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50 Cards in this Set
- Front
- Back
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The 5 Rights of Delegation
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Right Task
Right Circumstances Right Person Right Directions/Communication Right Supervision/Evaluation |
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What does SBAR stand for
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S: Situation
B: Background A: Assessment R: Recommendations |
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ABCDE Clinical Approach to Pain Assessment and Management
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♣ Ask about pain regularly. Assess pain systematically.
♣ Believe the client and family in their report of pain and what relieves it. ♣ Choose pain control options appropriate for the client, family, and setting. ♣ Deliver interventions in a timely, logical, and coordinated fashion. ♣ Empower clients and their families. Enable them to control their course to the greatest extent possible. |
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OLD AIR pain assessment tools
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• O: onset
• L: location • D: duration • A: aggravating/alleviating factors • I: intensity • R: relief measures |
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PQRST pain assessment tools
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• I: intensity
• R: relief measures • P: what precipitated the pain or pattern • Q: what is the quality? • R: what is its region? Radiates? • S; what is the severity • T: what it its timing. When does it begin, how long does it last, and how is it related to other events in your life |
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Pain medications work at the _________ level.
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neurotransmitter
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A paper cut could cause __________ pain.
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cutaneous
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Another word for cutaneous pain is
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Superficial
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Pain felt in internal organs, as with labor or menstrual cramps
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Visceral pain
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Pain felt in bones, joints and tendons. Arthritis pain is an example.
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Deep somatic pain
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Pain that spreads ot from point of origin, as in sciatica.
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Radiating pain
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Pain from MI felt in back or arm is an example of...
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Referred pain
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Pain experienced by amputees that is perceived to come from the missing limb
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Phantom pain
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Pain for which there is no physiological cause
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Psycogenic
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Pain felt in diabetic neuropathy and shingles is of ____________ origin.
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neuropathic
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Pain felt pain felt when punched is ___________ in origin.
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nociceptive
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The point at which stimulus is reported by a person as pain.
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Pain Threshold
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The amount of pain a person can withstand before breaking down, either emotionally or physically.
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Pain Tolerance
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Theory that explains pain modulation through non-pharmaceutical remedies
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Gate Theory
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Heat, cold, massage and acupuncture are all examples of...
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Body-based therapies
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CAM stands for...
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Complimentary/Alternative Medicine
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The significant issue with herbs in American medicine is that they are not...
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FDA Approved
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Suppress inflammation by inhibiting cyclooxygenase, an enzyme that is responsible for the synthesis of prostaglandins.
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Nonsteroidal anti-inflammatory (NSAIDs)
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Salicylate (aspirin), ibuprofen (Motrin), naproxen (Naprosyn) and celecoxib (Celebrex) are all...
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Nonsteroidal anti-inflammatory (NSAIDs)
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Side effects of NSAIDs
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GI bleeding
Renal dysfunction Inhibits platelet aggregation |
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When teaching about __________ advise your client to take with food or milk to reduce GI distress, avoid alcohol and aspirin products and avoid for a least 1 week prior to surgery or invasive procedures
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NSAIDs
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Morphine-like compound that produce systemic effects including pain relief and sedation
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Opioids
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Side effects of opioids include...
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Urinary retention
Constipation n/v orthostatic hypotension Pruritus respiratory depression |
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Morphine sulfate, Hydrocodone (Vicodin; Lortab), Hydromorphone (Dilaudid), Fentanyl (Duragesic), Oxycodone (OxyContin) are all...
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Opioids
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Binds with opioids receptors in the CNS reducing the intensity of pain stimuli from sensory nerve endings.
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Opioids
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What does PRN mean?
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As needed.
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With ______ the patient self administers medication with the click of a button.
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PCA
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Patients using a PCA typically experience ________ pain and use ________ medication.
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Less pain
Less medication |
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A state of adaptation in which results in a diminution of the drug’s effects over time.
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Tolerance
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What are the seven rights of medication administration?
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Drug
Patient Right... Time Reason Dose Route Documentation |
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What is the implication of the phrase “not charted – not done”?
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If its not on the chart, in the eyes of the law, it didn't happen.
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Purpose of documentation...
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A. Communication
B. Financial billing/reimbursement C. Accreditation/quality assurance D. Education E. Research F. Legal documentation |
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The study of the metabolism and action of drugs with particular emphasis on the time required for absorption, duration of action, distribution in the body, and method of excretion.
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Pharmokinetics
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The study of drugs and their actions on living organisms.
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Pharmacodynamics
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The phrase, "Blocks peripheral effects of histamine released during allergic reactions," describes the _______ of loratadine
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Action
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The phrase "Decreased symptoms of allergic reactions," describes the _______ _________ of loratadine.
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Therapeutic effect
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An action or effect of a drug other than that desired. Can be desirable nor undesirable.
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Side effect
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Undesired side effect or toxicity caused by a treatment.
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Adverse effect
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What is an idiosyncratic effect?
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An unusual response to a drug. It can manifest as an accelerated, toxic, or inappropriate response to the usual therapeutic dose of a drug.
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Hypersensitive reaction to a drug. Can cause anaphylaxis.
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Allergic reaction
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A life threatening allergic reaction
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Anaphylaxis
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The therapeutic effect of a combination of two or more drugs that is equal to the sum of the individual drug effects.
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Additive effect
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The ability of a drug or to aid or enhance the action or effect of another drug
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Synergistic action
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The ability of a drug or a muscle to oppose or resist the action or effect of another drug or muscle
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Antagonistic reaction
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Components of Medication Orders
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1.Client full name 2.Date and time order was written 3.medication name 4.Dose 5.Route 6.frequency of administration 7.Signature of Physician
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