Z A/s - Pain Management

Front 1

What do we tx pain in vet med?

Back 1

anything considered painful in humans considered painful in animals, owner concerns, new generation anesthetics have rapid recovery w/ little/no post-op sedation or analgesia, human studies show incr survival rates and recovery times e/ eff pain mgmt

Front 2

What are the goals of pain mgmt?

Back 2

allow pt to move, eat, & sleep w/o undue discomfort

Front 3

Pain mgmt is focused on the first ___ hours after routine surg, but may be longer w/ a sever trauma or esp painful surg

Back 3

12-24 hours

Front 4

What is a nociceptor?

Back 4

sensory nerve cells in skin or deep tissues that can detect a noxious stimulus and convert it to nerve impulses

Front 5

Nerve impulsesa re xmitted by a chain or ar least 3 neurons - name these neurons

Back 5

sensory neurons in tissue, spinal cord neuron, brain neuron (where pain is perceived)

Front 6

Name the two types of sensory neurons and what kind of pain they xmit

Back 6

A Delta fibers - sharp, discrete pain
C fibers - dull/aching/throbbing pain

Front 7

What is somatic pain?

Back 7

pain in skin, SC, muscle, bones, joints

Front 8

What is visceral pain?

Back 8

pain of internal organs

Front 9

What are three intensities of pain?

Back 9

mild, moderate, severe

Front 10

What are two terms for duration of pain? Which more responsive to analgesia?

Back 10

Acute & chronic, acute more responsive to analgesia

Front 11

What is referred pain?

Back 11

pain felt in a body part other than the cause

Front 12

What is hyperesthesia?

Back 12

increased sensitivity to stimulus

Front 13

What is neuropathic pain?

Back 13

pain due to direct damage to peripheral nerves or spinal cord - often poorly responsive to analgesics

Front 14

What type of tissue experiences more pain - examples

Back 14

tissues w/ lg # of nerves or nerve endings - ears, eyes, bones, joints, nerves, cervical discs

Front 15

What is more painful - abdominal or thoracic surg?

Back 15

thoracic

Front 16

What species "hide" pain?

Back 16

prey species

Front 17

Name some indicators of pain

Back 17

decr activity, restlessness, limping, guarding a body part, incr heart &/or resp rate, abnormal body posture, pupil dialtion, depression, lack of appetite, vocalization, shaking, sleeplessness, licking/chewing

Front 18

In general, the more pain indicators present and the more pronounced they are, the ___ the animal is experiencing pain

Back 18

more