Patho & Basics
This body system is responsible for abnormal pain processing in fibromyalgia
What is the central nervous system (CNS)?
These are the three hallmark symptoms of fibromyalgia.
What are widespread pain, fatigue, and nonrestorative sleep?
These are the typical laboratory findings in fibromyalgia.
What are normal lab results?
This type of exercise is considered first-line treatment for fibromyalgia.
What is low-impact aerobic exercise?
This anticonvulsant medication is FDA-approved for fibromyalgia.
What is pregabalin (Lyrica)?
This term describes the CNS amplifying pain signals.
What is central sensitization?
This gender is diagnosed more frequently with fibromyalgia.
What is female?
This is the purpose of ordering CBC, ESR, CRP, and TSH when evaluating fibromyalgia.
What is ruling out other disorders?
This is the meaning of "start low, go slow" when beginning an exercise program.
What is starting with small amounts of activity and gradually increasing?
These two FDA-approved fibromyalgia medications belong to the SNRI class.
What are duloxetine (Cymbalta) and milnacipran (Savella)?
This term describes an exaggerated response to an already painful stimulus.
What is hyperalgesia?
This term describes memory problems and difficulty concentrating.
What is fibro fog?
The minimum number of months symptoms must be present to meet the fibromyalgia diagnostic criteria.
What is 3 months?
These are nonpharmacologic treatments for fibromyalgia besides exercise.
What are CBT, sleep hygiene, yoga, tai chi, heat, massage, or aquatic therapy?
These safety precautions are important for clients taking pregabalin due to dizziness and drowsiness.
What are fall precautions?
This term describes pain from a normally nonpainful stimulus, such as light touch.
What is allodynia?
These are two common conditions associated with fibromyalgia.
What are IBS, migraines, TMJ, depression, or anxiety?
These two scoring tools are used in the 2016 ACR diagnostic criteria.
What are WPI and SSS?
This technique teaches clients to balance activity and rest instead of overexerting themselves.
What is activity pacing?
This potentially life-threatening condition can occur when duloxetine is combined with tramadol.
What is serotonin syndrome?
This abnormal process explains why clients experience severe pain despite having no tissue damage.
What is abnormal central pain processing?
This disorder causes widespread pain and fatigue without inflammatory joint findings or tissue damage.
What is fibromyalgia?
A client has WPI 5, SSS 8, and symptoms for six months involving four body regions. This client does not meet the diagnostic criteria because of this reason.
What is an SSS below 9?
These are nursing interventions to improve functioning in a client experiencing worsening pain, fatigue, and poor sleep.
What is gradual exercise, sleep hygiene, activity pacing, and CBT?
This serious complication can occur if pregabalin is abruptly discontinued.
What are withdrawal symptoms and seizures?