Weeks 9 & 10 Flashcards
What are the three main types of IV fluids?
Isotonic fluids
Hypertonic fluids
hypotonic fluids
what does isotonic fluids do?
- The amount of water transported into the cell equal to the mount of water transported out from the cell.
- Solution concentration inside the cell is equal to the solution outside the cell.
What does Hypotonic fluids do?
- The cells inflate and eventually burst
- Water is transported into the cells and the solution concentration inside the cell is higher.
What do Hypertonic fluids do?
- The cells shrink
- Water is transported out from the cell
What are the two main groups of fluids?
- Crystalloids
- Colloids
What are crystalloids?
- Clear solution, fluids made up of water and electrolyte solutions.
What are colloids?
- Large molecules weight solutions
- Initially these fluids stay almost entirely in the intravascular space for a prolonged period of time compared to crystalloids.
Opioid analgesics have two types of effects which are?
- Peripheral effects
- Central Effects
What are some central effects of opioid use?
- Hypotension
- Bradycardia
- Pupil constriction
- Nausea and vomiting
What are some peripheral effects of opioid use?
- spasms of sphincter muscles
- suppression of some spinal reflexes
- severe itching
- severe constipation
What is the mechanisms of action for NSAIDS?
- Inhibit the enzyme cyclo- oxygenate
- prostaglandins are synthesised by most cells in the body and bind to a number of PG receptors.
What are some side effects associated with Morphine?
- light headiness
- dizziness
- Sedation
- N & V
- respiratory arrest
What are the indications for morphine use?
- Relief of pain
- Preop med
- severe chronic pain
What are the indications for Fentanyl use?
- Analgesia before and after surgery
- Control of breakthrough pain
- Chronic pain
What are the pethidine indications?
- relief of moderate to severe pain
- post op shivering
- pre op analgesia