Med Surg

Front 1

Percocet’s onset of action is _____to______ minutes, and it reaches its peak effect in _______ hour. Ideally the procedure should be performed when Percocet is at its peak effect. K.C.’s daughter should also be informed about the use, dosage, and side effects of Percocet and the importance of administering the medication 1 hour before a dressing change.

Back 1

15 to 30
1

Front 2

What additional pain therapies might you plan to help K.C. through the dressing change?
Additional pain management therapies include massage, _______&_______ therapies, distraction, cognitive therapies, and relaxation strategies.

Back 2

heat or cold

Front 3

Some possible side effects of Percocet include ______________, dizziness, headache, sedation, nausea, vomiting, constipation, urinary retention, ______________, and respiratory depression. Management of side effects: drowsiness/dizziness/sedation—avoid driving or any other hazardous activity, use of psychostimulants as prescribed; nausea and vomiting—take medication with food or _________, or with an antiemetic if prescribed; constipation—drink plenty of water, increase the amount of dietary fiber, exercise, stool softener, and laxative; pruritus—antihistamine administration or changing to another opioid may be necessary.

Back 3

drowsiness
pruritus
milk

Front 4

Adrenocorticotropic hormone (ACTH), also known as corticotropin, is a polypeptide tropic hormone produced and secreted by the ____________ gland. It is an important component of the hypothalamic-pituitary-adrenal axis and is often produced in response to biological stress (along with its precursor corticotropin-releasing hormone from the hypothalamus). Its principal effects are increased production and release of _________________. Primary adrenal insufficiency, also called Addison's disease, occurs when adrenal gland production of cortisol is chronically deficient, resulting in chronically elevated ACTH levels; when a pituitary tumor is the cause of elevated ACTH (from the anterior pituitary) this is known as Cushing's Disease and the constellation of signs and symptoms of the excess cortisol (hypercortisolism) is known as Cushing's syndrome. A deficiency of ACTH is a cause of secondary adrenal insufficiency. ACTH is also related to the circadian rhythm in many organisms.[1]

Back 4

anterior pituitary
corticosteroids

Front 5

Aphasia (/əˈfeɪʒə/, /əˈfeɪziə/ or /eɪˈfeɪziə/; from ancient Greek aphatos meaning[1] ἀφασία (ἄφατος, ἀ- + φημί), "speechlessness",[2] derived from phat meaning "spoken"[3]) is a disturbance of the comprehension and _______________ of language caused by dysfunction in specific brain regions.[4][5] This class of language disorder ranges from having difficulty remembering words to losing the ability to speak, read, or write. This also affects visual language such as sign language.[5] Aphasia is usually linked to brain damage, most commonly caused by stroke. Brain damage linked to aphasia can also cause further brain diseases, including cancer, epilepsy and Alzheimer's disease.[6]

Back 5

formulation

Front 6

anticholinergics are sometimes given perioperatively to reduce _______________

Back 6

secretions

Front 7

benzodiazepines are used for their __________ and ___________ properties

Back 7

sedative and amnesic

Front 8

opioids may be given to decrease pain and intraoperative _____________ requirements

Back 8

anesthetic

Front 9

In the perioperative setting, ______________ are sometimes used in persons with known hypertension or coronary artery disease to control BP or reduce the chances of myocardial infarction and cardiac arrest.

Back 9

beta blockers