Pain PDF Study Guide

Pain Study online at https://quizlet.com/_c89c4n True or false: physiological indicators are primary indicators of false just cues to begin further assessment pain When should a secondary pain assessment be com...

Pain Study online at https://quizlet.com/_c89c4n True or false: physiological indicators are primary indicators of false just cues to begin further assessment pain When should a secondary pain assessment be completed after IV - IV: 30 min and oral analgesics - Oral: 1 hour - critical care pain observation tool (CPOT): 0-2 2 Pain tools for vented pt, what is it out of - Behavioral pain scale (BPS): 3-12 - opioid agonist: morphine - nonopiods: gabapentin, tramadol 4 types of pharmacological control of pain, ex of each - adjuvants: promethazine (Phenergan) - opioid analgesics: oxicodone (Percocet) - po 2 forms morphine is available in - injection - slow Morphine onset is [blank] but the duration is [blank] than [blank] - longer - fentanyl Indication for morphine severe pain - respiratory depression - pruritus 6 s/e of morphine - vasodilation - sedation - n/v What is given to a pt on morphine experiencing respiratory de- naloxone (Narcan) pression What is given to a pt on morphine experiencing pruritus benadryl What is given to a pt on morphine experiencing n/v promethazine (Phenergan) Fentanyl is [blank] times stronger than morphine, therefore how is 50-100x, mcg it dosed - injection 3 forms fentanyl can be given - transdermal - lozenge While the s/e of fentanyl are similar to morphine what 2 things can - bradycardia happen if it is given too rapidly - rigidity in chest wall Hydromorphone is [blank] potent than morphine and causes less - more [blank, blank, and blank] - pruritus, n/v Hydromorphone is not indicated for pt with [blank and blank] renal/ hepatic failure - less potent than morphine 3 cons of Meperidine - metabolite is CNS toxic - shorter duration requiring frequent doses What pain management drug is very effective in stopping coughs codeine What pain medication is preferred for pt with opioid depenence methadone Mehtadone had a [blank] duration/ half-life than morphine with - longer [blank] sedation - less - dr. and CRNA Who can remifentanil and sufentanil only be given by and why - extremely potent Why might there need to be repeated doses of naloxone (Narcan) duration of effect is shorter than opioids How do adjuvants work? enhance the effect of opioids - liver failure 2 indications acetaminophen should be not be used - high alcohol consumption aceteminophen should not exceed [blank] g/day 4 3 things NSAIDs increase the risk of 1/2  Pain Study online at https://quizlet.com/_c89c4n - kidney failure - bleeding - gastric ulcers - post op pain What is ketorolac (Toradol) typically given for, how long and wy -