Opioid Agonists and Antagonists
A respiratory rate less than 12/min
What is respiratory depression?
Medications that enhance the effects of opioids
What are adjuvant medications?
This class of medications decrease pain by blocking conduction of pain impulses in a circumscribed area and are used for pain management for dental procedures, minor surgical procedures, L&D, and diagnostic procedure.
What are local anesthetics?
For emergency management of hypoglycemic reactions in clients unable to take oral glucose or if IV glucose is not available this medication should be given.
What is Glucagon?
This medication is used for treatment of hypothyroidism, emergency treatment of myxedema coma, and maintenance of thyroid hormone levels after surgery or radiation of the thyroid.
What is levothyroxine?
This medication is used to reverse manifestations of opioid toxicity
What is naloxone?
These medications are used to treat depression, fibromyalgia syndrome, and neuropathic pain
What are tricyclic antidepressants?
Clients prescribed Amitriptyline may experience this adverse effect manifested by dry mouth, constipation, urinary retention, blurred vision and tachycardia.
What are anticholinergic effects?
Clients taking insulin can decrease blood levels of this electrolyte
What is potassium?
This medication is used for treatment of Graves’ disease, emergency treatment of thyrotoxicosis and as an adjunct to irradiation of the thyroid gland.
What is Methimazole?
This opioid agonist can also be used for cough suppression
What is codeine?
This medication reduces the effectiveness of oral contraceptives
What is carbamazepine?
Clients taking this serotonin receptor agonist may call their HCP to report continuous or severe chest pain and describe their arms as feeling heavy.
What is sumatriptan?
This insulin should appear cloudy.
What is NPH?
Clients should monitor for early manifestations (sore throat, fever) of this adverse effect of methimazole and report them promptly to HCP.
What is Agranulocytosis?
This medication can be given PO, subcutaneous, IM, IV, epidural, and intrathecal
What is morphine?
This medication should not be taken within 14 days of taking an MAOI
What is methylphenidate?
These aspirin-like drugs are contraindicated in clients with severe renal/hepatic disease, can reduce the effectiveness of antihypertensives & diuretics and pose increased risk of bleeding when taken with thrombolytics, antiplatelets, anticoagulants, and salicylates.
What are NSAIDs?
This oral antidiabetic is contraindicated for clients who have severe infection, shock, kidney impairment or any hypoxic condition or alcohol use disorder.
What is Metformin?
When taking this medication clients should monitor for manifestations of peptic ulcers, hyperglycemia and acute adrenal insufficiency.
What is Hydrocortisone?
This syndrome can be precipitated when agonist-antagonist opioids (butorphanol) are given to opioid-dependent clients
What is abstinence syndrome?
This glucocorticoid promotes hyperglycemia, counteracting the effects of insulin and oral hypoglycemics
What is dexamethasone?
This beta blocker can mask hypoglycemic effects of insulin and prevent breakdown of fat in response to hypoglycemia.
What is propranolol?
Clients prescribed this antidiabetic should be instructed to take with the first bite of food, three times per day. If a dose is missed, take the dose at the next meal but do not take two doses.
What is Acarbose?
This medication used to treat diabetes insipidus may cause water intoxication and myocardial ischemia.
What is vasopressin?