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Pain_Surgery Term I_2025

Horizontales
Most common presenting symptom for adults in the ED
Pain that is well characterized, typically self-limited
Well localized ad constant mechanism of pain, i.e. laceration
Act on mu-receptors in brain/spinal cord, cause euphoria, sedation, C, and respiratory depression
Leads to increased morbidity, poor QOL, delayed recovery, dependency on opioid
May be increased in response to uncontrolled pain, may be accompanied with dyspnea
Postoperative pain that may be treated with TENS
Conversion of noxious stimuli into electrical energy by primary afferent nociceptors
Cardiovascular response to uncontrolled pain
Assessment of infant behavior concerning pain
Not well localized, constant or intermittent mechanism of pain, i.e. GI obstruction
Verticales
Painful stimuli ascends the spinal cord to the higher cortical structures of the brain
Action of urinating, may be affected by anesthesia
Momentary shock-like pain over eye or in temporal or occipital regions
Demonstrates analgesic effect, undergoes extensive first-pass hepatic metabolism, i.e. Duloxetine
Accumulation of fluid in the lungs, can occur post-operatively 2/2 not ambulating
Component of the FLACC Scale
Condition of breathing at an irregularly increased rate
Hypomotility of the gastrointestinal tract in absence of mechanical bowel obstruction
Anesthetic, useful in delineating pain mechanisms, interrupt nociceptive activity. i.e. epidural
Primary afferent receptors activated by noxious stimulation
Pain that persists greater than 3-6 months
Part of the Pain Modulating Network which interprets ascending nociceptive information
Increased risk of bleeding but useful as pain management without risk of dependency or abuse