Opioids
Opioids are generally used for this symptom.
What is moderate to severe pain?
The 2 primary types of anesthesia are
General-unconscious
Local-client remains conscious
What are the side effects of muscle relaxers?
Sedation
decrease in muscle spasms that results in the decrease of pain
It is important to teach the client that is on CNS to
follow up with their provider frequently
Many anti seizure medications can be used for other diseases. True or false
True
examples: gabapentin-nerve related pain
lamotrigine-bipolar disorder
divalproex sodium/topiramate-migraines
Common side effects of many mental health meds
sedation
weight gain
increase risk for insulin resistance which can lead to DM
tardive dyskinesia
EVERY time you see a client that admits to tobacco use you should
Teach smoking cessation
Mild pain or pain due to swelling/inflammation is treated with this class of medication before anything else if not contraindicated.
What is NSAIDs?
The first thing the nurse would notice after the patient has had a peripheral nerve block to the LLE for wound care would be
What is return of movement to the extremity?
What is as an anxiolytic medication for anxiety OR to help calm the client that is in chronic pain.
CNS stimulants are considered controlled substances. True or false?
True
Primary teaching needed with anti seizure medications is
DO NOT abruptly stop due to possible rebound seizure activity
Specific life threatening side effect of clozapine/Clozaril
agranulocytosis
Medication used to treat opioid abuse
methadone
buprenorphine
What is naloxone/Narcan?
This can be used a a topical numbing agent before starting an IV/drawing blood/assessing a PAC
What is EMLA cream?
Diazepam can be used for anxiety or
status epilepticus
Medications used for ADHD and narcolepsy are
CNS stimulants
Common side effects of anti seizure meds are
fatigue, tremors, coordination issues, sedation
What is lithium used for? What is a therapeutic level of lithium? S/S of toxicity?
bipolar disorders/acute mania
0.8-1.2
weakness/tremor/ataxia/poor concentration/vomiting/slurred speech/confusion
Medication used to treat ACUTE alcoholism
Chronic alcoholism
disulfiram/clonidine/Phenergan
naltrexone/Vivitrol injection
A client has a history of long term use of morphine ER. He has run out of his medication and has not had it in 3 days. These s/s let you know he is experiencing withdrawal from the medication.
Increase in BP/HR
low grade fever
restlessness/anxiety
diarrhea
yawning
Procaine is a local anesthetic used primarily for dental procedures. The nurse knows to monitor the patient closely due to
What is the high incidence of allergic reactions with this medication?
There are multiple muscle relaxers. Name at last 3
Cyclobenzaprine/Flexeril
methocarbamol/Robaxin
Tizanidine/Zanaflex
S/S of CNS withdrawal are
irritability/anxiety
hallucinations
Severe: convulsions/coma/cerebral hemorrhage
Therapeutic index for any medication means
the safe dose and toxic dose are close to each other. This means the medication can become toxic easily. Most of these meds will have labs levels drawn frequently.
Before starting any mental health medication it is imperative to obtain a complete health history including
Current medications-prescribed/OTC/herbal
smoking cessation medication
bupropion/Zyban
A client is on a long lasting opioid for chronic back pain. The nurse understands this medication is used to treat pain because it...
Gives a consistent dose of the medication throughout the day.
What is a CSF leak?
The muscle relaxer that is primarily used with malignant hypothermia is
dantrolene
The primary teaching needed for CNS stimulants is
Do NOT stop the medication abruptly.
phenytoin/Dilantin is a anti siezure medication with multiple side effects. What is a pertinent side effect and teaching about the effect?
Tooth decay
Teach the patient to brush their teeth and complete oral care BID if on the medication
MAOIs are in the drug class tranylcypromine sulfate. As a result, the client must be taught not to eat tyramine high foods. What are some of these foods.
aged cheese
dried meat-pepperoni/salami
sour cream
Withdrawal from opioid can kill you?
Withdrawal from ETOH can kill you?
Withdrawal from benzos can kill you?
Withdrawal from CNS stimulants can kill you?
No, the patient just feels VERY bad
Yes, because of possible seizure activity
Yes, because of possible seizure activity
No, but the patient feels VERY bad