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PNS and Opioids
| Question | Answer |
|---|---|
| What drug classifications consist of the Holy Trinity? | Benzodiazepines, muscle relaxer, and an opioid. It is used when several drugs have been used and the patient has overdosed. |
| What neurotransmitter has a depletion in párkinson patients that causes párkinson disease? | Dopamine |
| How long does it take for NSAIDS to be effective in the patient’s system? | 2-4 weeks |
| What medications do you give an unconscious type 1 diabetic patient? | Glucagon/dextrose |
| What are the benefits of scopolamine patches? How long do they last? Where should they be placed? | They help with nausea and vomiting. Especially with motion sickness. They will last up to 72 hours. Should be placed behind the ear. Rotate sites. |
| What is a patient controlled analgesic pump (PCA)? | A machine (pump) that allows patients to control their medication. The pump has settings that will prevent patients from getting too much medication. |
| What medication is used for opioid overdose? | Narcan |
| What medication is used for Tylenol overdose? | Mucomyst |
| What adverse reactions can occur with taking baclofen (Lioresal) a skeletal muscle relaxant? | Drowsiness Seizures Hypotension |
| What is the therapeutic levels for Dilantin? | 10-20 |
| A wound that requires stitches would require what type of anesthesia? | Local |
| When teaching a patient to use an Epipen, where should the injection be administered? | In the thigh |
| The medication Bethanechol is used for benign prostatic hyperplasia (BPH). What is BPH? What is the benefit of using this medication for these patients? | It’s an enlarged prostate. The goal is to improve bladder function. |
| What is the goal of epinephrine being used during a code blue? | To increase the blood flow to the heart and brain. |
| The medication Tensilon is used to diagnosis what disease? | Myasthenia gravis |
| What is rebound congestion? | A condition that develops from the overuse of nasal decongestant sprays or drops. The stuffy nose worsens b/c of the use of nasal products so much. |
| Should patients take erectile dysfunction medications with BPH? | No |
| What are the most common adverse reactions for Levodopa? | Dustonic reactions, choreiform movements, and increased hand tremors |
| As the nurse, when the physician orders a narcotic, what else should you make sure is ordered? | A stool softener |
| When patients are prescribed stool softeners, what patient teaching should you include? | To eat plenty of fiber and drink water or fluids |
| What is a side effect for patients taking salicylism? | Tinnitus |
| What is the maximum amount of Tylenol a patient should receive in a day? How about a patient with liver disease? | 4 grams or 4000 mg 2 grams or 2000 mg |
| What narcotic medication will be therapeutic in treating a patient with a cough and headache? | Codeine |
| A seizure patient or patients taking opioids or anxiety medications are at higher risk for | Falls. Safety will be the nurses primary concern. |
| What classification of medication can cause gingival hyperplasia? | Anti-seizure medications |
| Who’s wishing you the best on your test Monday? | Ms. Davis.....love you guys!!! |