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Simmons NURP 503 Exam 3 > 9: Symptom Management > Flashcards

9: Symptom Management Flashcards

1
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Can help with bowel movements. Correlation between constipation and nausea.

A

Anticholinergic

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2
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Not usually used as single-modality approach. Very helpful for adjuvant therapy.

A

Dopamine 2 antagonist

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3
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Specifically designed for chemotherapy-induced nausea and vomiting. May not work for disease-caused n/v or mass effect.

A

5-HT3 antagonist

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4
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Zofran

A

5-HT3 antagonist

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5
Q

T/F Nausea is caused by the chemo treatment and not the cancer.

A

False. It can be caused by both. Bulky abdominal tumor pushing on stomach can cause nausea.

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6
Q

Pharm interventions for fatigue?

A

Psychostimulants (Ritalin, Adderall). May be necessary to educate patients about benefits, since used to treat ADD/ADHD. Helps with fatigue, appetite, concentration/focus (chemo brain).

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7
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
N/V caused by liver capsule stretch.

A

Steroid or anti-inflammatory

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8
Q

Long or short acting opioid?

Oxycodone

A

Short

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9
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Good for predosing before chemo.

A

Dopamine 2 antagonist

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10
Q

Sharp, knife-like pain is probably _____.

A

Neuropathic

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11
Q

Common symptoms during cancer treatment (3).

A
  1. Pain
  2. N/V
  3. Fatigue
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12
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Reduces inflammation caused by cancer.

A

Steroids

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13
Q

Long or short acting opioid?

Fentanyl patches

A

Long

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14
Q

Is a short or long acting opioid tried first?

A

Short. Typically start with 5 mg oxycodone q4h PRN.

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15
Q

Long or short acting opioid?

MSIR

A

Short

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16
Q

What lifestyle changes can help with n/v (4)?

A
  1. Small, frequent meals.
  2. Consider food odor/fat content (pancreatic patients have reduced enzymes to break down fat).
  3. Cool, carbonated beverages.
  4. Takes meds after meals (except for anti-emetics).
17
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Less sedating than Zofran.

A

Dopamine 2 antagonist

18
Q

Deep, aching pain is probably _____.

A

Visceral

19
Q

_____ is closely linked to depression: less one does, less one wants to do.

A

Fatigue

20
Q

10 mg IV morphine is = _____ oxycodone and _____ hydromorphone.

A 
Morphine = 10 mg
Oxycodone = N/A
Hydromorphone = 1.5 mg
21
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Helps patient stay ahead of nause. Can be used several days after chemo.

A

Dopamine 2 antagonist

22
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Reglan

A

Anticholinergic

23
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Ativan

A

Benzo

24
Q

Nonpharm interventions for fatigue (4).

A
  1. Cluster activities
  2. Make a schedule
  3. Take naps
  4. Schedule walks
25
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Can help with gastric motility.

A

Anticholinergic

26
Q

Long or short acting opioid?

OxyContin

A

Long (contin = continuous)

27
Q

What short-acting dose indicates need for long-acting opioid?

A

If patient requires 4-6 doses of oxycodone/day, consider long-acting opioid.

28
Q

Long or short acting opioid?

Methadone

A

Long

29
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Can help with n/v from metastatic brain disease or brain cancer.

A

Steroids

30
Q

30 mg PO morphine is = _____ oxycodone and _____ hydromorphone.

A 
Morphine = 30 mg
Oxycodone = 20 mg
Hydromorphone = 7.5 mg
31
Q

Name n/v etiologies (6).

A 
V = Vestibular
O = Obstruction
M = Motility/Metabolic/Mass
I = Inflammation/Infection
T = Toxins (drugs/chemo)
S = Stretch (liver, kidney capsule)
32
Q

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Compazine

A

Dopamine 2 antagonist

33
Q

Long or short acting opioid?

Hydromorphone (Dilaudid)

A

Short

34
Q

Long or short acting opioid?

MS Contin

A

Long (contin = continuous)

35
Q

Why is a pain diary helpful?

A

Helps dose long-acting opioids if needed.

Simmons NURP 503 Exam 3 (20 decks)

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