Exam 2 Content Flashcards

1
Q

Skin layers superficial -> deep

A

epidermis, dermis, hypodermis (subcutaneous)

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2
Q

layer of the skin that is avascular, and contains keratin & melanin

A

Epidermis

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3
Q

Layer of the skin that contains nerves, blood vessels, and sensory receptors.

A

Dermis

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4
Q

Layer of the skin that contains connective tissues, fat cells, macrophages, fibroblasts, nerves, and large blood vessels

A

Hypodermis (subcutaneous)

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5
Q

Cause of goose bumps

A

Arrector pili muscle associated with hair follicle

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6
Q

Ways to control body temperature

A

Vasodilatation and increased sweating

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7
Q

what do sebaceous glands produce and what does it inhibit?

A

sebum, inhibits bacterial growth

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8
Q

Functions of the skin

A
first line of defense
controls body temperature
synthesizes vitamin D
active in sensory perception
prevents excessive fluid loss
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9
Q

causes of lesions

A

systemic disorders
systemic infections
allergies to food or drug
exposure to toxins

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10
Q

test that detects malignancy

A

biopsy

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11
Q

example of blood test

A

Scratch test (antigens injected on back to find out what you’re allergic to)

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12
Q

Caused by direct irritation of skin

A

Contact dermatitis

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13
Q

Examples of contact dermatitis

A

poison ivy, latex, adhesives

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14
Q

Releases histamine and result is hives scattered all over. Highly pruritic.

A

urticaria

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15
Q

How to decrease immune response to Type I Hyersensitivity

A

drug- antihistamine and steroids

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16
Q

Inherited hay fever, pollen and asthma

A

Inherited tendency

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17
Q

Atopic Dermatitis

A

Eczema

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18
Q

Characterized by dry, scaly, lichenification skin on the flexor areas (elbow and knee) in adults

A

Atopic Dermatitis (Eczema)

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19
Q

Characterized by pruritic lesions that are moist, red, vesicular, and covered with crusts in children

A

Atopic Dermatitis (Eczema)

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20
Q

Onset in the teen years
Results from abnormal T-Cell activation
Lesions

A

Psoriasis

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21
Q

Lesions start as red papule, progresses to silvery plaque. Commonly found on the face, scalp, elbows, and knees

A

Psoriasis

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22
Q

Treatment of Psoriasis

A

Glucocorticoids
Tar preparations
Antimetabolite

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23
Q

Infection of dermis and subcutaneous tissue, area is red, swollen, painful with red streaks running up lymph vessels.

A

Cellulitis

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24
Q

Bacterial Infections

A

Cellulitis
Foruncles (Boils)
Impetigo Contagiosa
Acute Necrotizing Fasciitis

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25
Q

Boils in the nasal cavities can result in…?

A

thrombi or infection can spread to brain

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26
Q

Inflammatory Disorders

A

Contact Dermatitis
Urticaria
Atopic Dermatitis (Eczema)
Psoriasis

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27
Q
Usually caused by Staph. aureus
Begins at hair follicles
Common on the face, neck, and back
Frequently drains large amounts of puss
Squeezing them can result in the spread of infection to other areas
A

Foruncles (Boils)

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28
Q

Transmission of this bacterial infection may occur through close physical contact or through fomites. Is characterized by lesions that begin as small vesicles that rupture to form yellowish-brownish crusty masses.

A

Impetigo Contagiosa

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29
Q

Flesh Eating Disease

A

Acute Necrotizing Fasciitis

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30
Q

Characterized by rapid tissue invasion that begins with a minor trauma/infection, then bacteria secrete enzymes that destroy tissue and toxins that cut off blood supply to tissues.

A

Acute Necrotizing Fasciitis

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31
Q

Occlusion of small blood vessels leads to….?

A

gangrene

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32
Q

Delay in treatment of Acute Necrotizing Fasciitis can cause …?

