LTC Medications

Question 1

What drug class is oxycodone in?

Answer 1

Opioid analgesic

Question 2

What is important to remember about medications in the drug class opioid analgesic?

Answer 2

They are controlled substances.

Question 3

What drug class is hydrocodone in?

Answer 3

Opioid analgesic

Question 4

What drug class is Norco in?

Answer 4

Opioid analgesic

Question 5

What is the generic name for Norco?

Answer 5

Hydrocodone-Acetaminophen

Question 6

What drug class is Percocet in?

Answer 6

Opioid analgesic

Question 7

What is the generic name for Percocet?

Answer 7

Oxycodone-Acetaminophen

Question 8

How are drugs in the opioid analgesic drug class administered?

Answer 8

PO

Question 9

When can drugs in the opioid analgesic drug class be administered?

Answer 9

Daily or PRN

Question 10

Why are drugs in the opioid analgesic drug class given?

Answer 10

To treat moderate to sever pain (ratings of 4-10)

Question 11

What can help determine the amount of an opioid analgesic medication is to be given?

Answer 11

The patient’s reported pain rating

Question 12

What vital signs must be assessed BEFORE and AFTER giving an opioid analgesic medication?

Answer 12

Pain level, BP, HR, RR, SpO2, LOC

Question 13

What is the antidote for opioid analgesic medications?

Answer 13

Narcan

Question 14

What medication is often paired with an opioid analgesic medication?

Answer 14

Stool softener

Question 15

What should be assessed before administering a stool softener?

Answer 15

Last bowel movement and consistency of last bowel movement

Question 16

What are the side effects of an opioid analgesic medication?

Answer 16

CNS depression
Respiratory depression
hypotension
bradycardia
constipation
(May cause abdominal upset)

Question 17

How do opioid analgesic medications work?

Answer 17

Alter the perception of pain and the body’s response to painful stimuli
Depresses the central nervous system

Question 18

What drug class is Tramadol in?

Answer 18

Analgesic (controlled)

Question 19

What is the trade name for Tramadol?

Answer 19

Ultram

Question 20

What drug class is Ultram in?

Answer 20

Analgesic (controlled)

Question 21

How is Tramadol administered?

Answer 21

PO (can also be a scheduled IV controlled substance, but that is less common.

Question 22

When can Ultram be given?

Answer 22

PRN or scheduled for pain control

Question 23

Why is Tramadol given?

Answer 23

For moderate to moderately severe pain

Question 24

How does Tramadol/Ultram work?

Answer 24

Binds to opioid receptors to decrease transmission of pain. Decreases pain within the body

Question 25

What needs to be assessed BEFORE and AFTER the administration of Tramadol/Ultram?

Answer 25

Pain, RR, BP, HR, SpO2, LOC

Question 26

What can Tramadol/Ultram cause?

Answer 26

CNS depression, constipation

Question 27

If there is prolonged use of Tramadol/Ultram, what needs to be assessed?

Answer 27

Tolerance or addiction

Question 28

What medication is an antipyretic?

Answer 28

Acetaminophen

Question 29

What medication is a nonopioid analgesic?

Answer 29

Acetaminophen

Question 30

What drug classes is MAPAP in?

Answer 30

Antipyretic, Nonopioid analgesic

Question 31

How is Tylenol administered?

Answer 31

PO, suppository

Question 32

Why is Acetaminophen given?

Answer 32

To treat mild pain or fever

Question 33

How does MAPAP work?

Answer 33

Inhibits prostaglandin synthesis within the body preventing fever and pain.

Question 34

What does Tylenol not prevent?

Answer 34

Inflammation

Question 35

When is Acetaminophen given?

Answer 35

PRN, Daily

Question 36

What is the maximum daily dose of Acetaminophen?

Answer 36

4 grams

Question 37

What is the maximum daily dose of Acetaminophen is the patient has liver disease?

Answer 37

3 grams

Question 38

What labs need to be monitored if Tylenol is taken daily?

Answer 38

Liver function labs (AST, ALT, ALP)

Question 39

What needs to be assessed before and after giving tylenol?

Answer 39

Pain (if being given for pain) Temperature (if being given for fever) *If Tylenol is ordered PRN for pain, do NOT give Tylenol for a fever. A new order will be needed.

Question 40

What are the two other names for Tylenol?

Answer 40

MAPAP, Acetaminophen