NSG 250 - Pain questions and
answers(verified for accuracy)
Pain Control - answer Meds work within CNS to alter the way pain
impulses are processed
A(delta) fibers respond quickly to acute pain
C fibers are slower, impulses from skin, SQ, musles, and deep
viscera
gate-control theory - answer the spinal cord contains a neurological
"gate" that blocks pain signals or allows them to pass on to the
brain
Migraine Headaches - answer Partially caused by cerebral
vasodilation
Many triggers, common in women
Usually unilateral, pulsate, N/V, photophobia
Ergot Derivatives - answer Cause cranial VC
Used to abort/prevent migraine and vascular HA
Older Medication
Ergot Derivative Meds - answer Ergotamine/Ergomar- SL
Dihydroergotamine/Migranal, DHE45- Nasal
Cafergot- Ergotamine + Caffeine- PO, increased absorption rate
Triptans - answer Cause cranial VC w/ less GI/vascular SE
Work on selective serotonin sites
Treat acute symptoms, not prophy
Contraindicated in pregnancy(teratogenic)
, Must be on birth control
PO, SQ, Fast dissolve, or Nasal
Tristan Drugs - answer -Triptan suffix
(Axert, Relpax, Frova, Amerge, Maxalt, Imitrex, Zomig)
Acetaminophen (Tylenol) - answer Cause liver dysfunction
Monitor labs and jaundice
No more than 4g a day
ETOH no more than 2g
Avoid alcohol
Antidote- Acetylcysteine/Mucomyst
Watch OTC cough/cold meds for tylenol
Salicylates - answer Aspirin
Inhibit prostaglandins
Mild/moderate pain, fever, RA, and OA
Dont combine with other NSAIDS
Not for kids under 18 for fear of Reyes
Stop 1 week before surgery
Can irritate GI and cause bleeding
Salicysm
Salicylism - answer The syndrome of salicylate toxicity, including
symptoms such as tinnitus (ringing sound in the ears), N/V,
confusion, tachypnea, hemorrhage, excitement, convulsions, tetany,
fever, CV/Resp/Renal collpse
answers(verified for accuracy)
Pain Control - answer Meds work within CNS to alter the way pain
impulses are processed
A(delta) fibers respond quickly to acute pain
C fibers are slower, impulses from skin, SQ, musles, and deep
viscera
gate-control theory - answer the spinal cord contains a neurological
"gate" that blocks pain signals or allows them to pass on to the
brain
Migraine Headaches - answer Partially caused by cerebral
vasodilation
Many triggers, common in women
Usually unilateral, pulsate, N/V, photophobia
Ergot Derivatives - answer Cause cranial VC
Used to abort/prevent migraine and vascular HA
Older Medication
Ergot Derivative Meds - answer Ergotamine/Ergomar- SL
Dihydroergotamine/Migranal, DHE45- Nasal
Cafergot- Ergotamine + Caffeine- PO, increased absorption rate
Triptans - answer Cause cranial VC w/ less GI/vascular SE
Work on selective serotonin sites
Treat acute symptoms, not prophy
Contraindicated in pregnancy(teratogenic)
, Must be on birth control
PO, SQ, Fast dissolve, or Nasal
Tristan Drugs - answer -Triptan suffix
(Axert, Relpax, Frova, Amerge, Maxalt, Imitrex, Zomig)
Acetaminophen (Tylenol) - answer Cause liver dysfunction
Monitor labs and jaundice
No more than 4g a day
ETOH no more than 2g
Avoid alcohol
Antidote- Acetylcysteine/Mucomyst
Watch OTC cough/cold meds for tylenol
Salicylates - answer Aspirin
Inhibit prostaglandins
Mild/moderate pain, fever, RA, and OA
Dont combine with other NSAIDS
Not for kids under 18 for fear of Reyes
Stop 1 week before surgery
Can irritate GI and cause bleeding
Salicysm
Salicylism - answer The syndrome of salicylate toxicity, including
symptoms such as tinnitus (ringing sound in the ears), N/V,
confusion, tachypnea, hemorrhage, excitement, convulsions, tetany,
fever, CV/Resp/Renal collpse
