Community Test 4 Flashcards

Question

PQRST

Answer 1

Provocation Quality/Quantity Region/Radiation Severity scale Timing

Answer 2

dull, aching and may or may not radiate Medication management: NSAIDS- dependent on severity of pain may be used in combination with opioids

Answer 3

shooting, stabbing, burning and often radiates Medication Management: Anticonvulsants: gabapentin Antidepressants: Elavil, Cymbalta Narcotic: Methadone

Answer 4

tenderness, dull or deep aching, edema, exacerbates with movement Medication management: NSAIDS Oral steroids When severe opioids

Answer 5

WHO identified morphine as the gold standard for treating moderate to severe pain IR- can be swallowed or given SL/Buccal/liquid/tablet ER- can be swallowed, suppository/liquid/tablet *Be aware of ER VS IR

Answer 6

*used in patents with morphine allergy or who have renal impairment and a life expectancy of > 7 days *non-preferred due to cost, limitation of route and tendency to be diverted

Answer 7

*Non-preferred -fat loving medication, as patients experience wasting, the absorption is impaired -fever triggers increased absorption -difficult to titrate -when removed remains in SQ tissue 24-48 hours -expense -diverted

Answer 8

-used in clients with a morphine allergy or when other forms of pain control have failed

Answer 9

multiple routes of administration, especially effective with neuropathic and long standing severe pain, safe alternative for elderly, can be used with renal and liver impairment, less euphoria, lasts longer, cost effective *smoking impacts absorption

Answer 10

-cumulative sedation effect until day 5 -dosing coordinated with pharmacist -start with lowest dose -expect patient to need more breakthrough meds during days 1-3 **Plan daily methadone re-assessments every 5 days

Answer 11

-non familiar dosing -variability among patients -cumulative sedation effects -close monitoring especially first week -prolonged QT interval -wide variety of drug interactions -stigma

Answer 12

-patients need to be on a regimen as opioids are made part of the plan of care -assess previous bowel patterns, diet choices and mobility -everyone on an opioid should be on a stool softener or a laxative *impactions lead to uncontrolled pain difficult to relieve without NGT, IVF, increased medication burden and often hospitilization

Answer 13

-only impacts one receptor -works well with chemo

Answer 14

-impact multiple receptors -good choice when there is no apparent cause

Answer 15

only impacts one receptor opioid induces nausea

Answer 16

impacts two receptors movement induced nausea

Answer 17

anxiety based nausea, works will in combo with morphine, used in treating SOB

Answer 18

ativan and opioids

Answer 19

It becomes very difficult for patients in weakened conditions to effectively draw the medication in when inhaling; lost effectiveness of treatment (needs lung compliance)

Answer 20

-Elevate the HOB, turn q2h to allow for gravity -MEDS: guaifenesin, mucinex, or nebulized saline

Answer 21

when a client is unable to swallow their saliva and it collects in the back of the throat

Answer 22

Thick phlegm originating in the respiratory tract that can lead to pulmonary infections

Answer 23

Atropine 1% eye gtts SL PRECAUTION: can cause delirium *Family education is important

Answer 24

Haldol is first line Risperadone Thorazine non-pharm: speak softly, approach in visual line of site, soft touch, identify yourself, dont ask the patient to recognize you

Answer 25

*If coughing after swallowing: allow rest, swallow reflex may be sluggish, offer sips and ice chips *Respirations will slow and be interspersed with deep breaths or extended signs that sound like a moan as air passes over the vocal cords *In the end dehydration no longer makes the patient feel uncomfortable but a moist mouth and use of a cool damp cloth on the forehead is often comforting

Answer 26

Basic science that studies health effects with chemical exposures

Answer 27

Science that helps us understand the strength of the association between exposures and health effects in human populations

Answer 28

mitigation and response

Answer 29

*Everything is connected to everything else *Everything has to go somewhere *The solution to pollution is dilution *Today's solution may be tomorrow's problem

Answer 30

Is the chemical associated with negative health effects? Has the chemical been released into the environment via air, water, soil, or food? How much of the chemical might enter the body and by which route?

Answer 31

"I PREPARE" Windshield survey Environmental databases Environmental health assessment form Inquire/observe about unintended environmental exposures

Answer 32

If there are toxins in the environment the community has the right to know If the contents contain an immediate risk the community must be notified

Answer 33

Safe handling specifications EX: specifications on the back of purple top wipes

Answer 34

The right information: accurate, relevant, clear and concise The right people At the right time

Answer 35

EPA FDA Department of Agriculture

Answer 36

equal protection from environmental hazards, groups or communities regardless of race, ethnicity, or economic status

Answer 37

certain environmental health risks disproportionately affect poor people and people of color

Answer 38

assessment, referral, community involvement and public participation, risk communication, epidemiologic investigations and policy development

Answer 39

a collaborative process of assessment, planning, facilitation, care coordination, evaluation, and advocacy for options and services to meet client needs

Answer 40

1. To promote quality services provided to clients 2. To reduce institutional care while maintaining quality processes and satisfactory outcomes 3. To manage resources use through protocols, evidence based decision making, guideline use, and disease management programs 4. To control expenses by managing care processes and outcomes

Answer 41

Right care Right Time Right Provider Right Setting Right Price/Value Right Outcome

Answer 42

Survey the nation's health status and health needs Coordinate activities that cross state lines Support health services research Provide public health services Set practices and standards Provide expertise that facilitates evidence based practices

Answer 43

-distribute federal and state funds -provide oversight and consultation for the local public health agencies

Answer 44

provide health services based on the needs of the communtiy

Answer 45

a human caused or natural event that results in destruction and devastation that overwhelms local resources

Answer 46

actions or measures that are done beforehand to prevent an emergency/disaster from occurring

Answer 47

actions or measures that are done beforehand to reduce the severity of its effects

Answer 48

advance planning to cope with emergencies/disasters

Answer 49

actions to deal with an emergency and or disaster

Answer 50

the stage when agencies/entities join forces to restore the economic and civic life of the community. This may result in a "new normal"

Answer 51

Incident Response: after event Recovery: after event Mitigation: before event Preparedness: before event

Answer 52

Natural and man made (intentional or accidental)

Answer 53

States unless the president declares a national emergency

Answer 54

The first response is always local, usually communities are on their own for 24-73 hours after a major disaster

Answer 55

Department of Homeland Security Federal Emergency Management Agency

Answer 56

What needs to be done How it needs to be done How well it needs to be done

Answer 57

standardized tool to facilitate the on scene management of emergency situations, one person is in charge, work together in communicating

Answer 58

Unity of command: one supervisor Chain of command Unified command

Answer 59

gets info to the commander

Answer 60

develops and recommends for assuring personnel safety assess or anticipate hazardous or an unsafe situation is able to stop if the situation is unsafe

Community Test 4 Flashcards

(86 cards)