage or inflammation

19
Q

Somatic nocioceptive

A

localized pain- activation of nocioceptors with out injury to nerve or CNS

20
Q

Visceral nocioceptive

A

Deep, aching, squeezing pain

21
Q

psychogenic pain

A

pain that is truly experienced but best explained by a psychiatric disease

22
Q

Idiopathic pain

A

pain with no clear cause

23
Q

Physical dependence

A

Body adapts to drug requiring more to achieve same effect- withdrawal effects

24
Q

Tolerance

A

Body adapts to drug and requires more to achieve desired effect

25
Addiction
Compulsive drug use despite harmful consequences. Failure to meet obligations
26
Pain avoidance behavior
Adding negative emotion to pain signal- pain is much harder to control and may be triggered by memory of inciting incident- Avoid activities and increased disability
27
Nonpharmacologic pain management
CBT- relaxation & imagery physical agents- massage, heat, cold TENS units
28
Acetaminophen- Mech of action
Inhibits prostaglandin synthesis
29
Acetaminophen- Uses
Antipyretic & analgesic- not an anti platelet or anti-inflammatory
30
NSAIDS- ibuprofen & naproxen- Mech of action
Inhibit prostaglandin synthesis- COX pathway- modulation of pain, inflammation, platelet affregation and vasodilation
31
NSAIDs- Clinical uses
Pain modulation, inflammation & fever
32
Opioids- Mechanism of action
Interact with opioid receptors in CNS, cause hyper polarization of nerve cells
33
Opioids- Clinical uses
Analgesia to severe pain, Tx of diarrhea, cough relief, pulmonary edema
34
Opioids- Side effects
Euphoria, respiratory depression, depression of cough reflex, mitosis (pinpoint pupil), nausea
35
Bisphosphonates- Mech of action
Decrease osteoclastic bone resorbtion- decrease functionality of osteoclasts.
36
Bisphosphonate- Clinical uses
Bone pain, treatment of osteoperosis
37
Neuropathic Agents for pain relief- mech of action
Serotonin/ norepinephrine reuptake inhibitors-also used to treat depression Ex amtyptiline
38
Anti-convulsants
Gabapentin- suppress nerve activity and firing- inhibit sodium gated channels