lecture 7

Question 1

what can aspirin cause

Answer 1

-hypersensitivity reaction

Question 2

COX 2 inhibitor advantage

Answer 2

fewer GI adverse effects

Question 3

morphine sulfate via percutaneous coronary angioplasty has irregular respiratory

Answer 3

prepare to administer naloxone

Question 4

best way to evaluate effectiveness of pt’s opiate agonist ?

Answer 4

Verbal report of 2 on 10 scale

Question 5

diclofenac [Voltaren]

Answer 5

NSAID used to treat mild to moderate pain, and helps relieve symptoms of arthritis.
-areas where gel is applied should be covered to protect from sunlight

Question 6

What medication should be administered to pt with pain of 8 on 0-10 pain scale

Answer 6

Morphine (Roxanol)

Question 7

what drugs have the main purpose of relieving pain ?

Answer 7

analgestics

Question 8

after how long after pain medication is administered should nurse assess effectiveness of medication

Answer 8

30 minutes

Question 9

do NSAIDs cause tinnitus

Answer 9

NO

Question 10

How many gm of acetaminophen can a pt take a day ?

Answer 10

no more than 2 gm

Question 11

what pain scale assessment is most accurate for a nonverbal adult pt ?

Answer 11

FLACC

Question 12

what medication is contraindicated when a pt is taking warfarin (Coumadin)

Answer 12

Aspirin

Question 13

What miscellaneous drugs are often prescribed to help with pain management ?

Answer 13

-Anticonvulsants
-Antidepressants
-Anti-inflammatories

Question 14

what sign or symptom would be indicative of opiate withdrawal ?

Answer 14

diarrhea

Question 15

what health problem is a severe adverse reaction to chronic acetaminophen therapy?

Answer 15

liver toxicity

Question 16

opiate agonists adverse effects

Answer 16

-dizziness
-orthostatic
-hypotension
-respiratory depression

Question 17

Meperidine [Demerol]

Answer 17

opioid agonist that can cause respiratory depression

Question 18

Methocarbamol

Answer 18

often causes urinary retention and can cause serious complications to someone who has difficulty emptying the bladder

Question 19

are NSAIDs safe to take while breastfeeding

Answer 19

NSAIDs are safe to take while breast-feeding

Question 20

How does tramadol control pain

Answer 20

Binds to adrenergic receptors in spinal cord to prevent pain signals from reaching the brain

Question 21

analgesics that are considered strong opioid agonists

Answer 21

-Fentanyl
-Hydromorphone
-Morphine

Question 22

Acetylcysteine [Mucomyst]

Answer 22

specific antidote for acetaminophen overdose

Question 23

what drugs manage pain by acting at the tissue where pain starts and does not change the person’s perception of pain

Answer 23

-corticosteroids
-NSAIDs

Question 24

COX-1inhibitor characteristics

Answer 24

COX-1 inhibitors protect against myocardial infarction and stroke

Question 24

what can cyclobenzaprine cause

Answer 24

serious cardiac dysrhythmias, prolonged cardiac conduction, and high BP

Question 24

conditions managed by salicylates ?

Answer 24

-swollen joins
-fever
-muscle. aches
-myocardial infarction

Question 25

drug interactions with NSAIDs

Answer 25

-warfarin
-lithium
-diuretics

Question 26

fentanyl [Duragesic] transdermal patch

Answer 26

takes about 12-14 hours for patch to reach steady blood level so other analgesics must be used during this time

Question 27

neuropathic pain

Answer 27

results from injury to the peripheral or central nervous system

Question 28

term defining awareness of pain

Answer 28

perception

Question 29

can pregnant pt in 3rd trimester take aspirin ?

Answer 29

it could cause premature closure of the ductus arteriosus in your baby

Question 30

why are natural and synthetic opioids considered “high-alert” drugs ?

Answer 30

they have an increased risk for causing a patient harm if given in error