Pain/Inflammation Medications

Question 1

Acetaminophen action

Answer 1

Slows production of prostaglandins CNS

Question 2

Acetaminophen uses (2)

Answer 2

• Analgesic
• Antipyretic

Question 3

Acetaminophen precautions (3)

Answer 3

• Use caution in patients who consume 3 or more alcoholic beverages per day
• Using rifampin, INH, carbamazepine, barbiturates along with acetaminophen increases hepatotoxic effects
• Slows metabolism of warfarin

Question 4

Acetaminophen side/adverse effects (2)

Answer 4

• N/V
• Long term use: hemolytic anemia, leukopenia, neutropenia, thrombocytopenia

Question 5

Acetaminophen nursing interventions (4)

Answer 5

• Monitor kidney/liver function
• Take as prescribed and don’t exceed 3,000mg/24 hours
• Inform patient of risk of hepatotoxicity
• When given to kids dose should be based off age and not exceed 5 doses/day

Question 6

Opioids action

Answer 6

Bind with opiate receptors in CNS to alter perception of and emotional response to pain

Question 7

Opioids precautions (2)

Answer 7

• Meperidine works best for biliary pain
• Monitor for potentiation effects when given with barbiturates, benzodiazepines, phenothiazines, hypnotic, sedatives

Question 8

Opioids side/adverse effects (6)

Answer 8

• Orthostatic hypotension
• Constipation
• Urinary retention
• Blurred vision
• Respiratory depression
• Abstinence syndrome

Question 9

Opioids nursing interventions (3)

Answer 9

• Monitor vitals, respiratory depression, urinary retention
• Teach patient how to use PCA pump
• Prevent constipation