Opioid Agonists and Antagonists
This is a respiratory rate value caused by complications of opioid agonists that must be reported to the provider
What is respiratory rate of less than 12/min?
Tricyclic antidepressants, anticonvulsants, CNS stimulants, antihistamines, glucocorticoids, bisphosphonates, and NSAIDs can be used as _______ to opioids.
The vasodilation of cerebral blood vessels cause ____, which can be treated with nonspecific analgesics (aspirin) and serotonin receptor agonists (triptans).
What is migraine headaches?
The correct order for mixing regular and NPH insulin
What is clear to cloudy?
The client should be sure to wear a medical alert bracelet and always have a snack with glucose handy.
What is the appropriate teaching for a client with diabetes?
This is relief of moderate to severe pain (postoperative, myocardial infarction, following childbirth, cancer)
What is evidence of effectiveness of opioid agonists?
_____ are used to treat inflammation and fever and relieve mild to moderate pain and dysmenorrhea.
What is NSAIDs?
In what classification of drugs is bleeding a concern? (there's 5 in this chapter)
What is NSAIDs, thrombolytics, antiplatelets, anticoagulants, and salicyclates?
The onset of this group of medications have a onset of 30 min-1hr
What is short-acting/regular insulin?
Systematically rotate injection sites and allow 1 inch between injection sites to prevent lipohypertrophy.
How should a client with diabetes administer their self injections?
This is the medical solution to a patient who presents with respiratory depression, pinpoint pupils, and coma
What is naloxone?
_______ improve appetite and decrease pain from intracranial pressure, spinal cord compression, and rheumatoid arthritis.
What is glucocorticoids?
This happens when SSRIs and triptans are taken together.
What is serotonin syndrome?
These oral antidiabetics can not be given via IV route
What is insulin glargine and detemir?
Reduction in the large volumes of urine output associated with diabetes insipidus to normal levels of urine output (1.5 to 2L/24 hr)
What is a therapeutic response of Desmopression?
This is what happens when you take opioid agonists in addition to medications like barbiturates, phenobarbital, benzodiazepines, and alcohol
What is increased CNS depression?
_____ decrease anxiety, prevent insomnia, and relieve nausea and vomiting.
What is antihistamines?
What are the manifestations of serotonin syndrome?
What is confusion, agitation, hyperthermia, diaphoresis, and possible death?
The first vial you inject air into when mixing clear to cloudy
What is the cloudy vial?
Administer IV insulin then continuous IV. Monitor blood glucose hourly. Blood glucose less than 200mg/dL is the goal for resolution, with a pH greater than 7.3, blood bicarbonate level greater than 18mEq/L, and calculated anion gap less than 12 mEq/L.
What is a priority intervention for DKA?
This is important client education for patients who have a physical dependence on opioids.
What is make sure opioids are withdrawn slowly, and the dosage should be tapered over a period of 3 days?
_____ are used to treat depression, fibromyalgia syndrome, and neuropathic pain (cramping, aching, burning, darting, and sharp, stabbing pain).
What is tricyclic antidepressants?
What do you monitor when a patient is taking propranolol?
What is blood pressure and heart rate?
These side effects are caused by oral antidiabetics working too well
What is shakiness, diaphoresis, tachycardia, lethargy, tremors, weakness or disorientation?
Check vital signs every 15 min until stable, then every 4 hours. Check for indications of dehydration (weight loss, decreased skin turgor, oliguria, rapid, weak pulse).
What is a priority nursing intervention for a client experiencing DKA?