Classes of Opioids
T/F: Naloxone is an opioid agonist.
False: Naloxone (Narcan) is an antagonist.
Name at least 3 patient education points for someone receiving an opiate.
-S/sx of overdose
-Not to combine with alcohol or other CNS depressants
-Not to drive/operate heavy machinery until you know how med affects you
-Not to sign legal documents while heavily under influence
-Not to stop abruptly
-Not to share with others
-And more
"the state as which a larger dose of medication is required to produce the same response that could be formerly be produced with a small dose"
Tolerance
T/F: Buprenorphine is considered an agonist-antagonist medication.
True!
***DAILY DOUBLE***
PCA (in context of a "PCA pump") stands for....
" the state at which an abstinence syndrome will occur if the drug is abruptly stopped. "
Dependence/physical dependence
Name at least 4 possible side effects of morphine.
Sedation, euphoria, respiratory depression, cough suppression and suppression of bowel motility...
-Respiratory Depression
-Sedation
-Orthostatic hypotension
-Constipation
-Urinary retention
-Biliary colic
-Emesis
-Cough Suppression
-Miosis
-Neurotoxicity
-Birth defects
-Opioid Dependence (neonates)
-Dysrhythmias
"the physiological response to suddenly stopping the use of a substance." Can vary depending on the substance/medication.
Withdrawal
Why is it important to have security nearby when giving someone naloxone (Narcan)?
Overdosed individuals who receive this medication may become violent/agitated/aggressive due to it precipitating acute withdrawal
Name 3 aspects of the pre-administration assessment you should do before giving a patient an opioid medication.
-pain level
-vital signs
-level of consciousness
-consider patients with risk factors