NUR 226 Quiz 7 Questions and Correct
Answers
Nociceptive pain
- receptors are stimulated by? ✅- caused by damage to tissues
- pain receptors are stimulated by thermal, chemical, or physical means
Neuropathic pain can be seen in which pts ✅- diabetic patients
Narcotic definition (general term)
- what kind of drugs? ✅- general term used to describe opioid drugs that produce
analgesia and CNS depression
How to handle pain control ✅Rest
Ice
Compression
Elevation
Mu and kappa receptors
- why are they important? ✅- opioids block these receptors
- most important regarding pain management
Effect of opioid agonists CNS depressants ✅- can mask changes in the patients level
of conciousness
Adverse effects of opioid agonists ✅- respiratory depression
Naloxone (Narcan)
- action
- used for ✅- the reversal drug for opioids
- will block opioid receptor sites
Role of the nurse when administering opioid therapy ✅- have narcotic antagonists
available to reverse negative effects
- NARCAN
Opioid antagonist ✅- nalaxone (Narcan)
Heroin / opioid overdose treatment ✅- Narcan
Treatment for opioid dependence ✅- methadone maintenance
, Methadone maintenance ✅- does no cure but avoids withdrawal symptoms
- treatment may continue for many months and years
- allows patients to return to normal productive life
5HT receptor drugs ✅- triptan (sumatriptan)
- Imitrex
5HT receptor drug functions
- imitrex
- triptan (sumatriptan) ✅- vasoconstricts intracranial arteries
- decreases the blood flow to the area, in order to calm down the headache
Chemical mediators action ✅- alert surrounding tissue of injury
Chemical mediators examples ✅- histamine
- prostaglandins
Salicylates (ASA) & children
- age and ....
- what will happen with this combination? ✅- NOT recommended for children < 18 yo
with viral infections
- combination of ASA and viral infection is believed to contribute to the dev. Of Reye's
syndrome
Adverse effects of aspirin ✅* tinnitus
- dizziness, h/a, excessive perspiration
Sudden cessation of the administration of glucocorticoids or the precense of increased
stress can cause ✅- adrenal crisis similar to shock
- insufficient glucocorticoids are available in the body
Long term treatment with glucocorticoids can cause
- what can in result in? ✅- cushing's syndrome
- can result in high blood pressure, bone loss, diabetes, moon face
- discontinue gradually
Adverse effects of systemic glucorticoids long term use ✅cushings syndrome
Adverse effects of anitpyretics ✅possible liver damage
Ethnic differences in acetaminophen metabolism
- who does it happen to
- defiency of
- risk of ✅- G6PD deficiency
Answers
Nociceptive pain
- receptors are stimulated by? ✅- caused by damage to tissues
- pain receptors are stimulated by thermal, chemical, or physical means
Neuropathic pain can be seen in which pts ✅- diabetic patients
Narcotic definition (general term)
- what kind of drugs? ✅- general term used to describe opioid drugs that produce
analgesia and CNS depression
How to handle pain control ✅Rest
Ice
Compression
Elevation
Mu and kappa receptors
- why are they important? ✅- opioids block these receptors
- most important regarding pain management
Effect of opioid agonists CNS depressants ✅- can mask changes in the patients level
of conciousness
Adverse effects of opioid agonists ✅- respiratory depression
Naloxone (Narcan)
- action
- used for ✅- the reversal drug for opioids
- will block opioid receptor sites
Role of the nurse when administering opioid therapy ✅- have narcotic antagonists
available to reverse negative effects
- NARCAN
Opioid antagonist ✅- nalaxone (Narcan)
Heroin / opioid overdose treatment ✅- Narcan
Treatment for opioid dependence ✅- methadone maintenance
, Methadone maintenance ✅- does no cure but avoids withdrawal symptoms
- treatment may continue for many months and years
- allows patients to return to normal productive life
5HT receptor drugs ✅- triptan (sumatriptan)
- Imitrex
5HT receptor drug functions
- imitrex
- triptan (sumatriptan) ✅- vasoconstricts intracranial arteries
- decreases the blood flow to the area, in order to calm down the headache
Chemical mediators action ✅- alert surrounding tissue of injury
Chemical mediators examples ✅- histamine
- prostaglandins
Salicylates (ASA) & children
- age and ....
- what will happen with this combination? ✅- NOT recommended for children < 18 yo
with viral infections
- combination of ASA and viral infection is believed to contribute to the dev. Of Reye's
syndrome
Adverse effects of aspirin ✅* tinnitus
- dizziness, h/a, excessive perspiration
Sudden cessation of the administration of glucocorticoids or the precense of increased
stress can cause ✅- adrenal crisis similar to shock
- insufficient glucocorticoids are available in the body
Long term treatment with glucocorticoids can cause
- what can in result in? ✅- cushing's syndrome
- can result in high blood pressure, bone loss, diabetes, moon face
- discontinue gradually
Adverse effects of systemic glucorticoids long term use ✅cushings syndrome
Adverse effects of anitpyretics ✅possible liver damage
Ethnic differences in acetaminophen metabolism
- who does it happen to
- defiency of
- risk of ✅- G6PD deficiency
