EDITION Q&A GRADED A+
what are the 3 nociceptive pain categories - cutaneous pain, somatic pain, visceral pain
what is cutaneous pain - pain originating from skin surface and is superficial
What is somatic pain? - originating from muscle, bone, joints, tendons, or blood vessels eg a sprain
What is visceral pain? - organ pain
What is neuropathic pain? - injury to / abnormal functioning of peripheral central nerves
what is cancer pain - stimulation of nociceptors by chemicals released by tumour cells
what are the 2 types of pain - acute and chronic
what is acute pain - Sudden onset, varies from mild to severe, lasts less than 3 months
what is chronic pain - lasts longer than 3 months, affects normal functioning
how do you do a pain assessment - OLDCARTS
onset, location, duration, characteristics, alleviating/exacerbating factors, radiation, timing, severity
what are some pain measurement tools - number scale, face scale
what is the ABC for pharmacological intervention - Antiemetic for the first week
Breakthrough medication
laxitaves for Constipation
, what are the 3 steps for increase in pain - 1) Mild pain (1-4)
non opioid - ibuprofen, acetaminophen
2) Moderate pain (5-6)
opioid - hydrocodone, oxycodone, tramadol
3) Severe pain (7-10)
opioid- hydromorphone, methadone, fentanyl
what are the vital signs - temperature, pulse, respiration, blood pressure
what are the different ways for taking a temperature - ear (tympanic) 37.5 C
rectal 37.5
oral 37
axillary - armpit 36.5
what is hyperthermia - above 41 - bodies inability to promote or reduce heat production
what is febrile - above 37.5 - not harmful if stays below 39
What is afebrile - 36-37.5 basal body temperature
what is hypothermia - 34-36 - death may occur below 34
Severe hypothermia - 28-34 - isolated cases of survival in icy water or snow
what are factors that increase heartrate - pain, fever, shock, exercise, stimulant drugs, strong
emotions, decreased blood pressure
what are factors that decrease heartrate - cardiac glycosides, depressant drugs, hypothermia, low
weight, aging, sleep
where is the temporal - side of head