Pain Assessment and Management Flashcards Preview

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Flashcards in Pain Assessment and Management Deck (22):
1

Multidimensional Scale that we use

SF-GCMPS

2

Assess the dogs...

vocalization, attention to the painful area, ambulation, reaction to palpation around the wound.

3

Advocate for _________ in your clinic.
Use a validated ________ scale

consistent evaluations
multidimensional scale

4

Assess patients ________ their treatments

Before and after

5

Assess patients often during first hours to

plan the efficacy and frequency of treatment

6

What are the 5 steps for conscious pain perception?

1. Transduction
2. Transmission
3. Modulation
4. Projection
5. Perception

7

What kind of painful stimuli can be transduced into an electrical impulse?

mechanic, thermal, chemical

8

A alpha fibers

-Large, thick myelinated sheaths, rapid conduction (>30 m/s)
-muscle contraction

9

A beta fibers

-Large, thick myelinated sheaths, rapid conduction (>10 m/s)
- Normally pleasant to touch, can provoke pain over time

10

A gamma fibers

- Medium size, light myelination
- sharp pain

11

C fibers

- small, unmyelinated
- slow burning/throbbing pain

12

_____ and _____ receptors exist...

Inotropic and metabotropic(G protein)

13

The ___________ si the most important projection tract in carnivores.

spinocervicothalamic tract

14

Windup

plasticity of spinal cord, an exaggerated response (Allodynia and hyperalgesia are both examples)

15

allodynia

when a non-painful stimulus causes pain (A beta fibers causing pain)

16

hyperalgesia

a painful stimulus creating a more painful response than it should

17

Opioids function by

- modulating at the spinal cord, Transduction
- hyperpolarization of the cell.

18

alpha-2 agonists function by

inhibiting NT release and modulating

19

Local anesthetics function by

- Transmission step
- Na+ Channel blockers (don't use in acidic environment)

20

NSAIDs function by

- Block Transduction
- Anti Inflam and anti - nociceptive
- COX inhibitors (stop arachadonic acid -> Prostaglandin)

21

Steroids function by

- anti-inflammatory (inhibit phospholipase A from producing Arachadonic acid)

22

Other therapies that we do not condone using alone.

tricyclic antidepressants
gabapentin
cannabinoids
NMDA antagonists