Assessed on a pain level using the 0-10 rating scale
Assess non verbal cuse of pain
Client education on pain management
Many hospitals document every 8 hours minimum
Pain is included in Vital signs
True
False
True
False
NSAIDS
Antimigraine Agents
Beta Blockers
Narcotics
Calcium Channel Blockers
No biologic benefit
Unrelenting and adaptation of SNS
Protective
Recovery Expected
Activation of the SNS
Adaptation of SNS
Commonly experienced psychological implications
Few psychological implications
It is a disease
Focused at site of injury
Cancer - acute/chronic pain r/t cancer
Somatic- bone, muscle, joint
Superficial- skin, mucous membrane injury
Vascular- vascular conditions (headaches/migraines)
Visceral- organ pain
Non - opioid for mild pain, non- narcotic
Opioids for moderate severe pain
Adjuvant analgesics- muscle relaxants, antidepressants, benzodiazepines
Non - opioid for mild pain, non- narcotic
Adjuvant analgesics- muscle relaxants, antidepressants, benzodiazepines
Opioids for moderate severe pain
Opioids for moderate severe pain
Adjuvant analgesics- muscle relaxants, antidepressants, benzodiazepines
Non - opioid for mild pain, non- narcotic
Oxycodone
Acetaminophen
Hydrocodine
Asprin
Naproxen
Heat
Erythema
Loss of function
Edema
Pain
Non Steroidal Anti Inflammatory drugs
Corticosteroids
Disease-modifying anto rheumatic drugs
Anti gout
Salicylates (asprin)
Par-cclorobenzoic Acid (indomethacin/Indocin)
Phenylacetic Acid Derivatives ( Voltaren)
Popionic Acid derivatives (Ibruprofen)
Fenamates and oxicams
Selective COX2 inhibitor (Celebrex)
Oxicam (Piroxicam, Feldene)
COX1
COX2
COX1
COX2
Reduces pain
Protects stomach lining
Decreases fever
Promotes platelet aggregation
Suppresses inflammation
Reduces Pain
Promotes platelet aggregation
Suppresses inflammation
Decreases fever
Protects stomach lining (protects ulcer)
True
False
Analgesic effect
Vasoconstriction effect
Antipyretic effect
Antidialation effect
Anti inflammatory effect
Asprin Allergy (asthma relationship)
Renal Failure (kidney)
Congestive Heart Failure
GI Bleed
Ulcers
Asprin
The Generic name for Asprin is Acetylsalicylic Acid (ASA)
Asprin is found in bayer, bufferin, ecotrin, anacin, alka seltzer
Inhibits COX1 and COX2
Analgesic, Antipyretic and anti inflammatory effects
Danger of Reye's Syndrome
Fast onset and peak action
Short half life
80
81.5
81
80.5
91