lecture 7 Flashcards
what can aspirin cause
-hypersensitivity reaction
COX 2 inhibitor advantage
fewer GI adverse effects
morphine sulfate via percutaneous coronary angioplasty has irregular respiratory
prepare to administer naloxone
best way to evaluate effectiveness of pt’s opiate agonist ?
Verbal report of 2 on 10 scale
diclofenac [Voltaren]
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
What medication should be administered to pt with pain of 8 on 0-10 pain scale
Morphine (Roxanol)
what drugs have the main purpose of relieving pain ?
analgestics
after how long after pain medication is administered should nurse assess effectiveness of medication
30 minutes
do NSAIDs cause tinnitus
NO
How many gm of acetaminophen can a pt take a day ?
no more than 2 gm
what pain scale assessment is most accurate for a nonverbal adult pt ?
FLACC
what medication is contraindicated when a pt is taking warfarin (Coumadin)
Aspirin
What miscellaneous drugs are often prescribed to help with pain management ?
-Anticonvulsants
-Antidepressants
-Anti-inflammatories
what sign or symptom would be indicative of opiate withdrawal ?
diarrhea
what health problem is a severe adverse reaction to chronic acetaminophen therapy?
liver toxicity
opiate agonists adverse effects
-dizziness
-orthostatic
-hypotension
-respiratory depression
Meperidine [Demerol]
opioid agonist that can cause respiratory depression
Methocarbamol
often causes urinary retention and can cause serious complications to someone who has difficulty emptying the bladder
are NSAIDs safe to take while breastfeeding
NSAIDs are safe to take while breast-feeding
How does tramadol control pain
Binds to adrenergic receptors in spinal cord to prevent pain signals from reaching the brain
analgesics that are considered strong opioid agonists
-Fentanyl
-Hydromorphone
-Morphine
Acetylcysteine [Mucomyst]
specific antidote for acetaminophen overdose
what drugs manage pain by acting at the tissue where pain starts and does not change the person’s perception of pain
-corticosteroids
-NSAIDs
COX-1inhibitor characteristics
COX-1 inhibitors protect against myocardial infarction and stroke
what can cyclobenzaprine cause
serious cardiac dysrhythmias, prolonged cardiac conduction, and high BP
conditions managed by salicylates ?
-swollen joins
-fever
-muscle. aches
-myocardial infarction
drug interactions with NSAIDs
-warfarin
-lithium
-diuretics
fentanyl [Duragesic] transdermal patch
takes about 12-14 hours for patch to reach steady blood level so other analgesics must be used during this time
neuropathic pain
results from injury to the peripheral or central nervous system
term defining awareness of pain
perception
can pregnant pt in 3rd trimester take aspirin ?
it could cause premature closure of the ductus arteriosus in your baby
why are natural and synthetic opioids considered “high-alert” drugs ?
they have an increased risk for causing a patient harm if given in error