A

Potential Amputation
Greater tissue loss
higher mortality

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33
Q

Acute Necrotizing Fasciitis can be confused with what minor bacterial infection?

A

Cellulitis

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34
Q

Acute Necrotizing Fasciitis can cause what in systemic toxicity?

A

Fever
Tachycardia
hypotension
possible organ failure

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35
Q

treatment of Acute Necrotizing Fasciitis

A

Aggressive antibiotic therapy
Excision of all infected tissue
Hyperbaric chamber treatment

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36
Q

The test that detects malignancy

A

biopsy

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37
Q

usual cause of cold sores or fever blisters ?

A

HSV1

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38
Q

Type of chronic inflammation that has an inherited tendency and is a response to allergens

A

Eczema

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39
Q

The substance that provides water proofing to the body

A

Keratin

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40
Q

Type of wart that is caused by HPV 1-4 and is seen on the bottom of the foot

A

Plantar

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41
Q

Type of fungi that causes thrush or vaginal yeast infection

A

candida

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42
Q

Electrolyte that should by maintained at level 3.5-5.0 in the blood

A

Potassium

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43
Q

Mass of sebum, Keratin and debris blocking the opening of a hair follicle

A

Comedone

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44
Q

Tinea Unguium causes infection in this part of the body

A

Nails

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45
Q

Medication used to treat herpes infections

A

Acyclovir

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46
Q

If allergic to this substance, the Gardasil immunization is contraindicated

A

Yeast

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47
Q

What is released with a hypersensitivity reaction that causes urticaria and pruritis.

A

Histamine

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48
Q

This should be given to treat the common side effect of Amphoteracin B- primarily favor/chills

A

Tylenol

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49
Q

Type of treatment for necrotizing fasciitis

A

Hyperbaric

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50
Q

type fo lesion that contains purulent exudate

A

pustule

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51
Q

Increasing mass of collagen resulting from scar formation

A

keloid

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52
Q

sweat glands located in the axillae

A

appocrine

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53
Q

only type of drugs that actually destroys virions

A

immunoglobulins

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54
Q

another name for a boil

A

foruncle

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55
Q

Used to treat systemic fungal infections

A

Amphotericin B

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56
Q

Type of cancer cell that grows slowly and has an excellent prognosis if removed quickly

A

Squamous

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57
Q

Tingling and burning in the extremities are all signs of this

A

Neurotoxicity

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58
Q

Another name for lozenge

A

Troche

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59
Q

Another name for Tinea Corpis

A

Ringworm

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60
Q

Medication given to reduce duration of the flu

A

Oselatamivir

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61
Q

Thick, dry, leather-like surface

A

Lichenification

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62
Q

Decreased urine output and elevation of BUN and Creatinine are signs of this

A

Nephrotoxicity

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63
Q

Palpable lesion; varies in size

A

Nodule

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64
Q

Prescription medication used to treat more difficult superficial fungal infections

A

Ketoconazole

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65
Q

Malignant melanoma develops here

A

Melanocytes

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66
Q

Kaposis sarcoma occurs in individuals with this disease and other immunodeficiencies

A

AIDS

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67
Q

This may occur with certain types of HPV and is the primary reason Gardasil is given to both boys and girls.

A

Cancer

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68
Q

Monitor ALT/AST if worried about this organ

A

Liver

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69
Q

Type of dermatitis caused by irritation of the skin

A

Contact dermatitis

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70
Q

if acyclovir is taken at the first sign of a recurrent episode of herpes, this may be prevented

