ch. 25 - analgesics Flashcards
1
Q
An evaluation of the factors that alleviate or exacerbate patient’s pain
A
pain assessment
2
Q
Class: analgesic
- reduces pain and fever, but does not relieve inflammation
- therapeutic level 10-20
- low/mild levels of pain
A
acetaminophen
3
Q
- Headache, hepatotoxicity, hearing loss, peripheral edema, N/V
- Monitor CBC for decreased cell counts
A
side effects of acetaminophen
4
Q
- Observe for hepatotoxicity (harmful to liver) if taken in access
- Limit to 2000mg a day for frail elders
- monitor liver enzymes AST and ALT
- educate not to drink alcohol
- educate to keep out of reach for children
A
nursing interventions for acetaminophen
5
Q
antidote for acetaminophen
A
acetylcysteine
6
Q
Class: Opioid Analgesic
- narcotic drug derived from opium, used to treat severe pain
- CANNOT GIVE TO PERSON WITH RR OF LESS THAN 12 A MINUTE or if they have SEVER ASTHMA
A
Morphine Sulfate
7
Q
respiratory depression, N/V, clouded sensorium, confusion, FALL RISK, urinary retention
A
side effects of morphine sulfate
8
Q
- don’t give with other sedative drugs
- assess RESIRATORY RATE DON’T give if rr less than 12
- don’t give if BP is low (hypotension is indicated by 100/60 or below not to give meds) but need to know their Normal
- assess/monitor HR but remember that pain can effect your HR
- monitor for constipation
- increase fluid intakes and monitor all intake and output
- Assess pain level before giving!!! (OLDCART pain assessment)
- full set of V/S to know a baseline and what to go off of
A
nursing interventions for morphine sulfate
9
Q
Class: opioid antagonist
- intranasal, intravenous, intramuscular
- need to have agonal respirations/apnea
A
Naloxone (Narcan)
10
Q
Class: Opioid Analgesic
- severe pain
- Priority is RESPIRATORY RATE CHECK BEFORE GIVING
- IV push
A
Hydromorphone (Dilaudid)
11
Q
- ASSESS RESPIRATORY RATE needs to be 12 or greater
- have a baseline for V/S
A
nursing interventions for hydromorphone
