Louise Chen Flashcards
(26 cards)
what is back pain
structural problems of the spine when the vertebral discs thin or becomes inflamed, putting pressure on a nerve this can be a result of a strain, trauma, or injury like motor vehicle accident
what are the s/s of back pain
- pain (sharp, radiating, throbbing)
- stiffness
- loss of ADL’s
- postural changes
what are the risk factors for back pain
- age
- lack of exercise weakens the muscles
- conditions like arthritis, osteoporosis
- trauma or injury to the spinal cord
what are the nursing considerations for back pain
- pain assessments
- heat packs or warm blankets
- pain medications
what is schizophrenia
chronic mental health disorder that affects persons thinking, behavior, and emotions. creates a altered perception of reality like hallucinations, delusions, and disoriented thinking
what are s/s of schizophrenia
- disorganized thinking or speech
- hallucinations
- abnormal behavior
what are some risk factors for schizophrenia
- genetics
- too many street drugs can alter the mind
- pregnancy complications like infections or viruses as a fetus
- altered brain chemistry low dopamine and grey matter that controls thinking, movement, and emotions
what are some nursing considerations for schizophrenia
- administer medications as prescribed
- keep calm environment avoid stimulants
- practice empathy in therapeutic communication “I understand that may be hard for you”
what is the trade name for morphine
duramorph
what is the drug class for morphine
opioid analgesic (has addictive affects)
what is the route for duramorph “I Inject Smart People Precisely In Real”
- IV
- IM
- SUB-Q
- PO
- PO ER
- IT
- RECTAL
what is the action for duramorph
binds to opioid receptors in the brain and spinal cord and stop pain from traveling thru the spinal cord to the brain reducing the brains perception of pain
what is the TO of morphine
lowers pain
what are the indications and uses for duramorph
moderate to severe pain
what are the adverse effects for duramorph
- sedation -> CNS depressant
- constipation
- respiratory depression
- bradycardia (bc everything slows down)
- tachycardia (to compensate for everything slowing down)
slows everything down
what are the nursing interventions for morphine
- pain assessment
- ax respirations if below 12 breaths per minute hold medication
- ax for constipation and increase fluid and fiber
- ax for CNS changes like hallucinations, confusion, and dizziness
list some patient teachings for morphine
- report signs of CNS changes
- report signs of rep depression like slow or shallow breathing
- increase fluid and fiber diet
what is the trade name for haloperidol
haldol
what is the drug class for haldol
antipsychotic (reduces hallucinations and disoriented thinking)
what is the route for haldol
- PO
- IM
- IV
what is the action for haldol
blocks extra dopamine in the brain reducing hallucinations, and overactive brain, but it also blocks alpha 1 which reduces “fight or flight” causing low BP
what are the use and indications for haldol
- psychotic disorders (schizophrenia)
- verbal and behavioral tics
- used in emergency situations to calm someone down
what are the adverse affects for haldol
- orthostatic hypotension (haldol lowers BP)
- dry mouth
- liver inflammation (bc of too much medication causing toxicity)
- EPS (less dopamine in the body causes movement issues, tremors, spasms, rigidness)
what is the TO for haldol
reduces s/s of psychosis and tourette’s in children
