Dr. Arocena review questions
Quiz yourself by thinking what should be in
each of the black spaces below before clicking
on it to display the answer.
Help!
|
|
||||
|---|---|---|---|---|---|
| Incomplete cross tolerance is when drug A has the potential to still have more of an effect on a patient than drugB even after we gave the patient an equianalgesic dose. We account for this by doing what??? | Decreasing dose by 25%
🗑
|
||||
| Tingling or burning is _____ pain that is neuropathic. It is created by the ___ nervous system. | Non-nociceptive; sympathetic
🗑
|
||||
| Patient complains of impotence. What would you test first with him? | Testosterone
FSH
LH levels (not always drug)
🗑
|
||||
| What is the first thing you must do before starting a patient on Methadone?? | Check their QT interval/length by ordering an EKG
🗑
|
||||
| Why is there no maximum dose for most opioids? What is the exception to this and why? | Because tolerance will build up.
Exception..Percocet b/c APAP which has ceiling dose (4g QD)
🗑
|
||||
| What must be given to ALL opioid naive patients? | Stool softener!!!
🗑
|
||||
| When beginning a patient on opioids, what is one important thing to remember when choosing their opioid? | NEVER begin on a long acting opioid for opioid naive patients
🗑
|
||||
| When beginning a patient on opioids, what are some lab tests you should order? | Kidney function tests (eliminated here)
LFT (metabolized here)
EKG (inc. QT interval)
🗑
|
||||
| Patient who are allergic to ___ CAN NOT take morphine. | CODEINE
🗑
|
||||
| Why does morphine negatively effect patients with renal dysfunction? | Morphine's M6G metabolite could increase respiratory depression risk and M3G could cause neurotoxicity
🗑
|
||||
| Which medicine for NON-NOCICEPTIVE pain must be renally adjusted? | Gabapentin
🗑
|
||||
| Which drugs should never be used in patients with seizures?? | Tramadol
Nucentya
Demerol
Darvocet(propoxyphene)
🗑
|
||||
| Fentanyl comes as a patch which should be used in ___ patients, usually keep in post-op procedures. Add on to patients previous opioid with ___ given as well. Keep the patch on for __ at a time. Put it on ___ body area and rotate with each use | NON-Naive opioid patients
Old opioid dose given for 6-12hrs
72 hrs at a time
clean shaven, dry area
🗑
|
||||
| Patient X comes to you complaining that she can't use her fentanyl patch b/c she got a rash when she tried it for the first time. What will you tell her? | Probably not allergic to the medication, skin reaction to the adhesive and will decrease over repeated use
🗑
|
||||
| All NSAIDs can worsen ___, ___ and cause ___ | HTN, CHF, edema
🗑
|
||||
| NSAIDs __ local PG that promote vasodilation of renal blood vessels | inhibit
🗑
|
||||
| Direct toxicity to kidneys caused by NSAIDs, symptoms include: | hyperkalemia, HTN, inc. SCr adn BUN, peripheral edema, weight gain
🗑
|
||||
| Age __, volume depletion, diuretic use, cirrhosis, renal disease are cautioned in patients using NSAIDs | >65yo
🗑
|
||||
| Caution for GI toxicity with NSAID use in patients w/: | peptic ulcer, EtOH abuse and major organ dysfunction
🗑
|
||||
| To avoid GI toxicity with NSAIDs you can discontinue the medication, add ___ or ___, switch to COX-2 | PPI or antacids
🗑
|
||||
| Hematologic toxicity with NSAIDs is caused by ___ platelet aggregation | decreased
🗑
|
Review the information in the table. When you are ready to quiz yourself you can hide individual columns or the entire table. Then you can click on the empty cells to reveal the answer. Try to recall what will be displayed before clicking the empty cell.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
To hide a column, click on the column name.
To hide the entire table, click on the "Hide All" button.
You may also shuffle the rows of the table by clicking on the "Shuffle" button.
Or sort by any of the columns using the down arrow next to any column heading.
If you know all the data on any row, you can temporarily remove it by tapping the trash can to the right of the row.
Embed Code - If you would like this activity on your web page, copy the script below and paste it into your web page.
Normal Size Small Size show me how
Normal Size Small Size show me how
Created by:
csucop2014
Popular Science sets