Nursing Process- Narcotic Agonists & Narcotic Agonists–Antagonists Flashcards
Nursing process- Assessment
History and physical exam
◦ Allergies; respiratory dysfunction; MI or CAD; renal or hepatic dysfunction; pregnancy and lactation; history of heart
disease if administering pentazocine; diarrhea caused by toxic poisons; biliary surgery or surgical anastomoses
◦ Perform a pain assessment with the patient
◦ Assess orientation, affect, reflexes, and pupil (can be affected by OD); monitor respiratory rate and LS; pulse, blood pressure, and cardiac
output; assess abdomen and BS; urine output
◦ Monitor the results of laboratory; ECG- pentazocine, Liver and Kidney
Nursing Diagnosis
Disturbed sensory perception related to CNS effects
Constipation related to GI effects
Impaired gas exchange related to respiratory depression
Risk for injury related to CNS effects of the drug
Implementation
Perform baseline and periodic pain assessments with the patient (evaluate is med working)
Have a narcotic antagonist and equipment for assisted ventilation readily available
Monitor injection sites for irritation and extravasation
Monitor timing of analgesic doses (pain controlled better if taken when symptoms start)
Use extreme caution when injecting these drugs into any body area that is chilled or has poor perfusion or shock
Use additional measures to relieve pain (e.g., back rubs, stress reduction, hot packs, ice packs)
Monitor respiratory status before beginning therapy and periodically during therapy (ensure pt is not experiencing respiratory depression)
Institute comfort and safety measures (side rails, assistive devices, fluid intake - reduce GI upset)
Reassure patients that the risk of addiction is minimal (as long as taken as prescribed)
Patient Teaching
ADE - how to prevent them Safety -no heavy machinery No mixing with other CNS suppresants -alcohol
Evaluation
Pt response to drug (relief of pain, sedation)
Monitor ADE-
CNS changes, GI depression, Respiratory depression, hypotension, arrhythmias
