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Sensory/Regulation/P
Sensory Regulation and Pain
Question | Answer |
---|---|
Allows only fat-soluble medications to pass into the brain and cerebral spinal fluid? | Blood Brain Barrier |
Has a non-selective barrier to medications, fat-soluble and non-fat soluble agents often cross. | Placental membrane |
Medications bound to what protein cannot exert pharmalogical activity? | Albumin |
Coated tablet that does not dissolve in stomach; coatings dissolve in intestine, where medication is absorbed. | Enteric-coated tablet |
Where do most bio-transformations occur? | The Liver |
Medication excretion occurs through which systems? | Kidneys, Liver, bowels, lungs, and exocrine glands. |
Exocrine glands excrete what type of medication? | Lipid Soluble Meds. |
What is the main organ for med excretion? | The Kidneys |
The expected or predicatable physiological or predictable physiological response a medication causes? | Therapeutic Effect |
Are predictable and often unavoidable secondary effects produced at a usual therapeutic dose. | Side Effects |
Unintended, undesireable and often unpredictable severe responses to medication. | Adverese Effects |
Develop after prolonged intake of a med or when a med accumulates in the blood because of impaired metabolism or excretion. | Toxic Effects |
Is when a client overreacts or underreacts to a medication or has a reation different from normal. | Idiosyncratic reaction |
What kind of meds have the highest rates of allergic reactions? | Anti-biotics |
The combined effect of 2 meds is greater than the effect of the meds when given seperatly. | Synergistic Effect |
When administered Meds go through what 4 changes? | Absorption, Distribution, Metabolism, and Excretion |
What is the goal of administering meds? | To maintain a constant blood level within a sage therapuetic range ((Peak and trough). |
When is the tough level drawn? | 30 min before administration |
When should successive pain meds be given? | When previous dose reaches half life. |
What is the most accurate method of calculating pediatric doses? | Body Surface Area |
This happens when the client takes 2 or more medication to treat the same illness? | Polypharmacy |
The easiest and most desireable way to administer medication? | By mouth (oral) |
How long do tansdermal patches stay on for? | 12hrs to 7 days |
An unpleasant sensory and emotional experience associated with actual or potential tissue damage? | Pain |
Receptors that respond to harmful stimuli? | Nociceptors |
What is the leading cause of dissability? | Pain |
Opthalmic medication is administered where? | Eyes |
This type of medication resembles a contact lens and is used for glaucoma? | Intra-ocular medication |
How much medication can you administer in a IM Deltoid injection at one time? | 0.5 to 1ml Max |
Failure to instill ear drops or irrigating fluid at room temperature can cause what? | Vertigo, dizziness, or nausea |
When administering eye drops that cause systemic effect, what do you want to do? | Occlude the Naso-lacrimal duct for 30-60 sec. |
If a patient is receiving more than one med to the same eye at the same time, how long do you wait in between administrations? | 5 min |
When the patient first feels pain? | Threshold |
When the patient first verbalized pain? | Tolerance |
What should the nurse asses for when educating the use of a MDI? | Hand strength (10-15 lbs of pressure) |
What is the recommended way to check if an MDI or DPI needs replacement? | Divide total puffs by puffs per/day used by patient. |
When should medications be refilled? | 7-10 days before running out. |
For vaginal med administration what position do you want your patient to be in? | Dorsal recumbent position |
For rectal suppositories what position do you want your patient to be in? | Sim's position |
What should you tell your patient post rectal suppository insertion? | Remain flat or on side for at least 5min |
Which do you not shake MDI or DPI? | DPI |
Is made of glass with a constricted neck that musk be snapped off? | Ampule |
What is an important consideration when administering medication from an ampule? | Always use filtered needle |
Is a single dose or multi dose container with a rubber seal at the top? | Vial |
Involve placing medication into loose connective tissue under the dermis? | Sub-Q |
Proper size safety syringe and needle for Sub-Q? | (1-3ml)(27 to 25g)(3/8 to 5/8 inch) |
Proper size safety syringe and needle for Sub-Q U100? | (0.3,0.5, or 1ml)(31 to 28g)(5/16 to 1/2) |
Proper size safety syringe and needle for IM? | (3ml MAX)(23 to 26g)(1/2 to 1inch) |
What is the preferred site for IM injections? | Ventrogluteal |
Do you aspirate when performing a Sub-Q injection? | No |
Another name for hard, dens, raised area? | Induration |
Are the bodes natural supply of morphine like substances activated by stress and pain? | Neuromodulators |
What are four physiological processes of nociceptive pain? | Transduction, transmission, perception and modulation. |
These types of nerve fibers send sharp, localized, and distinct sensations? | Type A-fibers |
These type of nerve fibers send poorly localized, burning, and persistent pain? | C-Fibers |
The point at which a person is aware of the pain? | Perception |
Identifies the location and intensity of pain? | Somatosensory cortex |
Determines how we feel about the pain? | Limbic system |
The inhibition of pain impulse? | Modulation |
Pain that comes from bone, joint, muscle, skin or connective tissue. Aching, throbbing and is well localized? | Somatic Pain |
Pain that arises from the GI tract or pancreas? | Visceral Pain |
Pain that is a abnormal processing of sensory input by the peripheral or central nervous system; treatment is usually adjuvant analgesics? | Neuropathic Pain |
Is chronic pain in the absence of an identifiable physical or psychosocial cause or pain perceived as excessive for the extent of an organic pathological condition? | Idiopathic Pain |
Is 100 times more potent than morphine, and is available at predetermined doses that provides analgesia for 48-72hrs? | Transdermal Fentanyl |
Theory that suggest that pain impulses pass through when a gate is open and are blocked when a gate is closed? | Gate-Control Theory. |