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DSU pharmacology
# DSU Test #2
Question | Answer |
---|---|
Opioid Analgesic Therapeutic Effect | Pain Relief |
Opioid Analgesic: Subclass: Agonist Prototype Drug Name: generic/Trade | Morphine sulfate / MS Contin |
Opioid Analgesic: Subclass: Agonist Adverse Effects | Depresses CNS (drowsiness, sleepiness, unconsciousness) Depresses respiration |
Opioid Analgesic: Subclass: Agonist Top Concerns with Patient Care/Nursing Process | Assess for decreased pain (patient reports), tolerance, increased respiratory distress, cardiac rhythm disturbances. |
Opioid Analgesic: Subclass: Agonist Contraindications | Respiratory depression, acute or chronic lung disease, pregnancy, liver disease, kidney disease, head injury (intracranial swelling), seizure disorders, hypersensitivity. |
Opioid Analgesic: Subclass: Agonist Concepts | Neuro, Oxygenation, Mood/Affect, Comfort |
Opioid Analgesic: Subclass: Antagonist Prototype Drug Name: Generic/Trade | Naloxone / Narcan |
Opioid Analgesic: Subclass: Antagonist Priority Adverse Effects | Opioid withdrawal symptoms (tremors, drowsiness, sweating, decreased respirations, hypertension, nausea, and vomiting) |
Opioid Analgesic: Subclass: Antagonist Contraindications | Hypersensitivity to drug, presence of narcotic abuse, and pregnancy |
Opioid Analgesic: Subclass: Antagonist Top Concerns with Patient Care/Nursing Process | Assess for reversal of opioid effects, return of pain, repeat the dose |
Opioid Analgesic: Subclass: Antagonist Concepts | Neuro, Oxygenation, Mood/Affect, Comfort |
Opioid Analgesic: Subclass: Combinations Prototype Drug Name: Generic/Trade | Hydrocodone & Acetaminophen / Lortab |
Opioid Analgesic: Subclass: Combinations Priority Adverse Effects | CNS depression (dizziness, confusion, sedation, etc) Respiratory depression |
Opioid Analgesic: Subclass: Combinations Top Concerns with Patient Care/Nursing Process | Assess BP, pulse, and respiratory rate prior to, and during therapy. Assess pain (type, location, intensity) 1 hr after administration. |
Opioid Analgesic: Subclass: Combinations Contraindications | Hypersensitivity to hydrocodone (cross-sensitivity may exist to other opioids); Significant respiratory depression Paralytic ileus Acute or severe bronchial asthma or hypercarbia Hypersensitivity to acetaminophen/ibuprofen (for combination products) |
Opioid Analgesic: Subclass: Combinations Concepts | Nuero, Oxygenation, Mood/Affect, Comfort |
Nonopioid Analgesic: Therapeutic Effect | Pain relief, reduces fever, and anti inflammatory |
Nonopioid Analgesic: Subclass: NSAIDs Prototype Drug Name: generic/Trade name | Ibuprofen / Motrin |
Nonopioid Analgesic: Subclass: NSAIDs Adverse Effects | GI bleeding (ulcer), constipation, nausea. |
Nonopioid Analgesic: Subclass: NSAIDs Top Concerns with Patient Care/ Nursing process | Assess pain, recovery temp, decreased inflammation, GI bleeding, hypersensitivity. Teach patient about drug-drug interactions (anticoagulants, codeine, increase) and drug-herb interactions (garlic, ginger, gingko increase). |
Nonopioid Analgesic: Subclass: NSAIDs Contraindications | Active ulcer bleeding, pregnancy after 30 weeks, |
Nonopioid Analgesic: Subclass: NSAIDs Concepts | Elimination, comfort |
Nonopioid Analgesic: Subclass: Antipyretic Therapeutic effect | Pain relief, Reduces fever |
Nonopioid Analgesic: Subclass: Antipyretic Prototype Drug Name: generic/Trade | Acetaminophen / APAP / Tylenol |
Nonopioid Analgesic: Subclass: Antipyretic Adverse Effects |