Pain Assessment
Opioids
Non-opioids
RT Clinical
Bonus Challenge
100

Pain is considered this type of experience.

What is subjective?

100

What do opioids bind to?

Primarily bind to mu, kappa, and delta receptors. 

100

This medication is also known as Tylenol.


What is Acetaminophen?


100

Pain can cause this ventilator problem.


What is ventilator dyssynchrony?


100

What does “analgesia-first sedation” mean?


Treat pain before increasing sedative medications.


200

What pain scale is most commonly used for alert adults?

What is the Numeric Rating Scale (0-10)?

200

Which opioid has an immediate onset and lasts only 5–20 minutes?


What is Remifentanil (Ultiva)?


200

NSAIDs are the drug of choice for this type of pain


What is tissue destruction/inflammatory pain?


200

What should be treated first before increasing sedation?


What is pain?


200

Which opioid has the fastest onset?


Fentanyl or Remifentanil (about 1 minute IV)


300

Which pain assessment tool is designed for infants and non-verbal patients?


What is the FLACC scale?


300

Which opioid is commonly known by the brand name Dilaudid?


What is Hydromorphone?


300

Which body organ is most at risk from an acetaminophen overdose?


What is the liver?


300

A ventilated patient is anxious and bucking the ventilator because of pain. Which medication class should be considered before increasing sedatives?


What are analgesics?


300

patient has taken opioids for several months and now needs higher doses for pain relief. What is this called?


What is tolerance?


400

Which pain assessment tool is commonly used for critically ill ICU patients?


What is CPOT (Critical Pain Observation Tool)?


400

Which reversal agent rapidly reverses opioid overdose?


What is Naloxone (Narcan)?


400

List the three major therapeutic effects of NSAIDs.


  • Pain relief
  • Anti-inflammatory
  • Antipyretic (reduces fever)
400

Why are opioids often combined with sedatives?


They reduce the dose needed for each medication, improve comfort, reduce anxiety, and improve ventilator synchrony.


400

A patient develops withdrawal symptoms after opioids are suddenly stopped. What is this called?


What is physical dependence?


500

Name three physiologic signs that may indicate pain.


  • Tachycardia
  • Hypertension
  • Tachypnea
  • Agitation
  • Increased arousal
500

Name four common opioid side effects.


  • Respiratory depression
  • Bradypnea/apnea
  • Constipation
  • Nausea/vomiting
  • Hypotension
  • Itching/flushing
  • Loss of cough reflex
500

Name three major complications of NSAIDs.


  • GI bleeding/gastritis
  • Acute kidney injury
  • NSAID-induced asthma
  • Cardiovascular strain
500

A patient receiving morphine suddenly develops respiratory depression with a respiratory rate of 4/min. What medication should be given?


What is Naloxone (Narcan)?


500

A patient repeatedly asks for more pain medication because their pain is poorly controlled—not because of addiction. What term describes this?


What is pseudoaddiction?