WVU NSG 460 Exam 4 Review questions with
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answers
What treatment is used to block pain transmission at the Site Of
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Injury: - CORRECT ANSWERS ✔✔NSAIDS, Ice, Splint
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What treatment is used to block pain transmission In The Brain,
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Spinal Cord: - CORRECT ANSWERS ✔✔Opiates
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What treatment is used to block pain transmission in The
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Peripheral And Spinal Nerves And Topically: - CORRECT ANSWERS
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✔✔Local Anesthetics
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What treatment is used to block pain transmission in The Higher
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Brain: - CORRECT ANSWERS ✔✔Massage, Distraction, Anti-
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depressants, (Sedatives?) |\
Do we like to mix different pain control methods for our patients?
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why? - CORRECT ANSWERS ✔✔yes, better control with fewer side
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effects
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Examples of NSAIDs - CORRECT ANSWERS ✔✔Ibuprofen,
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naproxen, indomethacin, ketorolac, diclofenac
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What is the proper Ketorolac (toradol) Dosage - CORRECT
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ANSWERS ✔✔60 mg IM / 30 mg IV |\ |\ |\ |\ |\ |\ |\
,What is the proper Children's dose of Ibuprofen - CORRECT
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ANSWERS ✔✔10 mg / kg |\ |\ |\ |\
Where do NSAIDs work and how? - CORRECT ANSWERS ✔✔They
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inhibit prostaglandins at the pain source.
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Which kind of pain is better treated with NSAIDs than opiates? -
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CORRECT ANSWERS ✔✔musculoskeletal and spasmodic
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("crampy") pain |\
Three big side effects of NSAIDs - CORRECT ANSWERS ✔✔1) GI
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distress / bleed |\ |\
2) nephrotoxic
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3) platelet inhibitors
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Can you take NSAID in pregnancy? - CORRECT ANSWERS ✔✔No.
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Contraindicated especially in 3rd trimester |\ |\ |\ |\
What are some advantages of acetaminophen? - CORRECT
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ANSWERS ✔✔NO SEDATION, OK IN PREGNANCY |\ |\ |\ |\ |\
Is acetaminophen anti-inflammatory? - CORRECT ANSWERS
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✔✔nope
,What are opitates? - CORRECT ANSWERS ✔✔opium and its
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derivatives, such as morphine and heroin; they depress neural
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activity, temporarily lessening pain and anxiety
|\ |\ |\ |\ |\
What are Endorphins? - CORRECT ANSWERS ✔✔("endogenous
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morphine") --natural, opiatelike neurotransmitters linked to pain
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control and to pleasure.
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What are some famous "triggers" that stimulate the body to
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release these natural opiates??? - CORRECT ANSWERS ✔✔1)
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stress / pain
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2) exercize
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3) laughter
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4) chocolate
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5) kissing / sex
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6) tanning beds
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Opiate Dose per KG IV
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Morphine:
HYDROMORPHONE (Dilaudid): |\
MEPERIDINE (Demerol): |\ |\
FENTANYL (Sublimaze): - CORRECT ANSWERS ✔✔Morphine: 0.1
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mg
HYDROMORPHONE (Dilaudid): 0.015 mg |\ |\ |\
MEPERIDINE (Demerol): 1 mg |\ |\ |\
, FENTANYL (Sublimaze): 1-2 mcg |\ |\ |\
Average Adult IV Opiate Dose |\ |\ |\ |\
Morphine:
HYDROMORPHONE (Dilaudid): |\
MEPERIDINE (Demerol): |\ |\
FENTANYL (Sublimaze): - CORRECT ANSWERS ✔✔Morphine: 2-4
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mg
HYDROMORPHONE (Dilaudid): 0.5-1 mg |\ |\ |\
MEPERIDINE (Demerol): 25-50 mg |\ |\ |\
FENTANYL (Sublimaze): 25-50 mcg |\ |\ |\
Which regimen is best to offer the best pain control with the
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fewest side effects? - CORRECT ANSWERS ✔✔small IV doses of
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Opiates Administered Frequently |\ |\
ex PRN Q4 Dilaudid 0.5 mg IV push
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In the Acute Setting Morphine And Fentanyl Can Be Administered
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As - CORRECT ANSWERS ✔✔Constant IV Infusions.
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Which kind of patient most often has orders for Morphine? -
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CORRECT ANSWERS ✔✔Terminally Ill patients |\ |\ |\ |\
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answers
What treatment is used to block pain transmission at the Site Of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Injury: - CORRECT ANSWERS ✔✔NSAIDS, Ice, Splint
|\ |\ |\ |\ |\ |\
What treatment is used to block pain transmission In The Brain,
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Spinal Cord: - CORRECT ANSWERS ✔✔Opiates
|\ |\ |\ |\ |\
What treatment is used to block pain transmission in The
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Peripheral And Spinal Nerves And Topically: - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\ |\ |\
✔✔Local Anesthetics
|\ |\
What treatment is used to block pain transmission in The Higher
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Brain: - CORRECT ANSWERS ✔✔Massage, Distraction, Anti-
|\ |\ |\ |\ |\ |\ |\
depressants, (Sedatives?) |\
Do we like to mix different pain control methods for our patients?
