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DSU pharmacology

# DSU Test #2

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
Created by: DSU2014