FON 16

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WHAT IS THE CIRCADIAN RHYTHM?: IS THE 24 HOUR, DAY-NIGHT CYCLE...KNOWN ALSO AS THE DIURNAL RHYTHM
WHAT IS THE RISK FOR OPIOID INDUCED RESPIRATORY DEPRESSION IS?: LESS THAN 1%
WHAT DO OPIOIDs DO?: ACT ON HIGHER CENTERS OF THE BRAIN TO MODIFY PERCEPTION & REACTION TO PAIN, THEY ARE VERY EFFECTIVE FOR SHORT TERM PAIN RELIEF,.......THEY RELIEVE PAIN MAINLY BY ACTION IN THE CNS....BINDING TO OPIOID RECEPTOR SITES IN THE BRAIN & SPINAL CORD
ADMIN. ROUTES EPIDURALS...WHAT R SIDE EFFECTS?: UR RETENTION, POSTURAL HYPOTENSION, PURITIS, NAUSEA/VOMIT, AND RESPIRATORY DEPRESSION
WHAT NEEDS TO BE CHECKED EVERY 15 MIN. W/ AN EPIDURAL?: RESPIRATORY RATE
WHAT DOES THE GATE CONTROL THEORY SUGGEST?: THAT PAIN CAN B REGULATED OR EVEN BLOCKED BY GATING MECHANISMS LOCATED ALONG THE CNS
HOW DOES "TENS" WORK?: STIMULATING LARGE NERVE FIBERS TO "CLOSE THE GATE"
WHAT DOES OPIOIDs DO TO THE GI SYSTEM?: CONSTIPATION.....IT DECREASES PERISTALSIS. THIS IS THE MOST COMMON SIDE EFFECT W/ OPIOIDS
NSAIDS Acetaminophen & nonsteroidal antiinflammatory drugs: the nonopioid analgesics....R MOST WIDELY AVAILABLE & FREQUENTLY USED ANALGESIC GROUP, (ASPIRIN, IBUPROFEN, & NAPROXEN SODIUM.....ALIEVE)
WHAT R THE 2 PHASES OF SLEEP CYCLE?: REM AND NREM
EPIDRUAL ROUTE IS ADMINISTERED IN WHAT SITUATION?: 1ST LINE DEFENSE FOR MODERATE TO SEVERE ACUTE PAIN EXPECTED TO LAST FOR AT LEAST 24 HOURS
WHAT R SOME DRUGS THAT ACT PRIMARILY ON PERIPHERERAL RECEPTORS TO DIMINISH RECEPTION O PAIN?: (aspirin), (Tylenol), ibuprofen, (Motrin), naprosyn, (toradol)
WHAT CLOSES THE "GATES"?: LOTS OF SENSORY IMPULSES......A BACK RUB, HEAT OF A WARM COMPRESS, OR COLD FROM ICE APPLICATIONS WILL CLOSE THE GATES TO PAINFUL STIMULI
PEOPLE WHO HAVE LESS PAIN THAT OTHERS FROM A SIMILAR INJURY HAVE HIGHER LEVELS OF WHAT?: ENDORPHIN LEVELS
EPIDURLAS: MED. DIFFUSES SLOWLEY FROM EPIDURAL SPACE ACROSS DURA & ARACHNOID MEMBRANES INO CEREBORSPIANL FLUID.....MAY B 10 TIMES AS MUCH A DOSE THAT WOULD BE INJECTED DIRECTLY INTO THE CEREBROSPINAL FLUID
WHAT IS THE 5TH VITAL SIGN?: PAIN
PREVENTING AND MANAGING OPIOID INDUCED CONSTIPATION.... G: A PREVENTATIVE APPROACH ...REGULAR ASSESSMENT, & AGGRESSIVE MGMNT ARE REQUIRED
HOW R PAIN RELIEF MEASURES CHOSEN?: BY THE SEVERITY OF THE PAIN AS REFLECTED BY THE PT's BEHAVIOR
PSYCHOLOGICAL S/S OF SLEEP DEPRIVATION/: mood swings, disorientation, irritable, decreased motivation, fatigue, sleepiness, and hyperexcitability
OPIOIDS, WHERE DO THEY RELIEVE PAIN?: MAINLY BY ACTION IN THE CNS, BINDING TO OPIOID RECEPTOR SITES IN THE BRAIN & SPINAL CORD
WHAT R EXAMPLES OF INVASIVE TECHNIQUES?: NERVE BLOCKS, EPIDURAL ANALGESICS, NEUROSURGICAL PROCEDURES AND ACUPUNCTURE
WHAT R THE DANGERS OF MORPHINE & OTHER OPIOID ANALGESICS?: POTENTIAL FOR DEPRESSION OF VITAL NERVOUS SYSTEM FUNCTIONS, THIS OCCURS LESS OFTEN W/ EPIDURAL ROUTE
1994........... JCAHO SAID WHAT ABOUT PAIN?: THE MGMNT OF PAIN IS APPROPRIATE FOR ALL PT'S, NOT JUST THE DYING PT'S
