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17 Cards in this Set
- Front
- Back
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Signs and Symptoms of pain
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Increase BP Pulse and R
Diaphoresis Increased muscle tension Nausea and Vomiting TREAT THE PAIN TO RELIEVE THESE ASSOCIATED SYMPTOMS Dont give the HTN meds give them pain meds! |
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for ACUTE pain
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Administer pain medications for acute pain without fear of addiction to the medication.
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Patient should get medication when pain is?
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painful but not excruciating because you will not get the pain to come down from horrible!
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How to Document Pain
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PQRST
Provoke factor (onset/duration) Quality (Burning/shooting etc) Region Severity (pain scale) Timing |
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Always remember to assess other forms of discomfort
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Full bladder
Catheter or tubing Position causing compromised circulation. |
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We are not the police is...
Pain administration Side notes.. |
what the patient says it is..
Lower levels of pain are easier to reduce/control than higher levels of pain.. Wake patient to to administer meds.. |
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Non pharmacologic pain relief
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muscle relaxation
Environment meditation Hypnosis Biofeedback (Pt is tought to know vital signs and control their reaction to pain with breathing) |
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Administering PRN meds
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Assess pain (vital signs)
Check Chart (Last meds recieved) Select appropriate medication as ordered Assess response to intervention at regular intervals. |
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Patient-Controlled Analgesia (PCA)
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ONLY the PATIENT can push the button.
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Meds used with PCA
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Morphine
Dilaudid Demerol |
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Patient Population NOT for PCA
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elderly, young children, and any confused patients.
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In the order for a PCA
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continuous infusion or not?
Bolus dose? Lock out time? 4 hour dose limit? |
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PCA side notes
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Verbal orders are only for a change in infusion not for starting the PCA.
Programmed and locked 2 RN check Pump reviewed Q4h NARCA and oxygen near bed side |
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OLDER adults (PCA and meds)
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start low and go slow...
Analgesics last longer in older adults (increased risk for side effects and toxicity) |
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Palliative Pain Relief
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Relief of pain when a cure for the illness is not possible
Administer based upon client's level of pain (increase as pain increases) Typically on schedule not on PRN |
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Adjunct meds
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Antiemetics Antidepressants
Corticosteroids NSAIDS |
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MORPHINE
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dilute it (can be painful to the vein) and use in distant port it can drop BP and make them whoozy.
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