DAANCE Module 3 Exam Questions and Answers, Exams of Nursing

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DAANCE Module 3 Exam Questions and

Answers

analgesia correct answerfeeling no pain during surgical procedure amnesia correct answerno memory of what has happened during surgery propofol (diprivan) correct answer-barbiturate-like sedative -ultra short acting -highly fat soluble and is rapidly redistributed to muscle, fat, and skin within a few minutes -post op sense of well being and anti nausea effects -respiratory depressent and apnea may be noted -low tendency for largyngospasm Ketamine (ketalar) correct answer-catatonic state -nystagmic gaze -causes amnesia -highly fat soluble and effects are noted in seconds -metabolizes in the liver -side effect: vivid dreams and illusions -increases BP, heart rate and cardiac output Barbiturates correct answer-depresses CNS

• detoxified in the liver -cause amnesia and hypnotic effect along with sedative properties sodium pentothal (thiopental) correct answer-first IV anesthetic agent

methohexital (brevital) correct answer-short acting barbiturate -apnea, largyngospasm, brochospasm, hypotension,tachycardia, hiccups, and muscle twitching< dose dependant esters correct answer-high potential for allergic reactions -metabolized by enzymes in the blood cocaine correct answerester drugs procaine correct answerester drug -low potency -short duration of action amides correct answerused for local anesthesia in dentistry -metabolized in the liver narcotics correct answerused for systemic pain control morphine correct answer-narcotic -effects the CNS -nausea, respiratory depression,hypotension -duration of action is 1-2 hours -1mg-8mg Meperidine (demerol) correct answer-narcotic -synthetic analgesia drug -delirium and seizures -duration of action 3-4 hours -25-150mg

fentanyl (sublimaze) correct answer-100x more potent then morphine -rapid onset -duration of action 30-45 minutes -50mcg-100mcg remifentanil(ultiva) correct answer-newest opiod -duration of action 5-10 mins -metabolizes all over the body pentazocine(talwin) correct answer-narcotic agonist-antagonist -30-60mg nalbuphine(nubain) correct answer-synthetic narcotic agonist-antagonist -duration of action 3-6 hours -7-8mg butorphanol tartrate (stadol) correct answer-synthetic narcotic agonist-antogonist -1-2mg nalozone (narcan) correct answer-narcotic antagonist -onset on 1 min -duration of action is 30-45 mins flumazenil (romazicon) correct answerbenzodiazepine reversal atropine correct answer-reasonably effective at drying secretions -can increase heart rate signicantly

scopolamine correct answer-less effect on the heart -more pronounced CNS depressant and amnesic properties glycopyrrolate (robinul) correct answer-little cardiovascular effect promethazine(phenergan) correct answer-antihistamine -antiemetic -12.5mg-50mg prochlorperazine(compazine) correct answer-antiemetic -hypotension and erratic muscle movements metoclopramide(reglan)/trimethobenzamide(tigan) correct answer-act as neurotransmitter receptor sites and help reduce nausea and vomitting ondansetron(zofran) correct answer-anti nausea -4mg -helps controls nausea for up 2 two days post op dexamethasone(decadron) correct answer-corticosteroid -4-20mg methylprednisone (solu-medrol) correct answer-closely mimics decadron but less potent -125mg hydrocortisone(solu-cortef) correct answer-closely mimics natural occurring cortisone in the body -100mg Succinylcholine (Anectine) correct answer-depolarizing muscle agent

-causes total body muscle twitching -cannot be reversed and is metabolized by pseudocholinesterase ( an enzyme in the blood) nondepolarizing agents correct answer-used for longer procedures -block the acetylcholine receptors at the neuromuscular junction-which cause prolonged muscle relaxation anticholinesterases correct answerreverse nondepolarizing agents rocuronium correct answer-steroid based -does not trigger MH sevoflurane(ultane) correct answer-dose dependent decrease in arterial BP -rapid induction with IV desflurane(suprane) correct answer-needs to be heated -pt wakes up quickly after the gas is stopped -very expensive What are the 4 requirements for an anesthetic? correct answer1. Lack of toxicity

2. Non flammable
3. Preferably non addictive
4. Possess minimal allergenicity What are examples of benzodiazepines? correct answerVersed, Valium, propofol, brevital, and ketamine What is the other name for Propofol? correct answerDiprivan What is the other name for brevital? correct answerMethohexital

What are the 5 "centers" correct answer1. Centers for emotion 2.centers for wakefulness 3.the relay center 4.opiod receptors 5.the vital centers The centers for emotion correct answerBenzodiazepines exert their effects here to reduce anxiety Centers for wakefulness correct answerPropofol and methohexital work here to induce hypnosis and sleep The relay center correct answerKetamine disrupt the relay that passes the sensory input for pain. It dissociates the patient from the environment Opiod receptors correct answerIn the CNS. Fentanyl work here to produce calming and euphoric effects The vital centers correct answerMost anesthetic agents and narcotics exert effects on the body's respiration and circulation Pharmacokinetics correct answerwhat the body does to the drug Pharmcodynamics correct answerwhat the drug does to the body What is another name for fentanyl correct answerSublimaze What is another name for Propofol? correct answerDiprivan Where does Propofol exert its effects? correct answerCenters for wakefulness

What is another name for Ketamine? correct answerKetalar What are 2 examples of barbiturates? correct answerSodium Pentothal and brevital What is another name for sodium Pentothal? correct answerThiopental What are 2 types of ester drugs? correct answerCocaine and procaine What is another name for procaine? correct answerNovocaine What are 5 types of amides? correct answerLidocaine(xylocaine), mepivacaine( carbocations), prilocaine( citanest), bupivacaine( Marcaine), and articaine( septocaine) What are 4 narcotics? correct answerMorphine, demerol(meperidine), fentanyl(sublimaze), Recifentanil( ultiva) What is another name for remifentanil? correct answerUltiva What is another name for fentanyl? correct answerSublimaze What is another name for demerol? correct answerMeperidine What are 3 narcotic agonist-antagonist? correct answerPentazocine(talwin), nalbuphine( Nubain), and butorphanol( stadol) What is another name for Talwin? correct answerPentazocine What is another name for nubaine? correct answerNalbuphine What is another name for stadol? correct answerButorphanol

What is another name for phenergan? correct answerPromethazine What is another name for vistaril? correct answerHydroxyzine What is another name for compazine? correct answerProchlorperazine What is another name for reglan? correct answerMetoclopramide What is another name for zofran? correct answerOndansetron What is another name for soul-medrol? correct answerMethylprednisolone What is another name for soul-cortef? correct answerHydrocortisone What is another name for succinylcholine? correct answerAnectinen What is another name for sevoflurane? correct answerUltane What is another name for desflurane? correct answerSuprane What is another name for isoflurane? correct answerForane