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Quiz 4 NUR 101 Owens (1)
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Quiz 4 NUR 101 Owens (1)
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Quiz 4 NUR 101 OwensWho is the most reliable indicator of pain? - ANS-the patient; pain is what/when they say it is
Acute pain - ANS-short term pain that serves as a warning
Acute pain activates the ______________nervous system - ANS-sympathetic
Physical signs of acute pain - ANS-Increased HR, BP and respiratory rate, sweating and pupil
dialation
Chronic pain - ANS-pain lasting 3 months or more
Which pain is difficult to pinpoint? - ANS-Chronic pain
Chronic pain is often accompanied by_________ - ANS-exhaustion and depression
What is the gate theory of pain? - ANS-suggests that the spinal cord contains a neurological
"gate" that either blocks pain signals or allows them to continue on to the brain.
nociceptive pain - ANS-pain from a normal process that results in noxious stimuli being
perceived as painful
neuropathic pain - ANS-pain from damage to neurons of either the peripheral or central nervous
system
mixed pain syndromes - ANS-Not easily categorized and have multiple underlying factors:
examples fibromyalgia and some low back pain`
pain threshold - ANS-the point at which a person feels pain; measure of a physiologic response
of the nervous system
pain tolerance - ANS-the amount of pain a patient can endure without its interfering with normal
function; subjective response to pain
Which is influenced by culture, attitude, ethnicity or environment: pain threshold or pain
tolerance? - ANS-pain tolerance
T/F Is it normal for older people to experience more pain than younger people. - ANS-F-chronic
pain is not a part of the normal aging process
Pain Location - ANS-describe or point to the area
, Pain Quality - ANS-How the pain is felt by a patient
-Stabbing
-Crushing
-Burning
-Sharp
-Shooting
-Throbbing
Pain Intensity - ANS-Typically measured on a scale 0-10, how much pain the patient feels
T/F A patient always has a pain goal of 0. - ANS-F- it is not always realistic for a patient to have
no pain. For example after a major surgery, pain goal may be a 4
Anti-migraine medication - ANS-Sumatritin (Imitrex)
Which is the slow acting, long duration Opiod? - ANS-Oxycodone
Agonist - ANS-bind to an opioid pain receptor in the brain and cause an analgesic effect
Partial Agonist - ANS-Medication that produces a weaker neurological response than a full
agonist
What is another term for a partial agonist? - ANS-mixed agonist
Antagonist - ANS-reverses the effects of drugs on pain receptors, they bind to the pain receptor
and block entrance of an opioid
Example of an Opioid Antagonist - ANS-Naloxone (Narcan)
Reversal agent of acetaminophen (Tylenol) - ANS-acetylcysteine regimen
What does PQRSTU stand for? - ANS-Palliative(provocative), quality, radiate, severity, time,
understanding(How does it affect you?)
Non Pharmacological Pain Interventions - ANS-massage, positioning and body alignment,
splinting, acupuncture, yoga, hot and cold, meditation, biofeedback, physical therapy and
electrotherapy
T/F If you notice an opioid patient with slow breathing, you should give them a full dose of
narcan right away. - ANS-F- Giving too much narcan can take away any pain relief you have
achieved and prevent you from giving opioids in the rear future. Give it slowly and monitor
patient.
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