symptom mgmt

Question 1

5 main causes constipation

Answer 1

1. diet
2. metabolic
3. drugs
4. neuro
5. other

Question 2

4 diet causes

Answer 2

1. low intake
2. low fiber
3. anorexia
4. cachexia

Question 3

5 metabolic causes

Answer 3

1. hyper Ca
2. hypo Ca
3. hypo K
4. hypothyroid
5. porphyria

Question 4

*** drug causes 4

Answer 4

1. OPIODS
2. antichol
3. cations
4. CCBs

Question 5

4 neuro causes

Answer 5

1. diabetic autonomic neurpathy
2. ANS neuropathies
3. ALS, parkinsons
4. spinal cord injury
5. cord compression

Question 6

4 ways to eval constipation

Answer 6

1. Hx
2. abdo exam
3. rectal exam
4. imaging -AXR
   - only validated measure for amount of stool

Question 7

what is approach to constipation

Answer 7

start from above and go down

• mieral oil enema
• senna
• milk of Mg

Question 8

*** what are 11 M’s of emesis

Answer 8

Meds
Metabolic
Mucosal irritation
Motlity
Mech obst.
Meningeal irritation
Movement
Mets
Microbes
Mental anxiety
MI

Question 9

4 main contributors to vomit center in brain

Answer 9

1. chemoreceptor zone
2. vestibular center - vertigo
3. higher centers - thoughts/feeling
4. visceral via vagus

Question 10

what to Tx in vomiting

Answer 10

underlyingcause

Question 11

5 drugs to hit chemo zone

Answer 11

1. haloperidol
2. prochlorperazine
3. metoclopramide
4. olanzapine
5. anti-serotonergics

Question 12

1 drug for vestibular area

Answer 12

anticholinergics

Question 13

1 drug for mass effect

Answer 13

steroids

Question 14

2 drugs for vagus

Answer 14

1. anti-5HT

2. motility agents

Question 15

3 things for higher center

Answer 15

1. sounselling
2. sptitiual care
3. sedatives

Question 16

what is survival when come to ER with SOB

Answer 16

30 days

Question 17

possible causes of SOB

Answer 17

• pleural eff
• pericardial effusion
• ascites
• SVC syndrome
• CHF
• pneumo
• PE
• obstruction
• muscles weakness

Question 18

main thing to Tx in SOB

Answer 18

underlying cause

Question 19

3 ways to Tx Sx of SOB

Answer 19

1. non-pharma
2. O2
3. drugs

Question 20

non-pharma mgmt

Answer 20

• education
• distractions
• breathing training
• fans on V1 and V2
• open window
• E conservation

Question 21

Tx of oxygen

Answer 21

funding for PaO2 of 60

3 months of palliative O2

Question 22

what is effect of opiods on life span

Answer 22

doesn’t shorten it

Question 23

4 drugs for SOB

Answer 23

1. sedatives
2. bronchodilators
3. steroids
4. methotrimerazine

Question 24

look at that sheet

Answer 24

it’s his