Unit 12 - Misc. Pain Topics Flashcards
Pain d/t a stimulus that doesn’t normal produce pain
Allodynia
A stimulus that is normally expected to produce pain
algogenic
No pain is sensed in response to a painfull stimulus
Analgesia
Abnormal/unpleasant sense of touch
dysesthesia
exaggerated pain response w/ a painful stimulus
hyperalgesia
pain localized to a dermatome
Neuralgia
Impaired nerve function
Neuropathy
Abnormal sensation described as pins and needles
paresthesia
The ________ class of medications can be used to treat chronic pain
Antidepressants
Name the 3 classes of antidepressants that can be used to treat chronic pain
TCAs
SNRIs
SSRIs
The antidepressant class of _____ have the most significant side effects
TCAs
What are the 2 major side effects of TCAs
QT prolongation
Orthostatic HoTN
The combination of a SNRI & an SSRIs can precipitate _________ _________
serotonin syndrome
Type 1 of complex regional pain syndrome is called:
reflex sympathetic distrophy
type 2 of complex regional pain syndrome is called:
causalgia
type ___ CRPS is always preceded by nerve injury and type ____ is not
2
1
You can think of the ____________ block as a unilateral single shot epidural
Thoracic paravertebral block
This block is useful for the management of cancer pain of the upper abdominal organs
celiac plexus block
This block is useful for the management of cancer pain of the pelvic organs
superior hypogastric plexus block
Which block can be used to alleviate postdural puncture h/a?
sphenopalatine block
The _____ nerve is the only cranial nerve that is part of the CNS
optic nerve
What is the most severe complication of a retrobulbar block?
Post-retrobulbar block apnea syndrome
What is the first sign of post-retrobulbar apnea syndrome
Contralateral pupil dilation
It is important to assess the _________ ________ before performing a retrobulbar block
contralateral pupil
