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Sensory Regulation and Pain

Allows only fat-soluble medications to pass into the brain and cerebral spinal fluid? Blood Brain Barrier
Has a non-selective barrier to medications, fat-soluble and non-fat soluble agents often cross. Placental membrane
Medications bound to what protein cannot exert pharmalogical activity? Albumin
Coated tablet that does not dissolve in stomach; coatings dissolve in intestine, where medication is absorbed. Enteric-coated tablet
Where do most bio-transformations occur? The Liver
Medication excretion occurs through which systems? Kidneys, Liver, bowels, lungs, and exocrine glands.
Exocrine glands excrete what type of medication? Lipid Soluble Meds.
What is the main organ for med excretion? The Kidneys
The expected or predicatable physiological or predictable physiological response a medication causes? Therapeutic Effect
Are predictable and often unavoidable secondary effects produced at a usual therapeutic dose. Side Effects
Unintended, undesireable and often unpredictable severe responses to medication. Adverese Effects
Develop after prolonged intake of a med or when a med accumulates in the blood because of impaired metabolism or excretion. Toxic Effects
Is when a client overreacts or underreacts to a medication or has a reation different from normal. Idiosyncratic reaction
What kind of meds have the highest rates of allergic reactions? Anti-biotics
The combined effect of 2 meds is greater than the effect of the meds when given seperatly. Synergistic Effect
When administered Meds go through what 4 changes? Absorption, Distribution, Metabolism, and Excretion
What is the goal of administering meds? To maintain a constant blood level within a sage therapuetic range ((Peak and trough).
When is the tough level drawn? 30 min before administration
When should successive pain meds be given? When previous dose reaches half life.
What is the most accurate method of calculating pediatric doses? Body Surface Area
This happens when the client takes 2 or more medication to treat the same illness? Polypharmacy
The easiest and most desireable way to administer medication? By mouth (oral)
How long do tansdermal patches stay on for? 12hrs to 7 days
An unpleasant sensory and emotional experience associated with actual or potential tissue damage? Pain
Receptors that respond to harmful stimuli? Nociceptors
What is the leading cause of dissability? Pain
Opthalmic medication is administered where? Eyes
This type of medication resembles a contact lens and is used for glaucoma? Intra-ocular medication
How much medication can you administer in a IM Deltoid injection at one time? 0.5 to 1ml Max
Failure to instill ear drops or irrigating fluid at room temperature can cause what? Vertigo, dizziness, or nausea
When administering eye drops that cause systemic effect, what do you want to do? Occlude the Naso-lacrimal duct for 30-60 sec.
If a patient is receiving more than one med to the same eye at the same time, how long do you wait in between administrations? 5 min
When the patient first feels pain? Threshold
When the patient first verbalized pain? Tolerance
What should the nurse asses for when educating the use of a MDI? Hand strength (10-15 lbs of pressure)
What is the recommended way to check if an MDI or DPI needs replacement? Divide total puffs by puffs per/day used by patient.
When should medications be refilled? 7-10 days before running out.
For vaginal med administration what position do you want your patient to be in? Dorsal recumbent position
For rectal suppositories what position do you want your patient to be in? Sim's position
What should you tell your patient post rectal suppository insertion? Remain flat or on side for at least 5min
Which do you not shake MDI or DPI? DPI
Is made of glass with a constricted neck that musk be snapped off? Ampule
What is an important consideration when administering medication from an ampule? Always use filtered needle
Is a single dose or multi dose container with a rubber seal at the top? Vial
Involve placing medication into loose connective tissue under the dermis? Sub-Q
Proper size safety syringe and needle for Sub-Q? (1-3ml)(27 to 25g)(3/8 to 5/8 inch)
Proper size safety syringe and needle for Sub-Q U100? (0.3,0.5, or 1ml)(31 to 28g)(5/16 to 1/2)
Proper size safety syringe and needle for IM? (3ml MAX)(23 to 26g)(1/2 to 1inch)
What is the preferred site for IM injections? Ventrogluteal
Do you aspirate when performing a Sub-Q injection? No
Another name for hard, dens, raised area? Induration
Are the bodes natural supply of morphine like substances activated by stress and pain? Neuromodulators
What are four physiological processes of nociceptive pain? Transduction, transmission, perception and modulation.
These types of nerve fibers send sharp, localized, and distinct sensations? Type A-fibers
These type of nerve fibers send poorly localized, burning, and persistent pain? C-Fibers
The point at which a person is aware of the pain? Perception
Identifies the location and intensity of pain? Somatosensory cortex
Determines how we feel about the pain? Limbic system
The inhibition of pain impulse? Modulation
Pain that comes from bone, joint, muscle, skin or connective tissue. Aching, throbbing and is well localized? Somatic Pain
Pain that arises from the GI tract or pancreas? Visceral Pain
Pain that is a abnormal processing of sensory input by the peripheral or central nervous system; treatment is usually adjuvant analgesics? Neuropathic Pain
Is chronic pain in the absence of an identifiable physical or psychosocial cause or pain perceived as excessive for the extent of an organic pathological condition? Idiopathic Pain
Is 100 times more potent than morphine, and is available at predetermined doses that provides analgesia for 48-72hrs? Transdermal Fentanyl
Theory that suggest that pain impulses pass through when a gate is open and are blocked when a gate is closed? Gate-Control Theory.
Created by: BOjangles1006