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18 Cards in this Set
- Front
- Back
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Respiratory depression in a precaution especially with anesthesia or ?
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Elderly immobile pt
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It is dangerous to block this if there are excessive respiratory secretions.
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Cough reflex
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Opiate precaution: Pt's in shock may undergo severe ?
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Hypotension
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Opiates require a functional _____ metabolism for excretion.
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Hepatic
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Opiates accumulate in pt's with ______.
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Renal insufficiency
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Opiates cause an increase in release of ____ and a decrease in ______.
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ADH; u/o
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Opiates are synergistic with other CNS depressants such as ______ or _____.
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ETOH; barbs
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Caution opiate use in head trauma pts: hypercapnia/hypoventilation may ____ cerebral vessels causing _______intracranial pressure.
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Dilate; increased
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Opiates may also mask _______ ; caution use in head trauma pts.
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Pupillary dilation
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For opiate OD, give ______, use ventilation and control of ______.
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Naloxone; hypotension
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Two less typical signs of opiate OD are:
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Decreased body temp and convulsions
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Opiate withdrawal is ______ life threatening.
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Not
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Signs of opiate withdrawal are flu like and include:
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Emesis, diarrhea, chills
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Opioids block the perception of pain via:
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Somatosensory cortical effect
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Opioids block the transmission of pain via:
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Peripheral, spinal, and brain pathways
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Opioids block the affective component of pain via:
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Limbic cortex
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The limbic cortex plays a role in which effects:
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Euphoric and anxiolytic
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Least known opiate effect:
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Histamine release
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