NURS 116 Lecture Notes - Lecture 19: Peptic Ulcer, Coronary Artery Disease, Pain Management
29 Mar 2019
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Difficult to distinguish pain from other causes of discomfort. Symptoms can include crying, lethargy, hypertension, hypotension, tachycardia, bradycardia, Pain can exhaust energy resources needed for growth and healing. Pharmacological interventions topical anesthetics such as emla (combination of lidocaine, pricoline) 3 years old: can provide basic description of pain location and intensity. Normal sympathetic responses do not always occur, so vital signs may not be a good guide. Symptoms can include higher pulse, respiratory rate, lower blood pressure. Women are more likely to develop fibromyalgia, osteoarthritis. Men are more likely to have pain from cluster headaches, coronary artery disease, gout, duodenal ulcer, pancreatic disease. Childbirth is a specific type of pain. May have a higher pain threshold but lower pain tolerance. Opioids should be given sparingly due to mimicking dementia symptoms. Cognitively impaired patients may not express pain verbally, therefore nurses should be able to recognize behavioural indicators. Chronic conditions associated with aging may involve pain.