A

Breakout

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71
Q

Condition in which there are areas of hypo-pigmentation on the body

A

Vitiligo

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72
Q

flat lesion

A

macule

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73
Q

Time of a woman life in which HPV grows and spreads

A

Pregnancy

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74
Q

Middle layer of the skin

A

Dermis

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75
Q

Inflammatory skin condition that has lesions that are covered in silvery plaque

A

Psoriasis

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76
Q

Medication used to treat Thrush that must be swished and swallowed

A

nystatin

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77
Q

The vitamin that is synthesized by the skin upon exposure to ultraviolet light

A

Vitamin D

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78
Q

Non-prescribed drug that can be used for superficial fungal infections

A

Miconalzole

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79
Q

Infection of Dermis and Subcutaneous tissue secondary to injury

A

Cellulitis

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80
Q

Following a cold sore, viral particles are present in this fluid for weeks after healing of blister

A

saliva

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81
Q

Elevated lesion with flat surface topped with scale

A

Plaque

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82
Q

oily secretion that protects us from bacterial growth

A

sebum

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83
Q

Small deep linear crack or tear in the skin

A

Fissure

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84
Q

Oseltamivir must be taken within this many days of symptoms of flu or it will do no good

A

two

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85
Q

What occurs when the individual with a skin infection spreads the lesions to other parts of the body

A

Autoinnoculation

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86
Q

type of test done to test for allergies

A

scratch test

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87
Q

another name for a blister

A

vesicle

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88
Q

One of the ways our skin controls body temperature

A

vasodilation

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89
Q

Medicine used to treat vaginal yeast infections- single dose

A

Fluconazole

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90
Q

Shallow moist cavity in epidermis

A

Erosion

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91
Q

Warning symptoms that a breakout of genital herpes is occurring

A

Tingling

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92
Q

Tinea Capitis

A

infection of scalp

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93
Q

Firm elevated lesion

A

papule

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94
Q

Cavity with loss of tissue from epidermis and dermis

A

Ulcer

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95
Q

This is delayed in children taking high doses of steroids

A

growth

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96
Q

Caused by a shift in protein and fluids into interstitial spaces

A

Edema

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97
Q

Drug that prevents platelets aggregation

A

Aspirin

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98
Q

Type of purulent exudate in solid tissue

A

Abscess

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99
Q

This odor warns patients that aspirin is no longer good to use

A

Vinegar

100
Q

Foreign body that causes inflammation

A

Splinter

101
Q

Skin and mucous membranes are a type of this first line of immunity

A

Innate

102
Q

This may be lost if edema interferes with a joints ability to work

A

Function

103
Q

Most widely prescribed oral glucocorticoid drug

A

Prednisone

104
Q

This type of mesh forms and isolated injury

A

Fibrin

105
Q

Types of diseases that are considered chronic inflammatory conditions

A

Autoimmune

106
Q

Induces fever

A

Cytokines

107
Q

Caused by pyrogen release

A

fever

108
Q

This degree of burn involves the epidermis and part of the dermis with blisters

A

second

109
Q

Injectable NSAID

A

Ketorolac

110
Q

No not give aspirin to children due to increased risk for this syndrome

A

Reyes Syndrome

111
Q

Patients with diabetes will need to increase their dosage of this drug when taking corticosteroid therapy

A

Insulin

112
Q

Part of healing of burns

A

Metabolism

113
Q

This degree of burn involves the epidermis and the dermis without blisters

A

first

114
Q

Functional tissue is replaced by scab tissue in this type of healing

A

replacement

115
Q

Type of exudate that contains microorganisms

A

Purulent

116
Q

Given with high dose NSAID therapy to protect the stomach against ulcers

A

Misoprostel

117
Q

Crisis that may result if steroids are rapidly withdrawn

A

Addison

118
Q

Increase in WBC count

A

Leukocytosis

119
Q

Dosages such as 650 mg daily or PRN are ordered to relieve this complaint

A

Pain

120
Q

Property of NSAID that lowers fever

A

Antipyretic

121
Q

Scar formation may result in these that fixate at joint and prevent movement

A

Contractures

122
Q

System at risk when COX1 is blocked by NSAID action

A

GI

123
Q

Steroids should be discontinued this way

A

tapered

124
Q

Type of exudate that increases risk of scar tissue

A

Fibrinous

125
Q

Caustic chemical that causes inflammation

A

Acid

126
Q

Generic name for a common NSAID

A

Ibuprofen

127
Q

Common ending of glucorticoids

A

-sone

128
Q

This organ must be watched when patient taking high doses of NSAIDS due to the fact acute failure is a possibility

