Baclofen therapy
A patient may be a candidate for ITB therapy if he/she experiences severe spasticity of cerebral or spinal origin and is refractory to oral baclofen or experiences intolerable CNS side effects. (true/false)
TRUE
What typically holds a place at the top of the Christmas tree?
star/angel
Managing chronic pain with an intrathecal pump is often referred to as TDD. What does this acronym stand for?
Targeted Drug Delivery
What should you do under the mistletoe?
kiss
What should Medtronic critical and noncritical alarms be set at? (time frame)
critical 10min
noncritical 1 hour
A motor disorder characterized by a velocity dependent increase in muscle tone, and is a part of the upper motor neuron syndrome.
spasticity
How do you say "Merry Christmas" in Spanish?
Feliz Navidad
Targeted drug delivery can help eliminate systemic opioid use? (True or False)
Bing Crosby is dreaming of what kind of Christmas?
White
Needs to be noted and compared to actual reservoir volume during refill process
expected reservoir volume
What are the 2 brand names of baclofen that we most often use?
Lioresal and Gablofen
What 2 words follow Silent Night in the song?
Holy night
Conducting a thorough cognitive, psychiatric, and neurological assessment (i.e. hallucinations or changes in mood) is especially important with this intrathecal medication
What is the 4 week period prior to Christmas known as?
Advent
In addition to the implanted pump, the pump infusion system uses a ___ to deliver programmed amounts of medication directly to the intrathecal space and CSF.
catheter
Drug stability of baclofen (max refill interval)
6 months /about 180 days
Name the famous Christmas ballet
The Nutcracker
With intrathecal TDD, the pain medication bypasses the ___by directly being delivered into the CSF.
blood brain barrier
What is Frosty the Snowman's nose made of?
a button
The improper injection into the subcutaneous tissue, which includes the pump pocket. This situation can lead to life threatening symptoms, serious patient injury, or death due to over dose, under dose, or withdrawal.
pocket fill
What is to be expected if a patient receiving ITB therapy presents with high fever, altered mental status, exaggerated rebound spasticity, and muscle rigidity?
baclofen withdrawal (itchy, bitchy, twitchy)
What beverage company has been using Santa Claus in its advertising since 1931?
Coca-Cola
Since the pain medication is NOT distributed throughout the bloodstream, a ___ (lower or higher) amount of medication is needed to achieve analgesia.
lower
The Grinch steals Christmas from what town?
Whoville
What must you always check prior to refilling/adjusting your patients intrathecal pump?
PHYSICIAN ORDER