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37 Cards in this Set
- Front
- Back
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What is somatic pain?
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Pain which arises from musculoskeletal sources
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What is nociception?
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Process by which tissue damage is communicated to the Central Nervous System
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Distraction, hypnosis and relaxation alter this step in the pain process
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What is pain perception?
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Medication used to reverse narcotic toxicity
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What is a narcan
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Medication used to dry secretions during final phases of death
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What is scopalamine?
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The most common side effect of all narcotics
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What is constipation
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Common NSAID given IM following orthopedic surgeries. Also available PO
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What is Toradol or ketoralac?
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Medication delivered directly into the subarachnoid space
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What is intrathecal?
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gtts/min
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(volume x gtt factor) / time
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Written statements regarding a persons wishes regarding medical care
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What are advanced directives?
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Medication used to ease respiratory distress during final stages of death
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What is Morphine?
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Long term care facility which provides 24 hour care with nursing supervision. Patients must have a skilled need
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What is a skilled nursing facility?
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Long term care facility which provides convalescent care along with medical, social and rehabilitation services
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What is an intermediate care facility?
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Health care delivery where charges
are negotiated in advance of the delivery of care. Reimbursement rates are predetermined for hospitalization and medical services |
What is managed care or the prospective payment system
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Normal values are 3.5-5.0
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What is a K+ level?
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Normal hourly urine output
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What is 30 mL?
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5 Rights of Medication Safety
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What is:
Right Patient Right Medication Right Dose Right Time Right Route |
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One grain is how many mg?
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What is 60 mg?
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Who governs hospitalizations?
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insurance companies
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What is the purpose of community based care facilities?
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health promotion
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What is a nurse's role in outpatient care?
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pt education
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What are the defining principles for home care?
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have to be bound to the home, must have a dr order, have a medical need
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Intermediate care
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they don't have an acute problem but they really need someone to watch them
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Transitional care
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care between hospital and home, people on ventilators, when you just can't send someone home
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what is one of the largest reason's people miss work in America?
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pain
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Acute pain
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sudden onset, less than 3 months
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Does acute pain have to deal with sympathetic or parasympathetic?
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sympathetic
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Which type of pain is typically localized?
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acute
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Chronic pain
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a gradual onset, last 3 months or longer
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What culture expresses themselves freely?
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latin
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What culture doesn't express themselves?
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Asian
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When doing a pain assessment, what do you look for?
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where, intensity, radiateing, description, nonverbal
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Who shouldn't take NSAIDS and why?
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people with gastric bleeding, renal pt etc
decreases blood flow to kidney |
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What are some S&S of death?
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decreased need to eat, death rattle, skin mottling, hypothalamus goes whack and temp goes up, pulse and B/P goes up and then down, urinary output decreases, increase in bowel and bladder incontinence, may get restless, agitated as the air hunger increases
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What do you do to help a pt with air hunger?
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give them a fan or open a window
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What do you do when someone dies?
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call the family while someone prepares the body, call the dr, call the coroner or the funeral home after all the family has left, cal the nurse in charge to let them know the pt has died, document
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what do you document when someone dies?
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who you notified, who cam to see the pt, what time the pt died, how you disposed of the body, what you did, where they went, their belongings and what was done with them
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