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QUIZ 1
Pain & Analgesia
24
Pharmacology
Undergraduate 3
09/15/2010

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Cards

Term
physiology of pain
Definition
the mechanisms of pain rely on receptors called nocieceptors
FOUR STAGES: transduction, transmission, preception, modulation
Term
transduction
Definition
STAGE 1 of pain
conversion of painful stimuli to neuronal action potentials
Term
transmission
Definition
STAGE 2 of pain
movement of those action potentials to the spinal cord and brain
Term
perception
Definition
STAGE 3 of pain
brain becomes aware, interprets as pain
Term
modulation
Definition
STAGE 4 of pain
alteration of pain to any of the other stages
Term
cutaneous (characteristic of pain)
Definition
surface of skin
(i.e) paper cut
"bright", burning, sharp
localized
Term
deep somatic (characteristic of pain)
Definition
periosteum, muscle, tendon
(i.e.) sprain
pressure, tightness
edema or ishemia
large A fibers to small C fibers
Term
visceral (characteristic of pain)
Definition
organs
(i.e.) renal colic
waves of pain, cramping
obstuction, distention, ischemia
c fibers
shock, nausea, sweating, vomitting, pallor
Term
who knows most about a person's pain
Definition
patient
Term
pain threshold
Definition
the most pain a patient can stand
Term
best type of pain scale in use for most adults and older children
Definition
0-10 number scale
Term
body organ damaged by taking high doses of acetaminophen
Definition
liver
Term
what mechanism makes use of hot, cold, or massage to decrease pain sensation
Definition
gate mechanism
Term
motrin reduces fever, reduces pain, and is an anti-inflammatory but it is not______.
Definition
an anti-coagulant
Term
aspirin seems to work on reducing pain because it ______.
Definition
inhibits prostaglandins
Term
two effects of morphine other than pain relief
Definition
1. depressed heart rate
2. constipation
Term
pain that has periods of remission and exacerbations over six months would most appropriately be described as ____.
Definition
chronic
Term
psychogenic pain is just as real as pain associated with physiological disturbances
Definition
yes
Term
what would be an important thing to tell on a shift report
Definition
coffee ground emesis
(refers to coffee ground appearance in vomit being partially digested blood)
Term
mother does not have prescription insurance for ibuprofen 600mg, what can she do?
Definition
substitute for three 200mg generic OTC ibuprofen
Term
long-term low dose aspirin is shown to prevent _____.
Definition
myocardial infarction
Term
dosage of low dose aspirin
Definition
81 mg
Term
client on long-term low dose aspirin should avoid using what OTC drug
Definition
ibuprofen (motrin)
Term
clients who routinely use acetaminophen should avoid _______.
Definition
alcohol
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