A

Renal

129
Q

Patients should take their steroids at this time of day

A

Morning

130
Q

Symptom of adult salicylism

A

Tinnitus

131
Q

The process of removing damaged tissue and foreign materials in burns to enhance healing

A

debridement

132
Q

This degree of burn has charred skin

A

third

133
Q

Fluid, carbon dioxide, and other wastes move across the capillary on the venous end based on this pressure

A

osmotic

134
Q

Large doses of steroids may cause retention of this in the body which puts extra workload on the heart

A

Fluid

135
Q

Severity of inflammation depends on cause and…?

A

Duration

136
Q

Inflammation of a sprain or strain would have ….. timing?

A

Immediate

137
Q

Fluids, electrolytes, oxygen and nutrients move across the capillary on the arterial end based on this pressure

A

hydrostatic

138
Q

Symptom of child salicylism

A

drowsiness

139
Q

Individuals taking high doses of NSAID therapy must discontinue therapy this many weeks in advance of surgery

A

one

140
Q

Infection is a cause of…?

A

Inflammation

141
Q

After using inhaled corticosteroids, the patient needs to do this to his mouth

A

rinse

142
Q

Part of RICE therapy that reduces fluid accumulation

A

compression

143
Q

Type of healing that occurs with minimal tissue damage

A

Resolution

144
Q

Type of healing in which cells replaced with similar cells

A

regeneration

145
Q

Part of RICE therapy that causes vasoconstriction

A

Ice

146
Q

Means increased blood flow

A

Hyperemia

147
Q

Inflammation related to sunburn would have what timing?

A

Delayed

148
Q

This scar is formed by excessive collagen deposits

A

Keloid

149
Q

Common ending of inflammatory disorders

A

-itis

150
Q

Limit this drug to 3000 mg/day

A

Acetaminophen (Tylenol)

151
Q

Do not apply this over Fentanyl patches or may cause an overdose

A

heat

152
Q

Ability to withstand pain before taking action

A

Tolerance

153
Q

Theory shows us we can modify entry of pain into brain and spinal cord

A

Gate Control Theory

154
Q

This syndrome may occur when taking both Tramadol and SSRI’s

A

Serotonin Syndrome

155
Q

Nerve endings found in tissues that is responsible for somatic and visceral pain transmission

A

Nociceptors

156
Q

Most popular anesthetic used

A

Lidocaine

157
Q

The fibers that conduct pain impulses

A

Afferent

158
Q

A chemical transmitter of pain and inflammation

A

prostaglandins

159
Q

Pain caused by trauma to peripheral nerves

A

Neuropathic

160
Q

Drug given to reverse malignant hyperthermia along with supportive care

A

Dantrolene

161
Q

Fibers that tell the muscles to move away from pain

A

Efferent

162
Q

This adverse reaction of opioid therapy never goes away

A

Constipation

163
Q

This drug given for moderate sedation along with Fentanyl that specifically causes amnesia

A

Midazolam

164
Q

Type of anesthesia that causes elimination of pain sensation in specific area only.

