NUR 118 - Meds List (21 Meds)

Question 1

NSAIDS (All non-opioid)

Generic names, contraindications, adverse/side effects, implications and teaching

Answer 1

Acetaminophen (tylenol), - analgesic & anti-pyretic
Acetylsalicylic acid (aspirin, ecotrin) - analgesic & anti-pyretic
Ibuprofen (Advil, Motrin) - analgesic & anti-pyretic
Ketorolac (Toradol, Sprix) NOT AN ANTI-PYRETIC

Contraindication - HTN, GI Bleeding & ulcers, renal and hepatic impairment, chronic alcohol use

Adverse/Side Effects:
Skin: Rash, Urticaria (hives)
GI: Nausea, vomiting, abdominal pain
Renal: Impairment
Hepato: Impairment

-Evaluate liver & kidney function
- Evaluate pain and function in GI

Question 2

Opioid Analgesic

Generic/Trade names, contraindications, adverse/side effects, implications and teaching

Answer 2

1. Morphine Sulfate (MS Contin, Statex)
2. Codeine (Also antitussive, allergy/cold/cough remedy)
3. Hydromorphone (Dilaudid)

Contraindication - HTN, renal or hepatic impairment, , respiratory depression, Bronchial asthma, adrenal insufficiency

Adverse/Side Effects:
CV: hypotension, bradycardia
GI: Nausea, constipation, vomiting
Neuro: Confusion, sedation
Resp: Respiratory depression

Implications:
Check vitals (BP + Respirations)
Screen for risk of addiction/misuse

Teaching:
Inform high risk of addiction/misuse
Inform about opioid antagonist naloxone in case of overdose

Question 3

Percocet (trade name)

What is it composed of? (Generic Name)
Contraindications, adverse/side effects, implications and teaching

Answer 3

Oxycodone-acetaminophen

Contraindications: HTN, renal/hepatic disease, respiratory depression, alcoholism, hypothyroidism

Adverse/Side Effects:
CV: Orthostatic hypotension
EENT: blurry vision, diplopia (double vision)
GI: Nausea, constipation, vomiting

Question 4

Opioid Antagonist

Generic/Trade names, contraindications, adverse/side effects, implications and teaching

Answer 4

Generic: Naloxone
Trade: Narcan

Contraindications: HTN, cardiovascular disease

Adverse/Side Effects:
CV: Hypertension & Hypotension, ventricular arrhythmia

Nursing implication/assessments:
- Some opiods may go longer than naloxone

Pt teaching:
- Inform reversal of analgesic effects, ask PCP for alternate pain treatment

Question 5

What are the three laxatives and their respective types?

Answer 5

Docusate Sodium - Stool Softener laxative
Senna - Stimulant Laxative
Polyethylene Glycol - Osmotic laxative

Question 6

Local anesthetic

General/trade name, Contraindications, adverse/side effects, nursing implication and pt teaching

Answer 6

Generic: Lidocaine (think patch)
Trade: Lidoderm, Xylocaine

Contraindications: HTN, respiratory depression, Wolff-Parkinson-White Syndrome

Adverse/Side Effects:

CV: Arrhythmias, bradycardia,

Question 7

Anti-Emetic

Answer 7

Ondansetron (Dance-a-tron, you don’t want to be emetic on the dance floor)

Trade: Zofran

Question 8

Ascorbic Acid (Vitamin C)

Uses

Answer 8

For wound healing and immune strength

Question 9

What are the three anti-infectives?

Answer 9

Ampicillin: Penicillin derived
Gentamicin sulfate: Ophthalmic aminoglycoside-based
Azithromycin: Macrolide-classed anti-infective

Question 10

After administering morphine sulfate 4 mg IV, the patients respirations fall from 16 to 8. Which medication would the nurse anticipate to administer?

Answer 10

Naloxone

Question 11

Which class of medications can cause C-Diff in a susceptible patient?

Answer 11

Anti-Infective

Question 12

Which medication is classified as both a cardiac agent and anticholinergic?

Answer 12

Atropine

Question 13

An anticholinergic medication used to decrease oral and pulmonary secretions pre-op

Answer 13

Atropine