NSAIDS/Opioids
One assessment prior to giving opioids for pain?
Vital signs (BP, HR, Resp, Pain).
LOC, Bowel movements
Does an acid or a base DONATE/ADD Hydrogen ions (H+) to a solution?
Type of seizure characterized by violent contractions and stiffness with relaxation.
Tonic/clonic
What do bacteriostatic medications do to bacteria?
Inhibit reproduction or proliferation
Neutrophils, Basophils and eosinophils make up this category of blood cells that contain tiny chemical pieces that assist with immune response.
Granulocytes
This med works by reversing the effects of opioids in case of acidental overdose or oversedation and respiratory distress.
Naloxone (Narcan), Naltrexone (Revia), Vivitrol (long acting)
What body system is a faster buffer?
Lungs, regulate CO2 making Carbonic acid.
Kidneys are slower to reabsorb/excrete HCO3- or H+
Name one trigger someone with seizure disorder.
Odors, visual, auditory, fatigue, overtired, hypoglycemia, stress, shock, febrile, ETOH, Drugs, too much H2O, constipation, hyperventiliation
Cultures: blood culture if suspected systemic infection, urine culture if suspected UTI, wound culture if open wound looks infected.
This WBC is most abundant in body, and comes early to the inflammatory process but doesn't stay longer than 1-2 days.
How does a narcotic agonist/antagonist work (Buprenorphine/naloxone (Suboxone)).
Stimulates and blocks at same time. So less likely to have some effects like high, but no withdrawal symptoms
What acid/base imbalance?
pH: 7.22
CO2:48
HCO3: 24
Respiratory Acidosis
Uncompensated
Labs to assess before seizure meds started
Liver, CBC, Kidneys
Common side effects of antibiotics?
Diarrhea, nausea, allergic reaction.
These WBCs have two main types, B cells and T Cells used in adaptive immunity.
Why do opioids cause constipation?
Binds to receptors in GI tract and CNS that reduce GI motility and decrease transit time. Increased absorption of water and harder stool, stretches colon more and leads to pain.
Client is having profuse vomitting, what Acid base imbalance are they at risk for?
Metabolic Alkalosis
pH high, HCO3 high (losing H+ acid).
Nursing consideration when giving IV Phenytoin (dilantin).
IV with NSS (never D5W) over 30-60 minutes. take drug level (narrow index). Can cause gingival hyperplasia
Small therapeutic window or High risk of toxicity.
When the number of circulating band cells (immature cells) is higher than the mature neutrophils, we say there's "----".
A shift to the left.
Client admitted with overdose on opioid analgesic has following ABG:
pH: 7.19
CO2: 53
HCO3: 19
Respiratory Acidosis, partially compensated
Blow off CO2 (acid) and the pH will become more basic. This is compensation!
Lamotrigine (Lamictal)
Valproic acid (depakote)
Name one complication/side effect for a client using Tetracyclines
Absorption affected by food/meds
No pregancy or children under 8- teeth/bone issues
Renal/liver disease
GI irritation upright 1hr after
Photosensitivity
Superinfections
In hypoxic state, what does body do to compensate?
Erythropoiesis-make new RBC to increase oxygen-carrying ability of blood.