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Flashcards in Quiz 1 - Pain Deck (31):
1

Demman's favorite definition of pain

"pain is whatever the person experiencing the pain says it is"

2

4 reasons unrelieved pain is a problem

1. **delays healing time
2. INC length of hospital stay
3. DEC pt satisfaction
4. INC stress response

3

#1 barrier to effective pain management

inadequate pain assessment

4

adverse effects of unrelieved pain on CV system (2), resp system (3), GI system (2)

CV system: INC HR, INC BP
RESP system: DEC cough, INC O2 demand, DEC lung vol.
GI: DEC GI motility, DEC gastric emptying

5

acute pain =

6 mo or less

6

chronic pain =

6 mo or more

7

referred pain =

pain that is perceived in another area from where it originates

8

transient pain =

brief then resolves

9

breakthrough pain =

steady management of a certain level of pain with an acute onset of INC pain levels

10

phantom pain =

pain sensation related to a body part that is not there

11

what does multidimensional pain assessment consist of

a number (visual analog scale) as well as the use of OLDCART or PQRST

12

what does PAINAD stand for

Pain Assessment IN Advanced Dementia

13

in those with dementia ____ is a sign of pain

INC agitation

14

____ tells you nothing about pain, it is an observation, not an assessment

sleeping

15

FLACC scale is for ages ___ to __ and stands for

2mo-7years
Face, legs, activity, crying, consolability

16

on the geisinger pain scale 0-3 is

well controlled/minor (doesn't interfere with most activities)

17

on the geisinger pain scale 4-5 is

well controlled/moderate (interferes with many activities)

18

on the geisinger pain scale 6-10 is

not well managed/severe (unable to engage in normal activities)

19

reassess pain every ___ with PO drugs, and every ___ with parenteral admin

1 hr with PO, 30 min with parenteral

20

what are the 6 p's

pain, position, placement of belongings, potty, pumps, prevent falls

21

when DC a patient what do you need to do for their pain management

titrate and transition to oral meds and from opioid to non-opioid

22

name 4 non-opioid NSAIDS

1. ibuprofen (Advil/Motrin)
2. ASA/aspirin
3. Ketorolac
4. Naproxen (Aleve/Naprosyn)

23

name a non-opoiod non NSAID

acetaminophen/tylenol

24

non-opioids are for ___ and have a

mild pain and have an analgesic ceiling effect

25

opioids are for ____

moderate to severe pain

26

list some SE of opioids and what you do to fix it

HYPOTN (bed position)
N/V (antiemetics or take w food)
constipation (drink water/ambulate)
pruritis
sedation
RD (Narcan/Naloxone)

27

what is a treatment for neuropathic pain

coanalgesics/adjuvants

28

what do you tell a pt if they dont want pain meds

describe the various negative impacts of unrelieved pain (INC hospital stay, delayed healing)

29

what does PCA stand for

pain controlled analgesia

30

what is a benefit of a PCA pump

patient has autonomous control over their pain management

31

with a PCA the loading dose is

a bolus that is administered once the IV is connected