Exam 2
What are the properties of NSAIDS?
Inflammation, anti-pyretic, pain relief, preventing blood clots
What is the most commonly used NSAID?
Ibuprofen
Common symptoms of oncologic process:
Fatigue, weakness, pallor, change in bowels, wt loss, fever of unknown origin
Burn shock sxs:
Fluid shift (fluid moves to interstitial space which causes blood to be thick, also pale face, cold or clammy skin, rapid pulse, fast and shallow breathing, yawning, unconsciousness
Layers of the skin:
Epidermis and dermins
What dose of ASA is used for platelet inhibition?
81 mg
What NSAID is preferred with a patient who takes an ACE Inhibitor
Naproxen (Ibuprofen interacts with NSAIDS)...
Interventions for patients receiving chemo to prevent N&V
Give meds 30-60 mins prior, limit smells, small meals, pressure point therapy, remaining sitting or standing one hour after eating if possible, avoid foods that have triggered nausea in the past, avoid fatty, spicy foods
BSA Rule of 9's
Head/neck 9% Posterior thorax 9%
Each arm 9% Each leg 18%
Anterior thorax 18% Perineum 1%
Functions of the skin:
Regulate temp, protection/barrier, vitamin d synthesis, site for drug absorbtion, prevents loss of moisture, reduces harmful effects of UV radiation. secretion, sensitivity
Why would you NOT use ASA?
Currently taking blood thinners, vitamin K deficiency, peptic ulcer disease
What is a dermatologic complication of Allopurinol?
Stevens Johnson Syndrome (toxic epidermal necrolysis/severe skin reaction most often triggered by particular medications.
Oral chemo that you CAN"T give unless chemo certified?
6NP (Mercaptopurine/slows cancer growth), 5FU (Fluorouracil/rough raised areas of heavily sun exposed skin)
What percent of BSA is considered a major burn?
20%
What goes hand in hand with asthma, hay fever and food allergies
Eczema/can be genetic
What labs do you obtain for inflammation?
WBC, Neuts, CRP, ESR
What labs are increased with Gout?
Uric Acid
What is the black box warning mean?
There's an increased risk of MI or Stroke
Tx for burn shock:
Fluid replacement/hydration, infection prevention, temperature regulation
Common causes of acne:
Genetics, hormones, *stress, bacteria, excess oil production, inflammation, clogged hair follicles
What do you monitor for a patient taking NSAIDS?
Liver and Renal functions
Neutrapenic precautions:
Positive pressure room, PPE, no fresh flowers/fruits/veggies, private room, limit visitors, no large crowds. wear mask in public
Oncologic emergencies include...
Fever and Tumor Lysis Syndrome (causes high K, high phosphate, low Calcium and high uric acid)
Tx for 2nd degree burns?
Silver sulfadiazine (wash hands, clean and debride before application/apply sterile, don't use on infants <2mo)
Benzole peroxide education:
Do not overuse/double dose (may cause redness and peeling)