NURS 180 Pharm Quiz 3 with precise detailed ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
solutions
Pain - correct answer✔✔unpleasant sensory and emotional experience associated with
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
actual or potential tissue damage ||\\//|| ||\\//|| ||\\//|| ||\\//||
-pain management is regarded as such a significant component of nursing care that it is the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
5th vital sign
||\\//|| ||\\//||
Endorphins - correct answer✔✔"morphine within"--natural, opiatelike neurotransmitters ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
linked to pain control and to pleasure. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Pain threshold - correct answer✔✔the point at which a person feels pain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pain tolerance - correct answer✔✔the amount of pain a patient can endure without its
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
interfering with normal function ||\\//|| ||\\//|| ||\\//||
analgesic - correct answer✔✔drug that relieves pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Signs of inflammation - correct answer✔✔-edema
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-erythema ||\\//||
-heat
Anesthetics - correct answer✔✔substances doctors use to stop a person from feeling pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
during an operation, either in the whole body when unconscious or in a part of the body
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
when awake. ||\\//||
,general anesthesia - correct answer✔✔the blockage of all body sensations, causing un-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
consciousness and loss of reflexes. ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Hypnotic and Benzodiazepines (reduce anxiety) ||\\//|| ||\\//|| ||\\//|| ||\\//||
-neuromuscular blockers ||\\//||
-assess for gag reflex before eating or drinking after being under general anesthesia
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
local anesthesia - correct answer✔✔causes the loss of sensation in a limited area by
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
injecting an anesthetic solution near that area ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-remain conscious ||\\//|| ||\\//||
-creams, sprays, and suppositories ||\\//|| ||\\//|| ||\\//|| ||\\//||
-rubbed before injection ||\\//|| ||\\//|| ||\\//||
-most local anesthetics are divided into two groups, the esters and the amides, according to
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
their basic structures
||\\//|| ||\\//||
Lidocaine Hydrochloride (Xylocaine) - correct answer✔✔Class: Antiarrythmic ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Indications: Alternative to Amiodarone in cardiac arrest from V-fib pulseless V-tach ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Contraindications: Hypersensitivity , 2nd and 3rd degree AV blocks ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Dosage: Adult Cardiac Arrest (Initial dose 1-1.5 mg/kg IV/IO repeat dose .5-.75 mg/kg
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
repeated in 5-10 mins w/ a max dose of 3mg/kg) Pedicatric Dose ( IV/IO dose: 1mg/kg rapid
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
IV/IO push Max dose 100mg )
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Special Consideratons: Pregnancy Safety Category B
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Extra Notes: ||\\//||
, -apply thin layer ||\\//|| ||\\//|| ||\\//||
-wear gloves ||\\//|| ||\\//||
-no contact with eyes
||\\//|| ||\\//|| ||\\//|| ||\\//||
Dental: ||\\//||
-bite down on cotton ball
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-no bite or chew in mouth no sensation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-numb for several hours ||\\//|| ||\\//|| ||\\//|| ||\\//||
-no pain should be felt
||\\//|| ||\\//|| ||\\//|| ||\\//||
Can be given: IV, IM, or SubQ
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nerve block anesthesia - correct answer✔✔an injection made into a nerve to block the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
conduction of impulses between the nerve and the CNS ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-injected into CSF ||\\//|| ||\\//||
-Pheripheral nerve block: requires less narcotic medication ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
epidural block - correct answer✔✔the injection of anesthesia into the spinal cord or dura
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
mater
spinal anesthesia - correct answer✔✔regional anesthesia produced by injecting medication
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
into the subarachnoid space
||\\//|| ||\\//|| ||\\//||
-requires local anesthesia ||\\//|| ||\\//|| ||\\//||
-injected below the first lumbar space in adults and the third lumbar space in children||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-have pt lay flat 6-8 hrs ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
