Medication Management
Nausea, Diarrhea, Vomiting, Abdominal Pain, Mild Itching... Are symptoms of a true allergic allergy? True or False.
False....These symptoms would NOT be considered a true allergy.
Who is responsible for teaching the patient/family about the pain rating scale and assisting the patient to set appropriate pain management goals on admission to the unit?
Nurse
Teaches individuals to create pictures in their minds that will lessen pain and change the way one’s body senses and responds to pain
Guided Imagery
List 5 non-pharmacological pain management modalities.
Heat, ice, massage therapy, physical therapy, aromatherapy, guided imagery, laughter, music, biofeedback, acupuncture
An unplanned descent to the floor with or without injury to the patient
Fall
Large volume admixtures must be changed at least every ___ hours. Such as TPN.
24
This is required when changing patient caregivers, changing medication containers, and/or any programming or setting changes regarding the PCA pump.
Two-nurse verification
Fear of addiction, fear of side effects, inadequate pain assessment, and personal beliefs.
Obstacles/barriers to optimal pain management
Evidence shows that effective pain control results in what?
List 2 out of the 3 answers
1.Fewer Complications
2. Faster healing
3. Decrease hospital stay
All adult patients are assessed by the nurse upon admission, every shift and upon transfer to a higher level of care using this.
Elsevier Fall Scale Risk Screening Tool
All open medication vials that are multi-use must be dated with the beyond use date and initialed when opened and will expire _____ days after being opened.
28
Required documentation times when your patient is on a PCA Pump
CO2 every 2 hours for continuous and every 4 hours for bolus dose.
Time frame that a reassessment should be completed after pain medication administration
IV Medication: 30 minutes
Oral Medication: 1 hour
This should be completed: as part of the initial admission assessment, after any known pain producing event, with each new report of pain, after each pain management intervention, when the patient reports inadequate pain control and as part of each physical reassessment or no less than once per shift.
Pain Assessment
If a baby is dropped by its mother, is it considered a fall? Yes or No
Yes
Are symptoms of a true allergic allergy? True or False. Rash and/or hives, Difficulty breathing, Difficulty swallowing, Angioedema, Hypotension
True....These symptoms WOULD be considered a true allergy.
Is considered an unpleased, subjective, sensory, and emotional experience, associated with actual or potential tissue damage, or described in terms of such damage” as defined by the International Association for the Study of Pain. It is subjective.
Pain
This nonpharmacological therapy can decrease swelling and pain and prevent tissue damage.
Cold Therapy
Pain control
These include, but are not limited to reassessment every 12 hours; signage in room and on external door frame; side rails up; bed in lowest, locked position; no clutter; bed alarm; chair alarm; and/or AvaSys telemonitoring
Fall prevention interventions
The following are considered _______________ and must be checked by 2 nurses before being administered and must be witnessed at patient’s bedside: insulins, neuromuscular blockers, therapeutic anticoagulant infusions, chemotherapeutic agents, narcotic PCA’s.
High Alert Medications
This assessment will be performed upon administration of all opioids and with each pain reassessment.
Respiratory Rate and Pasero Opioid-Induced Sedation Scale (POSS)
Constipation, nausea and vomiting, pruritus, urinary retention, sedation, respiratory depression. Are side effects of what?
Side effects of Opioids
Has a duration of 3 months or longer, is usually the result of chronic disease but may be idiopathic, and is often associated with functional impairment and emotional distress
Chronic Pain
Wet flooring, Poorly fitting footwear, Staffing levels, Clutter in the room, Inadequate lighting, IV Lines/Equipment... Are all examples of what?
Fall Risks