A

Local

165
Q

Drug used to treat acetaminophen overdoses

A

Acetylcysteine

166
Q

This hyperthermia may occur during or after general anesthesia is given and involves a very high temp. and muscle rigidity

A

Malignant

167
Q

Many drugs work to relieve pain by depressing this system

A

RAS (Reticular Activating System)

168
Q

Physical evidence of pain

A

tachycardia, sweating or pallor, high blood pressure

169
Q

Somatic pain is best addressed using these medications

A

NSAIDS

170
Q

Example of parenteral anesthesia injected into CNS

A

Epidural

171
Q

Medication added to local anesthesia to help confine anesthetics to injected area and reduce blood loss

A

Epinephrine

172
Q

This type of pain is in the bones

A

Somatic

173
Q

Opiate like chemical that makes us feel better

A

Endorphines

174
Q

This side effect of morphine is a reaction to histamine release , not allergy

A

Itching

175
Q

One of the many symptoms of withdrawal

A

Diarrhea

176
Q

Decreases pain tolerance

A

Fatigue and stress

177
Q

Naloxone (Narcan) should be administered for respirations less than this number caused by opioids

A

12

178
Q

Encourage increase of fluids, activity and this to help with constipation

A

fiber

179
Q

Type of dependance that is driven by continued craving for opioids for effects other than pain relief

A

Psychological

180
Q

This drug that can never be given to those addicted to opioids or those on chronic opioid therapy for chronic pain

A

Nalbuphine

181
Q

avoid this drug when on opioid therapy to avoid additive effects

A

alcohol

182
Q

This type of pain is in the organs

A

Visceral

183
Q

Neuropathic pain is best addressed when using these medications

A

Antidepressants + Anticonvulsants (aka Gabapentin)

184
Q

Depression of this system may lead to respiratory depression

A

CNS

185
Q

Pain in lost limb

A

Phantom

186
Q

Drug that reverses opioid overdoses

A

Naloxone

187
Q

Rotate this when switching transdermal patches

A

sites

188
Q

Cause of inflammation due to decreased oxygen

A

Ischemia

189
Q

Increases pain tolerance

A

Diversion, rest, medications

190
Q

The level of stimulation required for someone to perceive pain

A

Threshold

191
Q

Drugs that reduce or eliminate pain by depressing CNS and PNS

A

Anesthetics

192
Q

Allows us to determine site of damage after spinal cord injuries. Each spinal nerve conducts pain for specific part of body. Like a fuse box.

A

Dermatomes

193
Q

Part of brain responsible for our emotional response to pain

A

Thalmus

194
Q

Age group most sensitive to anesthetics

A

Elderly

195
Q

5th vital sign

A

Pain

196
Q

Acetaminophen causes damage to this organ if taken in high levels

A

Liver

197
Q

Visceral pain is best addressed using these medications

A

Opioids

198
Q

Type of pain causes by treatment and disease both

A

Cancer

199
Q

Opioid used for severe pain

A

Morphine

200
Q

This type of pain occurs in a location other than site of injury

A

Referred

201
Q

Acronym used for pain assessment

A

OLDCARTS

202
Q

This type of dependance are expected with long term opioid therapy

A

Physical

203
Q

Pain that persists more than 6 months

A

chronic

204
Q

Type of anesthesia which involves completely loss of consciousness

A

General

205
Q

Technique used to relieve pain using Gate Control Theory

A

Massage + Ice

206
Q

Somatic pain is best addressed using these medications

A

NSAIDS + Steroids

207
Q

Analgesia Recommendations for mild pain (3)

A

ASA
Acetaminophen (Tylenol)
NSAIDS

208
Q

Analgesia Recommendations for moderate pain (4)

A

Codine
Oxycodone
Percocet
Norco

209
Q

Analgesia recommendations for severe pain (6)

A
Morphine
Methadone
Merperidine (Demerol)
Oxycontin
Hydromorphine (Dilaudid)
Fentanyl Patches
210
Q

Medications that relieve pain without causing loss of consciousness

A

Analgesics

211
Q

Mechanism of Action for Opioids

A

Agonist and Partial Agonist

212
Q

Extended release forms of Opioid Therapy

A

Oxycontin

MS contin

213
Q

Adverse effects of Opioids (4)

A

CNS Depression (leads to respiratory depression, most serious side effect)
Nausea and Vomiting
Pupil constriction
Constipation

