Pharmacology 4 & Vaccines Flashcards

1
Q

Tetanus is attained through

A

through cuts, scratches, or wounds

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Active Immunity Examples

A

vaccines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Pneumonia high risk

A

young, old, and smokers

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

TD

A

Tetanus and diphtheria

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Tetanus-Diphtheria booster is given every

A

ten years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

People who should not get flu vaccine

A

Guillain-Barré syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Acquired Immunity

A

antibody exposure

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Influenza occurs between

A

October and May

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Shingles are caused by

A

Varicella Zoster

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Passive Immunity

A

transfer of antibodies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Tetanus S/S

A

muscle tightening

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Diptheria

A

thick coating in throat

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

Shingles vaccine is for ages

A

50 +

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

Integrative Health

A

a coordinated approach to using complementary and conventional medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Complementary Medicine

A

used together with conventional medicine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

Alternative

A

used in place of conventional medications

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

Traditional

A

seeking care from healthcare

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

Conventional

A

focus on the physical components of ill patients
emphasis on diagnostic and cure of symptoms
medications and surgery

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Alternative medicine looks at

A

holistic “multibody’
the complexity of each person
self-healing forces, spirituality, and balance

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Thought Process
Complementary/Alternative Medicine

A

-self-reliance on healing
-body has its own energy for healing
-use of nutrition and natural products
-emphasis on individuals
-the strong connection between mind and body

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

CAM (Complementary Alternative Meds)

A

-overall dissatisfaction with conventional healthcare
-a desire for greater control over one’s health
-need to blend cultural and philosophical congruence with personal beliefs about health and illnesses
-belief in the effectiveness of alternative therapies

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

Major Areas: when CAMs are used

A

anxiety
pain
illnesses
depression
insomnia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

Reflexology/Massage Therapy

A

strengthen circulatory and respiratory systems
increase endorphins
regulate metabolism
enhance immune system

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

Acupressure/Acupuncture is used to relieve

A

pain
migraine/headaches
anesthesia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Yoga

A
  • life forces in correct balance and flow
  • concentration, strength, flexibility, symbolic movements
  • breathing, movements, and posture
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

Tai Chi

A

-promotes the flow of energy throughout the body
- reduces symptoms of fibromyalgia
- used in cardiac rehab programs, can lower bp

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Reiki - energy balance

A
  • Japanese technique for stress reduction and relaxation promoting healing
    -unseen “life forces energy” flows through us and is what causes us to be alive
28
Q

Biologically Based Therapies

A

-dietary therapies
-herbs
-aromatherapy
-vitamins

29
Q

Reasons for dietary supplement use

A
  • perceived as “safer and healthier”
  • a sense of control
  • emotional comfort
  • cultural influence
  • limited access to healthcare
  • convenience
    - aggressive marketing
30
Q

Who regulates herbals and nutrition supplements?

A

FDA, categorically labeled food

31
Q

DSHEA (1994)

A

Packaging labeled with adverse effects, impurities, adulterates, variability

32
Q

CGmp

A

Required quality control procedures
Label active and inactive ingredients

33
Q

DSNDCPA (2006)

A

Report deaths, hospitalization, life threatening experiences, persistent or signs of disability, birth defects

34
Q

USP, Consumer Lab

A

United States Cornucopia
- CGmp, purity, identity, potency, dissolution, accuracy of labeling

35
Q

Major drawback of Herbals

A

May delay important diagnosis or treatment

36
Q

Nursing Interventions of Herbals

A

Make certain PCP is aware of use of herbals

37
Q

What actions should a nurse take when pt is using herbals?

A

What to access and instruct a pt regarding herbal therapy
- Always ask about herbals when getting med history
- “ why do you use herbals?”
- teach them to look for standardized labels

38
Q

Common Used herbals

A

Gingko Bilboa
Garlic
Ginger Root
Feverfew
Echinacea
St. John’s Wort
Valerian
Kava
Ephedra
Cannabis
CBD

39
Q

What is the goal of pt education with herbals?

