Exam 2-Wk 8

Question 1

Salicylates

With an allergy to, what should be avoided?

flavors/meds/ingredients-3

Answer 1

• pepto bismol
• alka-seltzer
• muscle rubs
• peppermint & spearmint

Question 2

Salicylism

What is it?

Answer 2

acute/chronic dose of aspirin (>299mcg/L)

Question 3

Salicylism

Signs/Sx’s

Answer 3

• CNS/respiratory depression
• tinnitus
• hyperthermia
• metabolic acidosis
• organ failure

Question 4

Salicylism

Tx

Answer 4

• emesis
• gastrc lavage
• alkalinization of urine

Question 5

Acetaminophen

Overdose amount and tx for that

Answer 5

Overdose amount: >4000mg in 24 hours
Tx: acetylcysteine

Question 6

Hyperalgesia

What is it?

Answer 6

increased sensitivity and extreme response to pain

Question 7

Hyperalgesia

Drug that causes it

Answer 7

morphine

Question 8

Allodynia

What is it?

Answer 8

pain response from an atypical stimuli for pain

Question 9

Allodynia

Drug that can cause it

Answer 9

morphine

Question 10

Nociceptive pain

What is it from? Tx?

Answer 10

From mechanical/chemical trauma
Tx: analgesics

Question 11

Nociceptive pain

subclasses

2

Answer 11

somatic and visceral

Question 12

nociceptive pain

somatic pain characteristics

Answer 12

sharp, localized sensations in muscles/joints

Question 13

Nociceptive pain

Visceral pain characteristics

Answer 13

generalized, dull, throbbing, aching. Usually from internal organs

Question 14

Neuropathic pain

What is it?

(And what causes it?)

Answer 14

damaged sensory nerves
causes: sometimes from trauma, often from disease/disorder

Question 15

Nauropathic Pain

Tx

Answer 15

adjuvant analgesics (antiseizure and antidepressants)

Question 16

Migraine

Pain level, location, character

Answer 16

• mod-severe
• unilateral
• pulsing/throbbing

Question 17

Migraine

Duration

Answer 17

4-72 hrs

Question 18

Migraine

Triggers

Answer 18

female hormones, stress, bright lights, weather, MSG

Question 19

Migraines

Associated sx’s

Answer 19

N/V, some aura, light/sound/smell sensitivity, worsens w/ physical activity

Question 20

Tension Headache

Pain level, location, character

Answer 20

• mild-mod
  bilateral band
  steady/tight

Question 21

Headache

duration

Answer 21

several hours

Question 22

Headache

triggers

Answer 22

stress, anxiety, lack of sleep

Question 23

Headache

associated sx’s

Answer 23

no nausea

Question 24

Cluster headache

pain, location, character

Answer 24

• severe pain
• unilateral
• constant stabbing behind eye/temple

Question 25

Cluster headache

Duration

Answer 25

30-90 min several times a day

Question 26

Cluster Headache

Associated sx’s

Answer 26

tearing, red eyes, stuffy nose, restless

Question 27

migraines

Prophylaxis Tx

1

Answer 27

nonselective beta blockers

Question 28

migraines

abortive Tx

3

Answer 28

• NSAIDs/ acetaminophen/ caffeine
• serotonin receptor agonists (triptans)
• dopamine agonists