Nurisng
What do you check before giving a pain med
orders
VS
pain level/type/location
allergies
reassess after administration
Who is allowed to push the button on a PCA pump?
Only the patient, no matter what. Has to be the patients decision and they have to be able to do it themselves
What is important to teach a patient when taking abx?
take the medication until it is gone, even if you have relief from symptoms.
What is Naloxone (Narcan), how do you give it?
drug of choice for the complete or partial reversal of opioid-induced respiratory depression
IV, nasal
What are side effects of NSAIDs
Ulcers, GI bleeding, GI irritation
What is the gate control theory
causing the inhibition of impulse transmission -> avoidance of pain sensation
allows the brain to be stimulated and feel pain sensation
When educating a patient on taking opioids, what should you tell them?
can cause constipaiton
do not crush extended release
What type of pain is gabapentin given for?
nerve pain
what are the adverse effects of pain medications?
Low BP, low BP s/s -> fall risk
decreased respirations/drive
how do you treat acute pain when someone takes medications for chronic pain?
give home pain meds
also treated with acute-acting pain medications (PRN's)
Adverse effects analgesics
euphoria, abuse, hypotension, sedation, disorientation, urinary retention, nausea, lightheaded, itching, respiratory depression, flushing
What are the adverse effects of quinolones?
tendon rupture
Prolonged QT, tendinitis and tendon rupture, peripheral neuropathy, central nervous system effects(seizures), and exacerbation of myasthenia gravis
What is a PCA pump, how does it work?
pump which provides continuous administration of pain meds. Also allows patients to choose when to self deliver pain medication. Has a lock-out for how much medication can be given
When assessing a patient or choosing which patient to assess first, what do I need to remember about prioritization?
Choose by ABC's (airway, breathing, circulation, safety risk)
What are S/S of a patient being over-medicated from opioids
decreased respirations, lethargy, low BP, nonresponsive, pinpoint pupils