Shared Flashcard Set

Details

Pain
Med-Surg 1
22
Nursing
Not Applicable
11/02/2012

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Cards

Term
Acute Pain S/S
Definition
^ HR
^BP
^Respirations
Sweating
Anxiety, Agitation, Confusion
Urine Retention
Term
Chronic Pain
Definition
Flat Affect
Fatigue
Depression
Withdraw from social activitiest
Term
CRPS
Definition
Nueropathic pain. Changes in color and temperature over effected limb
Term
How to control Neuropathic Pain
Definition
Opiods
Tetracyclines
SNRI
Anti-Seizures
A2- adrenergics
Term
Central Sensitization
Definition
Enhanced excitability in the spinal neurons
Related to chronic pain
Term
How often is Chronic Pain reassessed
Definition
Quarterly or with change in condition
Term
Examples of Tricyclic Antidepressants
Definition
Amitriptyline (Elavil), nortryptyline (Pamelor), Desiprimine (Norpramin)
Term
Examples of SNRI
Definition
venlafaxine (Effexor), duloxetine (Cymbalta), bupropion (Wellbutrin, Zyban)
Term
Examples of Anti-Seizures
Definition
gabapentin (Neurontin), pregabalin (Lyrica)
Term
Examples of a2 agonists
Definition
clonodine (Catapres)
Term
Early S/S of withdraw
Definition
6-12 hrs
Anxiety
Sweating
Dialated Pupils
Chills
Tremors
Runny nose
anorexia
Term
Late S/S of withdrawl
Definition
Diarrhea
Aggitation
Restlessness
Fever
Abdominal Cramping
hypertension
insomnia
tachycardia
Term
ibuprofen
Definition
^ risk for GI bleeding
^risk for CV thrombotic events
Use loest effective does for shortest time
Term
ketorolac (Torodol)
Definition
Limited treatment to 5 days
Could cause renal failure in dehydrated p/ts
Term
naproxyn (Aleve)
Definition
Increased risk for bleeding
Don't use with CABG
Term
Celcoxib (Celebrex)
Definition
Cause less side effects than NSAIDs but costs more
no CABG
Could cause CV thrombotic incidents
Term
NSAIDs contraindications
Definition
Do not use after heart surgery
P/T with GI issues
Do not use with Aspirin
Term
Opoid side effect
Definition
Itching, constipation, respritory depression.
Term
Which route causes puritis
Definition
Epidural
Term
Breaths less than 12
Definition
hold opiod and call MD
Term
Non-Opiods
Definition
Analgesic ceiling
Do not produce dependence
Term
Acetamenaphine
Definition
Chronic dosing of more than 4 days can cause renal problems.
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