NSAIDS
What is a longterm effect that NSAIDS (Aspirin) has on the gastrointestinal tract?
What is "GI bleed or perforation" (Burchum & Rosenthal, 2019, p. 856)
Burchum, J.R. & Rosenthal, L. D. (2019). Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs and Acetaminophen. In Lehnes pharmacology for nursing care (10th, p. 856). St. Louis, MO: Elsevier/Saunders
Develops due to changes in the opioid receptors
What is Tolerance
inhibition of the perception of pain.
What is analgesia?
Commonly used for conscious sedation
What is midazlam (versed)
Gabapentin expected effects.
What is Gabapentin results in relief from nerve pain?
What are the three purposes of NSAIDS?
What is reduce fever, reduce inflammation, reduce pain
Burchum, J. R. & Rosenthal, L. D.(2019). Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs and Acetaminophen. In Lehnes pharmacology for nursing care (10th, p. 852). St. Louis, MO: Elsevier/Saunders
The generic is hydromorphone
What is Diluadid
Not specifically anti-inflammatory; used as short-term adjunct to other therapy.
What is acetaminophen (Tylenol, Tylenol ER)
rendering the patient unconscious by using inhalation anesthetics, IV anesthetics, or both
What is Induction?
Types of pain relieved with duloxetine (at least 2)
What is Duloxetine relieves neuropathic pain, fibromyalgia, and chronic pain, as well as peripheral nerve pain caused by chemotherapy?
What is the name of the enzyme that NSAIDS inhibit?
What is Cyclooxygenase
Burchum, J. R. & Rosenthal, L. D. (2019). Cyclooxygenase Inhibitors: Nonsteroidal Anti-Inflammatory Drugs and Acetaminophen. In Lehnes pharmacology for nursing care (10th, p. 852). St. Louis, MO: Elsevier/Saunders
Opioid ________ are drugs that attach to the opioid receptors and displace the opioid analgesic or opioid neuropeptide.
What are Opioid antagonists
The adult daily dose of acetaminophen should not exceed.
What is 3000-4000mg?
Most widely used intravenous anesthetic
What is Propofol (Diprovan)?
Propofol is is the drug of choice because it is a complete anesthetic with a quick onset of action and recovery period uncomplicated by nausea and vomiting.
Suicidal ideation, serotonin syndrome, neuroleptic malignant syndrome, seizures, bleeding, pancreatitis, hepatotoxicity, erythema multiforme, and Stevens-Johnson syndrome.
What are adverse effects of antidepressants like duloxetine as adjuvant pain treatment?
Children and teenagers should never be given salicylates for chicken pox or flue because of the possibility for
What is Reye's syndrome.
May develop during the recover phase of the a viral illness, Symptoms include nausea, vomiting, headache, excitability, delirium, and combativeness. May progress to coma and death.
Opioid analgesics potentiate the depression of any __________ drug
What are CNS depressant drugs?
(sedative-hypnotics, alcohol, and general anesthetics). Enhanced sedation, mental confusion, or respiratory depression may occur when patients are taking narcotics at the same time as sedatives (barbiturates, benzodiazepines, alcohol, or general anesthetics.
Contains 325 mg of acetaminophen and either 2.5, 5, 7.5, or 10 mg of oxycodone.
What is percocet?
The nurse is preparing a patient for surgery. The patient received a hypnotic medication the night prior and the nurse is administering midazolam. The patient asks why all of these medications are necessary. The nurse will inform the patient that they are given for which reason?
A. To decrease the amount of general anesthesia needed
B. To prevent the need for post-surgical pain medications
C. To prolong the anesthetized state
D. To speed up anesthesia induction
What is A. To decrease the amount of general anesthesia needed.
Medications administered before, during, and after general anesthesia are considered adjunct medications. Such drugs may be used to avoid a heightened state of anxiety or fear prior to surgery, to minimize the concentration of anesthetic required, or to counteract side effects (nausea, pain) during the recovery process.
What is providing patient education and monitoring for side effects?
A 49-year old patient has been admitted with possible chronic salicylate intoxication after self-treatment for arthritis pain. The nurse will assess for which symptoms of salicylate intoxication? (Select all that apply)
A. tinnitus
B. headache
C. constipation
D. nausea
E. bradycardia
What is A. tinnitus, B. headache, D. nausea
What should nurse's monitor when administering opioid analgesics. (At least 4)
What is respiratory rate, level of consciousness, fall risk, other sedating medications, response to medication, pain levels?
N-acetylcysteine
What is the antidote for toxic acetaminophen overdose?
state of unconsciousness specifically produced by the combined administration of nitrous oxide, fentanyl and droperidol.
What is Neuroleptanesthesia?
Hitner. Introduction to Pharnacology (2022) 8th (ed.)
Identify at least 4 elements of patient education for adjuvant analgesics like duloxetine and gabapentin/
What is Client teaching should cover purpose of the medication, method of administration, side and adverse effects, prescription parameters, and any special instructions. In particular, the nurse should:
•Advise clients to report new or unexpected behaviors or thoughts, including thoughts of suicide.
•Caution clients not to stop taking this medication abruptly.