Opioid Agonists & Antagonists
Morphine, Fentanyl, Meperdine, Methadone, Codeine, Oxycodone, Hydromorphone are within the same class of medication.
A medication that is used for pain which enhances the effects of opioids.
What is adjuvant medications?
These medications decrease pain by blocking conduction of pain impulses in a circumscribed area. Loss of consciousness does not occur.
What are local anesthetics (Lidocaine, Tetracaine, procaine)?
When blood glucose id less than 70 mg/dL
What is hypoglycemia?
levothyroxine
What is the select prototype medication for thyroid hormone replacement?
This medication reverses the effects of respiratory depression.
What is Naloxone?
This medication reduces the effectiveness of oral contraception.
What is carbamazepine?
Observe for indications of easy bruising and bleeding, fever, sore throat, and notify provider if they occur. Periodically monitor CBC including platelets.
What are nursing actions for bone marrow suppression? (complication of aspirin-like drugs)
Unused vials of insulin are put in the refrigerator (single type is good until expiration date, premixed insulins kept for 3 months). Used vial is kept at room temperature and discarded at 1 month.
What is proper storage of insulin?
Octreotide
What is the select prototype medication for hyperpituitarism?
The opioid toxicity triad.
The key element in the assessment of pain.
What is the client's self-report?
Contraindication in clients who have liver failure, ischemic heart disease, a history of MI, uncontrolled hypertension, and other heart diseases.
What are Triptans? (medication for migraines)
Regular insulin, insulin aspart, insulin glulisine, and insulin lispro
What are the complications of radioactive iodine for hyperthyroidism?
Butorphanol, Nalbuphine, Buprenorphine, Pentazocine are all within the same drug class.
What is agonist-antagonist opioids?
This class of medications decreases the antibody response to vaccines and increase the risk of infection from live virus vaccines.
Extreme tiredness, fatigue, depression, asthma exacerbation, bradycardia, and hypotension.
Contraindicated for clients who have severe infection, shock, kidney impairment, and any hypoxic condition. Should not be used by clients who have alcohol use disorder.
What is metformin?
Muscle weakness, moon face, buffalo hump, cutaneous striation.
What are the manifestations of Cushing's syndrome as complications from adrenal hormone replacement (i.e., hydrocortisone, prednisone, dexamethasone, fludrocortisone)?
Opioids must be withheld if respirations are below a specific limit.
What is less than 12 respirations/minute?
These medications are used in combination with opioids and cannot be used as a substitute for opioids.
What is tricyclic antidepressants, anticonvulsants, CNS stimulants, antihistamines, glucocorticoids, bisphosphonates, NSAIDs?
Additive hypotensive effects that requires monitoring of BP and holding of the medication if systolic BP is less than 90 mmHg.
What is concurrent used of diuretics and antihypertensive medications?
Emergency management of hypoglycemic reactions (insulin toxicity) in clients unable to take oral glucose of if IV glucose is not an option.
What is glucagon?
Carbamazepine and tricyclic antidepressants (TCA)
What medications increase the antidiuretic action of antidiuretic hormones (i.e., vasopressin and desmopressin) when used concurrently?