Meds

Question 0

Common adverse effects of narcotic agonists

Answer 0

Resp depression, orthostatic hypotension, pupil constriction (normal), and urinary retention

Question 1

List the narcotic agonists

Answer 1

Codeine
Fentanyl 
Hydrocodone
Hydromorphone
Meperidine (Demerol)
Morphine
Oxycodone
Tramadol

Question 2

Morphine

Answer 2

Only narcotic approved for pain related to MI

Question 3

Codeine

Answer 3

Aka Tylenol 3, relieves coughing, caution in pt with COPD

Question 4

Oxycodone

Answer 4

drug of choice for pregnancy

Question 5

Demerol

Answer 5

High risk for resp depression and abuse

Question 6

Fentanyl

Answer 6

discarding patch needs witness!

Question 7

List Narcotic agonists-antagonists

Answer 7

Buprenorphine
Butorphanol
Nalbuphine
Pentamidine (Talwin)

Question 8

Adverse effect of narcotic agonists-antagonists

Answer 8

Increased chance of psychotic reactions

Question 9

Uses of narcotic agonists-antagonists

Answer 9

Labor and Delivery

Question 10

Basal dose

Answer 10

Continuous amount

Question 11

Nurse should frequently monitor what during use of PCA pump

Answer 11

Resp status, VS and safety

Question 12

Intraspinal/epidural NSG mgmt

Answer 12

For spinal headache- lie flat, push IV and PO fluids and call MD
Watch for urinary retention

Question 13

List Narcotic antagonists

Answer 13

Narcan
Nalmefene
Naltrexone

Question 14

Adverse effects of narcotic antagonists

Answer 14

Severe pain and HTN

Question 15

List Ergot derivatives

Answer 15

Dihydroergotamine

Ergotamine

Question 16

Therapeutic actions of Ergot derivatives

Answer 16

Constricts cranial vessels, stops or prevents a migraine

Question 17

Ergotism

Answer 17

GI upset, thirst, chest pain, decreased perfusion, blood pressure changes, AMS, and dependence

Question 18

Triptans actions/indications

Answer 18

Vasoconstriction of cranial vessels
Tx acute migraine attacks
Sumatriptan-cluster headaches

Question 19

List Triptans

Answer 19

Rizatriptan

Sumatriptan

Question 20

Adverse effects of triptans

Answer 20

Blood pressure changes*
Numbness and tingling
Dizziness
Chest pain

Question 21

List salicylates

Answer 21

Aspirin
Mesalamine
Salsalate

Question 22

Indications for salicylates

Answer 22

Fever/pain
Prevention of MI/TIA
Inflammatory bowel disease
RA/arthritis

Question 23

Contraindications for salicylates

Answer 23

Chickenpox or the flu in children/teenagers

Question 24

Salicylism

Answer 24

Dizziness Tinnitus/trouble hearing Confusion

Question 25

Salicylate toxicity

Answer 25

``` *levels over 20g Tachypnea Tachycardia Pulmonary edema CNS dysfunction ```

Question 26

Tx for salicylate toxicity

Answer 26

``` IVFs and electrolytes Activated charcoal Laxatives Dialysis *resp and CV support* ```

Question 27

List NSAIDS

Answer 27

``` Ibuprofen Diclofenac Indomethacin Naproxen Ketorolac Meloxicam Celebrex ```

Question 28

NSAIDS fact

Answer 28

*linked to increased risk of cardiovascular events, bleeding, and death

Question 29

COX 1

Answer 29

Decrease pain, swelling and *fever | Can increase BP, cause sodium retention, edema, and GI erosion with bleeding

Question 30

COX 2

Answer 30

Decrease pain and inflammation, prevents protective vasodilation, increase platelet clumping Should NEVER be given to a pt with cardiovascular disease

Question 32

Hepatotoxicity tx and associated w?

Answer 32

Tx with activated charcoal and mucomyst Associated with Tylenol