NURS 180 QUIZ 3 >> COMPLETE SOLUTION | LATEST | 2024
Pain - unpleasant sensory and emotional experience associated with actual or potential tissue damage
-pain management is regarded as such a significant component of nursing care that it is the 5th vital sign
Endorphins - "mor...
Pain - unpleasant sensory and emotional experience associated with actual or potential
tissue damage
-pain management is regarded as such a significant component of nursing care that it is
the 5th vital sign
Endorphins - "morphine within"--natural, opiatelike neurotransmitters linked to pain
control and to pleasure.
Pain threshold - the point at which a person feels pain
pain tolerance - the amount of pain a patient can endure without its interfering with
normal function
analgesic - drug that relieves pain
Signs of inflammation - -edema
-erythema
-heat
Anesthetics - substances doctors use to stop a person from feeling pain during an
operation, either in the whole body when unconscious or in a part of the body when
awake.
general anesthesia - the blockage of all body sensations, causing un-consciousness
and loss of reflexes.
-Hypnotic and Benzodiazepines (reduce anxiety)
-neuromuscular blockers
-assess for gag reflex before eating or drinking after being under general anesthesia
local anesthesia - causes the loss of sensation in a limited area by injecting an
anesthetic solution near that area
-remain conscious
-creams, sprays, and suppositories
-rubbed before injection
-most local anesthetics are divided into two groups, the esters and the amides,
according to their basic structures
, Indications: Alternative to Amiodarone in cardiac arrest from V-fib pulseless V-tach
Contraindications: Hypersensitivity , 2nd and 3rd degree AV blocks
Dosage: Adult Cardiac Arrest (Initial dose 1-1.5 mg/kg IV/IO repeat dose .5-.75 mg/kg
repeated in 5-10 mins w/ a max dose of 3mg/kg) Pedicatric Dose ( IV/IO dose: 1mg/kg
rapid IV/IO push Max dose 100mg )
Special Consideratons: Pregnancy Safety Category B
Extra Notes:
-apply thin layer
-wear gloves
-no contact with eyes
Dental:
-bite down on cotton ball
-no bite or chew in mouth no sensation
-numb for several hours
-no pain should be felt
Can be given: IV, IM, or SubQ
nerve block anesthesia - an injection made into a nerve to block the conduction of
impulses between the nerve and the CNS
-injected into CSF
-Pheripheral nerve block: requires less narcotic medication
epidural block - the injection of anesthesia into the spinal cord or dura mater
spinal anesthesia - regional anesthesia produced by injecting medication into the
subarachnoid space
-requires local anesthesia
-injected below the first lumbar space in adults and the third lumbar space in children
-have pt lay flat 6-8 hrs
Vitamin B6 (pyridoxine) - Helps build body tissue and aids in metabolism of protein
-reduce the intensity and duration of leg muscle cramping
What kind of anesthesia for a balanced anesthesia ? - inhaled anesthetic
muscle spasm - involuntary muscle contraction: various causes
-injury of motor neuron disorder associated with conditions such as MS, MG, cerebral
palsy, spinal cord injuries, or hemiplegia
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