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Nura 115

Med-Surg Pre/Intra/Post-Op

Level 1 (1-3 rating) Use non-opioids
Level 2 (4-6 rating) Use weak opioids alone or with adjuvant drug
Level 3 (7-10 rating) Use strong opioids
Three drug groups 1. Non-opioids 2. Opioids 3. Adjuvants
Postoperative pain management in the PACU is usually managed through the use of Intravenous opioid analgesics
Patient-controlled analgesia (PCA) Morphine Dilaudid
Pure agonists Morphine (MS Contin), oxycodone (OxyContin), methadone, codeine
The patient is receiving his first dose of an opioid analgesic for pain. The nurse expects that another medication that will probably be ordered concurrently for this patient will be a(n): Laxative or stool softener Those who take regular doses of opioids may get constipated. Interventions such as diet and laxative agents may be needed to minimize the problem.
Side Effects of Opioids Nausea/vomiting Constipation Sedation Respiratory depression
Sutures Absorbable or non-absorbable. Are used to close internal incisions and external skin closures.
Staples Are used to close skin. Decreased injury to skin.
A patient has had bowel surgery. The nurse is assessing the patient’s abdomen and knows that the best indicator of intestinal activity is? Detection of bowel sounds upon auscultation
DVT Prevention Ambulate-ASAP! Leg exercises SCDS/Flowtrons Anticoagulant therapy prophylaxis
Created by: M1144843