Patient Care, Patho, and Pharmacology
10 - ✔✔call provider if respiratory rate is less than what
20 - ✔✔call provider if respiratory rate is greater than what
92% - ✔✔call provider if pulse ox is less than what
90 - ✔✔call provider if systolic bp is less than what
160 - ✔✔call provider if systolic bp is greater than what
60 - ✔✔call provider if pulse is less than what
120 - ✔✔call provider if pulse is greater than what
yes - ✔✔should you call the provider if there is a gradual increase in BP
pain - ✔✔unpleasant sensory and emotional experience associated with actual or potential tissue
damage
nociceptive pain - ✔✔this type of pain is normal processing of pain from damage to somatic or visceral
tissue
somatic - ✔✔this type of tissue (pain) would be bone, joint, muscle, skin, tissue; like a surgical incision,
broken bone, arthritis
visceral - ✔✔this type of tissue (pain) arises from organs; tumor involvement or obstruction
, neuropathic pain - ✔✔pain that is abnormal processing of stimuli; can be peripheral (diabetic
neuropathy) or central (spinal cord injury)
pain - ✔✔this should be assessed pre-operatively and post operatively; at suitable intervals after each
intervention for pain control
nonverbal - ✔✔assess behavioral/physiologic changes in ______________ patients as an indicator for
pain
colderr - ✔✔pain assessment that includes character, onset, location, duration, exacerbation, relief, and
radiation
acute pain - ✔✔sudden onset that is less than 3 months; caused by illness or injury, causes increased
HR, RR, BP, diaphoresis, anxiety, urinary retention; goal is to eliminate pain
chronic pain - ✔✔gradual onset typically, cause is unknown, causes flat affect, decreased activity,
fatigue, being withdrawn; goal is to improve quality of life, not eliminate pain necessarily
pain - ✔✔this causes a variety of sx/side effects - decrease in deep breathing/coughing putting patient
at risk for atelectasis, increased HR and BP, fatigue, decrease in bowel motility, increase in blood sugar
and insulin resistance, mental confusion, sleeplessness, decreased immune response
tolerance - ✔✔when you need a higher dose of a med to achieve the same effect
physical dependence - ✔✔a physiological state that occurs from chronic drug administration
pseudo-addiction - ✔✔set of behaviors used to obtain med for adequate pain relief - they appear to be
drug seeking, but the behaviors resolve when their pain is actually adequately treated
withdrawal - ✔✔this is caused by abrupt cessation of the drug or rapid dose reduction; causes
HTN/tachycardia/diaphoresis