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NeuroMedical-Surgical Nursing-7th edition

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The sensory process leading to the perception of pain is called _______.
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nociception
_______ pain is caused by a lesion or dysfunction in the brain or spinal cord, such as phantom pain.
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Central
What is happening with phantom pain?
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Although the injured extremity has been removed, the sensory pathway to the parietal lobe is still present. The circuit needs to reestablish.
N/V can be a sign and symptom of _______ in both kids and adults.
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pain
Chronic pain is not maintained by the _______.
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SNS
_______ pain usually lasts over 3 months and can be permanent.
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Chronic
Acute pain usually lasts _______.
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less than 3 months (in response to sudden change)
Referred, neuropathic, peripheral and central are all types of _______ pain.
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chronic (*referred can be acute or chronic)
_______ pain is chronic pain characterized by increased sensitivity to painful stimuli (hyperalgesia) and the perception of innocuous stimuli as painful (allodynia).
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Neuropathic
_______ pain can be described as cramping, burning, shooting or stabbing.
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Acute
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Acute pain is a _______ response initiated by the _______.
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protective response initiated by SNS.
Acute pain can result in what physiologic changes?
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Increased HR, BP and resp. rate.
Acute pain cannot be maintained by the body. If not resolved, what can happen?
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Death; Transition to chronic pain.
What are manifestations of chronic pain?
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Psychosocial/emotional symptoms; withdrawal, depression, irritability.
_______ lobe involvement in headaches is high.
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Parietal
All headaches have a _______ component and usually involvement of the _______ nerves.
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vasoactive component; facial (CN7) and trigeminal (CN5) nerves
What is the most common type of headache?
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Tension (tight band of pressure)
How is viral meningitis contracted?
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Enteroviral viruses, mumps, herpes 1 and 2, encephalitis viruses, West Nile, and Epstein-Barr.
_______ meningitis is the more lethal form.
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Bacterial
Passive flexion of the neck to determine whether it produces pain is called the _______ sign...
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Brudzinski (useful in diagnosing meningitis and subarachnoid hemorrhage)
Straightening the knee and hip and then flexing the knee to determine whether pain in the back or neck result is called...
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the Kernig sign (useful in diagnosing meningitis and subarachnoid hemorrhages)
  
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