Week Eleven Quiz

Question 1

Infection

Answer 1

Caused by microorganisms and results in infection.

*not all inflammations are caused by infections

Question 2

Two phases of inflammation

Answer 2

• Vascular- 10-15 min after

* delayed phase- associated with vasodilation and increased capillary permeability

Question 3

NSAIDS

Answer 3

Nonsteroidal Anti Inflammatory Drugs

-used to decrease inflammation and pain for patients who have some kind of arthritic condition

Question 4

Salicylates

Answer 4

• derived from salicylic acid

- aspirin comes from this group

Question 5

Aspirin

Answer 5

• anti inflammatory drug
• AR: GI bleeding, tinnitus, ulceration
• TE: reduce pain and inflammatory symptoms, decrease body temp, to inhibit platelet aggregation

Question 6

Para-chlorobenzoic acid

Answer 6

-used for rheumatoid arthritis and osteoarthritis

Question 7

Phenalacetic acid derivatives

Answer 7

-it’s analgesic and anti inflammatory effects are similar to those of aspirin, but has minimal antipyretic effect

Question 8

Propionic acid derivatives

Answer 8

-aspirin like but have stronger effects and create less GI irritation

Question 9

Fenamates

Answer 9

• includes potent NSAIDS used for acute and chronic arthritic conditions
• gastric irritation is a common side effect

Question 10

Oxicams

Answer 10

-indicated for long term arthritic conditions

Question 11

Ibuprofen

Answer 11

NSAID

• AR: GI bleeding
• TE: reduce inflammatory process, reduce pain, reduce fever

Question 12

Selective COX-2 inhibitors

Answer 12

-inhibits COX-1 to protect stomach lining and promoted decreased clotting time

Question 13

Celecoxib

Answer 13

• non steroidal anti inflammatory: COX-2 inhibitor
• AR: peripheral edema
• TE: treat osteoarthritis and rheumatoid arthritis

Question 14

Inflammation

Answer 14

A response to tissue injury and infection

Question 15

Allopurinol(Zyloprim)

Answer 15

• anti gout
• AR: cataracts, Bradycardia
• TE: to treat gout and hyperuricemia

Question 16

Pain threshold

Answer 16

Reflects the level of stimulation needed to create a painful sensation

Question 17

Pain tolerance

Answer 17

The amount of pain a person can endure without having it interfere with normal functioning

Question 18

Nociceptors

Answer 18

Sensory pain receptors in the peripheral tissues

• mechanical
• thermal
• chemical

Question 19

Acetaminophen

Answer 19

Analgesic
AR:oliguria
TE:decrease pain and fever
SE: an overdose can be extremely toxic to the liver

Question 20

NSAIDS

Answer 20

• All have analgesic,antipyretic, and anti inflammatory effects
• common side effects of NSAIDS is gastric irritation

Question 21

Aspirin and children

Answer 21

Children under age 12 should not use aspirin

-because of risk of Reye’s syndrome use Tylenol

Question 22

Addiction

Answer 22

Defined as a psychological and physical dependence upon a substance beyond normal voluntary control
-usually after prolonged use of substance

Question 23

Morphine

Answer 23

• potent opioid analgesic
• effective against acute pain, MI pain, cancer pain, and relieving severe pain
• can cause respiratory depression, orthographic hypotension

Question 24

Morphine antidote

Answer 24

Naloxone(Narcan)

Question 25

Morphine sulfate

Answer 25

-opioid -AR:hypotension, respiratory depression TE: relieve severe pain

Question 26

Withdrawal syndrome

Answer 26

Caused by physical dependence | -symptoms include:irritability, diaphoresis, muscle twitching, increase in BP/HR

Question 27

PCA

Answer 27

Alternative route for opioid administration for self administered pain relief as needed

Question 28

Transdermal opioids

Answer 28

Provide a continuous around the clock pain control pain control that is helpful for patients who suffer from chronic pain

Question 29

Children

Answer 29

Use of the ouch scale can be useful in determining a child's level of pain

Question 30

Older adults

Answer 30

- usually adults 65 and older require adjustment to drug doses to avoid severe side effects because they are more pronounced - many adults believe that pain is inevitable and often go under treated

Question 31

Migraine headaches

Answer 31

Characterized by a unilateral thriving head pain accompanied by nausea, vomiting, and photophobia

Question 32

Cluster headaches

Answer 32

Characterized by severe unilateral nonthrobbing pain usually located around the eye