Exam 1 chapter 7 Flashcards

1
Q

herb supplement that increase bleeding

A
Garlic
ginger
red clove
Ginkgo
Dong quia (Angelica sinensis)
feverfew
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2
Q

which herb, supplement will cause interaction with Ibuprofen

A

St. John’s wort

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3
Q

This herb, supplement when used with acetaminophen will inhibit the oxidative pathway

A

watercress

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4
Q

which herb, supplement should not be used with aspirin due to increase bleeding tendencies

A

Ginkgo

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5
Q

Kava-kava may potentiate action of alcohol, tranquilizers and antidepressants with

A

opioids

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6
Q

prolonged stress activates the

A

general adaption syndrome

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7
Q

Flight or flight - the stress response

A

increase HR, RR, BP

reroutes blood flow to major muscle group

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8
Q

Physiological responses to stress (GAS)

A

alarm reaction
stage of resistance
stage of exhaustion

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9
Q

Psychological response to stress

A

anxious
angry
tense
fearful

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10
Q

Behavior response to stress (GAS)

A

subconsciously -eat, drink, smoke, act out
coping skills
seek support

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11
Q

stress affects three interrelated systems

A

nervous
endocrine
immune

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12
Q

stress increase frequency of alertness impulses…

A

leads to wakefulness and sleep disturbances

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13
Q

Corticosteroids

A

secreted from the adrenal cortex when stimulated by the hormone ACTH
Increase CO, blood glucose levels, O2 consumption and metabolic rate
inhibits inflammatory response-risk of infection
maintains fluid volume

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14
Q

vasoconstriction

A

decrease GI, kidney, peripheral = risk for increase coagulability, thrombus.

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15
Q

stress effect on the immune system

A

decrease function of natural killer cells
altered lymphocyte proliferation
decrease production of cytokines
decrease phagocytosis of neutrophils and monocytes

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16
Q

what will be a PRN order for pt still on NPO postop

A

morphine injection 0.5 mg or 1 for severe pain