Term
Nocioceptive or Neuropathic
1)referred pain
2) throbbing, well localized
3) result of nerve damage
4) hyperalgesia
5) somatic
6) spontaneous, burning, tingling |
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Definition
1)referred pain:Nocioceptive
2) throbbing, well localized:Nocioceptive
3) result of nerve damageL:Neuropathic
4) hyperalgesia:Neuropathic
5) somatic:Nocioceptive
6) spontaneous, burning, tingling:Neuropathic
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Term
Acute or Chronic
1) Identifiable cause
2) neuropathic
3) Pain associated with malignancy
4) typically nocioceptive |
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Definition
1) Identifiable cause- acute
2) neuropathic-chronic
3) Pain associated with malignancy-chronic
4) typically nocioceptive-acute |
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Term
acute or chronic
1) occur in timely relation to obvious noxious stimuli
2) HTN is a sign
3) Bradychardia is a sign
4) Hypotention is a sign |
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Definition
1) occur in timely relation to obvious noxious stimuli-actue
2) HTN is a sign-acute
3) Bradychardia is a sign- chronic
4) Hypotention is a sign-chronic |
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Term
Match
A)Pain to stimulus which normally doesnt cause pain
B)Increased response to a stimulus which normally causes pain
C) an abnormal sensation
Parasthesia Allodynia Hyperalgesia |
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Definition
A) Allodynia
B)Hyperalgesia
C)Parasthesia |
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Term
Definition
Medication used when pain is increased and more relief is needed |
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Definition
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Term
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Definition
medication that provides relief around the clock regardless of pt. current severity of pain |
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Term
Definition
Adjunct Therapy |
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Definition
| meds w/o primary pain indication used to supplement pain medication |
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Term
| In what type of pain is adjuct therapy typically used? |
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Definition
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Term
Definition
Pseudo-addiction |
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Definition
| appearance of addiction traits but due to under treatment of pain |
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Term
Definition
increased involvement in the procurement and use of medications despite negative consequences |
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Definition
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Term
Which Pain Assessment tool?
1) Children
2) Very sensitive to small changes
3) very simple, uses general terms
4) ruler and pen are needed, pt needs to be able to understand |
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Definition
1) Children- Faces Pain Scale
2) Very sensitive to small changes- Visual Analog
3) very simple, uses general terms- Verbal rating
4) ruler and pen are needed, pt needs to be able to understand- Visual Analog |
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Term
T/F
When referencing the pain scale it is important to say 10 is the worst pain you've ever felt |
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Definition
FALSE
Worse pain imaginable not felt, because what they've felt so far might not be that bad |
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Term
| What question would assess each PQRST factor? |
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Definition
P- Is there anything that makes the pain worse
Q- describe the pain...dull, sharp
R- does the pain spread
S- how sever is the pain (use pain scale)
T- how long has it hurt, is there any time of the day when its worse |
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Term
| What objective data should be used to determine adequate pain therapy? |
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Definition
Amount of PRN meds used
Compliance (pill count, MAR)
Vitals (acute pain) |
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Term
| What are some predictors of aberrant drug use? |
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Definition
Tobacco and high alcohol use
recent marijuana use
younger age
FH or Personal HX of illicit drug use
Psychiatric disease
Hx of preadolescent sexual abuse in females |
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Term
| What are some criteria for opiod abuse |
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Definition
Excessive opiod needs
unwilling to taper opiods
pattern of early refills
route of administration preference
doctor shopping |
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Term
| What are some ways to address aberrant drug use? |
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Definition
contracts
pill counts
random urine drug tests
short term prescriptions |
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