Use LEFT and RIGHT arrow keys to navigate between flashcards;
Use UP and DOWN arrow keys to flip the card;
H to show hint;
A reads text to speech;
50 Cards in this Set
- Front
- Back
The 5 Rights of Delegation
|
Right Task
Right Circumstances Right Person Right Directions/Communication Right Supervision/Evaluation |
|
What does SBAR stand for
|
S: Situation
B: Background A: Assessment R: Recommendations |
|
ABCDE Clinical Approach to Pain Assessment and Management
|
♣ Ask about pain regularly. Assess pain systematically.
♣ Believe the client and family in their report of pain and what relieves it. ♣ Choose pain control options appropriate for the client, family, and setting. ♣ Deliver interventions in a timely, logical, and coordinated fashion. ♣ Empower clients and their families. Enable them to control their course to the greatest extent possible. |
|
OLD AIR pain assessment tools
|
• O: onset
• L: location • D: duration • A: aggravating/alleviating factors • I: intensity • R: relief measures |
|
PQRST pain assessment tools
|
• I: intensity
• R: relief measures • P: what precipitated the pain or pattern • Q: what is the quality? • R: what is its region? Radiates? • S; what is the severity • T: what it its timing. When does it begin, how long does it last, and how is it related to other events in your life |
|
Pain medications work at the _________ level.
|
neurotransmitter
|
|
A paper cut could cause __________ pain.
|
cutaneous
|
|
Another word for cutaneous pain is
|
Superficial
|
|
Pain felt in internal organs, as with labor or menstrual cramps
|
Visceral pain
|
|
Pain felt in bones, joints and tendons. Arthritis pain is an example.
|
Deep somatic pain
|
|
Pain that spreads ot from point of origin, as in sciatica.
|
Radiating pain
|
|
Pain from MI felt in back or arm is an example of...
|
Referred pain
|
|
Pain experienced by amputees that is perceived to come from the missing limb
|
Phantom pain
|
|
Pain for which there is no physiological cause
|
Psycogenic
|
|
Pain felt in diabetic neuropathy and shingles is of ____________ origin.
|
neuropathic
|
|
Pain felt pain felt when punched is ___________ in origin.
|
nociceptive
|
|
The point at which stimulus is reported by a person as pain.
|
Pain Threshold
|
|
The amount of pain a person can withstand before breaking down, either emotionally or physically.
|
Pain Tolerance
|
|
Theory that explains pain modulation through non-pharmaceutical remedies
|
Gate Theory
|
|
Heat, cold, massage and acupuncture are all examples of...
|
Body-based therapies
|
|
CAM stands for...
|
Complimentary/Alternative Medicine
|
|
The significant issue with herbs in American medicine is that they are not...
|
FDA Approved
|
|
Suppress inflammation by inhibiting cyclooxygenase, an enzyme that is responsible for the synthesis of prostaglandins.
|
Nonsteroidal anti-inflammatory (NSAIDs)
|
|
Salicylate (aspirin), ibuprofen (Motrin), naproxen (Naprosyn) and celecoxib (Celebrex) are all...
|
Nonsteroidal anti-inflammatory (NSAIDs)
|
|
Side effects of NSAIDs
|
GI bleeding
Renal dysfunction Inhibits platelet aggregation |
|
When teaching about __________ advise your client to take with food or milk to reduce GI distress, avoid alcohol and aspirin products and avoid for a least 1 week prior to surgery or invasive procedures
|
NSAIDs
|
|
Morphine-like compound that produce systemic effects including pain relief and sedation
|
Opioids
|
|
Side effects of opioids include...
|
Urinary retention
Constipation n/v orthostatic hypotension Pruritus respiratory depression |
|
Morphine sulfate, Hydrocodone (Vicodin; Lortab), Hydromorphone (Dilaudid), Fentanyl (Duragesic), Oxycodone (OxyContin) are all...
|
Opioids
|
|
Binds with opioids receptors in the CNS reducing the intensity of pain stimuli from sensory nerve endings.
|
Opioids
|
|
What does PRN mean?
|
As needed.
|
|
With ______ the patient self administers medication with the click of a button.
|
PCA
|
|
Patients using a PCA typically experience ________ pain and use ________ medication.
|
Less pain
Less medication |
|
A state of adaptation in which results in a diminution of the drug’s effects over time.
|
Tolerance
|
|
What are the seven rights of medication administration?
|
Drug
Patient Right... Time Reason Dose Route Documentation |
|
What is the implication of the phrase “not charted – not done”?
|
If its not on the chart, in the eyes of the law, it didn't happen.
|
|
Purpose of documentation...
|
A. Communication
B. Financial billing/reimbursement C. Accreditation/quality assurance D. Education E. Research F. Legal documentation |
|
The study of the metabolism and action of drugs with particular emphasis on the time required for absorption, duration of action, distribution in the body, and method of excretion.
|
Pharmokinetics
|
|
The study of drugs and their actions on living organisms.
|
Pharmacodynamics
|
|
The phrase, "Blocks peripheral effects of histamine released during allergic reactions," describes the _______ of loratadine
|
Action
|
|
The phrase "Decreased symptoms of allergic reactions," describes the _______ _________ of loratadine.
|
Therapeutic effect
|
|
An action or effect of a drug other than that desired. Can be desirable nor undesirable.
|
Side effect
|
|
Undesired side effect or toxicity caused by a treatment.
|
Adverse effect
|
|
What is an idiosyncratic effect?
|
An unusual response to a drug. It can manifest as an accelerated, toxic, or inappropriate response to the usual therapeutic dose of a drug.
|
|
Hypersensitive reaction to a drug. Can cause anaphylaxis.
|
Allergic reaction
|
|
A life threatening allergic reaction
|
Anaphylaxis
|
|
The therapeutic effect of a combination of two or more drugs that is equal to the sum of the individual drug effects.
|
Additive effect
|
|
The ability of a drug or to aid or enhance the action or effect of another drug
|
Synergistic action
|
|
The ability of a drug or a muscle to oppose or resist the action or effect of another drug or muscle
|
Antagonistic reaction
|
|
Components of Medication Orders
|
1.Client full name 2.Date and time order was written 3.medication name 4.Dose 5.Route 6.frequency of administration 7.Signature of Physician
|