Pain/opioids
-When assessing pain there are vital sign changes. Is this subjective or objective?
Objective
Drug of choice for pediatric patients
What are the properties of this drug/used for?
Tylenol
-Antipyretic (fever reducer) mild to moderate pain
silver sulfadizine nursing implication
check for sulfa agency
two Antihistamines
sedative or non sedative?
Benadryl - sedative effect
Claritin - non sedative effect
action of xanthine agents
blocks the enzyme that breaks down cAMP
results in bronchodilation
When are meds given around the clock? for how long?
Acute pain, for first 24-48 hours post op
medication that should not be used for children under 12
-whats the difference compared to Tylenol?
Asprin
-has antiplatelet properties and anti-inflammatory
differences between miotic and mydiatic
miotic - constriction - PNS
mydriatic - dilation - SNS
For an asthma attack, emergency treatment
Epi and bronchodilators
name short and long acting bronchodilators
type one-short-albuterol-rescue inhaler
type two-long-serevent-maintenance inhaler
two major things to assess for when giving opioids.
what pain level are they used for?
-Respiratory rate, and constipation
-moderate to severe
syndrome that is a risk to children under 13 when taking asprin with a viral infection
Reyes syndrome
reason NSAIDs are preferred over steroids
steroids can mask infections and body wont trigger immune response
side effect of overuse and long term use of decongestants
who should'nt take decongestants?
rebound conjestion
-patients with glaucoma
two main adverse effects of corticosteroid inhalers
(how long to wait between puffs of same drug and between dilator and steroid)
-blocks action of insulin
-oral fungal infections(rinse mouth)
(between puffs) 1-2 min
(after dilator) 2-5 min
How long until a fentanyl patch is changed and how do you discard it?
- q 72 hours
- charcoal box, (whatever facility procedure is to destroy)
-must have another nurse witness for any opioid waste
reason for gout
action of antiallergic drugs
prevents release of histamine
name for cough suppressants
reasons to take
antitussives
unproductive cough
erythropoiesis stimulating drugs are held when this hemoglobin level is reached
10g/dL
antidote for opioids
how often do you assess patient after administering
naloxone (Narcan)
Assess RR every 15 minutes
two different gout medications and functions?
which is daily to prevent and which is for acute therapy
-Colchicine (prevent inflammatory response) acute
Allopurinol (inhibits uric acid production) daily
what is the color of a healthy eardrum
pink
use and action of expectorants
facilitate cough and expectoration of mucus
-to thin secretions
what stool will look like when taking iron anemia drugs
-what to educated patient when taking oral version of anemia drugs
black or tar like in color
-to use a straw (avoid discoloration)