(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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harmful or undesirable response from placebo
nocebo
combines 2+ classes of analgesics that target different sites in peripheral and CNS to maximize pain relief
Multimodal analgesic therapy
persists or recurrent greater than 3 months
chronic pain
min. intensity of a stimulus that is perceived as painful
pain threshold
sham med or procedure designed and known to not be of any therapeutic clinical value
placebo
body physiologically accustomed to opioid therapy and suffers withdrawal symptoms if it is removed or rapidly decreased
Physical dependence
diffuse; originate in tendons, ligaments, bones blood vessels or nerves
Somatic pain
does not have an identifiable physiologic or pathologic cause; ex. amputation
Phantom pain
pain originates in one part of body but perceived in area distant from point of origin
referred pain
sensitizes receptors on nerves to feel pain; increase nerve firing rate
substance P
any act that results in a controlled drug not reaching the prescribed pt
Diversion
Contraindicated with bleeding disorders, probable infections and pregnancy >/+ 20 weeks
NSAIDs
Preferred route of medication for cancer pain
Oral (po)
massage; heat/cold therapy; acupressure; TENS unit
Cutaneous stimulation
superficial; involves skin or SQ tissue; ex. paper cut
Cutaneous pain
used to assess respiratory depression S1234
Pasero Opioid-Induced Sedation Scale
quality of pain that is stabbing and intense
Sharp
pain scale used for neonates (0-6mo.)
CRIES
it is what pt says it is
pain
body becomes accustomed to opioid and need larger doses
Tolerance
pain is believed to be controlled by closing the gating mechanism in the spinal cord
Gate Control Theory
inhibit release of substance P to reduce pain sensation
enkephalins
cover w/ occlusive dressing 1hr prior to procedure for local pain relief
EMLA cream
Pertinent VS to monitor with PCA or Epidural analgesia
BP, O2 sat, RR
produces a subconscious state accomplished by suggestions made by hypnotist
Hypnosis
HOB elevation for epidural analgesia
30 degrees
stimulate smooth muscles, inhibit gastric secretion; cause vasoconstriction
serotonin
max intensity of stimulus that produces pain a person is willing to accept
Pain tolerance
chronic primary pain; ex. cancer or fibromyalgia; not classified as nocicpetive or enuropathic
Nociplastic pain
activation of pain receptors
transduction
pain scale for 2 months to 7 years
FLACC
chronic, relapsing brain disease; compulsive drug seeking
addiction
represented by normal pain process
Nociceptive pain
rapid in onset; mild to severe; protective in nature
acute pain
powerful pain blocking chemicals; prolonged analgesic effects; produce euphoria
endorphins
process by which the sensation of pain is inhibited or modified
modulation
pain sensation from site of injury or inflammation travel to spinal cord then brain
transmission
viewed as one of the safest & best-tolerated analgesics
Acetaminophen
caused by lesion or disease of peripheral or central somatosensory nervous system
Neuropathic pain
