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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.
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Term
Definition
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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