opioids
use?
pain (moderate to severe), pulmonary edema, MI
nurse responsibilities?
liver kidney function, no ETOH (fatal), no sedatives (fatal), stool regimen, monitor urine output, fall risk, safety, pill safety
false
types?
whole: only opioid
combined: with acetaminophen
labs?
AST, ALT, Cr.
IV administration is fast or slow?
slow
precautions?
elderly, children, respiratory issues, sleep apnea, liver/kidney issues, traumatic brain injury
patient controlled analgesia
names of opioids?
morphine, hydromorphone, oxytocin, fentanyl
adverse reactions?
urinary retention, itching, constipation, nausea, vomiting, sedations, low respirations
transdermal precautions?
don't expose it to sun, don't cut the patch, wear gloves when administering, don't shave the area that the patch will be placed on
naloxone use?
works in 3-5 minutes
needs to be reinjected after 30-45 minutes
antagonist?
naloxone
IR? IM?
XL, XR, SR?
IR; instant release (Q4-6)
IM; shot
XR, XL, SR; long release (Q12-24)
opioid dependence therapy?
inhaled methadone to avoid withdrawal
early: buprenorphine; opioid antagonist-agonist
later: bunavil, suboxone, etc
- buprenorphine and naloxone mixed