Term
|
Definition
| short duration, identifiable cause, limited tissue damage/emotional response. TREATMENT IS AGGRESSIVE, and it is a protective mechanism. |
|
|
Term
|
Definition
| Does not always have an identifiable cause, leads to great personal suffering. Examples include arthritis, cancer, headache. Associated symptoms=fatigue, insomnia, anorexia, weight loss, apathy, hopelessness, anger. |
|
|
Term
|
Definition
| Occurs sporadically over an extended period of time. |
|
|
Term
|
Definition
| somatic (musculoskeletal) and visceral (organ) pain, damages normal tissues, usually responsive to opioids/nonopioids. |
|
|
Term
|
Definition
| abnormal or damaged nerves, abnormal processing of sensory input by pns and cns, usually treated with adjuvant analgesics. |
|
|
Term
|
Definition
| Chronic pain without an identifiable cause. |
|
|
Term
| What does nociceptive pain feel like? |
|
Definition
| dull, aching and throbbing |
|
|
Term
| Neuropathic pain feels like... |
|
Definition
| burning or shooting sensation |
|
|
Term
| Three types of analgesics used for pain relief? |
|
Definition
1. nonopioids like acetaminophen and NSAIDS
2. Opioids or narcotics
3. adjuvants/coanalgesics |
|
|
Term
| Mild to Moderate pain relief with analgesics? |
|
Definition
| NSAIDS because they act on peripheral nerve receptors to reduce transmission of pain. |
|
|
Term
| Moderate to severe pain treatments? |
|
Definition
|
|
Term
| Adverse effects of opioids? |
|
Definition
1. In opioid naive clients is respiratory depression, clients are naive until receives an opioid ATC for 4-10 days, opioid tolerant after a week of ATC dosing.
2. Sedation always occurs before respiratory depression.
3. Naloxone IV push at .5mL/2minutes until respiratory rate = > 8 R/M. REASSESS EVERY 15 MINUTES FOR 2 HOURS FOLLOWING DRUG ADMIN. |
|
|
Term
| How to administer Pain meds? |
|
Definition
|
|
Term
|
Definition
| allows clients to self administer opioids. Benefits include avoiding overdose, client gains control over pain. NEVER LET FAMILY MEMBERS PRESS BUTTON! |
|
|
Term
|
Definition
| 12hrs on and 12hrs off schedule to avoid toxicity. |
|
|
Term
WHO ladder for treating cancer pain?
1. First Line
2. Second Line/Pain out of Control
3. Refractory Pain |
|
Definition
1. Acetaminophen, Asprin, NSAIDS, Adjuvants
2. opioids, NSAIDS, Adjuvants
3. Spinal/Epidural, Opioids, Nerve blocks, total sedation. |
|
|
Term
| Chronic pain treatment requirements? |
|
Definition
| GIVE ANALGESICS ATC, NEVER PRN. |
|
|
Term
| What should you routinely administer with opioids? |
|
Definition
| Stimulant laxatives to prevent and treat constipation. |
|
|
Term
| When to use transdermal fentanyl patches? |
|
Definition
| In opioid tolerant patients, and allows for continuous opioid administration. DISPOSE PATCH DOWN TOILET. |
|
|
Term
| When do oral pain meds peak vs ICP meds? What else should be evaluated? |
|
Definition
oral: peak in 1hour
IVP: peak in 15-30 minutes.
EVALUATE IF IT HELPED PHYSIOLOGICALLY AND PSYCHOLOGICALLY. |
|
|