solutions
Pain - correct answer✔✔unpleasant sensory and emotional experience associated with
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
actual or potential tissue damage ||\\//|| ||\\//|| ||\\//|| ||\\//||
-pain management is regarded as such a significant component of nursing care that it is the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
5th vital sign
||\\//|| ||\\//||
Endorphins - correct answer✔✔"morphine within"--natural, opiatelike neurotransmitters ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
linked to pain control and to pleasure. ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Pain threshold - correct answer✔✔the point at which a person feels pain
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
pain tolerance - correct answer✔✔the amount of pain a patient can endure without its
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
interfering with normal function ||\\//|| ||\\//|| ||\\//||
analgesic - correct answer✔✔drug that relieves pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Signs of inflammation - correct answer✔✔-edema
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-erythema ||\\//||
-heat
Anesthetics - correct answer✔✔substances doctors use to stop a person from feeling pain ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
during an operation, either in the whole body when unconscious or in a part of the body
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
when awake. ||\\//||
,general anesthesia - correct answer✔✔the blockage of all body sensations, causing un-
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
consciousness and loss of reflexes. ||\\//|| ||\\//|| ||\\//|| ||\\//||
-Hypnotic and Benzodiazepines (reduce anxiety) ||\\//|| ||\\//|| ||\\//|| ||\\//||
-neuromuscular blockers ||\\//||
-assess for gag reflex before eating or drinking after being under general anesthesia
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
local anesthesia - correct answer✔✔causes the loss of sensation in a limited area by
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
injecting an anesthetic solution near that area ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-remain conscious ||\\//|| ||\\//||
-creams, sprays, and suppositories ||\\//|| ||\\//|| ||\\//|| ||\\//||
-rubbed before injection ||\\//|| ||\\//|| ||\\//||
-most local anesthetics are divided into two groups, the esters and the amides, according to
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
their basic structures
||\\//|| ||\\//||
Lidocaine Hydrochloride (Xylocaine) - correct answer✔✔Class: Antiarrythmic ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Indications: Alternative to Amiodarone in cardiac arrest from V-fib pulseless V-tach ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Contraindications: Hypersensitivity , 2nd and 3rd degree AV blocks ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Dosage: Adult Cardiac Arrest (Initial dose 1-1.5 mg/kg IV/IO repeat dose .5-.75 mg/kg
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
repeated in 5-10 mins w/ a max dose of 3mg/kg) Pedicatric Dose ( IV/IO dose: 1mg/kg rapid
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
IV/IO push Max dose 100mg )
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Special Consideratons: Pregnancy Safety Category B
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
Extra Notes: ||\\//||
, -apply thin layer ||\\//|| ||\\//|| ||\\//||
-wear gloves ||\\//|| ||\\//||
-no contact with eyes
||\\//|| ||\\//|| ||\\//|| ||\\//||
Dental: ||\\//||
-bite down on cotton ball
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-no bite or chew in mouth no sensation
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-numb for several hours ||\\//|| ||\\//|| ||\\//|| ||\\//||
-no pain should be felt
||\\//|| ||\\//|| ||\\//|| ||\\//||
Can be given: IV, IM, or SubQ
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
nerve block anesthesia - correct answer✔✔an injection made into a nerve to block the
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
conduction of impulses between the nerve and the CNS ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-injected into CSF ||\\//|| ||\\//||
-Pheripheral nerve block: requires less narcotic medication ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
epidural block - correct answer✔✔the injection of anesthesia into the spinal cord or dura
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
mater
spinal anesthesia - correct answer✔✔regional anesthesia produced by injecting medication
||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
into the subarachnoid space
||\\//|| ||\\//|| ||\\//||
-requires local anesthesia ||\\//|| ||\\//|| ||\\//||
-injected below the first lumbar space in adults and the third lumbar space in children||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
-have pt lay flat 6-8 hrs ||\\//|| ||\\//|| ||\\//|| ||\\//|| ||\\//||
