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Anagesics
include medications that relieve pain
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Benzodiazepines
are sedatives used to prepare patients for an invasive surgery.
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Barbiturates
they work almost like benzodiazepines by increaseing the affinity between receptor site and neeurotransmitter GABA
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NONbarbituate hypnotics
non barbiturate hypnotics tend to have fewer side effects. mostly in cardiovascular compromise. but almost identical to barbiturates and benzodiazepines.
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potassium channel blockers
medications that increase the contractility of the heart and work against the reentry of of blocked impulses.
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potentiation
enhancement of action of a drug by administration of another drug
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serum sickness
a condition in which antigen antibody complexes formed in the bloodstream deposit in places throughout the body, creates an inflammatory response.
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refractory
describes a disease or condition that does not respond to treatment.
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sodium channel blockers
antiarrythmitic medications that slow conduction through the heart.
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summation effect
is what happens when two drugs that have similar action are given together
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suspension
a mixture of ground particles. that are mixed evenly but do not dissolve into each other.
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synergisim
the combined effects of two drugs that is greater than the sum of their individual effects.
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termination of action
the amount of time after the concentration is a medication falls below the minimum effective levels until its eliminated from the body
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therapeutic index
the difference between the minimum effective concentration and the concentration of the drug.
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therapeutic threshold
the minimal concentration level to get your desired effect.
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transcutanous
thru the skin.
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unintended effect/ untoward effect
unintended- actions that undesirable but pose little risk to the patient
untoward- pose a risk to the patient.
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xanthine's
medications that have a effect on the respiratory smooth muscle and relax bronchiole smooth muscle.
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Non-steroidal anti-inflammatory drugs
medications with analgesic and fever reducing properties.
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Half life
the time required by the body to metabolize or inactivate half the amount taken in.
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iatrogenic response
an adverse condition induced by a patient by the treatment given.
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idiosyncrasy
an abnormal sensitivity or reaction to a drug or other substance that is particular to an individual
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immunosuppressant drugs
medications intended to inhibit the body's ability to attack the foreign organ.
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interference
a direct biochemical interaction between two drugs.
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Non-opioid analgesics
medications designed to relive pain without the side effects of opiods
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Enteral drugs
administered anywhere along the GI tract.
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parenteral
any route that is not the GI tract
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Chronotropic and dermopropic and inotropic
Chronotropic- changes the heart rate
dromotropic- affects the conduction speeds of the av node. almost all dromotropic drugs are inotropic and chronotropic
inotropic-negative weakens the heart contractions, and positive strengthens the contractions
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sniffing position
upright, head and chin tilted forward to keep the airway open
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sepsis
the spread of an infection from its initial site into the blood stream
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Golden period
the time from injury to definitive care during which treatment of shock and traumatic injuries should occur because survival potential is best.
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DCAP-BTLS
- deformaties
- contustions
- abrarions
- penetrations
- burns
- tenerness
- lacerations
- swelling
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systolic and diastolic pressure
systolic-the increased pressure in an artery with each contraction of the ventricles
diastolic-the pressure that remains in the arteries during the relaxation phase of the hearts cycle.
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Capnography
a non invasive method that can quickly efficiently provide information on a patients ventilator status.
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ascities
the accumulation of serous fluid in the peritoneal cavity.
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rebound tenderness
when pain is felt when pressure is released. opposed to when when being pressed.
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systemic vascular resistance (SVR)
resistance to blood flow in all of the blood vessels except the pulmonary vessels
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Mean arterial pressure
Map= CO X SVR
generally the patients blood pressure required to sustain organ function. (which cant fall below 60 mm hg.
ischemia will occur from lack of perfusion.
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Myocardial contractility.
preload
after load
- mycardial contratility- the ability for the heart to contract
- preload- is the precontraction pressure
- afterload- is what the heart has to pump against.
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cardiac output
CO=hr X sv
the volume of blood the heart can pump in one minuete
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perfusion triangle
The heart (pump)
blood vessels and arteries (pipes)
Blood (fluid)
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fibrinogen
reinforces the red blood cells and the platelets as they clot. however its platelets main job to clot
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baroreceptors
located in the aortic arch and carotid sinuses as well as the big arteries in the neck and thorax
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Multiple organ dysfunction syndrome (MODS)
failure of several organs such as the lungs, heart, and kidneys and other clotting mechanisms.
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usually caused by septic shock.
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Cardiogenic shock
inadequate function of the heart, or pump failure.
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pulmonary edema
blood backing up into the heart and builds into the pulmonary tissue.
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obstructive shock
when conditions cause a mechanical obstruction
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Partial immunity
when you are protected against new infections but not from germs that remain in the body
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cerebrospinal fluid is made in ...
the ventricles of the brain
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the thyroid gland is responsible for the....
metabolic rate.
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the bodys ability to stop bleeding by forming a clot is called
hemostasis
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the primary waste of metabolism is
Carbon dioxide.
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normal inspiration is the result of
negative pressure in the cavity.
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middle muscle layer of the heart is called
myocardium
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motor nerves
carry commands from the CNS to the muscles.
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An area where we metabolize various drugs and and filters the blood
The hepatic portal system
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the pneumotaxic center is located in the
PONS..it inhibits the dorsal respiratory group and increases the speed and depth of breathing.
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if shock and JVD is present then that means ...
the decreased after load, will affect cardiac output.
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chyene stokes respirations have
Tachypnea and bradypnea and alternating apneic periods.
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hering breur reflex
prevents over expansion of the lungs.
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emphysema is caused by
surfactant destruction and increased alveolar surface tension
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PEA exists when..
patient is in cardiac arrest and they still have an organized rhythm.
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what are the basic units for the metric system
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convert pounds to kilograms
Divide the patients weight by 2 and subtract 10% of that.
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Ampules, vials
ampules are breakable sterile glass of single dose of stuff.
vials may have one or two doses. they also have the rubber stopper on the other end
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what are crystalloid solutions
dissolved crystals in water. Best choice for patients needing fluid replacement.
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what are colloid solutions
have molecules that are too large to pass out of the capillary membrane. main ones are albumin and corticosteroids.
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what are isotonic solutions
has nearly the same osmolarity as the other body fluids.
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what are hypotonic solutions
have a lower concentration of sodium than the cell. they pull fluid from the vascular compartment into the interstitial fluid compartment.
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what are hypertonic solutions
have a higher osmolarity than serum and fluid shifts to the intravascular compartment
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infiltration
when fluid escapes into the surrounding tissue.
if u fuck it up go more proximal on the same arm or opposite extremity.
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if you administer a drug and there is an allergic reaction...
notify medical control, discontinue the medication and remove the solution.
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what is lactated ringers solution
a sterile crystalloid of specific amounts of calcium chloride,potassium chloride, sodium lactate in water.
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mucosal atomizer device
goes on the end of a syringe for intranasal stuff
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what is third spaceing
shifting of fluids into the tissues
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vasovagal reaction
distress, anxiety,nausea
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phlebitis
inflammation of a vein
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