Pain
Name 2 opioids?
Hydromorphine (dilaudid)
morphine
methadone
oxycodone
fentanyl
Do you use objective or subjective information when documenting?
Objective. You want to paint a picture of what is happening to the patient for them to get the right care.
Name the 6 stages of grief according to Engel?
Shock and disbelief
Developing awareness
Restitution
Resolving the loss
Idealization
Outcome
Describe pharmacokinetics, pharmacodynamics, and pharmacotherapeutics?
Pharmacokinetics is what the body does to the drug
Pharmacodynamics is what the drug is made to do
Pharmacotherapeutics are drugs that treat disease and prevent disease
Describe half-life of a drug?
half-life is the time it takes for a drug in the body to decrease to one half the peak level
What is Pain
What information is confidential about a patient?
Name
DOB
Address
Phone number
SSN
What are some nursing interventions for a patient currently experiencing palliative and hospice care?
Any answer will do..
What are four ways pharmacodynamics work?
1. replace or act as a substance for missing chemicals
2. to increase or stimulate certain cellular activities
3. to depress or slow cellular activities
4. to interfere with the functioning of foreign cells.
Describe Absorption, Distribution, Metabolism, and Excretion.
Absorption- medication going from the location of administration to the bloodstream
Distribution- transportation of the medicines by bodily fluids to where it needs to go
Metabolism- The breakdown of the medication
Excretion- The removal of the unmetabolized medication from the body
what are the 6 sources of pain and describe each one?
1. cutaneous- pain that involves the skin or subcutaneous tissue
2. somatic- diffuse or scattered and originates in tendons, ligaments, bones, joints, blood vessels, nerves
3. visceral- pain that comes from the internal organs like the stomach, intestines, and heart
4. Referred pain is when you have an injury in one area of your body but feel pain elsewhere.
5. neuropathic- caused by a lesion or disease of the peripheral CNS. Injury to nerves, spinal cord, or brain
6. phantom- pain felt after losing a limb even though it is not there
What is content?
Content is the information provided by the patient to chart. Information entered current and factual events that reflect the nursing process.
What is a DNR (Do not resuscitate)?
To prevent the improper use of cardiopulmonary resuscitation, which is designed to prevent unexpected death, some health care providers write Do-not-resuscitate (DNR) order, or No Code, on the medical record of a patient if the patient or surrogate has expressed a wish that there be no attempts to resuscitate the patient. A DNR order means that no attempts are to be made to resuscitate a patient whose breathing or heart stops.
Where does metabolism and excretion take place in the body?
Metabolism liver
Excretion kidneys
What are the purpose of patient records?
Communication, diagnostic testing, care planning, quality process and performance improvement, research, education, legal and historical documenting
What are the 4 origins of pain?
Nociceptive
Neuropathic
Psychogenic
Intractable
What phrases should you avoid when documenting?
appears, normal, average, good, sufficient
What are some clinical signs of impending death?
•Difficult talking or swallowing
•Nausea, flatus, abdominal distention
•Urinary and bowel incontinence
•Loss of movement, sensation, and reflexes
•Decreasing body temperature
•Weak, slow, or irregular pulse
•Decreased blood pressure
•Noise, irregular, or Cheyne-Stokes respirations
•Restlessness and/or agitation
•Cooling, mottling, and cyanosis of the extremities
What is the difference between the generic name and the trade name of medication?
ex: Acetaminophen
Trade name- a name selected by the pharmaceutical company that made the drug
ex: Tylenol
e
According to the joint commison what abbreviations don't you use name 3?
U (unit)
IU (international unit)
QD (daily)
you can also name any 3 that comes to mind
What do you do in a pain assessment?
Ask the patient to rate pain 1-10
Ask the patient where is the pain located
Ask the patient what their tolerance level is
Ask the patient to describe pain
What is the format to giving a report to another nurse?
provider
to do, such as reassess the patient, order a lab/diagnostic test, prescribe/change medication, etc.provider
, repeat them to confirm accuracy. Be sure to document communication with theprovider
in the patient’s chart.What are the 7 types of loss?
Actual- To actually loss something or someone ex: loss of a beloved family or a treasured object
Perceived loss is when someone feels they’ve lost something valuable, even if it hasn’t physically disappeared.
Physical- to loss something physical like a body part
Psychological- Psychological loss refers to the emotional and mental impact of losing something significant, like a relationship or a sense of identity, which can lead to feelings of grief or emptiness.
Maturational- a loss of the natural developmental process
Ex: a first child may experience a loss of status when a sibling is born, and the parent of a single child may experience a sense of loss when the child begins school.
Situational- Situational loss occurs when a person experiences a loss due to a specific event or circumstance, such as a job loss, a natural disaster, or a sudden change in life circumstances.
Ex: like losing your house in a hurricane
Anticipatory- expecting the loss and grief of a loved one but it has not happened yet
What does adverse drug effect mean and name 3 adverse side effects.
You can also name any other adverse side effects that you can think of.
Adverse side effects are undesired effects from the medication
Ex: allergic reactions, drug tolerance, toxic effects
Name any 6 rights of medication administration? You can name any one it does not have to be in order
right patient
right dose
right time
right route
right medication
right reason