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Nursing 106 meds

Narcotics morphine, codeine sulfate, oxycodone (in percocet and oxycontin), hydromorphone (dlaudid), fentanyl (duragesic), hydrocodone (in lortab), propoxyphene (percocet) - tylenol (aCETaminophen is in ALL opioid narcotics that end in CET)
how do narcotics work? what are the side effects? stimulates opioid receptors in the CNS to reduce the perception of pain. used to treat moderate to severe pain. Common side effects: sedation, disorientation, coma, constipation, respiratory depression.
NSAID's Ibuprofen (advil, motrin), naproxen (naprosyn, aleve), salicylates (aspirin ASA ecotrin)
what are side effects of NSAID's? GI distress, bleeding, kidney damage, nausea and vomiting, heart disease (increased creatinine >1.2) ASA's can cause ringing in the ears after excessive dosing. can cause reyes disease in children- lethargy, seizures, coma, death. DONT give children <18
cox-2 inhibitors celecoxib (celebrex)- inhibit the prostaglandins (chemical responsible for causing pain). USE: treat inflammation, mild to moderate pain, and fever. Common side effects: GI bleeding, kidney damage. Nsg implication: Given PO w/ food to decrease GI toxicity
Non-opioid analgesics Acetaminophen- tylenol. Dose: 325 and 500mg tabs can give 2 tabs every 4 hours. DON'T exceed 3000mg in 24 hours Side effects: liver toxicity (assess liver function ALT, AST, bilirubin. assess jaundice) cal. total dose during 24period include all CET drugs
Muscle relaxers Diazepam (valium- also used for anti anxiety) Cyclobenzaprine (Flexeril) Action: relax muscle spasms
what are side effects for Diazepam? drowsiness, coma, extrapyrimidal side effects- muscle twitching, urinary retention, anti slud- dry mouth, dry eyes, constipation. addictive. nursing implications: monitor for drowsiness, EPS, and anti slud effects, monitor urine output and dont drive
What are bronchodilators? Mimics the sympathetic nervous system and increases everything (especially vital signs) stimulates beta 2 receptors in the lungs which dilate the bronchial tubes increasing air flow to the lungs.
what are the side effects of bronchodilators and the nursing implications? side effects: tachycardia, hypertension, nervousness, shaking, tremors. Implications: administered inhalation. check HR before administration and after for tachycardia. stay with pt if given as a nebulizer treatment. monitor breath sounds and O2 sat.
what are some respiratory drugs that decrease inflammation? Beclomethasone (QVAR), Budesonide (Pulmicort). these are steroids- have sone or cort in their names. Uses: reduce inflammation in the lungs that can cause asthma. must give AFTER albuterol.
what are some side effects of respiratory steroid drugs? Side effects: bad taste in the mouth, oral fungal infections (immunosuppression at the site), moon face, buffalo hump, trunchal obesity, ^^ NA and glucose, decreased Potassium, brittle bones, muscle wasting, roid rage, or psychosis.
what are the nursing implications of respiratory steroid drugs? given inhalation using a metered dose inhaler or nebulizer, evaluate pts ability to use inhaler and how to clean. educate pt that the drug should be used daily whether they have asthma symptoms or not.
what are antihistamines? Non-sedating: Fexofenadine (Allegra), Loratadine (Claritin) Sedating: Diphenhydramine (Benadryl) Action: block histamine receptors reducing the effects of histamine release. Use: treat allergic conditions, allergic reactions, environmental allergies.
what are the side effects and nursing implications of antihistamines? Side effects: non-sedating: few side effects Sedating: everything is decreased- drowsiness, dry mouth, dry mucus membranes, dry eyes, urinary retention, blurred vision. Nsg implications: non-sedating: PO only. Sedating: Benadryl PO or injection
What are Antidiarrheal drugs? Atropine/diphenoxylate (Lomotil) Action: Atropine is an anticholinergic drug that dries up body functions. Uses: Atropine decreases oral secretions, tears, and slows GI motility. ^^ HR. Diphenoxylate an opioid derivative that slows GI motility treats diar
Created by: blakealexandra07



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