test 2 pharm pain 1

Question 1

pain

Answer 1

is the body’s alarm system, an unpleasant sensation

Question 2

acute

Answer 2

short-term from injury, ice pack

Question 3

chronic

Answer 3

longer term, slower onset, lasts longer than 6 months

Question 4

somatic

Answer 4

originates from skin and bone muscles

Question 5

visceral - organs

Answer 5

originates from abdominal or thoracic areas; liver lung

Question 6

neuropathic

Answer 6

results from nerve injury; burning or stabbing, pin and needles, nerve damage

Question 7

idiopathic

Answer 7

unknow pain

Question 8

analgesic

Answer 8

relieves pain without loss of consciousness or reflex activity, not on painkillers

Question 9

palliates provokes

Answer 9

makes it worse or better

Question 10

effectiveness for PO

Answer 10

1-2 hours

Question 11

effectiveness for IM or SC

Answer 11

30-60minutes

Question 12

IV effectiveness

Answer 12

15-30 minutes

Question 13

what would be used for an unconscious patient or infant? (acronym)

Answer 13

FLACC

Question 14

when documenting pain, what would be included

Answer 14

PRST- and nonverbal behaviors that may indicate pain and activity tolerance

Question 15

Salicylates and aspirn do what

Answer 15

aspirin has antipyretic which is anti-inflammatory and analgesic properties aspirin has unique properties of inhibiting platelet aggregation to decrease blood clotting

Question 16

what can occur if salicylates are given to children with a viral infection?

Answer 16

Reyes syndrome

Question 17

why would a patient receive 81 mg of aspirin?

Answer 17

to protect against clots that could cause tias (Transient ischemic attacks, MI ( myocardial infarction) or stokes

Question 18

what are signs salicylate toxicity (salicylism)

Answer 18

Tinnitus, impaired hearing dimmed vision fever lethargy confusion NV

Question 19

potential adverse effects for aspirin and warfarin (Coumadin)

Answer 19

bleeding or hemorrhage or increased risk for bleeding

Question 20

what does aspirin treat that acetaminophen does not

Answer 20

inflammation

Question 21

what is the maximum daily dose of acetaminophen

Answer 21

3g(3,000mg) for max 4 grams is toxic

Question 22

C02 by itself causes

Answer 22

less side effects related to GI than COX-1

Question 23

what does a long-term use of NSAID non-aspirin affect

Answer 23

cardiovascular, tia, strokes, MI

Question 24

Asprin is used to treat

Answer 24

swollen joints, fever, and muscle aches

Question 25

aspirin is given at the first sign of a heart attack and used for treatment for MI but is not the main treatment

Question 26

if diagnosed with migraines to take sumatriptan when would u take it

Answer 26

start as soon as possible, sumatriptan used to be a daily routinely

Question 27

what is the cause of migraines?

Answer 27

the constriction of vasoconstriction of cerebral blood vessels or inflammtion

Question 28

what does migraine medication due

Answer 28

it dilates the vessels due to them contracting which is why the migraine starts

Question 29

COX-1

Answer 29

COX-1 is involved with maintaining the mucus layer that protects the stomach from the acid so blocking it can lead to stomach distress and ulcers.

Question 30

COX-2

Answer 30

COX-2 is turned on during inflammation so blocking it reduces that along with the associated pain. A COX-2 inhibitor should provide pain relief without the stomach problems of aspirin which blocks both COX-1 and COX-2.

Question 31

C0X-1

Answer 31

COX-1 affects platelets and clotting so blocking COX-1 makes your blood less likely to clot reduces the chance of heart attack and stroke. This is why many take low-dose aspirin