Important tasks associated with caring for the client with pain includes
early and ongoing assessment and intervention to promote healing
to treat pain effectively
the nurse needs agood understanding of the client’s pain experience
It is essential for the nurse to conduct a _____ in order to understand a client’s pain.
thorough pain assessment
The 5th vital is pain. What things are important to assess in the client with pain?
the client’s subjective description of the pain, location, intensity, duration, scale of pain (1-10), percipitating/alleviating factors, pattern of coping, previous experience, nurse’s observation of client’s behavior.
intensity of pain is referred to as ____ data
The Wong Baker is a tool used in assessing ___ in children. It relies on ____ instead of numbers.
pain, pictures of faces
Salicylates are drugs derived form
uses of salicylates
analgesic, antipyretic, anti-inflammatory
asprin is a
Ecotrin, Ecotrin enteric coated
magnesium salicylate, Bufferin
nausea, vomiting, epigastric distress, GI bleeding, tinnitus, allergic and anaphylactic reactions, overuse are common adverse reactions to
The analgesic action of salicylates is due to the inhibition of
present in fatty tissues and body fluids and increase the sensitivity of pain receptors in the tissues
more potently inhibits prostaglaindin synthesis and has greater anti-inflammatory effects than other salicylates
Clients taking asprin are at risk for increased _____. Other salicylates do not have this effect. This effect can last for the ____ days.
bleeding times, 7-10 day (the life of a platelet)
This herbal treatment is used as an analgesic, antipyretic and anti-inflammatory agent.
Upon assessment of the client with peptic ulcers, you find that they have been using Willow bark. What should the nurse tell the client regarding this use in conjunction with peptic ulcers?
Willow bark has fewer adverse reactions than those associated with salicylates. Although adverse reactions are rare, willow bark should be used ith caution and not in conjunction with other salicylates.
This salicylate is a nonopiod analgesic which is NOT used as an antipyretic
Asprin (acetylsalicylic acid) is useful in
decreasing myocardial infarction, transient ischemic attacks or strokes
When taking salicylates, it is important to note a loss ___
blood in stool. With normal use, the amount of blood loss may be insignificant. With overuse or even normal use over and extened time, blood loss in the stool may be noted.
A client presents with hives, rash, angioedema, bronchospasms with asthma-like symtoms and anaphylactiod reactions. What may the client be experiencing?
If an allergy to NSAIDs is noted, what other nonopiod alalgesic should be avoided?
Clients with GI bleeding, blood dyscrasis, those on anticoagulants or antineoplastics, children with chicken pox or influenza
A child is suffering from an itchy rash, vomiting and lethargy in which is progressing into a coma. The child is running a fever and has been given an Asprin to treat it. What might be happening to the child?
The rash and fever may be associated with chickenpox. The vomiting and lethargy are associated with Reye’s Syndrome. Asprin is contraindicated in children due to the possibility of developing Reye’s Syndrome.
salicylates should be used cautiously (but NOT contraindicated) in clients with
renal or hepatic disease, lacation, pregnancy, hypothrombinemia, peptic ulcers, GI irratations and vitamin K deficiency
Those with gout or mild diabetes should use ___ with caution.
condition related to the overuse of salicylates. Symptoms include dizziness, tinnitus, impaired hearing, nausea, vomiting, flushing, sweating, rapid and deep breathing, tachycardia, diarerhea, confusion
Clients should be warned that these foods contain salicylates
curry powder, paprika, licorice, prunes, raisins and tea
Antacids may ____ the effects of salicylates
Carbonic inhibitors (used to reduce intraocular pressure and used as a diuretic) may _____ when used with salicylates
increase the risk for salicylism
APAP, Tempra, Tylenol
The drug of choice to treat children with fever and flu like symptoms
The most widely used asprin substitute for those allergic to asprin or those who experience extreme GI upset when taking asprin
Acetaminophen does not inhibit ______.
APAP is the analgesic of choice when bleeding tendencies are an issue.
uses for Acetaminophen
treatment of mild-moderate pain, antipyretic,pain and discomfort related to arthritic disorders
This drug is useful in the treatment of those with asprin alergies, peptic ulcers, bleeding disorders, hemophilia, those on antocoagulation therapy or those in which have had recent monor surgical procedures
Adverse reactions with acetaminophen are rare when used as directed. But when doseage is exceeded, they would include