Advanced Med-Surg Principles Jersey College
What during labor increases the risk of neonate aquiring acute encephali s?
ac ve herpes simplex virus-2
How do you administer meds?
star ng with the lowest dose and tra ng up slowly
What is pain is associated with?
actual or poten al ssue damage
When pain s mulates the sympathe c nervous system, what does it result in?
- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from?
adrenal medulla
Where are steroid hormones (cor sol & aldosterone) released from?
adrenal cortex
What does unrelieved pain lead to?
- increases glucagon produc on
- decreases insulin secre on
- depress immune func on
- can lead to addic ve behaviors
What ini ates inflamma on, contributes to ssue sweeling, and pain?
Prostaglandins
What can nerve root injury lead to?
allodynia (pain that is associated with non-noxious s muli)
What is needed for renal blood flow?
Prostaglandin
Pain is?
whatever the pa ent says it is
What is the single most reliable indicator of pain?
, the pa ent's self-report
How do NSAID's preimarily produce pain relief?
by preven ng prostaglandin forma on
What does acetaminphen not have?
any inflammatory proper es
What do you manage nocicep ve pain with?
- local anesthe cs
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain ra ng scale indicate?
no pain
What does the Wong-Baker FACES pain scale consist of?
cartoon faces that the pa ent (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent?
no pain to the worst pain, the pa ent marks a spot somewhere in between indica ng their
pain level
What pain scale helps indiviuals describe the intensity of pain?
verbal descriptor scale
What does a comprehensive pain assessment consist of?
- dura on (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- loca on
What pa ents do we avoid the rectal route for med administra on?
thrombocytopenic
What type of effect do topical agents produce?
local
What type of effect do transdermal agents produce?
drug absorp on into the systemic circula on
What would help reduce complica ons related to pain for pa ents?
What during labor increases the risk of neonate aquiring acute encephali s?
ac ve herpes simplex virus-2
How do you administer meds?
star ng with the lowest dose and tra ng up slowly
What is pain is associated with?
actual or poten al ssue damage
When pain s mulates the sympathe c nervous system, what does it result in?
- increase in BP
- increase in HR
- increase in RR
Where are catecholamines released from?
adrenal medulla
Where are steroid hormones (cor sol & aldosterone) released from?
adrenal cortex
What does unrelieved pain lead to?
- increases glucagon produc on
- decreases insulin secre on
- depress immune func on
- can lead to addic ve behaviors
What ini ates inflamma on, contributes to ssue sweeling, and pain?
Prostaglandins
What can nerve root injury lead to?
allodynia (pain that is associated with non-noxious s muli)
What is needed for renal blood flow?
Prostaglandin
Pain is?
whatever the pa ent says it is
What is the single most reliable indicator of pain?
, the pa ent's self-report
How do NSAID's preimarily produce pain relief?
by preven ng prostaglandin forma on
What does acetaminphen not have?
any inflammatory proper es
What do you manage nocicep ve pain with?
- local anesthe cs
- non-opioids
- opioids
What does 0 on the 0 - 10 numeric pain ra ng scale indicate?
no pain
What does the Wong-Baker FACES pain scale consist of?
cartoon faces that the pa ent (ages 3 and up) selects to report thier pain level
What does the visual analog 10cm scale represent?
no pain to the worst pain, the pa ent marks a spot somewhere in between indica ng their
pain level
What pain scale helps indiviuals describe the intensity of pain?
verbal descriptor scale
What does a comprehensive pain assessment consist of?
- dura on (when it started/lasted)
- type (intensity/assoc factors/influencing fators)
- loca on
What pa ents do we avoid the rectal route for med administra on?
thrombocytopenic
What type of effect do topical agents produce?
local
What type of effect do transdermal agents produce?
drug absorp on into the systemic circula on
What would help reduce complica ons related to pain for pa ents?