214
Q

Opioid physical tolerance

A

Physiological adaptation of the body to the presence of an opioid

215
Q

Opioid Partial Agonist

A

nalbuphine (Nubain)

216
Q

Opioid Antagonist

A

Naloxone (Narcan)

217
Q

Opioid withdrawal symptoms (12)

A
Anxiety
Irritability
Chills + hot flashes
joint pain
lacrimation
rhinorrhea
diaphoresis
nausea
vomiting
abdominal cramps
diarrhea
confusion
218
Q

Non-Opioid Analgesic Drugs

A
Acetaminophen (Tylenol
Tramadol hydrochloride (Ultram)
219
Q

non-opioid analgesic drug that does not have anti-inflammatory effects

A

Tylenol

220
Q

Maximum daily dose of Tylenol for elderly, those with liver disease, or heavy alcohol abusers

A

2000mg/day

221
Q

Acetaminophen should not be taken in the presence of

A

Drug allergy
Alcoholism
Liver Dysfunction

222
Q

Nonpharmacological methods used to treat pain

A
distraction
comfort measures
hot or cold packs
massage
music, pet, art, physical therapies
223
Q

opioid agonist’s (9)

A
Codeine
Oxycodone
Hydrocodone
Morphine
Dilaudid
Meperidine
Methadone
Oxycontin
Fentanyl
224
Q

Location and characteristics of pain are perceived here

A

cerebral cortex

225
Q

Location of stress response to pain

A

Hypothalmus

226
Q

Three main pain receptors

A

Mu, Kappa, Delta

227
Q

OLDCARTS

A
Onset
Location
Duration
Characteristics
Aggravates
Relieves
Timing
Severity
228
Q

Characteristics of Visceral pain

A

cramping, squeezing, pressure, dull and deep

229
Q

Characteristics of somatic pain

A

aching, throbbing, constant, dull

230
Q

characteristics of neuropathic pain

A

burning, knife-like, numbness or tingling, stick-like, radiating

231
Q

Type of pain caused by profound loss of blood flow to organ or tissue

A

Ischemic pain

232
Q

Symptoms of malignant hyperthermia

A

elevated body temp, tachypnea, tachycardia, muscle rigidity.

233
Q

How is malignant hyperthermia caused by general anesthesia treated?

A

Like a life threatening emergency
cardiorespiratory supportive care
Dantrolene

234
Q

Used for moderate sedation

A

Midazolam

235
Q

Characteristics of moderate sedation

A

anxiety and sensitivity to pain are reduced
induces amnesia
patient able to respond to verbal commands
patient able to maintain airway
rapid recovery

236
Q

Side effects of Lidocaine

A

slurred speech
muscle twitching
restlessness
seizures

237
Q

Viral Infections

A

HSV-1
HSV-2
HPV (genital warts)
Influenza

238
Q

Drug used to treat Herpes

A

acyclovir (Zovirax)

239
Q

Used to treat Influenza

A

Oseltamivir (Tamiflu)

240
Q

Antifungal used to treat Thrush

A

nystatin (Mycostatin)

241
Q

Two forms Nystatin comes in

A

oral solution or troche

242
Q

Antifungal Medications (7)

A
nystatin (Mycostatin)
Miconazole (Monistat)
Clotrimazole (Lotriman)
ketoconazole (Nizoral)
Fluconazole (Diflucan)
Amphotericin B
243
Q

Used to treat vaginal yeast infections

A

Fluconazole (Diflucan)

244
Q

Large doses of Fluconazole (Diflucan) can cause…?

A

Altered sexual hormone synthesis (irregular periods)

245
Q

used to treat systemic fungal infections

A

Amphotericin B

246
Q

Adverse effects of Amphotericin B

A
Neurotoxicity
Nephrotoxicity
Potassium Loss ( Heart damage)
Tachycardia
chills
faver
hypotension
headache
nausea
247
Q

Antiviral Meds

A

acyclovir (Zovirax)

oseltamivir (Tamiflu)