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Foundations Test #3
Overview of Powerpoints
60
Nursing
Graduate
07/18/2011

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Term
transduction
Definition
pain sent across sensory peripheral pain
Term
transduction
Definition
pain sent across sensory peripheral pain
Term
perception
Definition
point at which a person is aware of pain
Term
modulation
Definition
inhibition of the pain impulse
Term
Nephropathy
Definition
-damage to renal blood vessels
-HTN increases rate and risk of damage
-Treat with ACE inhibitors
Term
autonomic nerve damage
Definition
-hypoglycemic unaweareness
-bowel incontinence
-diarrhea
-urinary retention
-sexual dysfunction
-neurogenic bladder
Term
Type 1 Dibetes
Definition
-10% of cases
-abrupt onset
-young onset
-no insulin production
-thin
-weight loss/fatigue
Term
Type 2 Diabetes
Definition
-90% of cses
-late/gradual onset
-some insulin production
-obese
-fatigue/infections/visual changes
Term
HHNS
Definition
-Hypeglycemic Hyperosmollar Nonketoic Syndrome
-Prolonged elevated blood sugar resulting in compensatory mechanisms
-decreased LOC, HR, BP,
-increased BS, Na
Term
DKA
Definition
-Diabetic Keto Acidosis
-lack of insulin so glucose can't enter cell and the body will use other sources for energy which produces ketones and the liver will then produce more glucose to supply the glucose resulting in increased BS
Term
symogyi
Definition
in the middle of the night develop hypoglycemia even if a snack is given tight before bed
Term
dawn phenomenon
Definition
circadian rhythms that increase glucose at around time to get up but drops it overnight
Term
chronic persistant pain
Definition
not productive and has no purpose or may not have an identifiable cause
Term
chronic episodic
Definition
occurs sporadically over an extended duration
Term
idiopathic
Definition
chronic pain without an identifiable physical or psychological cause
Term
factors that influence pain
Definition
physiologic
social
spiritual
psychological
cultural
Term
nociceptive pain
Definition
-dull, aching, throbbing,
-ex surgical incision
Term
neuropathic pain
Definition
burning, shooting, electric like
Term
pain threshold
Definition
least amount of pain stimulation a person requires in order to feel pain
Term
pain tolerance
Definition
maximun amount and duration of pain an individual is willing to endure
Term
potentiate antidepressants
Definition
st. johns wart
can cause agitation, nausea, confusion, cardiac problems
Term
cautions for herbal pain relief
Definition
-increase in anticoagulant effects
-reduced effectiveness of immunosuppressants, htn meds, oral contraceptices
Term
hypothalamus
Definition
secretes hypocreatins that promote wakefulness and rapid eye movement sleep
Term
parasomnia
Definition
-behavior that may interfere with sleep that occurs during sleep
-ex. bed wetting, periodic limb movement, nocturia
Term
factors affecting sleep
Definition
environment
fatigue
lifestyle
emotional distress
motivation
stimulants and alcohol
diet
smoking
medications
Term
CVA
Definition
death of brain cells due to lack of oxygen when blood flow to the brain is impaired by blockage of hemorrhage
Term
ischemia
Definition
lack of blood flow to an organ causing lack of oxygenation to that organ or tissue
Term
Frontal lobe
Definition
-higher cognitive function
-memory
-eye and voluntary movements
Term
Temporal Lobe
Definition
-wenickes area
-receptive speech
-integration of and visual data
Term
basal ganglia
Definition
learned and automatic movements
Term
Thalamus/Hypothalamus
Definition
-sensory
-motor
-endocrine
Term
broca's area
Definition
receptive speech
Term
circle of willis
Definition
connects anterior and posterior circulation
Term
collateral circulation
Definition
-compensatory mechanism
- area of the brain can potentially receive blood supply from another vessel
Term
amaurosis fugax
Definition
temporary loss of vision in 1 eye
Term
dysarthria
Definition
-difficulty in articulation of words related to lack of muscle control
-does not affect comprehension of language
Term
ataxia
Definition
inability to coordinate movements, especially voluntary
Term
receptive aphasia
Definition
total loss of speech comprehension
Term
expressive aphasia
Definition
total loss of speech or writing ability
Term
nonfluent dysphagia
Definition
slow speech
Term
fluent dysphagia
Definition
non-meaningful communication
Term
agnosia
Definition
inability to recognize objects
Term
apraxia
Definition
inability to perform sequential movements on command
Term
CO
Definition
total amount of blood flow through the heart to the systemic or pulmonary circulation in 1 min
Term
CO
Definition
total amount of blood flow through the heart to the systemic or pulmonary circulation in 1 min
Term
SVR
Definition
-systemic vascular resistance
-force opposing the movement of blood within the blood vessels
-radius of small arterioles
Term
stroke volume
Definition
amount of blood pumped out of the left ventricle per beat
Term
beta 2
Definition
vasodialation of arterioles of skeletal muscles
Term
Alpha 1
Definition
-vasoconstriction
-skin and kidneys
Term
nitric oxide
Definition
vasodilating
Term
endothelin
Definition
vasoconstrictor
Term
left ventricular hypertrophy
Definition
-initially compensatory mechanism
-increases cardiac workload, increases O2 demand
-leads to heart failure
Term
diuretics
Definition
-increase Na excretion
-decreases plasma volume
-ex thiszide, lasix, spironolactone
Term
diuretics
Definition
-increase Na excretion
-decreases plasma volume
-ex thiszide, lasix, spironolactone
Term
beta blockers
Definition
-blocks beta 1 or 2 or both
-decreases effects of SNS, deacreses HR, contractility, renin release, and CO
-ex. atenolol (beta 1), propanolol (both)
Term
alpha adrenergic blockers
Definition
-blocks effects of alpha 1
-prevents release of NE which causes vasodilation, decreasing SVR
-ex. tarazosin
Term
labetalol
Definition
-combined alpha and beta blockers
-decreases HR
-vasodilation
-decreases CO and SVR which decreases BP
Term
ACE inhibitor
Definition
-blocks the change of AI to AII
-vasodilation
-ex. captopril
Term
A II receptor blockers
Definition
-decrease binding to receptor sites
-decrease aldosterone
-cause vasodilation, excretion of Na and H2O, decrease ECF, SVR, CO
-ex. losartan
Term
Ca channel blockers
Definition
-decreases Ca movement across cell membrane
-relaxation decrease HR
-ex. amlodipine, diltiazem, nifedipine
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