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Assessment
Medications
Nursing Interventions
Modes of Delivery
Miscellaneous
100
PQRST
What is a method for completing a thorough pain assessment?
100
Opioids, Non-opioids, and Adjunctives
What are three classifications of medications used to treat pain?
100

Believe the patient, respect the client’s response to pain, be with the patient often

What are nursing actions that promote effective pain relief?

100
Patient gets almost immediate relief with this type of pain med administration
What is the IV push method?
100
An antidepressant that treats neuropathic pain
What is Neurontin?
200

Pain that comes back or is uncontrolled before the next pain medication dose is due

What is "Breakthrough Pain?"

200
These inhibit the synthesis of prostaglandins and cellular responses during inflammation
What is the action of non-opioids to control pain?
200

Fear of addiction, worry about side effects, inadequate pain assessment.

What are barriers to effective pain relief?

200
A drug delivery system that allows clients to self-administer opioids with minimal risk to overdose.
What is a PCA pump?
200
Bleeding disorders, GI disturbances, renal and hepatic dysfunction
What are possible side effects from long term use of NSAIDS?
300

60 minutes 

What is the time to reassess any pain medication?

300
Tylenol, Motrin, Aspirin
What are three non-opioids used to treat mild to moderate pain?
300

A NANDA that addresses the potential for decreased respiratory rate after administration of an opioid. 

What is "Risk for ineffective breathing patter?"

300
A catheter is inserted in the back (just outside the spinal membrane) in order to pump in pain meds and anesthetics
What is an epidural?
300

Respiratory depression, nausea, constipation, altered mental processes, physical dependence, over sedation.

What are possible side effects of Opioid administration?

400

Constipation

What is the one side effect of opioid use that never stops?   

400
Fentanly, Morphine, Meperidine
What are three examples of Opioids used to treat moderate to severe pain
400

Reposition patient, provide a back rub, Hyperthermia and Hypothermia treatment

What are alternative to medications to treat pain? 

400

The route of administration that takes the longest to have an affect on the patient.

What is the oral route? 

400

Pulse Ox and/or End Tidal CO2

Ways to monitor a patient's respiratory status with a PCA? 

500

Every 15 minutes 

What is the time interval for V.S.'s during the first hour of epidural/PCA  administration?

500

These act on the CNS to produce a combination of depressing & stimulating effects.  Binds with receptors in the brain to modify perception of pain.  

What is the action of opioids to control pain? 

500
Increased respiratory rate, increased blood glucose, increased heart rate and BP
What are stress responses from acute pain that is not well controlled?
500

Pain Medications are scheduled routinely in the first days post-op.

What is "Around the Clock" administration of pain meds?

500
Narcan is an example of this
What is a narcotic antagonist? (reverses effects of narcotics/opioids)