Operative medications

Question 1

Pain meds ( analgesic ) use ?

Answer 1

• drugs used to manage pain

Question 2

Non-opioid Analgesics?

Answer 2

acetaminophen, NSAIDS

Question 3

Opioid Agonists ?

Answer 3

• Morphine
• Oxycodone

Question 4

Opioid Antagoinsts?

Answer 4

• Naloxone ( narcan)

Question 5

Adjuvant Medications?

Answer 5

• Antidepressants
• Anticonvulsants

Question 6

Misc Medications

Answer 6

• Muscle Relaxants

Question 7

Anesthetics?

Answer 7

• Lidocaine
• Propofol

Question 8

Pediatric Patient considerations?

Answer 8

• Lower dose of non- opooids
• Opioids based on weight and development stage
  AVOID ASPIRIN)

Question 9

Adult Considerations?

Answer 9

• Opioid use requires close monitoring for sedation
  -Monitor live and kidney impairment

Question 10

Older adult considerations?

Answer 10

• Slower drug metabolism
• Greater sensitivity to sedatives and anesthetics

Question 11

Assessment for pain meds?

Answer 11

• Assess pain level using appropriate scales and document type, location, and intensity

Question 12

Non-Opiod analgesic adverse effects?

Answer 12

• Risk of GI bleeding ( NSAIDS)
• Hepatotoxicity (acetaminophen)

Question 13

Adjuvant and miscellaneous adverse effect?

Answer 13

• Monitor for sedation and interactions with other meds

Question 14

Opioid Agonists adverse effects?

Answer 14

• Respiratory depression
• Constipation
• Risk of dependence

Question 15

Acetaminophen Mechanism of action?

Answer 15

• Inhibits prostaglandin synthesis in the CNS to reduce pain and fever

Question 16

NSAID mechanism of action?

Answer 16

• Inhibit COX-1 and COX-2 enzymes to decrease inflammation and pain

Question 17

Acetaminophen therapeutic indications?

Answer 17

-Mild to moderate pain and fever

Question 18

NSAID therapeutic indicaitons?

Answer 18

• Inflammatory pain, arthritis, musculoskeletal pain, fever, dysmenorrhea, inhibition of platelet aggregation

Question 19

Acetaminophen adverse effects?

Answer 19

• risk for liver damage (hepatotoxicity)

Question 20

NSAIDS adverse effects?

Answer 20

• GI bleeding, kidney dysfunction

Question 21

Opioid Agonist action?

Answer 21

• Binds to mu receptors in the CNS, altering pain perception and response

Question 22

Opioid Agonist indications

Answer 22

• Severe pain, cancer pain, postoperative pain, sedation, reduction of bowel motility, cough suppressant

Question 23

Opioid agonist adverse effects ?

Answer 23

• resp depression, constipation, sedation, risk of dependance, orthostatic hypotension, urinary retention,

Question 24

Opioid agonist nursing implications?

Answer 24

• monitor vital signs and respiratory rate ( sedation)
• Admin stool softeners to prevent constipation
• have narcan ( naloxone) nearby

Question 25

Opioid agonist nursing admin?

Answer 25

-assess pain and document - take baseline vitals, if RR less than 12 withhold - double check with another nurse prior to admin - opioids should be tapered off

Question 26

Opioid antagonists Nalaxone Action?

Answer 26

- Competes with and displaces opioids at receptor sites - reverse opioid effects - resp depression

Question 27

Opioid antagonists Nalaxone use:

Answer 27

- treatment of opioid overdose

Question 28

Opioid antagonists Nalaxone dosage?

Answer 28

0.4-2mg IV every 2-3 min as needed

Question 29

Opioid antagonists Nalaxone nursing implications?

Answer 29

- monitor for reassurance of respiratory depression (short half life) - educate on use

Question 30

Antidepressants action?

Answer 30

- amytriptyline - enhance action of neurotransmitters like serotonin and norepinephrine - modulate pain perception

Question 31

Anticonvulsants

Answer 31

- gabapentin - stabilize nerve membranes, reducing neuropathic pain

Question 32

CNS stimulant

Answer 32

- methylphenidate - augment analgesia and decreases sedation