*NURSING > EXAM > RNSG 1301 Raising the Bar for Success_ Comfort _ First Semester 2020 – El Centro College | RNSG130 (All)
RNSG 1301 Raising the Bar for Success_ Comfort _ First Semester 2020 – El Centro College | RNSG1301 Raising the Bar for Success_ Comfort _2020 Comfort – What is the definition of comfort? - - ... - - - - - -What are some downsides to complementary and alternative therapies? Not standardized or regulated which can mean inconsistencies in practice Client must pay out of pocket for 3rd party providers - What is an Allopathic Medical Provider? -How can both non-pharmacologic and pharmacologic strategies be used together to manage a patient’s pain? - - - - - - - - - -at is the gate theory in regards to pain? Explains that pain stimuli carried by small-diameter nerves can be blocked by inhibiting the signals carried by large-diameter nerve fibers Small fibers conduct pain stimuli to brain Large fibers inhibit transmission of pain from spinal cord to brain which limits amount of sensory info. that the nervous system can process - What are the common pharmacologic strategies available for pain relief? Oral meds, IV meds, epidural analgesics, PCA, local anesthesia Opioids and Nonopioid Analgesics - How can a nurse prioritize many patients who are in need of pain medication? - - - - - - - - - -- - - What is considered a controlled substance and how should it be wasted? drugs with abuse potential: Narcotics, depressants, stimulants, and hallucinogens Ex: morphine, codeine, oxycodone, meperidine, hydromorphone, methadone - What medications are used for mild to moderate pain? NSAIDs (acetaminophen) - What medications are used for severe pain? opioids - What nursing actions are involved for a patient with post-op pain? Acute pain, follow analgesic schedule, CAT if pt. desires, opioids - What should the nurse teach the patient about pain management? Deep breathing, coughing, meds instructions, coping, nutrition, mobility - What is a herniated nucleus pulposus (HNP)? AKA degenerative disk disease due to normal aging and degeneration of bone Intervertebral disks lose elasticity, flexibility, and shock-absorbing abilities - What treatment is available for a patient with HNP, how is pain managed? - - - - - - - - - - - Tricyclic Antidepressants (TCAs): desipramine (Norpramin), nortriptyline (Aventyl, Pamelor) Serotonin and norepinephrine reuptake inhibitors (SNRIs): duloxetine (Cymbalta) and venlafaxine (Effexor) [Show More]
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