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Related Concept Videos

Analgesia and Pain Management01:25

Analgesia and Pain Management

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Pain is critical to various clinical pathologies, provoking an urgent need for effective management. Pain, whether acute or chronic, is a complex neurochemical process. Its alleviation depends on the type, with nonopioid analgesics effective for mild to moderate pain, such as musculoskeletal or inflammatory pain, while neuropathic pain responds best to anticonvulsants, tricyclic antidepressants, or serotonin/norepinephrine reuptake inhibitors. For severe acute or chronic pain, opioids may be...
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Peripheral Artery Disease V: Postoperative Nursing Management01:23

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During the postoperative period, it is crucial to focus on maintaining circulation, identifying and managing potential complications, and planning for discharge.Nursing AssessmentVital signs monitoring: Regularly monitor vital signs, including blood pressure, heart rate, respiratory rate, and temperature, to detect early signs of complications such as bleeding and infection.Circulation assessment: Monitor pulses, perform Doppler assessments, and check capillary refill, color, temperature, and...
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Peripheral Artery Disease IV: Nursing Management01:26

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 The nursing management of a patient with peripheral artery disease (PAD) begins with a thorough assessment of the patient’s health history and clinical manifestations.AssessmentHealth History: Evaluate the patient’s history of hypertension, hyperlipidemia, family history of cardiovascular issues, and lifestyle factors such as dietary patterns, smoking, and physical activity.Physical Examination:Assess the affected extremity for decreased or absent peripheral pulses,...
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Nociception01:44

Nociception

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Nociception—the ability to feel pain—is essential for an organism’s survival and overall well-being. Noxious stimuli such as piercing pain from a sharp object, heat from an open flame, or contact with corrosive chemicals are first detected by sensory receptors, called nociceptors, located on nerve endings. Nociceptors express ion channels that convert noxious stimuli into electrical signals. When these signals reach the brain via sensory neurons, they are perceived as pain.
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Local Anesthetics: Clinical Application as Epidural Anesthesia01:29

Local Anesthetics: Clinical Application as Epidural Anesthesia

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Epidural anesthetics are administered in the fat-filled epidural space, the outermost part of the spinal canal. This technique is commonly employed for pain management and anesthesia during lower abdomen and pelvis surgeries or labor and delivery.
Since epidural anesthetics can be infused through an epidural catheter, all types of drugs, including short-acting ones, can be administered. Chloroprocaine and lidocaine are examples of short and long-duration anesthetics, respectively. Bupivacaine...
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Local Anesthetics: Clinical Application as Spinal Anesthesia01:11

Local Anesthetics: Clinical Application as Spinal Anesthesia

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Spinal anesthetics are given during lower abdomen and limb surgeries to block sensory and motor neurons. They are administered in the mid to low lumbar regions, primarily acting on the cauda equina's nerve roots. The blockade level depends on the local anesthetic (LA) concentration. Usually, low LA concentrations are sufficient to block sensory fibers, while only high LA concentrations block motor fibers. Other factors like injection volume and speed, the patient's posture, and the drug...
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Neuropathic Pain Management: A Reference for the Clinical Nurse.

Bree Blumstein, Thomas W Barkley

    Medsurg Nursing : Official Journal of the Academy of Medical-Surgical Nurses
    |February 12, 2016
    PubMed
    Summary

    This study presents International Association for the Study of Pain guidelines for neuropathic pain. It offers nursing insights on pain assessment and medication efficacy for patient education.

    Area of Science:

    • Pain Management
    • Neurology
    • Nursing Practice

    Background:

    • Neuropathic pain is a complex condition requiring specialized management strategies.
    • Existing guidelines often lack detailed nursing considerations for effective patient care.

    Purpose of the Study:

    • To present the International Association for the Study of Pain (IASP) neuropathic pain guidelines.
    • To detail nursing considerations for neuropathic pain assessment and management.
    • To provide a reference for understanding medication mechanisms and enhancing patient education.

    Main Methods:

    • Review and synthesis of the IASP neuropathic pain guidelines.
    • Identification of key nursing considerations for pain assessment.
    • Analysis of medication efficacy and mechanisms of action relevant to nursing practice.

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    Main Results:

    • The IASP guidelines offer a framework for neuropathic pain management.
    • Specific nursing strategies for accurate pain assessment are outlined.
    • Information on medication efficacy and mechanisms supports informed patient education.

    Conclusions:

    • Adherence to IASP guidelines and incorporating detailed nursing considerations can improve neuropathic pain management.
    • Nurses play a crucial role in patient education regarding pain assessment and medication.
    • This resource aims to enhance nursing practice in managing neuropathic pain effectively.