WHO IS THE EXPERT ON PAIN?: THE PERSON W/ THE PAIN....NOT THE HCW
CAN PAIN OCCUR IS THERE IS NO TISSUE DAMAGE?: YES, SUCH AS PAIN OF GRIEF OR MIGRAINES
WHAT IS 1 IMPORTANT MEASURE FOR ASSISTING IN PAIN CONTROL?: POSITION PT IN ANATOMIC ALIGNMENT....tighten wrinkled bed linens, warm blankets 4 coldness
who is a PCA for?: ONLY FOR THE PT....NOT 4 THE NURSE, OTHER PATIENTS AND VISITORS ARE NOT TO PUSH THE BUTTON
NONINVASIVE WAYS TO RELIEVE PAIN?: DISTRACTION, RELAXATION, guided imagery, hypnosis, biofeedback
HIGH DOSES OF MORPHINE CAN COMPROMISE WHAT?: RENAL FUNCTION
WHAT IS THE 5TH VITAL SIGN?: PAIN
WHERE IS "THE GATE": IT IS LOCATED IN THE DORSAL HORN OF THE SPINAL CORD...IF THIS GATE IS CLOSED TO PASSING NERVES.....THE BRAIN CAN NOT ACKNOWLEDGE THE PAIN WHILE IT IS INTERPRETING OTHER STIMULI...THE GATE IS CLOSED
what must u do 1 hr. after passing opioids?: re-assess pt after 1 hour.....and always be in time....NO TO THE 1/2 HOUR BEFORE OR 1/2 HOUR AFTER THE ADMIN. TIME.
WHAT IS PAIN?: AN UNPLEASANT SENSATION CAUSED BY NOXIOUS STIMULATION OF THE SENSORY NERVE ENDINGS
WHAT IS AN EXAMPLE OF REFERRED PAIN?: THE PAIN OF CORONARY ARTERY INSUFFICIENCY THAT MAY B FELT IN THE LEFT SHOULDER, ARM, OR JAW
PATENCY: the property of being easy to see and understand
WHAT DOES USING A PAIN SCALE DO? 1 TO 10: LETS PT's ARTICULATE THEIR PAIN & MAKE THEM MORE LIKELY TO RECEIVE PROPER TREATMENT
STAGE 4: DEEPEST STAGE OF SLEEP, VERY DIFFICULT TO AROUSE SLEEPER, IF SLEEP LOSS HAS OCCURES....SLEEPER WILL SPEND MOST OF NIGHT IN THIS STAGE, RESTORES AND RESTS THE BODY, VITAL SIGNS SIGNIFICANTLY LOWER THAN DURING WAKE HOURS, LASTS 15 - 30 MINS, POSSIBLE SLEEPWALKING AND ENURESIS, HORMONAL RESPONSE CONTINUES
WHICH ROUTE IS MOST APPROPRIATE FOR TREATING RAPIDLY ESCALATING SEVERE PAIN?: IV
WHAT DOES ACUTE PAIN INDICATE?: POTENTIAL TISSUE DAMAGE....
WHAT IS THE ULTIMATE GOAL OF PAIN MNGMENT?: IS 2 PROVIDE PAIN RELIEF AND ENABLE THE PT 2 CARRY ON W/ ADL'S IN AS COMFORTABLE A MANNER AS POSSIBLE
ANXIETY: The state of being uneasy or worried about what may happen
WHAT R SOME OPIOIDs?: morphine, meperidine (Demeral), hydromorphone (dilaudid), & fentanyl (actig, Duragesic)....act on HIGHER CENTERS OF THE BRAIN TO MODIFY PERCEPTION AND REACTION TO PAIN
NONOPIODS ACTIONS R WHERE?: PERIPHERAL (AT SITE OF INJURY).......EXERT ANALGESIC EFFECTS THRU THE INHIBITION OF PROSTAGLANDIN PRODUDTION
MOST MEDS USED TO PROMOTE SLEEP, RELIEVE ANXIETY, & OVERCOME DEPRESSION?: INTERFERE W/ REM SLEEP
DEFINING CHARACTERISTICS OF PAIN ARE?: VERBAL & NONVERBAL COMMUNICATION BY THE PT OF THE PRESENCE OF PAIN
PAIN RELIEF MEASURES LIKE TRANSCUTANEOUS ELECTRICAL NERVE STIMULATION, ACUPUNCTURE & PLACEBOS , ARE BELIEVED TO CAUSE RELEASE OF??: ENDORPHINS (TENS UNIT)
PT WILL BE TAUGHT WHAT AS PART OF THEIR TREATMENT?: PAIN MANAGEMENT
BIOFEEDBACK: What operant conditioning therapy or modification is described as • Providing the person with information regarding his or her internal responses to stimuli with methods of controlling them?