A

Teach them to be informed consumers

40
Q

Gingko Bilboa

A

Reduce memory problems, dementia, and Peripheral Vascular Disease
- antioxidant and vasodilator properties
- cause bleeding when used with anticoagulants
- avoid before surgery

41
Q

Garlic

A

Lower cholesterol, lower BP, natural antibiotic
- natural anti platelet agent
- potential es anti diabetic drugs
- avoid before surgery

42
Q

Ginger Root

A

Treat nausea, joint pain
Cause bleeding, irregular heart beat, increased BP, abnormal blood sugar levels

43
Q

Feverfew

A

Migraine prophylaxis
- increase risk of bleeding
- cause contractions

44
Q

Echinacea

A

Builds immunity, wound healing
- cause immune suppression after 8 weeks

45
Q

St. John’s Wort

A

May ease mild to severe depression
- contraindicated for major depression
- do not use with other antidepressants

46
Q

Valerian Root

A

Help with sleep
- generally safe but ineffective
- potentiates CNS depressants (alcohol)

47
Q

Kava

A
  • relieves anxiety, promotes sleep, relax muscles
  • liver damage
  • Outlawed in many countries
48
Q

Ephedra

A

Outlawed and banned from sale in US
Performance enhancing and weight loss
Damage to heart and CNS

49
Q

Cannabis and CBD

A

Nausea, pain control and anxiety
Mary-noal cannabis is prescription form
Addictive and gate way drug
Help cancer and chronic pain

50
Q

Mind/Body Interventions

A

Yoga, mediation, spirituality, relaxation, guided imagery, hippo therapy, music therapy

51
Q

Hippotherapy

A

Equine
Physical therapy, anxiety, brain trauma, muscle help
cerebral Palsy

52
Q

Music Therapy

A

Combination of physical, emotional, cognitive, and social
- lowers cortisol, and reduce anxiety
- treats insomnia
- facilitates learning and elevates mood

53
Q

Nurse’s Role

A

Educate public
Teach signs of fraud
Avoid healers
Non judgmental
Build rapport by showing respect to pt
CAM beneficial
Dangerous if interact with conventional
Popular and increasing
Herbals significant effect with prescriptions

54
Q

Signs of fraud and healers

A

Immediate relief
Only way to go
Refuse to work with others
Claim all answers
Testimonials

55
Q

Vaccines

A

Protect against harmful diseases
Effective
All age benefits
Protect public health
Highly vetted by CDC and FDA

56
Q

Outbreaks can occur without

A

Herd immunity

57
Q

What is the best protection against diseases

A

Immunization

58
Q

Vaccines for adults

A

Influenza
Tetanus
Diphtheria
Shingles
Pneumonia

59
Q

Vaccine Info Statements

A

Informs benefits and risks
Produced by CDC and required by law
Given prior to every dose
Regardless of age ( 5th grade reading level)
40 + languages

60
Q

Influenza vaccine

A

Every year ( 65 + and mother need or chronic health)
Inactivated virus
If sick hold off until well
2 weeks for effects

61
Q

Influenza Outbreaks occur

A

October through May

62
Q

What is herd immunity

A

form of indirect protection that applies only to contagious diseases. It occurs when a sufficient percentage of a population has become immune to an infection, whether through previous infections or vaccination, thereby reducing the likelihood of infection for individuals who lack immunity

63
Q

Pneumonia vaccine

A

Recommendation for 65 +, young adults with diseases
Serious meningitis or bloodstream infections

64
Q

Shingles

A

Same as chickenpox
Commonly seen in flanks, face, or sides
50+
2 dose series
Don’t if pregnancy or breast feeding

65
Q

TD and Tdap

A

tetanus, diphtheria, pertussis
- every 10 years
- pregnant women need every pregnancy
Tdap only for 7 +

66
Q

What do you document about vaccines?

A

Edition date of VIS, date provided
Office address, name, and title of person administrative
Date of vaccine
Manufacturing and lot number