Nursing

Pain, Alternative Therapies & Supplements

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Pain

1) Name two substances that are released when there is injury to the tissue as it relates to pain transmission?

2) Discuss the difference between “A” fibers and “C” fibers.

3) What does each letter mean OLD CART and list one question you would ask for each? Use the chart below.

Letter	Meaning	Question
O
L
D
C
A
R
T

Define each classification of pain

Central
Cancer
Deep
Neuropathic
Phantom
Referred
Somatic
Vascular
Visceral

List one benefit and one disadvantage of each.

Medication Administration	Advantage	Disadvantage
Subcutaneous
Sublingual
IM
Oral
Transdermal
Epidural

Give an example of a NSAID then describe what it is. Include it is mechanism of action along with risks and benefits.

Describe two nursing interventions for patients taking a NSAID medication.

How does NSAIDs interact with food and what foods should be avoided?

Describe how Acetaminophen works in the body and what are the risk factors associated with its use.

Describe what an opioid analgesic is and how it works in the body.

Describe each classification of opioids and provide an example using the table below.

	Description	Example
Agonists
Agonist-antagonists
Antagonists

How is adjuvant medications used for pain and give a medical condition that this concept would be used for?

Give an example of tricyclic antidepressants then describe what it is. Include it is mechanism of action along with one risk and one benefit.

Give an example of anticonvulsants then describe what it is. Include it is mechanism of action along with one risk and one benefit.

Describe each medication using the tables below:

Adderall	Descriptions
Classification
Generic Name
Indications
Action
Therapeutic Effect
Action
Mechanism
Most frequent side effect
Nursing intervention

Loratadine	Descriptions
Classification
Generic Name
Indications
Action
Therapeutic Effect
Action
Mechanism
Most frequent side effect
Nursing intervention

Solu-Medrol	Descriptions
Classification
Generic Name
Indications
Action
Therapeutic Effect
Action
Metabolism
Most frequent side effect
Nursing intervention

Zyloprim	Descriptions
Classification
Generic Name
Indications
Action
Therapeutic Effect
Action
Metabolism
Most frequent side effect
Nursing intervention

Dilaudid	Descriptions
Classification
Generic Name
Indications
Action
Therapeutic Effect
Action
Metabolism
Most frequent side effect
Nursing intervention

Discuss the therapeutic use of iron. What are two side effects and what important education would you provide to a patient prior to administration?

Describe the use and one key deficiency of each vitamin in the table below

Vitamin	Use	One Deficiency
Vitamin A
Vitamin B3
Vitamin C
Vitamin D
Vitamin E
Vitamin K

What is it important to discuss OTCs and herbal supplements history with patients?