| What is HILDA? | How does your pain feel? Describe
Intensity. Rating pain level.
Location.
Duration.
Aggravating/alleviating factors. |
| List some psychological and cognitive nonpharmacologic interventions for pain: | Music.
Biofeedback.
Imagery.
Humor.
Education. |
| List some of the following behavioral characteristics of a patient in pain: | Exhibits diaphoresis.
Sometimes demonstrates no outward expression of pain.
Self protection/guards.
Focused on pain/cant think of anything else. |
| A complex, abstract, personal subjective experience. | Pain. |
| Injurious to physical health | Noxious. |
| List the following types of pain: | Referred pain.
Acute pain.
Chronic pain. |
| A pain that is felt at a site other than the injured or disease organ part of the body. | Referred. |
| A pain is intense and of short duration, usually lasting less than 6 months. | Acute. |
| A pain that generally characterized as pain lasting longer than 6 months. | Chronic. |
| The actions of two or more substance or organs achieve an effect that cannot be achieved by an individual substance or organ. | Synergistic. |
| Potent polypeptides composed of many amino acids, found in the pituitary gland and other areas of CNS. | Endorphins. |
| A type of control theory of pain that suggest pain impulses are regulated and even blocked by gating mechanisms located along the central nervous system/CNS. | Gate. |
| What is the pain assessment guide? | How do you feel?
Intensity 0-10.
Location.
Duration.
Aggravation and alleviating factors. |
| A type of pain control that is managed with a pocket-sized, battery operated device that provides a continuous, mild electrical current to the skin via electrodes. | Transcutaneous electric nerve stimulation/TENS. |
| List some physical nonpharmacologic interventions for pain: | Deep tissue massage.
Exercise.
Transcutaneous electric nerve stimulation/TENS.
Heat and cold application.
Flotation therapy.
Acupuncture. |
| List some psychological and cognitive nonpharmacologic interventions for pain: | Music.
Biofeedback.
Imagery.
Humor.
Education. |
| What acetaminophen/nonsteroidal anti-inflammatory drug is used to block pain impulses in the CNS and reduces inflammation. | Asprin. |
| What is the maximum recommended dosage of acetaminophen that can be given in 24 hours? | 4000gm 4g. |
| Is a highly effective drug; used in the presence of compromised renal function must be monitored carefully | Morphine. |
| A drug delivery system that allows patients to self-administer analgesics whenever needed. | Patient-controlled analgesia/PCA. |
| List some of the factors that may contribute to a lack of patient comfort: | Anxiety.
Constipation.
Depression.
Diaphoresis.
Dyspnea. |
| Who is the expert about pain? | The person with pain. |
| A pain relief measures, that may cause the release of endorphins. | Transcutaneous electric nerve stimulation/TENS. |
| A type a pain that may be linked to arthritis, back injuries, fibromyalgia, accidents, or neurologic conditions. | Chronic pain. |
| List the pain standard requirements for practitioners on pain assessment and management. | Respect to the patient's right to pain management.
Assessment and management of the patient's pain. |
| What is HILDA? | How does your pain feel? Describe
Intensity. Rating pain level.
Location.
Duration.
Aggravating/alleviating factors. |
| A type of pain relieve system used typically for patients suffering post-operative or chronic pain. | Transcutaneous electric nerve stimulation/TENS. |
| Anything that enters the body. | Invasive. |
| What type of drug is used primarily for mild to moderate pain but sometimes also used to relieve certain types of severe pain. | Nonopioid analgesics. |
| What is the danger of morphine and other opioids analgesics? | Potential to cause depression of vital nervous system functions. |
| What are associated with changes in sleep patterns? | Opiates. |
| What is REM? | Rapid eye movement. |
| What are the duration of opiates? | Short acting lasting 3 to 6 hours.
Long acting lasting at least 8 hours.
Extended release providing 24-hour pain release. |
| Why is Demerol no longer a drug choice for pain management? | Potential for causing seizures. |
| Why should you not give people with kidney disease normeperidine? | It is eliminated by the kidney. |
| What are the side effects of opioid. | Constipation. |
| How would a nurse help a patient alleviate constipation? | Proper diet.
Proper fluids.
Proper exercise
Provide patient's privacy and conscience. |
| An anticonvulsant, binds to the neocortex and is used in the treatment of chronic neuropathic pain. | Gabapentin / Neurontin |
| The best way to administer opioid after major surgery. | IV route. |
| For rapid onset analgesia to treat escalating pain, which route is best recommended to administer. | IV route. |
| Which injections are more painful and traumatic? | Intramuscular / IM. |
| What is the optimal route to administer opioids? | Oral. |
| What route is necessary when a quick onset of analgesia is desired or when a patient is unable to take oral medication? | IV route. |
| Analgesia is more effective when? | The patient is in control. |
| When preparing a patient for patient-controlled analgesia always remember: | Teach patient before surgery. |
| An appropriate first-line route for moderate to severe acute pain expected to last for at least 24 hours. | Epidural route. |
| Relive from an epidural medication is experienced within: | 15 minutes. |
| List the following side effects of epidural opioids: | Urinary retention.
Postural hypotension.
Pruritus.
Nausea.
Vomiting.
Respiratory depression. |
| What is used to administer local anesthic medications? | Elastomeric pumps / pain balls. |
| Before abandoning a therapy that is ineffective at first, remember to always: | Encourage the patient to try again. |
| What are the two phases of sleep? | Rapid eye movement / REM.
Non rapid eye movement / NREM. |
