9: Symptom Management Flashcards Preview

Simmons NURP 503 Exam 3 > 9: Symptom Management > Flashcards

Flashcards in 9: Symptom Management Deck (35):
1

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Can help with bowel movements. Correlation between constipation and nausea.

Anticholinergic

2

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Not usually used as single-modality approach. Very helpful for adjuvant therapy.

Dopamine 2 antagonist

3

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Specifically designed for chemotherapy-induced nausea and vomiting. May not work for disease-caused n/v or mass effect.

5-HT3 antagonist

4

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Zofran

5-HT3 antagonist

5

T/F Nausea is caused by the chemo treatment and not the cancer.

False. It can be caused by both. Bulky abdominal tumor pushing on stomach can cause nausea.

6

Pharm interventions for fatigue?

Psychostimulants (Ritalin, Adderall). May be necessary to educate patients about benefits, since used to treat ADD/ADHD. Helps with fatigue, appetite, concentration/focus (chemo brain).

7

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
N/V caused by liver capsule stretch.

Steroid or anti-inflammatory

8

Long or short acting opioid?
Oxycodone

Short

9

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Good for predosing before chemo.

Dopamine 2 antagonist

10

Sharp, knife-like pain is probably _____.

Neuropathic

11

Common symptoms during cancer treatment (3).

1. Pain
2. N/V
3. Fatigue

12

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Reduces inflammation caused by cancer.

Steroids

13

Long or short acting opioid?
Fentanyl patches

Long

14

Is a short or long acting opioid tried first?

Short. Typically start with 5 mg oxycodone q4h PRN.

15

Long or short acting opioid?
MSIR

Short

16

What lifestyle changes can help with n/v (4)?

1. Small, frequent meals.
2. Consider food odor/fat content (pancreatic patients have reduced enzymes to break down fat).
3. Cool, carbonated beverages.
4. Takes meds after meals (except for anti-emetics).

17

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Less sedating than Zofran.

Dopamine 2 antagonist

18

Deep, aching pain is probably _____.

Visceral

19

_____ is closely linked to depression: less one does, less one wants to do.

Fatigue

20

10 mg IV morphine is = _____ oxycodone and _____ hydromorphone.

Morphine = 10 mg
Oxycodone = N/A
Hydromorphone = 1.5 mg

21

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Helps patient stay ahead of nause. Can be used several days after chemo.

Dopamine 2 antagonist

22

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Reglan

Anticholinergic

23

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Ativan

Benzo

24

Nonpharm interventions for fatigue (4).

1. Cluster activities
2. Make a schedule
3. Take naps
4. Schedule walks

25

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Can help with gastric motility.

Anticholinergic

26

Long or short acting opioid?
OxyContin

Long (contin = continuous)

27

What short-acting dose indicates need for long-acting opioid?

If patient requires 4-6 doses of oxycodone/day, consider long-acting opioid.

28

Long or short acting opioid?
Methadone

Long

29

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Can help with n/v from metastatic brain disease or brain cancer.

Steroids

30

30 mg PO morphine is = _____ oxycodone and _____ hydromorphone.

Morphine = 30 mg
Oxycodone = 20 mg
Hydromorphone = 7.5 mg

31

Name n/v etiologies (6).

V = Vestibular
O = Obstruction
M = Motility/Metabolic/Mass
I = Inflammation/Infection
T = Toxins (drugs/chemo)
S = Stretch (liver, kidney capsule)

32

Which anti-emetic: Steroid, anti-inflammatory, 5-HT3 antagonist, Dopamine 2 antagonist, benzo, anticholinergic?
Compazine

Dopamine 2 antagonist

33

Long or short acting opioid?
Hydromorphone (Dilaudid)

Short

34

Long or short acting opioid?
MS Contin

Long (contin = continuous)

35

Why is a pain diary helpful?

Helps dose long-acting opioids if needed.