enkephalinsinhibit releaseof substanceP to reducepainsensationFLACCpain scalefor 2months to7 yearsNSAIDsContraindicatedwith bleedingdisorders,probable infectionsand pregnancy >/+20 weeksreferredpainpain originates inone part of bodybut perceived inarea distant frompoint of originAcetaminophenviewed asone of thesafest & best-toleratedanalgesicspainthresholdmin. intensityof a stimulusthat isperceived aspainfulbradykininvasodilator;triggers releaseof histamine;assists ininflammations/sVisceralpainpoorly localized;originates inthorax, craniumand abdomen;usually r/tdiseaseNociplasticpainchronic primarypain; ex. canceror fibromyalgia;not classifiedas nocicpetiveor enuropathicPCApumpto beoperatedby patientonlyaddictionchronic,relapsingbrain disease;compulsivedrug seekingtransmissionpain sensationfrom site ofinjury orinflammationtravel to spinalcord then brainpainit iswhat ptsays it isGateControlTheorypain is believedto be controlledby closing thegatingmechanism inthe spinal cordchronicpainpersists orrecurrentgreater than3 monthsOral(po)Preferredroute ofmedicationfor cancerpainIntractablepainresistant totherapy; norelief frominterventionsprostaglandinssendadditionalpain stimulito CNSHypnosisproduces asubconsciousstateaccomplished bysuggestions madeby hypnotistBP, O2sat, RRPertinent VSto monitorwith PCA orEpiduralanalgesiaPhysicaldependencebody physiologicallyaccustomed toopioid therapy andsuffers withdrawalsymptoms if it isremoved or rapidlydecreasedPaseroOpioid-InducedSedationScaleused toassessrespiratorydepressionS1234CRIESpain scaleused forneonates(0-6mo.)placebosham med orproceduredesigned andknown to not be ofany therapeuticclinical valuetransductionactivationof painreceptorssubstancePsensitizesreceptors onnerves to feelpain; increasenerve firing rateBreakthroughpaintemporary flare-up of mod.-severe painthat occurs withATC (aroundthe clock) medsSharpquality ofpain that isstabbingand intenseMultimodalanalgesictherapycombines 2+classes ofanalgesics thattarget different sitesin peripheral andCNS to maximizepain reliefserotoninstimulatesmoothmuscles, inhibitgastricsecretion; causevasoconstrictionmodulationprocess bywhich thesensation ofpain is inhibitedor modifiedendorphinspowerful painblockingchemicals;prolongedanalgesic effects;produce euphoriaDiversionany act thatresults in acontrolled drugnot reachingthe prescribedptNeuropathicpaincaused by lesionor disease ofperipheral orcentralsomatosensorynervous systemnoceboharmful orundesirableresponsefrom placeboNociceptivepainrepresentedby normalpainprocessPhantompaindoes not havean identifiablephysiologic orpathologiccause; ex.amputation30degreesHOBelevationfor epiduralanalgesiaPostherpeticneuralgiafollows acuteCNS infection(ex. herpeszoster -shingles)OpioidanalgesicAssess forrespiratorydepression withthese meds;reversal Narcan(naloxone)nociceptorsperipheral/painreceptors;respond toselectivestimuliSomaticpaindiffuse; originatein tendons,ligaments,bones bloodvessels ornervesCutaneousstimulationmassage;heat/coldtherapy;acupressure;TENS unitPaintolerancemax intensity ofstimulus thatproduces paina person iswilling to acceptEMLAcreamcover w/occlusivedressing 1hrprior toprocedure forlocal pain reliefCutaneouspainsuperficial;involves skinor SQ tissue;ex. paper cutTolerancebody becomesaccustomed toopioid andneed largerdosesacutepainrapid inonset; mildto severe;protective innatureenkephalinsinhibit releaseof substanceP to reducepainsensationFLACCpain scalefor 2months to7 yearsNSAIDsContraindicatedwith bleedingdisorders,probable infectionsand pregnancy >/+20 weeksreferredpainpain originates inone part of bodybut perceived inarea distant frompoint of originAcetaminophenviewed asone of thesafest & best-toleratedanalgesicspainthresholdmin. intensityof a stimulusthat isperceived aspainfulbradykininvasodilator;triggers releaseof histamine;assists ininflammations/sVisceralpainpoorly localized;originates inthorax, craniumand abdomen;usually r/tdiseaseNociplasticpainchronic primarypain; ex. canceror fibromyalgia;not classifiedas nocicpetiveor enuropathicPCApumpto beoperatedby patientonlyaddictionchronic,relapsingbrain disease;compulsivedrug seekingtransmissionpain sensationfrom site ofinjury orinflammationtravel to spinalcord then brainpainit iswhat ptsays it isGateControlTheorypain is believedto be controlledby closing thegatingmechanism inthe spinal cordchronicpainpersists orrecurrentgreater than3 monthsOral(po)Preferredroute ofmedicationfor cancerpainIntractablepainresistant totherapy; norelief frominterventionsprostaglandinssendadditionalpain stimulito CNSHypnosisproduces asubconsciousstateaccomplished bysuggestions madeby hypnotistBP, O2sat, RRPertinent VSto monitorwith PCA orEpiduralanalgesiaPhysicaldependencebody physiologicallyaccustomed toopioid therapy andsuffers withdrawalsymptoms if it isremoved or rapidlydecreasedPaseroOpioid-InducedSedationScaleused toassessrespiratorydepressionS1234CRIESpain scaleused forneonates(0-6mo.)placebosham med orproceduredesigned andknown to not be ofany therapeuticclinical valuetransductionactivationof painreceptorssubstancePsensitizesreceptors onnerves to feelpain; increasenerve firing rateBreakthroughpaintemporary flare-up of mod.-severe painthat occurs withATC (aroundthe clock) medsSharpquality ofpain that isstabbingand intenseMultimodalanalgesictherapycombines 2+classes ofanalgesics thattarget different sitesin peripheral andCNS to maximizepain reliefserotoninstimulatesmoothmuscles, inhibitgastricsecretion; causevasoconstrictionmodulationprocess bywhich thesensation ofpain is inhibitedor modifiedendorphinspowerful painblockingchemicals;prolongedanalgesic effects;produce euphoriaDiversionany act thatresults in acontrolled drugnot reachingthe prescribedptNeuropathicpaincaused by lesionor disease ofperipheral orcentralsomatosensorynervous systemnoceboharmful orundesirableresponsefrom placeboNociceptivepainrepresentedby normalpainprocessPhantompaindoes not havean identifiablephysiologic orpathologiccause; ex.amputation30degreesHOBelevationfor epiduralanalgesiaPostherpeticneuralgiafollows acuteCNS infection(ex. herpeszoster -shingles)OpioidanalgesicAssess forrespiratorydepression withthese meds;reversal Narcan(naloxone)nociceptorsperipheral/painreceptors;respond toselectivestimuliSomaticpaindiffuse; originatein tendons,ligaments,bones bloodvessels ornervesCutaneousstimulationmassage;heat/coldtherapy;acupressure;TENS unitPaintolerancemax intensity ofstimulus thatproduces paina person iswilling to acceptEMLAcreamcover w/occlusivedressing 1hrprior toprocedure forlocal pain reliefCutaneouspainsuperficial;involves skinor SQ tissue;ex. paper cutTolerancebody becomesaccustomed toopioid andneed largerdosesacutepainrapid inonset; mildto severe;protective innature

JCFall2023_Ch. 36 Comfort and Pain - Call List

(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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  1. inhibit release of substance P to reduce pain sensation
    enkephalins
  2. pain scale for 2 months to 7 years
    FLACC
  3. Contraindicated with bleeding disorders, probable infections and pregnancy >/+ 20 weeks
    NSAIDs
  4. pain originates in one part of body but perceived in area distant from point of origin
    referred pain
  5. viewed as one of the safest & best-tolerated analgesics
    Acetaminophen
  6. min. intensity of a stimulus that is perceived as painful
