ATI section 12: Medications for Pain and Inflammation

Question 1

Acetaminophen

Answer 1

• Analgesic
• Antipyretic

Precautions/Interventions:

• Alcohol
• Concurrent use with TB meds, and barbiturates, warfarin

Side/Adverse Effects:

• N/V
• Long term therapy: anemia, leukopenia, neutropenia, and thrombocytopenia

Nursing Interventions and Client Education

• Monitor liver and kidney function
• Don’t exceed a single dose of 325mg (4000mg/24hr)

Treat overdose with acetylcysteine

Question 2

Opioid Analgesics

Answer 2

• Fentanyl
• Hydromorphone
• Morphine sulfate
• Meperidine
• Codeine

Therapeutic use:

• Relief of moderate to severe pain
• Sedation

Precautions/Interactions:

• biliary tract surgery
• kidney failure
• monitor for potentiate effects when given with : benzo, pheno, hypnotics, and sedatives

Side/Adverse Effects:

• Orthostatic hypotension
• constipation/ urinary retention
• blurred vision
• respiratory depression

Nursing Interventions and Client Education:

• Monitor vitals, respiratory depression
• Administer Narcan for respiratory depression