Stuff I Should Know
Constipation, dry eyes, dry mouth, urinary retention are effects associated with this category of meds.
What are anticholinergics?
Use of relaxation, guided imagery, biofeedback, distraction, music, TENS, and accupuncture
What are Nonpharmacological pain relief interventions
This medication is to treat muscle rigidity from malignant hyperthermia caused by general anesthesia.
What is dantrolene?
This is the antidote for opioid overdose
What is naloxone (Narcan)?
Two primary nursing assessments when administering opioid.
What is assessing respiration and pain relief?
Opioid antagonists bind to opioid receptors to ____ the effects of opioids.
What is block?
Important to monitor while pediatric patient is taking ADHD medications
What is height and weight?
The nurse caring for a patient who is taking an adrenergic agent will expect which side effects? (Select all that apply.) A. Dilated pupils B. Increased heart rate C. Increase gastrointestinal motility D. Vasodilation E. Bronchospasm F. Relaxed uterine muscles
What is A, B, F? Rationale: Adrenergic agents stimulate the sympathetic nervous system, evoking the “fight or flight” response. This response increases those functions needed to respond to stress (increased heart rate to perfuse muscles, bronchodilation to increase oxygen exchange). Adrenergic drugs shunt blood away from the reproductive tract and gastrointestinal organs as these functions are not needed during a fight or flight response.
Propanolol is this specific type of drug
What is a non-selective beta blocker?
The reason why epinephrine is sometimes added to lidocaine for patients receiving stitches.
What is epinephrine causes vasoconstriction which reduces bleeding?
This is the antidote for acetaminophen overdose.
What is acetylcysteine?
Order Lactated Ringers 700 ml over 5 hours with a drop factor of 30. Compute the drops per min. round to the nearest whole number.
What is 70 gtts/min
This is the antidote for benzodiazepine overdose
What is flumazenil?
After an orthopedic surgery, a 15 year old reports a pain 5 out of 10 and given 5 mg oxycodone PO prn as ordered every 3 hours PRN. Two hours after administration, pt reports pain 10 out of 10. The nurse does this next:
A). Give another dose of oxycodone within 30 minutes. B). Report that pt has an apparent idiosyncrasy to oxycodone. C). Tell pt that more medication cannot be given for 1 more hour. D). Request that the practitioner evaluate the pt's need for additional medication.
What is D)? Request that practitioner evaluate pt's need for additional medication. Rationale: The nurse made the assessment that the pain medication was ineffective at relieving pt's pain for duration ordered. This info should be communicated to the practitioner for evaluation.
Adrenergic drugs mimic this.
What is the sympathetic nervous system?
Acetylcholine is associated with this category of drugs.
What are cholinergics?
Cholinergic drugs have these specific effects on the body. (Select all that apply.) A. Dilate pupils B. Decrease heart rate C. Stimulate gastric muscle D. Dilate blood vessels E. Dilate bronchioles F. Increase salivation G. Constrict pupils
What is B, C, D, F, G? Rationale: Decreasing heart rate, stimulating gastric muscles, dilating blood vessels, increasing salivation, and constricting pupils are actions of the cholinergic drugs.
Tylenol 15mg/kg is ordered for a patient who weighs 100 lbs. Compute the mg given for a pediatric patient.
681.82mg
What is-Beta 1 is cardioselective (only affects heart) and Beta 2 affects lungs
Tamsulosin is this type of drug
What is an Alpha blocker?
Dobutamine, epinephrine, dopamine are all examples of this category of meds
What are adrenergic agonists?
Name 5 conditions that CNS stimulants are used to treat.
What are ADHD, narcolepsy, obesity, migraines, and analeptic-response resp depression?
- Direct-Acting Cholinergic - Used to stimulate muscarinic receptors to stimulate urination -Side effects include hypotension, bradycardia, and bronchoconstriction
What is Bethanechol?
The antidote for phenobarbital
What is nothing because it doesn't exist.