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CH 5 - Pedi Pain

Terms in this set (13)

Who uses the Behavioral Observation Pain score?
Infants - 4 yrs old
Anyone unable to report pain due to neuro cognitive/communication challenge
Who uses the CRIES scale
post op infants
What does CRIES stand for?
crying, requires oxygen, inc vital signs, expression, sleeplessness
Who uses the FLACC pain scale?
2mo-7yrs
Anyone unable to give self reported pain scale
What does FLACC stand for?
face, legs, activity, cry, consolability
What are the parameters/levels to FLACC scale?
0: relaxed
1-3: mild
4-6: moderate
7-10: severe
Who can use the numeric pain scale?
In as young as 5 yrs old - they have to understand numbers and what increasing values mean.
What is the Wong Baker Faces Scale?
Consists of 6 cartoon faces ranging from a smiling face for "no pain" to a tearful face for "worst pain"

0-10 in increments of 2
What are Nonpharmacological interventions for pain in children?
Swaddling, Soothing, Shushing
Distraction - parents, toys, pinwheels, games, music, books, deep breathes
Relaxation
What are benefits of non-pharmacological pain interventions?
Reduces stress and promotes comfort/security
No adverse effects
Can be used at ANY time
For each stage of pain (mild, moderate, severe) what kind of pharmacological intervention do you provide?
Mild: non opioid + NSAID
Moderate: non opioid + opioid
Severe: non opioid + opioid + adjunct
For which patients are PCAs good?
5 years or older , esp in post op/SCD/cancer/trauma

have to understand that pushing the button will result in pain relief
For which patients is a PCA contraindicated?
Unable to understand how PCA works
Cognitive deficit - DD, TBI
Sleep Apnea
Those at high risk for sedation and resp depression
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