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Peds - Chapter 17
Vocab
31
Nursing
Undergraduate 2
07/20/2013

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Term
acute pain
Definition
Sudden pain of short duration, associated with a tissue-damaging stimulus.
Term
addiction
Definition
A patient's loss of control over the use of a substance with a compulsive use of the substance despite harm.
Term
allodynia
Definition
Hypersensitivity to light touch.
Term
anxiolysis
Definition
Sedation by medication.
Term
breakthrough pain
Definition
Pain that emerges as the pain medication wears off.
Term
chronic pain
Definition
Persistent pain lasting longer than three months, generally associated with a prolonged disease process.
Term
deep sedation
Definition
A controlled state of depressed consciousness or unconsciousness in which the child may experience partial or complete loss of protective reflexes.
Term
distraction
Definition
The ability to focus attention on something other than pain, such as an activity, music, or a story.
Term
electroanalgesia
Definition
A method of delivering electrical stimulation to the skin, to compete with pain stimuli for transmission to the spinal cord; also known as transcutaneous electrical nerve stimulation (TENS).
Term
endorphins
Definition
Endogenous opioids produced by the brain in response to painful stimuli that help inhibit pain impulses in the spinal cord and the brain.
Term
equinanalgesic dose
Definition
The amount of a drug, whether administered orally or parenterally, needed to produce the same analgesic effect.
Term
gate control theory
Definition
The modulation (change or inhibition) of pain perception due to the two-way control of nociceptive transmission within the spinal tracts that enable a competing nonpain impulse to be sent along the same pathways that pain transmission uses.
Term
hyperalgesia
Definition
Increased response to a pain stimulus because of peripheral sensitization.
Term
iontophoresis
Definition
Use of a small machine that generates electric current to transport anesthetic into the skin.
Term
moderate sedation
Definition
Sedation level when the child maintains protective reflexes, retains the ability to independently and continuously maintain a patent airway, and retains the ability to make an appropriate response to physical stimuli or verbal command, formerly called conscious sedation.
Term
neuropathic pain
Definition
One form of chronic pain initiated or caused by a primary lesion or dysfunction of the nervous system.
Term
nociception
Definition
Transmission of pain impulses.
Term
nociceptors
Definition
Free nerve endings at the site of tissue damage with the capacity to identify painful stimuli.
Term
nonsteroidal anti-inflammatory drugs (NSAIDs)
Definition
Nonsteroidal anti-inflammatory drugs, used for the treatment of pain.
Term
opioids
Definition
Synthetic narcotic drugs used for the treatment of pain.
Term
pain
Definition
A highly personal and subjective unpleasant sensory and emotional experience associated with actual or potential tissue damage. Pain exists when the patient says it does.
Term
pain threshold
Definition
The point at which the transmission of pain stimulus begins.
Term
pain tolerance
Definition
Duration of time or intensity of pain a child will endure before demonstrating pain responses.
Term
patient-controlled analgesia (PCA)
Definition
A method for administering an intravenous analgesic, such as morphine, using a computerized pump that the patient controls.
Term
physical dependence
Definition
The physiologic adaptation to an analgesic or sedative drug at the peripheral and central neurons.
Term
reliability
Definition
The extent to which the same score is obtained when an instrument or scale is used either by different persons or by the same person at different times.
Term
sedation
Definition
A medically controlled state of depressed consciousness (light to deep) used for painful diagnostic and therapeutic procedures and analgesia.
Term
sensitization
Definition
An increased reaction to pain over time, or a reduced threshold for reaction to painful stimuli.
Term
tolerance
Definition
An altered state of response to an opioid or other pain agent in which increasing amounts of the drug are needed to produce or maintain the same level of pain relief or sedation effect.
Term
validity
Definition
A test's ability to measure the characteristics it is established to measure.
Term
withdrawal
Definition
The physical signs and symptoms that occur when a sedative or pain drug is stopped suddenly in a patient who is physically tolerant.
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