Pharm Quiz Flashcards

1
Q

Where opiod receptors are located (3)

A

CNS, peripheral nerves, and GI cells

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2
Q

Fx of Narcotics and Adfx (4 ea)

A

analgesia, sedation, euphoria, antitussives! Respiratory Depression, hypoTN, constipation, pinpricked pupils

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3
Q

Pain Gabapentin is for…?

A

Postherpetic pain (from shingles/chickenpox)

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4
Q

Types of pain (6)

A

Acute Chronic Referred Nocioceptive Neuropathic Psychogenic

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5
Q

Pain morphine is for…?

A

Moderate to Severe Acute or Chronic Pre/post-op, and during labor

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6
Q

Pain med Contraindications/Cautions (7)

A

Allergies Respiratory dfx MI/Coronary dz Renal/Hepatic dfx Pregnancy/Lactation Diarrhea r/t toxicity Hx surgery

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7
Q

NARCOTICS: Pain med Assessments (7)

A

Baseline for evaluation (effectiveness/adfx) Orientation, affect, reflexes, pupil size, RR Adventitious lung sounds Vitals Palpate abdomen - GI Urine Output Labs (BUN/Creatinine)

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8
Q

NARCOTICS: Initial dose narcotic adfx? Name and (6) S/S

A

Acute Narcotic Abstinence Syndrome Sweating, tachycardia, anxiety, tremulousness, CNS slowdown w/ pinpoint pupils

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9
Q

NARCOTICS: Effective Teaching Plan (5)

A

Drug name Dose Adfx Anti-adfx measures Warning signs

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10
Q

NARCOTICS: Desirable Outcomes (3)

A

Freedom/Reduction of pain w/ increased ability to cope w/ unmanagable pain Ability to request anagesia Perform ADLs w/out limitation r/t pain

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11
Q

NARCOTICS: Other important outcomes (3)

A

Freedom/Reduction of fear, anxiety, or depression ↑ability to cope w/ pain/limitations ↑Knowledge of management of therapeutic regimen

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12
Q

Priority assessments when using Opiods (6)

A

Hx allergies w/ narcotics Resp.Depression GI/Biliary Surgery Hepatic/Renal dfx Alcoholism Convulsive Dz

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13
Q

Opiods Physical Assessment Focuses (6)

A

Cardio: BP, pulse, peripheral perfusion, ECG CNS: Orientation, affect reflexes, grip str. ↓LoC? Skin: Color, lesions, texture, temp. GI: Visual exam, bowel sounds Resp: respiration/adventitious sounds Labs: Renal/Liver fx

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14
Q

Explaining PCA to a person (3)

A

Self-controlled relief Medicate before too severe Can’t overdose b/c safety lock

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15
Q

Morphine age limit?

A

NO. LOL!!!

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16
Q

What is Levothyroxine? Primary Fx Lowers 3 what…? 2 Routes? How does it prevent hyperthyroidism.

A

Synthetic salt (T4) to treat hypothyroidism. Lowers TSH, myxedema comas, thyrotoxicosis. Can be given PO or IV. Sensed by pituitary/hypothalamus and ↓TSH and TRH release

17
Q

Myxedema Coma

A

↑brain fx b/c chronic hypothyroidsim

18
Q

Thyrotoxicosis

A

Basically hyperthyroidism.

19
Q

Positive/Negative Feedback

A

Away from/Towards normal value

20
Q

PTU (propylthiouracil) is a…? And is used to treat? What fx to expect (5)

A

Thioamide for hyperthyroidism. ↓Heat intolerance, RR, HR, BP, and metabolism

21
Q

Predisone route, for (3), and education (4)

A

PO. For adrenal insufficiency, inflammatory dz, hypercalcemia. Adfx, warning signs, regular evaluation (labs), and prevent exposure to infx.

22
Q

Iodine route, 3 types, for, fx time, mechanical fx, adfx to monitor (3)

A

PO. Strong, potassium iodide, sodium iodine Hyperthyroidism. 24hrs, peaks 10 - 15 days Radioactive Iodine destroys thyroid cells Hypothyrodism Iodism >30 yrs old = radioactivity problems

23
Q

Iodism (5)

A

Metallic/Burning mouth Sore teeth/gums Diarrhea Cold S/S Upset Stomach

24
Q

Most Accurate method to determine glucose management/time

A

HbA1c

25
Q

3P’s of New-Onset Diabetes and 5 extras!

A

Polyuria, dipsia, phagia Glycosuria, dry mouth, blurred vision DM1: Wieght loss DM2: Obesity

26
Q

Identifying Characteristics of DM2 (5)

A

>40 yrs old w/ obesity (commonly central) Metabolic Abnormalities: Peripheral insulin resistance Derange secretion of insulin by pancreas ↑glucose production by liver

27
Q

Benefits and Risk of exercising with DM1

A

BENEFITS: Cardiovascular fitness Psychological well-being RISKS: R/o hypoglycemia (hours after done w/ exercise) Should increase insulin/carbs pre-emptively

28
Q

DM1 High blood glucoses levels r/in…? Fx of exercise w/ 2 pre-dispositions.

A

Ketoanemia. Exercise r/in ↑bloodG superimposed on insulin deficency and increase counter-regulatory hormone activity

29
Q

Metabolic Syndrome Health Definitions (5)

A

–Abdominal Obesity waist circ: > 35/40in women/men –BloodG > 150mg/dL –HDL < 50/40mg/dL women/men –BP > 130/85 –Fasting plasma glucose >100mg/dL

30
Q

Graves Dz (what, r/in, 3 S/S)

A

Autoimmune dz caused abnormal stimulation of thyroid by TSH antibodies. R/in hyperthyroidism S/S exopthalmos, goiter, dermopathy

31
Q

Hashimotos Dz (what, r/in, 4 S/S)

A

Autotimmune dz caused by destruction of thyroid. R/in hypothyroidism. S/S weakness, fatigue, wieght gain, bradycardia.

32
Q

Addisons Dz. (what, r/in 5) and r/t?

A

Adrenal cortical insufficiency caused by autoimmune destruction. R/in hyperpigmentation, hypoglycemia, wieght loss, ↑K retention, ↓Na/H2O retention r/t Steroid use!

33
Q

Cushing Dz (what and 3 potential culprits, r/in 4) potential r/t?

A

Glucocorticoid excess r/in excess ACTH b/c tumor in pituitary, adrenal, or ACTH secreting nonpituitary tumor. R/in buffalo hump, moon face, thin skin/extremities, osteoporosis. potential r/t excess of chronic steroid use.

34
Q

Narcotic Super Secret Words! TopDowns BOARRPAVPUL STATCPS DDAAW ASEARHCP

A

Contras Assess Abstinence Education Fx/Adfx

35
Q

Opiods Super Secret Words ARGHAC 4CCS2GRL

A

Contras Assess

36
Q

Thyroid Super Secret Words MSDCU #####

A

Iodism Metabolic Syndrome Defs

37
Q

Diabetes Super Secret Words PPPGDBDD 4MPDG

A

Diabetes general S/S DM2 S/S