Pharm Ch 24
This medication could exacerbate melanoma, therefore a skin assessment should be completed prior to starting this medication.
What is levodopa
Dantrolene can be toxic to this organ and may cause prodrome or warning syndrome which includes anorexia, nausea, and fatigue.
What is the liver
This medication is used for treatment of narcotic addiction in adults
What is methadone
This is the period of time ranging from administration of the anesthetic to the point of surgical anesthesia
What is induction
This vital sign is an indicator of malignant hyperthermia, what medication would be needed immediately to treat malignant hyperthermia
What is temperature (pulse will also increase but secondary to the temperature), what is dantrolene
Dopamine can cause these four systemic effects
What are increased heart rate, increased blood pressure, decreased GI activity, and urinary retention
Dantrolene should be discontinued if this occurs
What is diarrhea
You call the surgeon because your 4 year old client is now crying after having surgery just 2 hours ago. You are given orders for meperidine 1.5mg/kg IM for pain. The unit has meperidine 10mg/ml and your client weighs 44 lbs. You prepare this amount for administration
What is 3ml
44lbs = 20kg
1.5mg x 20kg = 30mg
30mg/10mg = 3ml
This gas is used frequently for dental surgery and can lead to hypoxia, therefore should be given with oxygen
What is nitrous oxide
Anesthesia can cause this GI symptom days after receiving anesthesia
What is constipation
When these drugs are combined with Monoamine Oxidase Inhibitors, the therapeutic effects of the drug is increased and a risk of hypertensive crisis exists
What are dopaminergics
The MD orders 10mg/kg of acetaminophen for a child that weighs 75 lbs. Available is acetaminophen suspension 150mg/5ml. How many tsp will the child receive?
What is 2.3tsp
34.1kg x 10mg = 341mg
341mg/Xml = 150mg/5ml
150x = 1705
x = 11.36ml
11.36/5 = 2.27 = 2.3ml
The client should have ___________ in effect when receiving narcotics.
What are safety measures or fall precautions
At this stage of anesthesia surgery can be safely performed
What is stage 3
When preparing for a client to receive succinylcholine, the nurse should have these at the bedside (name two)
What are crash cart, airway supplies (ET tube, BVM Mask, oxygen), respiratory or anesthesiologist
A progressive nervous system disease characterized by tremors, changes in posture and gait, and a mask-like facial expression
What is Parkinson's disease
This centrally acting skeletal muscle relaxant can cause the client to have orange to purplish-red urine
What is chlorzoxazone
A client is brought to the ED by a friend after he suddenly became unresponsive at a party. The client has track marks on his right forearm. He responds to painful stimuli. His BP 123/76, P 115, T 99.2 rectal, R 22 and O2 Sat 87%. The nurse administered this medication and is aware that possible side effects include nausea and vomiting.
What is naloxone (Narcan)
Children are at a greater risk for these three conditions after surgery and should be monitored closely
What are laryngospasm, bronchospasm, aspiration
This depolarizing Neuromuscular Junction Blocker is used for surgical procedures, intubation and mechanical ventilation, however has a risk of causing malignant hypertension.
What is succinylcholine
Adverse effects of anticholinergic drugs include this five physical changes
What are dry mouth, constipation, urinary retention, increased heart rate, and decreased sweating
Dantrolene is used to control muscular spasticity and prevent this
Malignant hyperthermia
A potential life threatening effect of narcotic agonist
What is respiratory depression
Clients receiving ____________ should be well hydrated and remain lying supine for 12 hours to minimize ____________
What is spinal or epidural anesthesia and what is headache
This neuromuscular junction blocker can cause pulmonary hypertension
What is rocuronium