Various Drugs: pre/post assessments

Question 1

Antipyretics:

What age group always needs to be treated for fever?

Answer 1

Assess fever before / after
does this person need a med?
Always treat infant with fever

Question 2

NSAIDS

Answer 2

Assess pain/ Inflammation. Be aware that some ASA (aspirin) causes decreased platelet aggregation as well so can thin blood, if platelet count is low… consider an alternate option for the med

Question 3

Non Opioid Analgesics

Answer 3

Assess pain level before and after pain admin

Question 4

Opioid Analgesics

What is the antiodote?

Answer 4

These meds bind to opioid receptors and serve to alter the response to pain causing a decrease in pain.
Be aware they affect LOC and RR.
Assess LOC and RR before and after admin.

If RR less than 8… give naloxone which is the antidote

Question 5

Beta Blockers

Answer 5

Block the beta 1 receptor causing decreased HR and Contractility

Assess the HR before med admin (if less than 50, hold the med)

Question 6

Ca+ Channel Blocker

Answer 6

Act on smooth muscle causing vasodilation in the vessel. Also affect HR so assess HR and BP

Question 7

Vasodilator

Answer 7

Act on the smooth muscle (particiularily veins) to vasodilate. Consider the BP before giving, and monitor closely

Question 8

Diuretic

Answer 8

Cause whole loss of fluid.

Assess BP, electrolytes, and dehydration

Question 9

ACEI

Answer 9

Cause decreased Na+ and H20 reabsorbtion.

Assess electrolytes (can cause hyperkalemia) and BP

Question 10

ARBS

Answer 10

Causes decreased Na+ and H20 reabsorbtion

Assess electrolytes (can cause hyperkalemia) and BP

Question 11

+ Inotrope

Answer 11

Cause increase in heart contractility and decrease in HR,

Assess the HR

Question 12

Antiarythmic Drugs

Answer 12

Cause increase in heart contractility (aiming to increase the blood that is ejected from the heart)

Assess the HR

Question 13

Insulin:

1. Rapid Acting
2. Long Acting

Answer 13

Moves glucose across the membrane into cells to be used for energy.

1. 10-15 minute onset, must have food before med is adminned. Assess BBGM before giving med (follow doctors orders closely)
2. 1-3 hour onset, up to 24 hour duration. Assess for the Glucose level before giving med, and consider the duration of the med

Question 14

non Opioid Analgesics: name 1

Answer 14

Acetaminophen

Question 15

Name 2 NSAIDS

Answer 15

ASA, Ibuprofen

Question 16

Achetylcholineesterase Inhibitor.
When is this used?

Is this useful in late stage dementia?

Answer 16

Used for patients with dementia to try and slow the progression of the disease. Inhibits Acetylcholine from being broken down, therefore more ACH (neurotransmitter)

No. It is useful when the manifestation is caught early, and when they are not at a progressed stage.

Question 17

Is there a drug to give for delerium?

Answer 17

NOPE!