Nursing Process
Newer name for the part of the nursing process also known as nursing diagnosis
What is a "human needs statement"?
two major classes of anesthetics
What are local and general
A decreasing response to repeated drug doses
What is tolerance?
Drugs that are usually anxiolytics but can be sedative-hypnotics at larger doses
What are benzodiazepines?
This rating means a medication is considered safe in pregnancy
What is category A?
the action part of the nursing process
What is implementation?
Anesthesia that does not cause complete loss of consciousness
What is moderate sedation or conscious sedation?
When this binds to a receptor, there is no response
What is an antagonist?
drug allergy, narrow angle glaucoma, pregnancy
What are contraindications to benzodiazepine use?
Acetylcysteine, flumazenil, and naloxone
What are antidotes to overdose of acetainophen, benzodiazepines, and opioids?
Parts of a typical nursing assessment
What are vitals signs, pain evaluation, level of consciousness?
Adverse reaction to general anesthesia that includes elevated body temp, tachycardia, tachypnea
What is malignant hyperthermia?
The ratio between therapeutic and toxic levels of a drug
What is therapeutic index?
benzodiazepine that can treat acute seizure activity
What is diazepam (Valium)?
A large group of inducer and inhibiter enzymes that are significant in drug metabolism and interactions
What is the CYP450 system?
(pp. 22-23, table 2.5)
Altered oxygenation, decreased gas exchange, decreased cardiac output
What are nursing diagnosis/human needs statements for a patient who has had general anesthesia
Drug with a very short duration of action, causes amnesia of procedure
What is propafol?
The reason older adults do not tolerate statndard doses of some drugs
What is decreased liver function?
benzodiazepine frequently used in conscious sedation
What is midazolam (Versed)?
Ahighly unusual reaction to a drug
What is an idiosyncratic reaction?
This is what happens to a person given NMBD
What is paralysis?
The study of drug absorption, distribution, metabolism, and excretion from the body
What is pharmacokinetics?
Used to ease severe symptoms of alcohol withdrawal
What is chlordiazepoxide (Librium)?
(notice it does not end in pam or lam)
Drugs that are added to a primary drug to boost pain relieving effectiveness
What are adjuvant analgesic drugs?