Pharmacology, Essentials for Medication
Safety, 3rd Edition, Workman & LA Charity||
All Chapters || Newest Edition
Addiction - answer- THe psychological need or craving for the "high" feeling that results
from using opioids when pain is not present
Analgesics - answer- Drugs of any class that provide pain relief either by changing the
perception of pain or by reducing its source
Controlled substance - answer- A drug containing ingredients known to be addictive that
is regulated by the Federal COntrolled Substances Act of 1970
Dependance - answer- Physical changes in autonomic nervous system function that
can occur when opioids are used long term and are not needed for pain control
Nonopioid Analgesic - answer- A drug that reduces a person's perception of pain; it is
not similar to opium and has little potential for psychological or physical dependence
Opioid Analgesic - answer- A drug containing any ingredient derived from the poppy
plant (or a similar synthetic chemical) that changes a person's perception of pain and
has a potential for psychological or physical dependence
Pain - answer- An unpleasant sensory and emotional experience associated with acute
or potential tissue damage; pain is whatever a patient says it is and exists whenever a
patient says it does.
Tolerance - answer- The adjustment of the body to long-term opioid use that increases
tehr ate at which a drug is eliminated and reduces the main effects (pain relief) and side
effects of the drug
Withdrawal - answer- Autonomic nervous system symptoms occurring when long-term
opioid therapy is stopped suddenly after physical dependence is present
Pain pg 101
______ is an unpleasant sensory and emotional experience associated with tissue
damage. - answer- Pain
,Memory Jogger pg 101
_______ is whatever the patient says it is and exists whenever he or she says it is -
answer- Pain
Pain pg 101
How much pain the patient feels is called _____ ______ - answer- Pain Intensity
Barriers to Good Pain Management pg 102
List 6 - answer- 1.) Patient's and health care worker's fear of addiction
2.) Patient's fear of meaning of pain, for example:
a.) Worsening of Condition
b.) Threats to independence
c.) Impending death
3.) Patient's and health care worker's belief that pain is an expected part of aging
4.) Patient's fear of testing
5.) Health care worker's fear of "Drugging the older adult"
6.) Heal care provider's fear of overdosing a patient
Pain Origin and Transmission pg 103
_______ are sensory nerve endings that, when activated, trigger the message sent to
the brain that allows the perception of pain. - answer- Nociceptors
Pain Origin and Transmission pg 103
Nociceptors can be activated when body chemicals called ______ bind to them. -
answer- Mediators
Pain Perception pg 103
The smallest amount of tissue damage that makes a person aware of having pain is
known as the _____ _______ - answer- Pain Threshold
Pain Perception pg 103
Related to pain threshold is _____ _______, which is a person;s ability to endure or
"stand" the pain intensity. Behavioral and emotional factors as well as physical factors
affects this. - answer- Pain Tolerance
Types of Pain pg 104
, Pain is divided into types on the basis of its cause, how long it lasts, and whether it is
present continuously or comes and goes (intermittent). The three main types of pain
are: - answer- Acute
Chronic
Cancer
Types of Pain pg 104
_______ _______ has a sudden onset, an identifiable cause, a limited duration, and
improves with time even when it is not treated. It is the most common pain type;
typically causes include trauma, surgery, heart attack, inflammation, and burns. This
type of pain usually triggers the physical responses of elevated heart rate, respiratory
rate, and blood pressure. Skin becomes cool and clammy with increased sweating and
the hands and feet. The mouth becomes dry, and usually the pupils of the eyes dilate. A
concentrate, general distress, and a sense that something bad is happening (a sense of
impending doom) - answer- Acute Pain
Types of Pain pg 104
______ ______ is present daily for a month. It persists or increases with time, may not
have an identifiable cause, and does not trigger the physiologic responses associated
with acute pain. This means that a person with chronic pain can have severe pain
intensity without changes from the normal ranges for heart rate, breathing rate, or blood
pressure. Chronic pain may hurt less on some days than others but is always present.
Causes may be difficult to find. - answer- Chronic Pain
Types of Pain pg 104
_______ ________ has many causes and is complex. This means that more than one
pain strategy and often more than one type of drug for pain control are needed. The
patient with cancer often receives traditional pain-control drugs but at much higher
doses than those prescribed for other types of pain. The drug therapy plan may include
every type of pain-control drug given in combination to ensure adequate pain relief.
Drug therapy for cancer pain must be tailored to each patient for the most effective pain
control - answer- Cancer pain
General Issues Related to Analgesic Drug Therapy pg 104
_________ are drugs of any class that control pain either by changing the perception or
by reducing the source of pain. - answer- Analgesics
General Issues Related to Analgesic Drug Therapy pg 104
Better pain-control plans involve techniques: - answer- Doses are given on a schedule
around the clock to prevent complete elimination of the drug before the next dose
or