Diversionany act thatresults in acontrolled drugnot reachingthe prescribedpttransductionactivationof painreceptorspainthresholdmin. intensityof a stimulusthat isperceived aspainfulCRIESpain scaleused forneonates(0-6mo.)Tolerancebody becomesaccustomed toopioid andneed largerdosesSomaticpaindiffuse; originatein tendons,ligaments,bones bloodvessels ornervesserotoninstimulatesmoothmuscles, inhibitgastricsecretion; causevasoconstrictionPhantompaindoes not havean identifiablephysiologic orpathologiccause; ex.amputationNociplasticpainchronic primarypain; ex. canceror fibromyalgia;not classifiedas nocicpetiveor enuropathicnociceptorsperipheral/painreceptors;respond toselectivestimuliacutepainrapid inonset; mildto severe;protective innatureCutaneousstimulationmassage;heat/coldtherapy;acupressure;TENS unitOpioidanalgesicAssess forrespiratorydepression withthese meds;reversal Narcan(naloxone)modulationprocess bywhich thesensation ofpain is inhibitedor modifiedMultimodalanalgesictherapycombines 2+classes ofanalgesics thattarget different sitesin peripheral andCNS to maximizepain reliefAcetaminophenviewed asone of thesafest & best-toleratedanalgesicsFLACCpain scalefor 2months to7 yearsPCApumpto beoperatedby patientonlyNSAIDsContraindicatedwith bleedingdisorders,probable infectionsand pregnancy >/+20 weeksVisceralpainpoorly localized;originates inthorax, craniumand abdomen;usually r/tdiseaseplacebosham med orproceduredesigned andknown to not be ofany therapeuticclinical valuePhysicaldependencebody physiologicallyaccustomed toopioid therapy andsuffers withdrawalsymptoms if it isremoved or rapidlydecreasedendorphinspowerful painblockingchemicals;prolongedanalgesic effects;produce euphoriaprostaglandinssendadditionalpain stimulito CNSEMLAcreamcover w/occlusivedressing 1hrprior toprocedure forlocal pain reliefbradykininvasodilator;triggers releaseof histamine;assists ininflammations/sBreakthroughpaintemporary flare-up of mod.-severe painthat occurs withATC (aroundthe clock) medsreferredpainpain originates inone part of bodybut perceived inarea distant frompoint of originPaseroOpioid-InducedSedationScaleused toassessrespiratorydepressionS1234Postherpeticneuralgiafollows acuteCNS infection(ex. herpeszoster -shingles)BP, O2sat, RRPertinent VSto monitorwith PCA orEpiduralanalgesiaSharpquality ofpain that isstabbingand intensechronicpainpersists orrecurrentgreater than3 monthspainit iswhat ptsays it isIntractablepainresistant totherapy; norelief frominterventionsOral(po)Preferredroute ofmedicationfor cancerpainCutaneouspainsuperficial;involves skinor SQ tissue;ex. paper cutNociceptivepainrepresentedby normalpainprocessNeuropathicpaincaused by lesionor disease ofperipheral orcentralsomatosensorynervous systemPaintolerancemax intensity ofstimulus thatproduces paina person iswilling to acceptsubstancePsensitizesreceptors onnerves to feelpain; increasenerve firing ratenoceboharmful orundesirableresponsefrom placeboHypnosisproduces asubconsciousstateaccomplished bysuggestions madeby hypnotistGateControlTheorypain is believedto be controlledby closing thegatingmechanism inthe spinal cordenkephalinsinhibit releaseof substanceP to reducepainsensationaddictionchronic,relapsingbrain disease;compulsivedrug seekingtransmissionpain sensationfrom site ofinjury orinflammationtravel to spinalcord then brain30degreesHOBelevationfor epiduralanalgesiaDiversionany act thatresults in acontrolled drugnot reachingthe prescribedpttransductionactivationof painreceptorspainthresholdmin. intensityof a stimulusthat isperceived aspainfulCRIESpain scaleused forneonates(0-6mo.)Tolerancebody becomesaccustomed toopioid andneed largerdosesSomaticpaindiffuse; originatein tendons,ligaments,bones bloodvessels ornervesserotoninstimulatesmoothmuscles, inhibitgastricsecretion; causevasoconstrictionPhantompaindoes not havean identifiablephysiologic orpathologiccause; ex.amputationNociplasticpainchronic primarypain; ex. canceror fibromyalgia;not classifiedas nocicpetiveor enuropathicnociceptorsperipheral/painreceptors;respond toselectivestimuliacutepainrapid inonset; mildto severe;protective innatureCutaneousstimulationmassage;heat/coldtherapy;acupressure;TENS unitOpioidanalgesicAssess forrespiratorydepression withthese meds;reversal Narcan(naloxone)modulationprocess bywhich thesensation ofpain is inhibitedor modifiedMultimodalanalgesictherapycombines 2+classes ofanalgesics thattarget different sitesin peripheral andCNS to maximizepain reliefAcetaminophenviewed asone of thesafest & best-toleratedanalgesicsFLACCpain scalefor 2months to7 yearsPCApumpto beoperatedby patientonlyNSAIDsContraindicatedwith bleedingdisorders,probable infectionsand pregnancy >/+20 weeksVisceralpainpoorly localized;originates inthorax, craniumand abdomen;usually r/tdiseaseplacebosham med orproceduredesigned andknown to not be ofany therapeuticclinical valuePhysicaldependencebody physiologicallyaccustomed toopioid therapy andsuffers withdrawalsymptoms if it isremoved or rapidlydecreasedendorphinspowerful painblockingchemicals;prolongedanalgesic effects;produce euphoriaprostaglandinssendadditionalpain stimulito CNSEMLAcreamcover w/occlusivedressing 1hrprior toprocedure forlocal pain reliefbradykininvasodilator;triggers releaseof histamine;assists ininflammations/sBreakthroughpaintemporary flare-up of mod.-severe painthat occurs withATC (aroundthe clock) medsreferredpainpain originates inone part of bodybut perceived inarea distant frompoint of originPaseroOpioid-InducedSedationScaleused toassessrespiratorydepressionS1234Postherpeticneuralgiafollows acuteCNS infection(ex. herpeszoster -shingles)BP, O2sat, RRPertinent VSto monitorwith PCA orEpiduralanalgesiaSharpquality ofpain that isstabbingand intensechronicpainpersists orrecurrentgreater than3 monthspainit iswhat ptsays it isIntractablepainresistant totherapy; norelief frominterventionsOral(po)Preferredroute ofmedicationfor cancerpainCutaneouspainsuperficial;involves skinor SQ tissue;ex. paper cutNociceptivepainrepresentedby normalpainprocessNeuropathicpaincaused by lesionor disease ofperipheral orcentralsomatosensorynervous systemPaintolerancemax intensity ofstimulus thatproduces paina person iswilling to acceptsubstancePsensitizesreceptors onnerves to feelpain; increasenerve firing ratenoceboharmful orundesirableresponsefrom placeboHypnosisproduces asubconsciousstateaccomplished bysuggestions madeby hypnotistGateControlTheorypain is believedto be controlledby closing thegatingmechanism inthe spinal cordenkephalinsinhibit releaseof substanceP to reducepainsensationaddictionchronic,relapsingbrain disease;compulsivedrug seekingtransmissionpain sensationfrom site ofinjury orinflammationtravel to spinalcord then brain30degreesHOBelevationfor epiduralanalgesia

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