365 CH
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show | whatever the person says it is and exists when a person says it does; multidimensional, emotional, physical
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show | nociceptors in tissues send pain signals to the CNS
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show | damage to the nerve itself causes typical pain symptoms (pins and needles, numbness, shooting, tingling)
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cutaneous/ superficial | show 🗑
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show | muscles, tendons, bones
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visceral | show 🗑
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show | sensation moves to location
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phantom | show 🗑
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show | not physical
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acute pain | show 🗑
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show | gradual or sudden, continues past normal recovery time; ongoing, exacerbations
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show | fully experiencing can not take pain anymore
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show | how much pain you can be exposed to before reaching threshold
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show | extreme reaction more so than one would expect
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allodynia | show 🗑
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show | dose adjustment based on analgesic effect versus side effects
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show | bloodstream; subcutaneous, intramuscular, intravenous
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show | highly potent; smaller doses necessary
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implantable pumps | show 🗑
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show | non drug therapy; transcutaneous electrical nerve stimulation (TENS)
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show | loosen/ vasodilate
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cold therapy | show 🗑
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show | mild to moderate; acetaminophen, aspirin, salicylates; do not produce tolerance or physical dependence
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show | hits a top point, maximum amount it will work; giving more will not change it's effect
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acetaminophen risk | show 🗑
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show | too much can cause GI distress and bleeding
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morphine, oxycodone, codeine | show 🗑
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show | can cause respiratory depression
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show | normal response with opioid use of 2 weeks or more; manifested with withdrawal symptoms
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tolerance | show 🗑
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show | provides optimal pain relief for moderate pain and limits use of opioids; limits risk of tolerance and dependence and adverse side effects
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naloxone (narcan) | show 🗑
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show | respiratory depression, sedation, nausea, constipation (need bowel regimen)
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adjuvant analgesics | show 🗑
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show | act on CNS to inhibit activity of nociceptive pathways
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show | inhibit cycloxygenase
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