Quiz Nine Flashcards
Nonfeasance
Omission, omitting - drug dose that results in patients death
Malfeasance
Giving the correct drug but by the wrong route that results in patients death
Misfeasance
Negligence, give g the wrong drug or drug dose that results in patients death
Hangover
A residual dressings a relating in impaired reaction time
Dependence
Result of chronic hypnotic use, can result in withdrawal symptoms if medication is abruptly stopped
Tolerance
Results when there is a need to increase the dosage over time to achieve the desired effect
Long acting barbiturate
Used to control seizures in epilepsy
Intermediate acting barbiturate
Useful as sleep sustainers for maintaining long periods of sleep
Short acting barbiturates
Primarily used for sedation preoperatively
Ultrashort acting barbiturate
Used as a general anesthetic
Stages of general anesthesia
- analgesia
- excitement or delirium
- surgical
- medullary paralysis
General anesthesia stage 1
Analgesia
-begins with consciousness and ends with loss of consciousness
-speech is difficult
Hallucinations may occur
General anesthesia stage 2
Excitement or delirium
- produces loss of consciousness
- confusion and excitement, or delirium occur
General anesthesia stage 3
Surgical
- procedure performed
- as anesthesia deepens, respirations become more Shellie and rate is increased
General anesthesia stage 4
Medullary paralysis
- toxic stage of anesthesia
- respirations lost, and circulatory collapse occurs
- ventilatory assistance is needed
Inhalation anesthesia
- typically provide smooth induction
- recovery usually takes 1 hour
- usually combined with barbiturates
IV anesthetics
- may be used for General anesthesia
- have rapid onset and short durations of action
Local anesthesics
Block pain at Skye where drug is administered
Topical anesthetics
Limited to mucous membranes,broken or unbroken skin surfaces, and burns
Spinal anesthesia
Local anesthetic injected in the subarachnoid space at the third or fourth lumbar space
-if given too high can cause respiratory distress and failure
Spinal block
Penetration of anesthetic into the sub arachnoid membrane
Epidural block
Placement of local anesthesia in the outer covering of the spinal cord
Saddle block
Given at the Lower end of the spinal column to block the perineal area
Amphetamines
Stimulate the release of neurotransmitters norepinephrine and dopamine from the brain sympathetic nervous system.:
- can cause cardiovascular problems along with insomnia, restlessness, weight loss