WHAT IS SUBJECTIVE DATE W/ PAIN?: severity, duration.location of pain, ask pt what relieve's pain, what causes pain 2 B worse, and what does not relieve the pain
WHAT IT THE PT's GREATEST ADVANTAGE OF TENS, DISTRACTION, RELAXATION, GUIDED IMAGERY, HYPNOSIS AND BIOFEEDBACK?: THE PT's ABILITY TO HAVE SOME SELF CONTROL OVER HE TREATMENT OF PAIN
WHERE IS THE EPIDURAL CATHETER PLACED?: IN THE EDPIURAL SPACE....AND IS THE INFUSION OF OPIATES INTO THE EPIDURAL SPACE.
WHAT ARE S/S OF SLEEP DEPRIVATION? PSYSIOLOGIC...I: HAND TREMORS, DECREASED REFLEXES, SLOWED RESPONSE TIME, REDUCTION IN WORD MEMORY, DECREASED REASONING AND JUDGEMENT.......CARDIAC DYSRHYTHMIASD
STAGE 1: LIGHTEST LEVEL OF SLEEP, LAST FEW MINS. PERSON EASILY AROUSED BY STIMULI...NOISE,, IF PERSON AWAKES THEY MAY FEEL THAT THEY WERE DAY DREAMING.
HOW TO PREVENT CONSTIPATION FOR PT's THAT ARE ON PAIN MEDS?: GOOD FLUID INTAKE, DIET, EXERCISE, AND BY DX OFFERING STOOL SOFTENERS
WHAT R SOME FACTORS THAT EFFECT SLEEP?: PHYSICAL ILLNESS, ANXIETY & SUBSTANCES, LIFESTYLE, SLEEP PATTERNS, STRESS, ENVIRONMENT, EXERCISE & FATIGUE, NUTRITION
WHAT DOES CHRONIC PAIN NOT SHOW?: DOES NOT SERVE AS A WARNING OF TISSUE DAMAGE....EXAMPLE, RHEUMATOID ARTHIRITIS JOINT PAIN MAY CONTINUE WHEN THE DISEASE PROCESS IS NO LONGER ACTIVE...STRUCTURAL DAMAGE THAT HAS ALREADY OCCURED
P P WANDA: P P WANDA
GUIDED IMAGERY: An approach to stress control, self-healing, or motivating life changes by means of visualizing oneself in a state of calmness, wellness, or change.
WHAT R SOME TYPES OS NSAIDs?: aspirin, ibuprofen, )Advin, Nuprin, Motrin) & naproxen sodium (Alieve)...if 1 does not work, try another
WHAT MIGHT THE PT DEVELOP AS A RESULT OF CHRONIC PAIN?: LOW SELF ESTEEM, CHG. IN SOCIAL ID, CHANGE IN ROLE & SOCIAL INTERACTION, FATIGUE, SLEEP DISTURBANCE, & DEPRESSION
NREM....NON RAPID EYE MOVEMENT: 4 STAGES THE 3RD HAS HORMONAL RESPONSE AND IT CONTINUES THRU THE 4TH STAGE
STAGE 2: PERIOD OF SOUND SLEEP, RELAXATION PROGRESSES, AROUSAL STILL EASY, LASTS 10- 20 MIN.BODY FUNCTIONS SLOWING
STAGE 3: SLEEP DEEPENS, MORE DIFFICULT TO AROUSE & RARELY MOVES, MUSCLES RELAXED, VITAL SIGNS DECLINE BUT REMAIN REGULAR, LASTS 15- 30 MINS, HORMONAL RESPONSE ....SECRETES GROWTH HORMONE
WHAT IS OBJECTIVE DATA W/ PAIN?: (obervable) tachycardia, increase rate & depth of respirations, diaphoresis, pallor, dilated pupils....ANYTHING THAT CAN BE OBSERVED OR MEASURED
WHAT TYPE OF PAIN R NSAIDs USED FOR?: FOR MILD TO MODERATE PAIN....AND SOME TYPES OF SEVERE PAIN.

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Number of cards 65