nonnarcotic analgesic antipyretic
drug of this class:
acetaminophen
drugs of class:
gabapentin
pregabalin
drug of this class
ketamine
drug in class
lidocaine
fentanyl and hydromorphone are the same as ____ but they are more ___
morphine, potent
acts on the hypothalamus to decrease fever
pain MOA unknown
gabapentin MOA
decreases neuron excitabaility
ketamine MOA
blocks glutamate at NMDA receptors to inhibit pain response
lidocaine MOA
blocks nerve conduction to decrease pain perception
meperidine is the same as ___ but ___
acetaminophen therapeutic uses
pain + fever
gabapentin therapeutic uses:
ketamine therapeutic effects:
sedation (hypnosis)
anesthetic
lidocaine AE
allergic rxn at injection sites causing burning + pain
codeine is the same as ___ but is a ___, therefore caution in ____
prodrug, fast metabolism pt
acetaminophen AE
hepatotoxicity and nephrotoxicity
overdose when used in combination with with drugs
gabapentin AE
Dizzy/Drowsy
Dry mouth
Decreased memory
Ataxia
ketamine AE
BBW: emergence delirium + hallucinations + unpleasant dreams
lidocaine nursing considerations
DO NOT use heat = increased absorption
on for 12 hours, off for 12 more hours
Apply topical patch to most painful areas but NOT on non-intact skin
oxycodone is the same as ____
morphine
acetaminophen nursing considerations
*hint max dose, cautions*
max dose = 4g/24hr
caution in liver+renal impairment pts
caution in alcohol consumption = increases hepatotoxicity risk
produces an active metabolite causing AE
gabapentin nursing considerations
Avoid other CNS depressants
Assess for CNS depression
Prioritize Pt safety because of Ataxia AE
ketamine nursing considerations
use lowest necessary does to minimize AE
lidocaine administrations
Topical
Injection
PO
inhalation
epidural
spinal
methadone is the same as ___ but is used in ___, causes AE____, and has ____
morphine, used in detox opioid use disorders, torsades de pointe (dysrhythmia), longer half life