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Undeleted > symptom mgmt > Flashcards

symptom mgmt Flashcards

1
Q

5 main causes constipation

A
  1. diet
  2. metabolic
  3. drugs
  4. neuro
  5. other
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2
Q

4 diet causes

A
  1. low intake
  2. low fiber
  3. anorexia
  4. cachexia
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3
Q

5 metabolic causes

A
  1. hyper Ca
  2. hypo Ca
  3. hypo K
  4. hypothyroid
  5. porphyria
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4
Q

*** drug causes 4

A
  1. OPIODS
  2. antichol
  3. cations
  4. CCBs
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5
Q

4 neuro causes

A
  1. diabetic autonomic neurpathy
  2. ANS neuropathies
  3. ALS, parkinsons
  4. spinal cord injury
  5. cord compression
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6
Q

4 ways to eval constipation

A
  1. Hx
  2. abdo exam
  3. rectal exam
  4. imaging -AXR
    - only validated measure for amount of stool
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7
Q

what is approach to constipation

A

start from above and go down

  • mieral oil enema
  • senna
  • milk of Mg
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8
Q

*** what are 11 M’s of emesis

A 
Meds
Metabolic
Mucosal irritation
Motlity
Mech obst.
Meningeal irritation
Movement
Mets
Microbes
Mental anxiety
MI
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9
Q

4 main contributors to vomit center in brain

A
  1. chemoreceptor zone
  2. vestibular center - vertigo
  3. higher centers - thoughts/feeling
  4. visceral via vagus
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10
Q

what to Tx in vomiting

A

underlyingcause

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11
Q

5 drugs to hit chemo zone

A
  1. haloperidol
  2. prochlorperazine
  3. metoclopramide
  4. olanzapine
  5. anti-serotonergics
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12
Q

1 drug for vestibular area

A

anticholinergics

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13
Q

1 drug for mass effect

A

steroids

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14
Q

2 drugs for vagus

A
  1. anti-5HT

2. motility agents

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15
Q

3 things for higher center

A
  1. sounselling
  2. sptitiual care
  3. sedatives
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16
Q

what is survival when come to ER with SOB

A

30 days

17
Q

possible causes of SOB

A
  • pleural eff
  • pericardial effusion
  • ascites
  • SVC syndrome
  • CHF
  • pneumo
  • PE
  • obstruction
  • muscles weakness
18
Q

main thing to Tx in SOB

A

underlying cause

19
Q

3 ways to Tx Sx of SOB

A
  1. non-pharma
  2. O2
  3. drugs
20
Q

non-pharma mgmt

A
  • education
  • distractions
  • breathing training
  • fans on V1 and V2
  • open window
  • E conservation
21
Q

Tx of oxygen

A

funding for PaO2 of 60

3 months of palliative O2

22
Q

what is effect of opiods on life span

A

doesn’t shorten it

23
Q

4 drugs for SOB

A
  1. sedatives
  2. bronchodilators
  3. steroids
  4. methotrimerazine
24
Q

look at that sheet

A

it’s his

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