Pharm Quiz Flashcards
Where opiod receptors are located (3)
CNS, peripheral nerves, and GI cells
Fx of Narcotics and Adfx (4 ea)
analgesia, sedation, euphoria, antitussives! Respiratory Depression, hypoTN, constipation, pinpricked pupils
Pain Gabapentin is for…?
Postherpetic pain (from shingles/chickenpox)
Types of pain (6)
Acute Chronic Referred Nocioceptive Neuropathic Psychogenic
Pain morphine is for…?
Moderate to Severe Acute or Chronic Pre/post-op, and during labor
Pain med Contraindications/Cautions (7)
Allergies Respiratory dfx MI/Coronary dz Renal/Hepatic dfx Pregnancy/Lactation Diarrhea r/t toxicity Hx surgery
NARCOTICS: Pain med Assessments (7)
Baseline for evaluation (effectiveness/adfx) Orientation, affect, reflexes, pupil size, RR Adventitious lung sounds Vitals Palpate abdomen - GI Urine Output Labs (BUN/Creatinine)
NARCOTICS: Initial dose narcotic adfx? Name and (6) S/S
Acute Narcotic Abstinence Syndrome Sweating, tachycardia, anxiety, tremulousness, CNS slowdown w/ pinpoint pupils
NARCOTICS: Effective Teaching Plan (5)
Drug name Dose Adfx Anti-adfx measures Warning signs
NARCOTICS: Desirable Outcomes (3)
Freedom/Reduction of pain w/ increased ability to cope w/ unmanagable pain Ability to request anagesia Perform ADLs w/out limitation r/t pain
NARCOTICS: Other important outcomes (3)
Freedom/Reduction of fear, anxiety, or depression ↑ability to cope w/ pain/limitations ↑Knowledge of management of therapeutic regimen
Priority assessments when using Opiods (6)
Hx allergies w/ narcotics Resp.Depression GI/Biliary Surgery Hepatic/Renal dfx Alcoholism Convulsive Dz
Opiods Physical Assessment Focuses (6)
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
Explaining PCA to a person (3)
Self-controlled relief Medicate before too severe Can’t overdose b/c safety lock
Morphine age limit?
NO. LOL!!!