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
why? - CORRECT ANSWERS ✔✔yes, better control with fewer side
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
effects
|\
Examples of NSAIDs - CORRECT ANSWERS ✔✔Ibuprofen,
|\ |\ |\ |\ |\ |\ |\
naproxen, indomethacin, ketorolac, diclofenac
|\ |\ |\
What is the proper Ketorolac (toradol) Dosage - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔60 mg IM / 30 mg IV |\ |\ |\ |\ |\ |\ |\
,What is the proper Children's dose of Ibuprofen - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔10 mg / kg |\ |\ |\ |\
Where do NSAIDs work and how? - CORRECT ANSWERS ✔✔They
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
inhibit prostaglandins at the pain source.
|\ |\ |\ |\ |\
Which kind of pain is better treated with NSAIDs than opiates? -
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
CORRECT ANSWERS ✔✔musculoskeletal and spasmodic
|\ |\ |\ |\ |\
("crampy") pain |\
Three big side effects of NSAIDs - CORRECT ANSWERS ✔✔1) GI
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
distress / bleed |\ |\
2) nephrotoxic
|\
3) platelet inhibitors
|\ |\
Can you take NSAID in pregnancy? - CORRECT ANSWERS ✔✔No.
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Contraindicated especially in 3rd trimester |\ |\ |\ |\
What are some advantages of acetaminophen? - CORRECT
|\ |\ |\ |\ |\ |\ |\ |\
ANSWERS ✔✔NO SEDATION, OK IN PREGNANCY |\ |\ |\ |\ |\
Is acetaminophen anti-inflammatory? - CORRECT ANSWERS
|\ |\ |\ |\ |\ |\
✔✔nope
,What are opitates? - CORRECT ANSWERS ✔✔opium and its
|\ |\ |\ |\ |\ |\ |\ |\ |\
derivatives, such as morphine and heroin; they depress neural
|\ |\ |\ |\ |\ |\ |\ |\ |\
activity, temporarily lessening pain and anxiety
|\ |\ |\ |\ |\
What are Endorphins? - CORRECT ANSWERS ✔✔("endogenous
|\ |\ |\ |\ |\ |\ |\
morphine") --natural, opiatelike neurotransmitters linked to pain
|\ |\ |\ |\ |\ |\ |\
control and to pleasure.
|\ |\ |\
What are some famous "triggers" that stimulate the body to
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
release these natural opiates??? - CORRECT ANSWERS ✔✔1)
|\ |\ |\ |\ |\ |\ |\ |\
stress / pain
|\ |\
2) exercize
|\
3) laughter
|\
4) chocolate
|\
5) kissing / sex
|\ |\ |\
6) tanning beds
|\ |\
Opiate Dose per KG IV
|\ |\ |\ |\ |\
Morphine:
HYDROMORPHONE (Dilaudid): |\
MEPERIDINE (Demerol): |\ |\
FENTANYL (Sublimaze): - CORRECT ANSWERS ✔✔Morphine: 0.1
|\ |\ |\ |\ |\ |\ |\
mg
HYDROMORPHONE (Dilaudid): 0.015 mg |\ |\ |\
MEPERIDINE (Demerol): 1 mg |\ |\ |\
, FENTANYL (Sublimaze): 1-2 mcg |\ |\ |\
Average Adult IV Opiate Dose |\ |\ |\ |\
Morphine:
HYDROMORPHONE (Dilaudid): |\
MEPERIDINE (Demerol): |\ |\
FENTANYL (Sublimaze): - CORRECT ANSWERS ✔✔Morphine: 2-4
|\ |\ |\ |\ |\ |\ |\
mg
HYDROMORPHONE (Dilaudid): 0.5-1 mg |\ |\ |\
MEPERIDINE (Demerol): 25-50 mg |\ |\ |\
FENTANYL (Sublimaze): 25-50 mcg |\ |\ |\
Which regimen is best to offer the best pain control with the
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\ |\
fewest side effects? - CORRECT ANSWERS ✔✔small IV doses of
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
Opiates Administered Frequently |\ |\
ex PRN Q4 Dilaudid 0.5 mg IV push
|\ |\ |\ |\ |\ |\ |\
In the Acute Setting Morphine And Fentanyl Can Be Administered
|\ |\ |\ |\ |\ |\ |\ |\ |\ |\
As - CORRECT ANSWERS ✔✔Constant IV Infusions.
|\ |\ |\ |\ |\ |\
Which kind of patient most often has orders for Morphine? -
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CORRECT ANSWERS ✔✔Terminally Ill patients |\ |\ |\ |\
