Opioids, Non-opioids, and Adjuvants
What are three classifications of medications used to treat pain?
Believe the patient, respect the client’s response to pain, be with the patient often
What are nursing actions that promote effective pain relief.
What are stress responses to acute pain not well controlled?
Fear of addiction, worry about side effects, inadequate pain assessment.
What are barriers to effective pain relief.
Bleeding disorders, GI disturbances, renal and hepatic dysfunction
What are the possible side effects of long term use of NSAIDS?
In collaboration with the patient, a pain rating where the patient is comfortable is determined.
What is a comfort goal?
A catheter is inserted in the back (just outside the spinal membrane) in order to pump in pain meds and anesthetics
What is an epidural?
Respiratory depression, nausea, constipation, altered mental processes, physical dependence, over sedation.
What are the possible side effects of Opioid administration?
fentanyl, morphine sulfate, hydromorphone
What are three examples of opioids used to treat moderate to severe pain
Reposition patient, provide a back rub, use a TENS unit
What are non-pharmacological interventions.
A nurse use two patient identifiers prior to administering IV Morphine.
What is the medication safety right of the right patient?
A NANDA that addresses the potential for decreased respiratory rate after administration of an Opioid
What is "Risk for ineffective breathing pattern"?
A scale used to assess the behaviors of patients to determine if they are in pain
What is the Behavioral Pain Scale?
These act on the CNS to produce a combination of depressing and stimulating effects. Bind with opiate receptors in the brain to modify the perception of pain
What is the pharmacological action of Opiods to control pain?
Relaxation, massage, guided imagery and acupressure are all examples.
What are complementary or alternative therapies
Pain Medications are scheduled routinely every 8 hours in the first days post-op.
What is "Around the Clock" administration of pain meds?
Narcan is an example of this
What is a narcotic antagonist? (reverses effects of narcotics/opioids)