ACTUAL COMPLETE EXAM Questions
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ANSWERS (100% Accurate Solutions)
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first responders - ANSWERS-phagocytes
neutrophils
diapedesis - ANSWERS-the passage of blood cells through the intact walls of the
capillaries, typically accompanying inflammation.
Types of Acute Pain - ANSWERS--Referred Pain
• Pain that is present in an area removed or distant from its point of origin
-Acute Somatic Pain
• Arises from connective tissue, muscle, bone & skin
• Sharp & localized or dull & non-localized
• Responds best to: acetaminophen, corticosteroids, NSAIDs, opiates, local anesthetics,
ice, massage
-Acute visceral pain
• Pain in the internal organs & abdomen
• Poorly localized (C-fibers)
• Radiates
• Most responsive to opiates
• May also use corticosteroids, NSAIDs
,*rated by severity
inflammatory response - ANSWERS--inflammation
• redness
• swelling
• heat
• pain
chemokines - ANSWERS-small proteins cells release as a signaling mechanism
-best known for their ability to stimulate the migration of cells, most notably white blood
cells (leukocytes).
mast cells - ANSWERS--release histamine
• goes to endothelial cells that line capillaries, makes capillaries larger (vasodilation),
causing swelling, capillary walls become more porous (things get through more easily)
extravasation - ANSWERS-escape of fluid from a blood vessel into surrounding tissue
pain is influenced by: - ANSWERS-gender, genetics, social, cultural, and personal
factors
Acute pain has an occurrence of fewer than __________ - ANSWERS-three months
-often precipitated by trauma & acute medical conditions or tx
Treatment goals about pain relief: Considerations - ANSWERS--reducing the intensity
of pain while enhancing physical & psychological functioning
-common goal is to resume the activities of daily life
-Complete elimination of pain is often not realistic if the source of pain continues to exist
• finding the lowest effective dose to achieve tolerable pain levels is paramount
-Non-pharmacological treatments may also be considered to promote comfort
, Appropriate selection of medications includes: - ANSWERS--Patient factors
• age, ethnicity, gender, the presence of hepatic and/or renal impairment, genetic
polymorphisms, and/or coexisting cardiorespiratory or cerebrovascular disease
-Drug factors
• drug metabolism, receptor binding strength, potential for drug-drug interactions, and/or
co-administration with other CNS depressants
commonly used agents for acute pain management - ANSWERS--Opioids
-Acetaminophen
-NSAIDs
-Salicylates
-COX-2 Inhibitors
Opioids - ANSWERS--Drug Indication:
• Moderate to severe pain
-Dosing Considerations:
• Opioid naïve vs chronic pain pt
-Adverse Drug Reactions:
• Sedation, drowsiness, mental clouding; constipation; nausea & decreased appetite;
sexual dysfunction; tolerance/ dependency
• ADRs worse when combined with alcohol or benzodiazepines
-Patient Education:
• Clear instructions regarding safety & ADRs
• discuss length of tx; discuss non-opiate therapy
-Monitoring:
• Is pain medication effective? Is the dose being tapered or discontinued? If not
reassess cause of pain.
-Drug Interaction:
• Any other drug that causes a sedative effect.