Medications to Know for PeriOP Flashcards
NSAID stands for?
Non-Steriodal Anti-inflammatory Drug
What are the three NSAIDS we need to know?
Aspirin and
Ibuprofen (Advil, Motrin) and Naproxen (Aleve)
Where is Aspirin Metabolized, and what is the route of administration?
Aspirin is metabolized primarily through the small intestine and stomach, route of administration in PO.
What is contraindicated when thinking of giving Aspirin?
Patients who have/had history of peptic/ GI ulcers and bleeding disorders
What are the 3 characteristics common amongst NSAIDS?
Reduces Pain, Fever and is an Anti-Inflammatory
Low doses of Aspirin are good for protection against what?
Low Doses = Protect agaisnt Myocardial Infarction and Ischemic Strokes heart healthy
what is the route of admission for Ibuprofen?
IV
Is Ibuprofen Heart Healthy?
what can Ibuprofen cause when taking too much?
No it doesnt protect agaisnt MI or IS
Can cause GI upset or renal issues but usually less
What dose of acetaminophen should you not exceed in a day?
not to exceed 4,000mg in a day
How fast is Ofirmev (acetaminophen IV) infused?
Infusion of 15 mins
No mixing with other medications.
What organ is affected when taking acetaminophen?
The liver, but causes no GI issues or Renal Issues
Is acetaminophen an NSAID?
No, it only reduces pain and fever it is not an anti-inflammatory agent.
What class of drug is Tramadol?
Non-Opioid Centrally Acting Analgesics
List the Narcotics:
Fentanyl, Morphine, Hydromorphone, Oxycodone.
Route of Transmission for Narcotics?
Any Route
IM, IV,Transderm, PO, Sublingual,spray,etc
Common Adverse reactions when taking Narcotics?
Respiratory Depression and Constipation
what is the reversal drug for fentanyl ?
Naloxone (Narcan)
what are the narcotic-combos?
Oxycodone-Acetaminophen = Percocet
Hydrocodone- Acetaminophen= Lortab, Norco
Codiene-Aceteminophen= Tylenol w codiene 3
What is Midazolam and its characteristics?
IV Anesthetic
Versed, causes Amnesia and lowers anxiety. Its used for conscious sedation. It has a quick onset and you want to wait 1-2 minutes before administering more medication
The patient is still able to follow commands while on this medication
What is a Conscious Sedation?
A cocktail between Versed + opioid (fentanyl or morphine)
what is Propofol and its characteristics?
IV anesthetic
Diprivan, develops less than 60 seconds after administration. There is no drowsiness “hangover” after use. RN CANNOT PUSH PROPOFOL. A total procedure can be done with Propofol alone.
Propofol (Diprivan) has a high risk of developing what?
High risk of bacterial infection due to its lipid base medium which is perfect for bacterial growth
when should vials of propofol be discarded?
within 6 hours
What is Lidocaine (xylocaine) w/ Epinephrine ?
Lidocaine numbs and the epinephrine decreases blood flow (stops bleeding) and delays absorption.