    pain threshold
  7. vasodilator; triggers release of histamine; assists in inflammation s/s
    bradykinin
  8. poorly localized; originates in thorax, cranium and abdomen; usually r/t disease
    Visceral pain
  9. chronic primary pain; ex. cancer or fibromyalgia; not classified as nocicpetive or enuropathic
    Nociplastic pain
  10. to be operated by patient only
    PCA pump
  11. chronic, relapsing brain disease; compulsive drug seeking
    addiction
  12. pain sensation from site of injury or inflammation travel to spinal cord then brain
    transmission
  13. it is what pt says it is
    pain
  14. pain is believed to be controlled by closing the gating mechanism in the spinal cord
    Gate Control Theory
  15. persists or recurrent greater than 3 months
    chronic pain
  16. Preferred route of medication for cancer pain
    Oral (po)
  17. resistant to therapy; no relief from interventions
    Intractable pain
  18. send additional pain stimuli to CNS
    prostaglandins
  19. produces a subconscious state accomplished by suggestions made by hypnotist
    Hypnosis
  20. Pertinent VS to monitor with PCA or Epidural analgesia
    BP, O2 sat, RR
  21. body physiologically accustomed to opioid therapy and suffers withdrawal symptoms if it is removed or rapidly decreased
    Physical dependence
  22. used to assess respiratory depression S1234
    Pasero Opioid-Induced Sedation Scale
  23. pain scale used for neonates (0-6mo.)
    CRIES
  24. sham med or procedure designed and known to not be of any therapeutic clinical value
    placebo
  25. activation of pain receptors
    transduction
  26. sensitizes receptors on nerves to feel pain; increase nerve firing rate
    substance P
  27. temporary flare-up of mod.-severe pain that occurs with ATC (around the clock) meds
    Breakthrough pain
  28. quality of pain that is stabbing and intense
    Sharp
  29. combines 2+ classes of analgesics that target different sites in peripheral and CNS to maximize pain relief
    Multimodal analgesic therapy
  30. stimulate smooth muscles, inhibit gastric secretion; cause vasoconstriction
    serotonin
  31. process by which the sensation of pain is inhibited or modified
    modulation
  32. powerful pain blocking chemicals; prolonged analgesic effects; produce euphoria
    endorphins
  33. any act that results in a controlled drug not reaching the prescribed pt
    Diversion
  34. caused by lesion or disease of peripheral or central somatosensory nervous system
    Neuropathic pain
  35. harmful or undesirable response from placebo
    nocebo
  36. represented by normal pain process
    Nociceptive pain
  37. does not have an identifiable physiologic or pathologic cause; ex. amputation
    Phantom pain
  38. HOB elevation for epidural analgesia
    30 degrees
  39. follows acute CNS infection (ex. herpes zoster - shingles)
    Postherpetic neuralgia
  40. Assess for respiratory depression with these meds; reversal Narcan (naloxone)
    Opioid analgesic
  41. peripheral/pain receptors; respond to selective stimuli
    nociceptors
  42. diffuse; originate in tendons, ligaments, bones blood vessels or nerves
    Somatic pain
  43. massage; heat/cold therapy; acupressure; TENS unit
    Cutaneous stimulation
  44. max intensity of stimulus that produces pain a person is willing to accept
    Pain tolerance
  45. cover w/ occlusive dressing 1hr prior to procedure for local pain relief
    EMLA cream
  46. superficial; involves skin or SQ tissue; ex. paper cut
    Cutaneous pain
  47. body becomes accustomed to opioid and need larger doses
    Tolerance
  48. rapid in onset; mild to severe; protective in nature
    acute pain