pharm final- narcotic and anti-inflammatory

Question 1

morphine class

Answer 1

narcotic agonist

Question 2

morphine MOA

Answer 2

bind to opiod receptors in brain and spinal cord. Inhibit action of prostaglandins

Question 3

morphine nursing implications

Answer 3

Drug of choice for severe pain

IV push 2-4mg qhour prn

Question 4

hydromorphone (Dilaudid) class

Answer 4

narcotic agonist

Question 5

hydromorphone (Dilaudid) MOA

Answer 5

bind to opiod receptors in brain and spinal cord. Inhibit action of prostaglandins

Question 6

hydromorphone (Dilaudid) nursing implications

Answer 6

More potent than morphine, oral

Question 7

nursing implications with pain meds

Answer 7

Pain assessment
Reevaluate after giving
Administer 30-60 minutes before activity
Monitor vital signs (RR and BP)
Monitor LOC
Watch GI: constipation
Symptoms of overdosage and treatment
Monitor urinary retention
Narcotic counts
Fluid, fiber, activity

Question 8

naloxone (narcan)

Answer 8

narcotic agonist

antidote

Question 9

indications for aspirin

Answer 9

Anti-inflammatory- For arthritis and other inflammatory conditions
Analgesic- For mild to moderate pain
Anti-pyretic- Fever reducer
Anti-coagulant- Protection against MI and Stroke

Question 10

aspirin class

Answer 10

nonopioid analgesic

Acetyl Salicylic Acid (ASA)

Question 11

aspirin SE

Answer 11

GI upset/bleed (enteric coated)
1st Dark tarry stools then blood in the stools
Bleeding
Avoid in children under 12
Toxicity (Tinnitus, Sweating, Acidosis (ASA is an acid), Renal failure)

Question 12

Tylenol (acetaminophen) class

Answer 12

nonopioid analgesic

Question 13

Tylenol (acetaminophen) MOA

Answer 13

Analgesic and antipyretic
Inhibits prostaglandin synthesis in CNS
Does not alter platelet function

Question 14

Tylenol (acetaminophen) nursing implications

Answer 14

Maximum dose per day is 3-4 grams

Antidote is Mucomyst

Question 15

Tylenol (acetaminophen) SE

Answer 15

Causes little or no gastric distress

Large doses toxic to the liver