(Print) Use this randomly generated list as your call list when playing the game. There is no need to say the BINGO column name. Place some kind of mark (like an X, a checkmark, a dot, tally mark, etc) on each cell as you announce it, to keep track. You can also cut out each item, place them in a bag and pull words from the bag.
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resistant to therapy; no relief from interventions
Intractable pain
combines 2+ classes of analgesics that target different sites in peripheral and CNS to maximize pain relief
Multimodal analgesic therapy
caused by lesion or disease of peripheral or central somatosensory nervous system
Neuropathic pain
viewed as one of the safest & best-tolerated analgesics
Acetaminophen
cover w/ occlusive dressing 1hr prior to procedure for local pain relief
EMLA cream
activation of pain receptors
transduction
any act that results in a controlled drug not reaching the prescribed pt
Diversion
diffuse; originate in tendons, ligaments, bones blood vessels or nerves
Somatic pain
powerful pain blocking chemicals; prolonged analgesic effects; produce euphoria
endorphins
sham med or procedure designed and known to not be of any therapeutic clinical value
placebo
represented by normal pain process
Nociceptive pain
max intensity of stimulus that produces pain a person is willing to accept
Pain tolerance
inhibit release of substance P to reduce pain sensation
enkephalins
pain originates in one part of body but perceived in area distant from point of origin
referred pain
body becomes accustomed to opioid and need larger doses
Tolerance
poorly localized; originates in thorax, cranium and abdomen; usually r/t disease
Visceral pain
massage; heat/cold therapy; acupressure; TENS unit
Cutaneous stimulation
Preferred route of medication for cancer pain
Oral (po)
send additional pain stimuli to CNS
prostaglandins
Pertinent VS to monitor with PCA or Epidural analgesia
BP, O2 sat, RR
stimulate smooth muscles, inhibit gastric secretion; cause vasoconstriction
serotonin
quality of pain that is stabbing and intense
Sharp
does not have an identifiable physiologic or pathologic cause; ex. amputation
Phantom pain
Contraindicated with bleeding disorders, probable infections and pregnancy >/+ 20 weeks
NSAIDs
pain scale for 2 months to 7 years
FLACC
peripheral/pain receptors; respond to selective stimuli
nociceptors
used to assess respiratory depression S1234
Pasero Opioid-Induced Sedation Scale
chronic primary pain; ex. cancer or fibromyalgia; not classified as nocicpetive or enuropathic
Nociplastic pain
it is what pt says it is
pain
pain scale used for neonates (0-6mo.)
CRIES
superficial; involves skin or SQ tissue; ex. paper cut
Cutaneous pain
rapid in onset; mild to severe; protective in nature
acute pain
pain is believed to be controlled by closing the gating mechanism in the spinal cord
Gate Control Theory
HOB elevation for epidural analgesia
30 degrees
temporary flare-up of mod.-severe pain that occurs with ATC (around the clock) meds
Breakthrough pain
chronic, relapsing brain disease; compulsive drug seeking
addiction
to be operated by patient only
PCA pump
vasodilator; triggers release of histamine; assists in inflammation s/s
bradykinin
sensitizes receptors on nerves to feel pain; increase nerve firing rate
substance P
persists or recurrent greater than 3 months
chronic pain
produces a subconscious state accomplished by suggestions made by hypnotist
Hypnosis
body physiologically accustomed to opioid therapy and suffers withdrawal symptoms if it is removed or rapidly decreased
Physical dependence
pain sensation from site of injury or inflammation travel to spinal cord then brain
transmission
Assess for respiratory depression with these meds; reversal Narcan (naloxone)
Opioid analgesic
