Pain Interventions
Non Narcotics
Non-Pharmacological
Pain Scales
Wild Card
100
This should assessed & implemented for patients taking opioids
bowel movements
bowel regimen
100
This class of drugs is used to decrease and prevent involuntary muscle spasms
Skeletal Muscle Relaxants
Baclofen
Cyclobenzaprine
Dantrolene
100
This nonpharmacological intervention is used to decrease pain and muscle spasms
Heat
100
Pain scale that is used on patients who can not verbalize their pain level.
Non-Verbal pain scale
100
How often do we assess pain in acute care patients?
(What is the minimum)
Every 4 hours
200
Constipation, nausea and vomiting, pruritus, urinary retention, sedation, respiratory depression
What are side effects of Opioids
200
This commonly used, over the counter pain medication should not be given to patients on dialysis or who have a history of kidney disease since it is cleared in the kidney
Ibuprofen.
200
This nonpharmacological intervention is used to decrease swelling and pain and prevent tissue damage
cold compress
200
This self reporting pain scale is recommended for children or for patients with language barriers?
What is Wong Baker Faces pain assessment
200
How often do we reassess pain for PO and non-pharmacological interventions
Within 60 minutes
300
MS Contin, Oxycontin, Fentanyl Patch
What are long acting opiods
300
This medication should not exceed 3,000mg in 24 hours.
Tylenol
300
This nonpharmacological intervention can help increase comfort and relieve pressure
Repositioning
300
This pain scale asks patients to rate their pain on a scale from 0-10.
Numeric Pain Scale.
300
What is the proper way to waste a narcotic medication patch?
Fold the patch in half and throw away in the sharps container.
400
Patient’s pain is not being alleviated by the current analgesics they are receiving. The nurse contacts the MD to report patient’s intolerant pain level. MD does not change the current plan. Who may the nurse call for a consult.
Palliative care Nurse
400
This class of medications is used to treat Nerve Compression Pain and or Chronic Pain.
Glucocorticoids
Betamethasone
Dexamethasone
Methylprednisolone
Prednisone
400
Dip a pacifier in this sugary solution to provide comfort to young children who are anxious or in pain.
What is Sweet-ease. 
400
How often do we document the pain scale if an IV push pain medication is administered?
Prior to administering and 15 min after administration.
400
What documentation is required for patients with pain management in place
Education
Plan of Care
Pain assessment at least every four hours
500
Fear of addiction, Fear of side effects, inadequate pain assessment, and personal beliefs
What are the obstacles/barriers to optimal pain management
500
This class of medications is used to treat Neuropathic Pain Syndrome.
Anticonvulsants
Carbamazepine, Gabapentin, Pregabalin
500
This nonpharmacological intervention provides exercises to help improve movement and strength and to decrease pain.
Physical Therapy
500
Each patient will have a comprehensive pain assessment on admission, this data includes
Location
Duration
Intensity
Quality (Type)
Aggravating Factors
Alleviating Factors
500
Patient education should include
reporting pain
describing pain
using the pain scale
possible side effects of analgesic
expectations
relationship between pain and recovery