154 exam 2
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
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analgesics | show 🗑
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show | whatever the patient says it is and occurs whenever they say it does
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pain threshold | show 🗑
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pain tolerance | show 🗑
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show | sudden onset, usually localized with limited duration; increased hemodynamics, sweating, pallor
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show | persistent or recurring pain lasting longer than 6 weeks; much more difficult to treat
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somatic pain | show 🗑
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show | originates from skin and mucous membranes; skinned knee, dental pain
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visceral pain | show 🗑
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show | originates from vascular or perivascular tissues; migraines
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show | pain is experienced in a place other than the point of origin; heart attack -> pain in left arm
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Gate Theory | show 🗑
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A fibers | show 🗑
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C fibers | show 🗑
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show | The ultimate goal when addressing pain with a patient
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Step 1 | show 🗑
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show | the use of opioids with or without nonopioids and with or without adjuvant medications
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Step 3 | show 🗑
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opioids | show 🗑
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alter | show 🗑
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remove | show 🗑
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Narcan | show 🗑
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show | patient has been receiving opiates for extended period of time and requires higher doses to control pain at same level
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show | n/v/d, chills, mental agitation, tachycardia, increased BP, diaphoresis, runny nose, cramps
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opiate naive | show 🗑
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show | Most serious adverse effect of opiates (think ABC)
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show | All opiates cause the release of ______, which can lead to redness and itching.
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show | Because histamine causes vasodilation -> orthostatic hypotension, what precautions should be in place?
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liver | show 🗑
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NSAIDs | show 🗑
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stomach | show 🗑
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show | NSAIDs are ___________ in patients with history of GI bleed, ulcers, anticoagulatnt/antiplatelet, renal problems
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show | All NSAIDs except aspirin _____ _____ ____ to the kidneys
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show | Tylenol is extremely _______ with acute overdose
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acetylcysteine (Mucomyst) | show 🗑
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show | Examples: AST, ALT, alk. phos.
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sedatives | show 🗑
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show | cause sleep and have a much more potent effect on the CNS
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show | drugs that can act in the body as a sedative or a hypnotic
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show | How many groups of sedative-hypnotics are there?
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barbiturates | show 🗑
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ital | show 🗑
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REM | show 🗑
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show | Main consideration with barbiturate overdose
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show | drugs most frequently prescribed as anxiolytic drugs
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pam, lam | show 🗑
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show | benzo antidote used in extreme cases
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muscle relaxers | show 🗑
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Flexeril (cyclobenzaprine) | show 🗑
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Lioresal (baclofen) | show 🗑
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Dantrium (dantrolene) | show 🗑
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show | genetic predisposition when patients receive anesthesia; uncontrolled shivering, extreme increase in temp
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drive | show 🗑
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CNS stimulants | show 🗑
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show | symptoms of inability to maintain attention span, presence of hyperactivity must be present for greater than 6 months and occur in 2 different settings
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narcolepsy | show 🗑
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show | drugs used to treat ADHD and narcolepsy
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show | Amphetamines stimulate areas of the brain associated with _____ ________
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C-II | show 🗑
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show | Amphetamines _____ ___ all body systems
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show | CNS stimulants should ______ be given at bedtime
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show | Key assessment point when taking amphetamines
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show | drugs used to control or suppress appetite
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show | Phentermine (an anorexiant) is contraindicated in
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show | What enzyme does orlistat (Xenical) inhibit, leading to oily stool?
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show | common type of recurring painful heachace with throbbing, pain, and photophobia caused by vasodilation; can last 4 to 72 hours
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show | predictive set of altered visual or other senses
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antimigraine medications | show 🗑
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show | Antimigraines are used as an _______ therapy, not prophylaxis
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show | common ending for antimigraines
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show | Antimigraines are contraindicated in patients with:
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analeptics | show 🗑
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show | CNS stimulant contained in many foods, drinks, and drugs
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yes | show 🗑
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Doxapram | show 🗑
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peptic ulcer, cardiac dysrhythmias, MI | show 🗑
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show | The cause of most seizures is ______
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show | epilepsy where there is no identified cause
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show | epilepsy has a distinct or known cause such as trauma, infection, CVA
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show | only part of the brain is involved; also called focal/local seizures
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show | patient remains conscious; have one-side movement of an extremity, unusual sensations, increased HR, flushing and epigastric discomfort
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complex seizures | show 🗑
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show | seizures that affect all or most of the brain
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show | muscles become very rigid and patient loses consciousness (tonic); patient has jerky movements and muscle contraction (clonic)
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show | brief loss of consciousness and blank staring; more often in children
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show | seizures with sporadic or isolated jerking movements which may involve one or more extremity and may occur on one or both sides of body
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atonic seizures | show 🗑
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show | life threatening emergency characterized by tonic-clonic seizures which occur in succession; can cause brain death; treated with Valium, Atavan
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show | Many physicians will not start medication until after the ____ seizure has occurred
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show | Anticonvulsants can be used to treat _______ _____ because of the effect they have on neurons.
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show | The most common antiepileptic drugs have _______ _________ _______.
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Dilantin (phenytoin) | show 🗑
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show | Dilantin therapeutic level
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normal saline | show 🗑
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drug level, liver function | show 🗑
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gingival hyperplasia | show 🗑
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show | Patients taking Dilantin may need to take a ______ ___ supplement because long term use can cause osteoporosis
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show | a change in appearance by acne, hirsutism, gingival hyperplasia, and hypertrophy of SQ tissue (pudgy)
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show | Depakote fatal side effects
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show | Depakote therapeutic level
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show | Tegretol therapeutic level
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show | has an unusual property called autoinduction; drug increases own metabolism over time
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show | commonly used to treat neuropathic pain
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same time | show 🗑
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