non-opioid analgesics
Acetaminophen indications
Mild pain, fever
Major side effect of opioids
Respiratory depression
Indication for ondansetron
antiemetic
What is the pharmaceutical class of furosemide
loop diuretic
Heparin is given for:
prevention and treatment of DVT, PE, Afib
Drinking 3 or more glasses of alcohol per day while taking these medications increases the risk of GI bleeding. (5)
Aspirin, Acetaminophen, Ibuprofen, naproxen, celecoxib
What needs assessed prior to administering hydromorphone
Pain, BP, pulse, respirations, pulse ox
preanesthetic to produce sedation, decrease preoperative anxiety and induce amnesia
How do you evaluate the effectiveness of a diuretic
Decrease in edema, increase in urinary output (normal = 30ml/hr)
Important teaching for all anticoagulants
Advise patient to report any symptoms of unusual bleeding or bruising, black tarry stools to health care provider immediately. Do not take NSAIDs or aspirin while on heparin due to increased bleeding side effect.
Indications for celecoxib
Osteoarthritis, rheumatoid arthritis, acute pain (decreases pain and inflammation)
avoid concurrent use of alcohol with this type of opioid
Life threatening side effects of fentanyl
Apnea, laryngospasm, respiratory depression
When should you administer hydrochlorathiazide
Administer in the morning to prevent disruption of sleep cycle (increases urinary output)
What route is enoxaparin and points to remember with administration
SQ, do not expel air bubble from prefilled syringe, alternate injection sites, 45 - 90-degree angle
What does your evaluation consist of after administering naproxen
Evaluate relief of pain, joint mobility, arthritic relief. (Decreases pain, fever, suppression of inflmmation)
Indication for oxycodone
moderate to severe pain
Torsades de pointes, steven johnsons syndrome
Spironlactone is contraindicated with ____kalemia
Hyperkalemia
Reduction in the risk of stroke/systemic embolism associated with Afib
Chronic excessive use of >4grams per day of acetaminophen may lead to...
hepatotoxicity, renal, cardiac damage
When should you hold mophine
Respiratory rate <10/min, somnolent, pulse ox <90%
What should be available at the bedside when administering IV midazolam
oxygen and resuscitative equipment (major side effects are cardiac arrest, apnea, laryngospasm, respiratory depression)
Patient's potassium level is 3.4, doctor ordered 40mg of IV furosemide to be administered, what should you do?
Hold and contact MD
What lab value should be monitored while patient is on heparin
platelet count every 2-3 days during therapy (may cause mild thrombocytopenia)