Nausea/Vomiting
A D2 antagonist commonly used for nausea/vomiting and agitation
What is haldol?
~ 3-4 hours
I in spikes protocol stands for this
what is invitation
Changes in skin that are seen in the lower extremities while a patient is transitioning
Mottling
The receptors located in the chemoreceptor trigger zone
What are D2, 5HT3, neurokinin receptors?
describe why morphine should not be used in renal failure
buildup of metabolite M3G leading to adverse effect including OIN
N in nurse statement mnemonic stands for this
Naming - name the emotion
name one factor that can affect rate of delivery through a fentanyl patch
temperature
cachexia
Major side effect of 5Ht3 antagonists (other than QT prolongation)
what is constipation
syndrome characterized by disorientation / altered mental status, myoclonus, progressing to seizures
what is opioid induced neurotoxicity
Give an example of a NURSE statement
various
name two factors that you would think of prior to starting a patient on a PCA (patient controlled analgesia)
can patient's cognition allow for them to understand and follow directions?
Do they have comorbid conditions that would increase the risk of respiratory depression? ie COPD, OSA
The one type of nausea/vomiting that you use benzodiazepines for
What is anticipatory nausea/vomiting
pain that recurs prior to the next scheduled dose of analgesic is treated by this
increasing the dose of analgesic
Describe the Ask - Tell - Ask method
Used to give information, one step at a time, while garnering the invitation first. Also checks for understanding.
signs of symptoms of opioid withdrawl
irritability/confusion
piloerection/yawning/abdominal pain/cramping/rhinorrhea
Name the class of three therapeutic agents we use for highly emetogenic chemotherapy.
What are 5HT3 antagonist, NK1 receptor antagonist, and steroids?
pain cause by sneezing, coughing, gas
what is incidental non volitional pain
name and describe the steps of the SPIKES protocol
Setting
Perception
Invitation
Knowledge
Exploration
Summary
chemoreceptor trigger zone is located here
floor of the fourth ventricle, outside the blood brain barrier