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Behavioral Health III > Lauer- Integrative symptom management > Flashcards

Lauer- Integrative symptom management Flashcards

1
Q

What are common symptoms seen at the end of life?

A 
Dementia and delerium
SOB
Swelling
Anxiety
N/V
Xerostomia (dry mouth)
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2
Q

What is dementia?

A

chronic loss of memory and other cognitive function

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3
Q

What is delerium?

A

acute confusion, agitation, altered mental status

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4
Q

What can be used to treat delerium/dementia?

A

environment-Consistency, lights, music therapy
touch- warm blankets/weights
approach- positive regard
EOs
Meds- eliminate polypharmacy, antipsychotics

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5
Q

What is SOB?

A

subjective feeling of being unable to catch breath

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6
Q

What helps SOB?

A

env- cool temps, fan, high ceilings

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7
Q

How do you support hypoxia?

A

oxygen

ventilation

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8
Q

How do you manage mucous?

A

hydration
saline nebs
guaifenesin

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9
Q

What meds can be used for SOB?

A

opiates–decrease resp rate–> decreased air hunger
treat anxiety
inhalers

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10
Q

What causes swelling?

A 
organ failure
malnutrition
physical obstruction
dependent edema
ascites
anasarca
lymphedema
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11
Q

What are the two types of anxiety?

A

primary–related to depression, GAD, phobias

secondary- end of life fears, adrenal tumors, acute air hunger, chronic dyspnea

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12
Q

How can you improve anxiety?

A

evn- outside, triggers, animals, music
Square breathing
Heart math
EOs

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13
Q

What meds can be used for anxiety?

A

SSRIS
benzos
tx underlying pain and sob

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14
Q

What should you be wary of if you give someone benzos?

A

the paradoxical reaction–> people get mean

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15
Q

What are syndromes that can cause N/V?

A 
constipation
bowel obstruction
gastroparesis
increased ICP
migraine
vertigo/motion sickness
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16
Q

What causes anticipatory nausea?

A

Familiar/unpleasant triggers (food, env, people)

17
Q

What can cause xerostomia?

A

illness- tumors/dehydration

tx- chemo, radiation, meds

18
Q

How to you tx xerostomia?

A 
stop offending treatment
good mouth care
lemon/sour foods
artificial saliva
glycerin swabs
pilocarpine

Behavioral Health III (7 decks)

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