Non-opioid Pain Management Flashcards
Acetaminophen: Classification
Antipyretics
Nonopioid Analgesics
Acetaminophen: Actions/ Indications
Used for mild pain, fever, moderate to severe pain with opioid analgesics
Acetaminophen: Common Side Effects and Adverse Affects
STEVES-JOHNSON SYNDROME, HEPATOTOXICITY, fatigue, hypertension, constipation, rash, dyspnea
Acetaminophen: When would you NOT give this drug?
Previous hypersensitivity, severe hepatic impairment/active liver disease
Use cautiously: hepatic or renal disease, alcoholism, malnutrition, pregnancy
Acetaminophen: What do nurses need to know and do?
For adult not to exceed 3g in 24 hours for patients with hepatic/renal impairment
Pain scale prior to giving, thorough pain assessment
Assess: malnutrition, alcohol use
Acetaminophen: Essential Patient Teaching
Advise patient to stop taking if a rash appears and to notify provider
Avoid alcohol, avoid taking other medication that contains acetaminophen to prevent toxicity
Aspirin: Classification
Antiplatelet
Antipyretic
Nonopioid analgesics
Aspirin: Actions/ Indications
Used for mild to moderate pain, fever, decrease platelet, inflammatory disorders
Aspirin: Common Side Effects and Adverse Affects
GI BLEEDING, HYPERSENSITIVITY, epigastric distress, nausea
Aspirin: When would you NOT give this drug?
Bleeding disorders
Use cautiously: History of GI bleeding, after 20 wk gestation
Aspirin: What do nurses need to know and do?
Pain scale prior and pain assessment
Assess: asthma, allergies, monitor for signs of DRESS, fever
Aspirin: Essential Patient Teaching
Take with food and water, sit up right for 15-30 minutes
Avoid 3 or more glasses of alcohol
Ibuprofen : Classification
Antipyretics
Anti-rheumatics
Nonopioid Analgesics
Nonsteroid anti-inflammatory agents
Ibuprofen : Actions/ Indications
Used for mild to moderate pain, fever, inflammatory disorders
Ibuprofen : Common Side Effects and Adverse Affects
MYOCARDIAL INFARCTION, HEART FAILURE, STROKE, GI BLEEDING, headache, nausea, vomiting, constipation
Ibuprofen : When would you NOT give this drug?
Active GI bleeding, ulcer disease, no chewable tablets for patients with phenylketonuria, history of recent MI, after 30wk gestation
Use cautiously: cardiovascular disease, renal or hepatic disease, chronic alcohol
Ibuprofen : What do nurses need to know and do?
Pain scale and pain assessment
Monitor temperature
Asses for rhinitis, asthma, urticaria, rash, symptoms of GI bleed
Lab tests: BUN, serum creatine, CBC, liver function
Ibuprofen : Essential Patient Teaching
Take after meals with water, sit for 15-30 mins upright
Avoid alcohol
May cause drowsiness
Consult provider if experiencing rash, itching, visual disturbances, cardiovascular events, shortness of breath
Gabapentin : Classification
Analgesic adjuncts
Therapeutic anticonvulsants
Mood stabilizers
Gabapentin : Actions/ Indications
Used for partial seizures, therapeutic neuralgia, restless leg syndrome
Unlabeled Use(s):
Neuropathic pain.
Prevention of migraine headache
Bipolar disorder.
Anxiety.
Diabetic peripheral neuropathy.
Gabapentin : Common Side Effects and Adverse Affects
SUICIDAL THOUGHTS, STEVENS-JOHNSON SYNDROME, RHABDOMYOLYSIS, confusion, depression, dizziness, ataxia
Gabapentin : When would you NOT give this drug?
Hypersensitivity, older people more susceptible to toxicity
Use cautiously: renal impairment, respiratory impairment, pregnancy,
Gabapentin : What do nurses need to know and do?
Pain scale and pain assessment,
Monitor for signs of changed behavior, suicidal thoughts, depression
If administered with depressants, start at a low dose
Assess for seizures, neuropathic pain, migraine Prophylaxis, restless leg syndrome
Gabapentin : Essential Patient Teaching
Risk of respiratory depression when taken with CNS depressants
Do not take within 2 hours of antacid
May cause dizziness and drowsiness
Notify provider if thoughts of suicide, panic attacks, being violent, unusual changes in behavior, or if become pregnant
