Addiction
This is what the nurse should say to the patient if they refuse opioid pain medication due to a stated history of opioid addiction
What is "I will call the healthcare provider for a non-opioid pain reliever?"
Never give cyclobenzaprine if the patient has a history of this
What is epilepsy/seizures?
why adults over 65 have a suggested list of meds not to use called BEERS Criteria
What is reduced liver and kidney function, or increased adverse reactions to certain drugs?
Calculate the 8-hour intake:
IV at 100 mL/hr
1 cup ice
6 oz popsicle
4 oz chicken broth
What is 1220 mL?
This is an adjuvant drug for pain that can make you smile
What is an antidepressant?
a syndrome that can affect a newborn of a pregnant addicted female
What is neonatal abstinence syndrome?
Tell the patient this for their safety before leaving the room if the patient is taking a muscle relaxer
What is asking for help to get up out of bed?
this population needs opioids carefully calculated to age and weight
What are children?
Ordered: naloxone 8 mg IV push now
Available naloxone 4 mg/2 mL
How many mL will the nurse give?
What is 4 mL?
This tool is useful for the nurse when requesting a different route of an opioid
What is an equianalgesic chart?
count these and witness their wasting always with two nurses
What is a controlled substance?
this is why the nurse should advocate for the patient given naloxone to be monitored afterward
What is the opioid lasts longer than naloxone?
this opioid has a high rate of confusion in some patients due to an active metabolite
What is meperidine?
Ordered: rocephin 1 g IM q 12 hours
Available: rocephin 350 mg/mL
How many mL will the nurse give the patient?
Round to 10ths
What is 2.9 mL?
Do this if a CNS depressant drug is ordered for a patient IV push on the BEERS Criteria list
What is "start low and go slow?"
This drug is an agonist-antagonist. It comes in a buccal film, and the nurse should warn the patient about chewing it.
What is buprenorphine?
a patient who has never had an opioid or hasn't had an opioid in a long time
What is opioid naive?
This classification works by activating receptors in the CNS and PNS to produce sedation, analgesia, and euphoria
What are opioid agonists?
Ordered: amoxicillin 600 mg PO q 8 H for ear infection.
Available: amoxicillin 400 mg/ 5 mL
How many mL will the nurse give?
Round to tenths.
What is 7.5 mL?
Teach your patient this to prevent constipation while they are taking opioids
What is drink water and take fiber?
Due to this side effect of opioids, the patient should give an antiemetic or give crackers.
What are nausea and vomiting?
The patient reports a pain of 10/10 and the patient is laughing and smiling. The nurse gives the opioid to the patient because the nurse knows pain is ___________
What is "what the patient says it is?"
Always monitor these two vital signs when a patient is taking an opioid agonist
What are BP and R?
Ordered septra suspension 8 mg/kg/day divided into two doses
Child weighs 26 lbs
Available septra suspension 40 mg/5 mL
How many mL will the nurse give? Round to 10ths.
What is 5.9 mL?
These drugs and substances are Schedule I
What are "street drugs?"
This is the first step in the cycle of addiction that leads to abuse of a drug
What is "initial use?"
This interprofessional team member is important for a patient with addiction who has lost their home
Who is the social worker?
Using the acronym M-O-R-P-H-I-N-E, what side effect of opioids does "I" stand for?
What is infrequency (urinary retention or constipation)?
This is left out in a reconstitution dosage problem
What is the diluent or liquid added to the vial?
A nonpharmacological method for pain control that works because of the Gate Control Theory
What are meditation, ice, TENS unit, back massage, rubbing, etc?
two words that should be the nurse's definition of what an addiction is
What is a chronic disease?
this term refers to the transmission of pain signals from the point of injury to the brain through fibers
What is nociception?
This substance has a drug-lifestyle interaction with opioids and shouldn't be used together
What is alcohol?
These two words will be in a weight based problem if you have to divide the final answer
What is "day" and "divided"?
Don't give an opioid for this condition to a patient in a motor vehicle accident
What is a head injury?
This happens in the addiction cycle when a patient needs more of a drug for the same response
What is tolerance?
This drug would be given for a heroin or any opioid overdose
What is naloxone?
Fatigue, anxiety, malnourished, headaches, and insomnia are symptoms of this
What are opioid withdrawal symptoms?
First steps (two) for a weight-based math problem
What is convert weight to kg and round to tenths?
This opioid agonist drug is used for pain control or for a patient with opioid use disorder
What is methadone?
This concept is closely linked to addiction because of how addiction affects it
What is family dynamics?
This opioid agonist added to a promethazine (a nausea med) is a great antitussive (cough med)
This drug is given for opioid induced constipation
What is methylnaltrexone?
What is the formula for finding the 8 hour total when calculating someone's intake and output?
What is intake - output = net?
Never give more than 2 grams of this analgesic to someone who regularly drinks alcohol
What is acetaminophen?
Use this when making decisions about which PRN pain meds to give
What is the WHO analgesic ladder?
This effect happens when acetaminophen is added to an opioid like codeine
What is a synergistic effect?
Never give this drug if the patient has had a GI bleed or ulceration
What is aspirin?
Calculate IV 8 hour intake for this:
IV fluid at 100 mL/hr
What is 800 mL?
Monitor these labs when giving large amounts of ibuprofen
What is BUN, creatinine and GFR?