OUCH!!!
I...Can't... Breathe!
The Largest Organ
Open Up!...
What Goes In Must Come Out
100
It takes13-24 hours to become effective, although the peak effectiveness is usually reached between 20-72 hours. It continues to provide relief for 13-24 hours after it is removed.
How long does it take for a Duragesic patch to become effective for pain management, and how long will Duragesic continue to provide pain relief after it is removed?
100
No, sometimes a reading of 88% is perfect for a specific patient.
Do oxygen saturations always need to be above 90%?
100
On the outside- your skin.
Where is the largest organ of the human body located?
100
Food and Fluids
What can cause a burden to the body in the final stages of life?
100
At least every 3 days.
What is a common bowel pattern?
200
This medication should be used with caution in elderly, cachectic, or debilitated patients as they may absorb the drug differently due to poor fat stores, muscle wasting, or changes in metabolism. The application site should be rotated with each application. Use extreme caution with this medication if skin temperature is higer or lower than normal.
Duragesic patch. (Fentanyl)
200
No. It is not needed for comfort in many situations.
Should oxygen be applied to all patients who are actively dying?
200
This layer is a very fine, slightly acidic film on the surface of the skin made up of sweat and sebum that acts as a barrier to bacteria, viruses and other potential contaminants that might penetrate the skin. The normal skin pH is between 4 to 5.5, so it is acidic.
What is the acid mantle of the skin?
200
3.5 to 5 g/dL. Hospice looks at levels below 2.5 g/dL as an indicator of terminal illness.
What is a normal albumin level? (Protein in the blood that carries lots of different necessary molecules.)
200
3 times a day or twice a week.
What are some normal bowel patterns of healthy people?
300
Lortab, Morphine, Metamucil, Oxycodone, Scopalomine, Atropine, Ibuprofen, inactivity, poor intake of food and fluids, IBS, cheese.
What can cause constipation?
300
Anxiety.
What is a common problem associated with shortness of breath?
300
Moisture- sweat, urine, feces Traction- skin pulled taught from bed sheets Friction- from being pulled for repositioning or sliding Pressure- usually over boney prominances; cuts off blood supply and leads to tissue death Nutrition- poor intake depletes the body's defense systems
What are some causes of pressure ulcers?
300
Tablets, Suppositories and pessaries, Sublingual, Transdermal, Inhalants and nasal sprays, Eye drops, ear drops, Intravenous (IV), Intrathecal (epidural), Intramuscular(IM), Subcutaneous (SC)
What are some different ways that medications can be administered into the body?
300
Every time a person is put on these types of medications, a bowel regime should be initiated.
What are opioids. (Pain medications, including patches)
400
Wherever and whenever a patient says it does.
Where and when does pain occur?
400
Ears, chin, neck, nose
What are some common places people get pressure sores from oxygen tubing?
400
15 minutes.
How long do healthy people usually sit still before they reposition themselves?
400
Defined as a state of “general ill health and malnutrition, marked by weakness and emaciation," this type of weight loss involves not only loss of fat and muscle, but also of bone mass. Additionally, it doesn’t respond to nutritional supplementation or increased consumption of food.
What is cachexia?
400
Reglan, Compazine, Phenergan, Zofran, Benadryl, Haldol, Ativan, Xanax
What are some drugs that treat nausea?
500
Yes, as long as the PRN order reads "May give irrespective of routine medication dose."
Can a PRN medication be given at the same time as a routine medication?
500
Morphine
What is the gold standard for treatment of shortness of breath?
500
Development of pressure ulcers has been associated with a 4.5-times greater risk of death than that for persons with the risk factors but without pressure ulcers.
Do people who get pressure ulcers die sooner than those who do not?
500
This type of weight loss is defined as the “lack or loss of appetite, resulting in the inability to eat.” It is not a mental illness. It can occur with nearly all forms of life-limiting illnesses but is most common in advanced cancers. It results in weight loss that is primarily of fat but can include loss of muscle. If caught early on, it may be treated and weight loss reversed with nutritional supplements or increased consumption of food.
What is anorexia? (NOT anorexia nervosa, the mental illness)
500
It has been tested as a "truth serum" by the military.
What is scopolamine?
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