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50 Cards in this Set

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