Misc. Final Test Flashcards
Maxium amount of daily tylenol
4000
Is Tylenol (Acetaminophen) an NSAID?
No, doesn’t reduce inflammation.
Nor does it upset the stomach
Test to consider before giving Acetaminophen.
Liver function
Renal function
Hot or cold therapy maybe contradicted on which type of patients
Hot
Impaired sensation
Neuropathy, Paralysis
Vascular compromised
Cold
Tissue damage
Vasoconstriction
Cold alrgies
Raunalds
Give Hot or Cold Therapy for…
Muscle pain and stiffness
Arthritis
Chronic
Before stretching
Hot
Give hot or cold therapy before…
Acute injuries or swelling
Joint injuries
Migraine or headache
Insect bites
Burns or sunburns
Fever
Cold
Concerns with left sided heart failure (2)
Pulmonary congestion
Pulmonary edema
Assess
RR
Potential Nausea/ Emisis
Constipation
Hepatic & Renal function
Considerations of morphine
ICP (Increased Cranial Pressure)
Allergy
RR <12
Seizures
MAOIs
Are contradictions for this medicine
Morphine
_______ causes muscle tetany (spasms), cramps, and hyperactive deep tendon reflexes (4+ on the grading scale).
_______ causes muscle weakness and diminished or absent deep tendon reflexes
Hypocalcemia
Hypercalcemia
Kayexalate (sodium polystyrene) is a cation-exchange resin used to treat
hyperkalemia >5
furosemide is the trade name for
Lasix
Why LR is given after DKA
Acid base correction and replace electrolytes
contain chloride concentrations similar to those in human plasma and do not induce metabolic acidosis.
Acetaminophen, also known as ______, is a medication that can be used to address both headaches and mild cough symptoms.
However, if the cough is persistent or severe, it may be beneficial to consider specific cough medications, such as those containing dextromethorphan, guaifenesin, or other cough suppressants.
Tylenol
Can people have a tolerance to opoids without using them previously
Yes
Exp. As a child you bumped your head and to relieve pain a relative told you to rub the hurt area.
This is an example of….
Gate theory
Exp. Brain Freeze aka Kerh’s sigs
Exp. Back hurts when having Gallbladder pain
Refered pain
Nociceptive pain is….
Sharp pain
Exp. Sports injury, dental , arthritis
Neuropathic pain exp….
Phantom limb theory
Breakthrough pain….
Severe pain that erupts while a patient is already medicated with long-lasting painkillers
Stress response from Surgery produces
HR
RR
BP
All increased
Cultures have different coping mechanics.
Some are more stoic and controlled
True or False
True
Access pain medication kick in time
IV
PO
IV 30
PO 60
Which pain scale is used for people who cant communicate. Coma, Hospice, quadriplegic
FLACC
Which group of people are most likely to deny pain
Old
Acute pain related to tissue trauma and relfex muscle spasms R/T fractured femur AEB patient rates pain 8 /10
This is a nursing Diagnosis for…
Impaired Comfort
Hot Cold therapy is an order needed?
No
1 Rule of Patient Controlled Anagelsiac
Only patient can push the button
If epidural pain med isn’t working first….
Check it is placed correctly
Can you ever give more than 4,000mg of Acetaminophen?
Yes, even though 4,000 is the limit
For a short time a patient can receive more
Codeine, dihydromorphone, or Tramadol is this STEP of the Pain Ladder
2nd
When to go Aspirin (NSAID)
Antiplatelets
Peptic ulcer, bleeding, renal impairments, Sulfonylureas, NSAIDS/ Platelets
Contradictions for
Aspirin
More than 4,000 mg of Asprin in 24 hours could have this side effect.
Liver necrosis
Acetaminophen + Codine =
Tylenol 3 & 4
Acetaminophen + hydrocodone =
Vicodin, Lortab, Norco
Acetaminophen + oxycodone =
Percocet
Resp. Depression
Constipation
Itching
SE for
Opiods
Mg think
Reflexes
Morphine Sulfate is contradicted for patients with…
Hypovolemia
Naloxone is to be given…
0.1 mg every 2-3 minutes
