Term
| what are some of the nonopiod NSAIDs? |
|
Definition
| salicylates, COX-2 inhibitors, para-aminophenol and propionic acid group |
|
|
Term
| what is an example of a salicylate? |
|
Definition
|
|
Term
| what is an example of COX-2 inhibitors? |
|
Definition
|
|
Term
| what is an example of an para-aminophenol? |
|
Definition
|
|
Term
| what are some drugs in the propionic acid group? |
|
Definition
Ibuprofen (Motrin)
Naproxen (Naprosyn)
Ketorolac (Toradol) |
|
|
Term
| what is the action of actaminophen? |
|
Definition
| inhibits prostaglandin synthesis |
|
|
Term
| what are the uses for acetaminophen? |
|
Definition
| relieves pain, discomfort and fever |
|
|
Term
| what is the maximum does of acetaminophen? |
|
Definition
|
|
Term
| what are the side effects of acetaminophen? |
|
Definition
| ras,, low incidence of GI distress |
|
|
Term
| what are the toxic effects/ overdose of acetaminophen? |
|
Definition
| hepatotoxicity, thrombocytopenia |
|
|
Term
| what are examples of opiods? |
|
Definition
|
|
Term
| what are the sythetic opioids? |
|
Definition
| meperidine (demerol) and hydromorphone (dilaudid) |
|
|
Term
| what synthetic opiod is perferred in pregnant woman? |
|
Definition
|
|
Term
| what are the uses of synthetic opioids? |
|
Definition
Pain relief
Antitussive (except meperidine) |
|
|
Term
| what are some side effects/adverse reactions? |
|
Definition
Hypotension, sedation, confusion, blurred vision, constipation, urinary retention
Respiratory depression
Tolerance and dependence, withdrawal symptoms |
|
|
Term
| what are some contraindications of opiate analgesics? |
|
Definition
Head injuries, increased intracranial pressure
Respiratory disorders
Shock or hypotension |
|
|
Term
| what is an example of a mixed opiate agonist-antagonist? |
|
Definition
| Nalbuphine HCl (Nubain)—most commonly used |
|
|
Term
| what is the action with nalbuphine HCl (nubain)? |
|
Definition
| Binds with opiate receptor and increases pain threshold |
|
|
Term
| whate are the advantages with nubain? |
|
Definition
| decreases risk of narcotic abuse and safe during labor |
|
|
Term
| what are some side effects/adverse reactions of opioid agonist-antagonists? |
|
Definition
Confusion, restlessness, abdominal cramps,
urinary urgency, depression
Respiratory depression |
|
|
Term
| what are contraindications of opioid agonist-antagonists? |
|
Definition
Renal or hepatic dysfunction
Head injuries, increased intracranial pressure
Impaired respirations
History of drug abuse or emotional instability |
|
|
Term
| what are opioid antagonists used for? |
|
Definition
Antidote for opiate overdoses
Reverse effects of opiates, including respiratory depression, sedation, hypotension
Respiratory distress, respiratory depression |
|
|
Term
| what is the most commonly used opioid antagonists? |
|
Definition
|
|
Term
| what are some of the side effects of narcan? |
|
Definition
Tremors, sweating, hypertension, tachycardia, excitement
Nausea, vomiting, reversal of analgesia,
dysrhythmias
Elevated PTT |
|
|
Term
| what are nursing interventions with opioids? |
|
Definition
Monitor vital signs and bleeding continuously
Opioid-Addicted People
Methadone treatment program
Weaning program
Maintenance program
Levomethadyl acetate (Orlaam) |
|
|
Term
| is opioid withdrawl life threatening? |
|
Definition
| no but it feels like it is |
|
|
Term
| why don't you use opioids with client's who have head injuries? |
|
Definition
| because it is a respiratory dispressant increaseing your CO2 and vasodilation increasing cranial pressure. you want to ventilate patient and be careful with IV fluids. |
|
|
Term
| why do espanol cops carry narcan? |
|
Definition
| because of heroin problems. |
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