Pain Management & Medication Safety

Pain

100

Pain is the ________ vital sign.

Fifth

200

Pain in absence of an identifiable cause

Idiopathic pain

300

Name 2 biological factors that affect pain

Age, previous injuries, illness/diagnosis, neurologic system, genetics, hormones, obesity

400

Pain that comes from the bone, joint, muscle, skin, or connective tissue

What is somatic pain?

500

Two outcomes as a result of effective pain control:

1. Fewer complications

2. Faster healing

3. Decreased hospital stay

Medication Safety

100

True or false: Heparin only requires a sign-off by one RN.

False, it requires a dual-sign off.

200

Do not administer opioids if the respiratory rate is less than _____ breaths per minute

12

300

These are the 5 rights of medication administration.

Right patient, right drug, right dose, right route, and right time.

400

It is the nurse's responsibility to do this at Sibley after a medication error occurs: 

Report a HERO

500

Name one of the 3 most common medication errors

Dispensing an incorrect medication or dosage strength/form, miscalculating a dose, failing to identify drug interactions or contraindications

Nonpharmacological Pain Management

100

The management of pain without medications.

Non-pharmacological pain management

200

Uses scents to relax, relieve stress, and decrease pain

What is aromatherapy?

300

This therapy can decrease pain and muscle spasms. It is applied to the body. 

What is heat?

400

Mild electrical current passed through external electrodes

Transcutaneous electrical nerve stimulation (TENS)

500

Name 2 methods of hypnosis to reduce discomfort

Imagery, distraction, or relaxation/guided imagery.

Pharmacology

100

First line analgesic for treating mild, acute, and chronic pain 

What is acetaminophen (Tylenol)?

200

This is a frequently monitored test when administering pain medications.

Liver function tests

300

Name 3 common opioids used to treat moderate to severe pain.

Any of these 3: Codeine, Fentanyl, Hydromorphone, Methadone, Morphine, Oxycodone, Tramadol

400

Treatment of acute post-operative pain, labor and delivery pain, and chronic cancer pain.

Epidural analgesia

500

List 4 of the most commonly used adjuvant drugs (drug class).

Anticonvulsants, antidepressants, neuroleptic agents, corticosteroids, local anesthetics

Miscellaneous

100

How often is the documentation required for a patient on a PCA?

Every 4 hours

200

Orders for PCA therapy must be renewed every ___ hours.

72

300

Patients are put on this type of diet when taking Warfarin.

Vitamin K controlled, avoid foods high in Vitamin K

400

This type of fruit juice is a common interaction among "statins" 

Grapefruit juice

500

The mix up of these two drugs were involved in the Radonda Vaught case resulting in a serious medication error

Vecuronium and Versed