Pharmacy Plus
Opioid + NSAID + muscle relaxer
What is multimodal pain management?
In a hip fracture, someone with poor pedal pulses
What is impaired perfusion?
Be approachable, provide privacy, treat patient as a fully developed individual, respect gender differences
What are adolescent communication techniques?
Your ortho patient is still hurting and about to have physical therapy
What is premedicate them?
Opioids (name at least four)
What are tramadol, codeine, hydrocodone, morphine, oxycodone, hydromorphone, and fentanyl?
Your patient is on a PCA and scores a 4 on the POSS
What is naloxone?
Joint pain and stiffness, Heberden and Bouchard nodes, limited activity
What is osteoarthritis?
Older adult teaching techniques (3 of 6)
What are use active listening skills, slow down as necessary, speak clearly in a normal tone of voice, avoid interrupting patient, provide simple handouts with large print, and provide frequent pauses for questions?
Best side to get out of bed after a hip replacement
What is the unaffected side?
Caution for patient taking glucosamine
What is a shellfish allergy?
"Ad"-jective for cyclobenzaprine, baclofen, and other non-traditional "pain" medications
What is adjuvant?
Thinning, drier skin, hair loss and color change, declines in mobility, sensory acuity, cardiac output, and neural blood flow
What are signs of normal aging?
Therapeutic communication with a preschooler (3 of 5)
What are get on their level, embrace magical thinking, ask simple questions, engage with their egocentrism, and avoid blaming?
Patient in a prone position has O2 sats of 78% and is complaining of shortness of breath
What is sit them up (high Fowler's)!
Standard dose for acetaminophen
What is 650mg?
The best "medicine" for osteoporosis
What is calcium?
Loss of height, hx of fractures, kyphosis, acute back pain
What is osteoporosis?
Grating sound in the joints, or what trapped air sounds like
What is crepitus?
Your patient says that their pain is out of control; there is an available PRN medication
What is perform a complete pain assessment?
Worst side effect of NSAIDs (besides allergic reaction)
What is gastrointestinal bleeding?
Topical pain relief than can burn your fingertips
What is capsaicin?
The 15-month old is able to walk, hold a sippy cup, build a block tower, say 8 words, and feed themselves with a spoon
What is normal development?
Pain in the soft tissues, like skin and muscles
What is somatic?
Your 6-hours post-op right hip replacement patient says that they can't really feel their right foot
What is perform a neurovascular assessment?
Opioids might help with pain, but they don't help with this - they make it worse
What is constipation?