opiod Flashcards
Opiod analgesic
treat moderate to severe pain
opiod Analgesic
Reduce pain by attaching to receptor in central nervous sustem altering reception to pain
Classification
Agonist
agonist antagonist
agoneist
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Agonest antagonist
force analgesic response when alone but analgesic when administered/pure substance
Antogonist
reverse respiratory and CNS depression caused by opiod overdose
Schedule 11
Controlled substance act
When do
When do you stop opiod
1.Stop meds and notify charge nurse if respiration under 12 /min
2.Have naloxone and resuscitation equiptment available
3.descourage use of opioid s withother CNS depressants and alcohol
education
- teach client to increase fluid fiber and physical activity
- Administer laxative to counteract increase in bowel and stool softer to prevent constipation
PN/actions
1.advise clients to sit or lie dow if lightheadedness or dizzy
2.if dialation to peripheral arterioles and veins slowly move client to standing or sitting position
3.Provide help/ambulation
nursing action
- check I&O
- Check bladder for distention /palpalting lower abdomen every 4 to 6 hr. Opiod med can supress awarness of bladder
- vitals signs
- mechanical ventilation if necessry
- administer naloxone opiod antogonisth that reverse respiratory depression and toxicity
client education
- cough to prevent accumulation of secretion
- Avoid driving /operating heavy machinery
vomitting
administer antiemetic
Actions
Precautions /contraindications
- pregnancy /caution
- Lactation/caution can cause withdrawl or respiratory depression/newborn
- notify provider pregnancy expected or planned
- premature infants
- kidney failure clients
6.