PAPERWORK
HOW LONG DO YOU HAVE TO COMPLETE PAPERWORK AFTER SEEING A PATIENT?
24HRS-SOONER THE BETTER
What is the max time baclofen can stay in the pump before losing potency?
6months (180days)
What should you always have on hand to check placement of needle if you are having trouble during a refill?
saline (PFSS)
a local anesthetic that can be combined with opioids for enhanced pain relief
bupivacaine
Mardi Gras is French for "______".
Fat Tuesday
What is the 5th vital sign we need to assess and document at each patient visit?
oxygen saturation
What are the 3 types of Baclofen we use?
Lioresal, Gablofen, compounded Baclofen
What must you attach to your new drug syringe prior to injecting the medication into the pump?
filter
What is the black box warning with Prialt? (*hint* what must we assess every time we see these patients)
What city is famous for celebrating Mardi Gras?
New Orleans
For someone that has a PTC/PTM, what should you document on the daily dose line? max daily dose or daily dose
daily dose
BLACK BOX WARNING! The abrupt discontinuation of intrathecal baclofen. Can include high fever, altered mental status, rebound rigidity/spasticity, and can lead to death.
Will an intrathecal pump set off a metal detector?
yes
High doses of medication (specifically morphine and/or hydromorphone) may cause a ____ at the tip of catheter.
granuloma (be sure to assess your patients on high concentrations and/or rates closely)
What is the signature Mardi Gras desert?
king cake
A completed consent is part of the main paperwork that needs to be submitted within 24hrs?
TRUE/FALSE
TRUE
What 2 scales do we use to assess spasticity?
Ashworth/modified Ashworth scale and spasm scale
TRUE/FALSE
There is no issue with getting into a sauna and/or hot tub where temps may reach above 102 degrees.
FALSE
an alpha-2 adrenergic agonist that may improve pain control but has potential side effects such as lowering blood pressure; often added to opioids
clonidine
What was the first all-female New Orleans Mardi Gras krewe?
Krewe of Venus
How far in advance should we schedule a patient's upcoming refill (unless the patient has a frequent refill interval)?
1 week prior to alarm
A patient presents with flexed elbow, flexed wrist, and a clenched fist. This is a common flexor pattern with ______ extremity spasticity.
upper
If a patient is complaining of severe chronic headaches, especially with a new pump implant, what may we suspect?
CSF leak (these can also happen if there is a leak around catheter)
The ideal opioid for intrathecal use; FDA approved
morphine
What does the word carnival mean? Farewell to ____
meat