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painreview
pharmacology exam 4
| Question | Answer |
|---|---|
| what do we do before giving pain meds? | assess pain, let patient decide what pain scale/face |
| A toxic side effect of aspirin is? | GI bleeding |
| The antidote of opioids is? | narcan |
| migraine meds should not be given to patients with? | MI, HTN, diabetics |
| contraindications for migraine meds? | hypertension, MI, CAD, dysrhthmia, heart failure, and diabetes |
| what can not be delegated to a nurse? | observing/assessing |
| do not suddenly stop centrally acting antispasmodics becasue | risk of seizure and tongue swelling |
| where does centrally acting muscle relaxants effect? | entire CNS |
| where does direct acting muscle relaxants effect? | level of neuromuscular junction and skeletal muscle |
| tylenol effects the | liver, so do liver labs |
| what is dantrolene? | a skeletal muscle relaxant |
| side effects of dantrolene? | drowsiness, dizziness, weakness, diarrhea |
| nursing considerations with dantrolene? | obtain base level liver tests, avoid tasks that require alertness, report any bloody, tarry stool and rash |
| contraindications with dantrolene? | active hepatic disease |
| drug interactions with dantrolene? | CNS depressants |
| What is diflunisal? | an nsaid, produces analgesic and anti-inflammatory effect |
| side effect of diflunisal? | nausea, GI disturbances, headache, rash |
| nursing considerations with diflunisal? | swallow tablet whole, take with food if GI upset occurs, report GI distress, rash, monitor for nausea |
| contraindications with diflunisal? | active gi bleed, hypersensitivities to aspirin |
| drug interactions with diflunisal? | antihypertensives and diuretics |
| what is baclofen? | relieves muscle spasticity |
| what is side effect of baclofen? | dizziness, lightheadedness, N/V, headache |
| nursing considerations with baclofen | check for immobility, stiffness, swelling, monitor liver/renal tests, avoid tasks that require alertness, avoid alcohol, do NOT stop suddenly |
| contraindications with baclofen | CVA, skeletal muscle spasm due to CP, parkinsons disease, hiccups |
| drug interactions with baclofen | alcohol and CNS depressants |
| what is allopurinol? | reduces uric acid in serum and urine |
| side effects of allopurinol? | unusual hair loss, rash, N/V |
| nursing considerations with allopurinol? | drink 10-12 8oz glasses of water per day, if rash appears stop immediately, monitor I&O, assess CBC, assess urine for cloudiness, may take 1 week or longer to be effective, avoid tasks |
| drug interactions with allopurinol? | amoxicillin |
| what is tylenol? | non-opiod analgesic |
| how is tylenol used? | inhibits pain mediators at nociceptor levels (tissue) |
| what are common side effects with tylenol? | hypersensitivity reaction |
| nursing measures with tylenol? | obtain vitals first, assess for signs of improvement, check serum levels, not to be used on pts under 2 yrs old, do not take if longer than 10 days or fever is present for more than 3 days, liver is affected so check levels |
| contraindications to tylenol? | active alcoholism, liver disease, viral hepatitis |
| drug interactions with tylenol? | alcohol, liver enzymes |
| what is morphine? | opioid, alters the perception and emotional response to pain, produces general CNS depression |
| side effects of morphine? | sedation, decreased BP, facial flushing, constipation, dizziness, N/V |
| nursing measures with morphine? | obtain vitals, if BR is lower than 12 hold dose, change position slowly, avoid tasks, avoid alcohol |
| contraindications to morphine? | acute severe asthma, GI obstructions, renal impairment, respiratory depression |
| drug interactions with morphine? | alcohol, CNS depressants |
| what is narcan? | opioid antagonist, displaces opioids at opioid-occupied receptor site in CNS, reverses morphine |
| side effects of narcan | none |
| nursing considerations for narcan | maintain clear airway, monitor vitals, assess for increased pain, obtain weight one children to get appropriate dose |
| contraindications for narcan | respiratory depression |
| what is fosamax? | biphosphonate, bone resorption inhibitor, calcium regulator, reverses progression of osteoperosis |
| side effects of fosamax? | back pain, abd pain, nausea, diarrhea, flatulence |
| nursing considerations with fosamax | hypocalcemia and vit d to be in check first, check electrolytes before dose, take with 6-8oz of water for benefit, take first thing in morning, do not lie down 30 minutes afterward |
| contraindications with fosamax | gi disease, hiatial hernia, renal impairment |
| drug interactions with fosamax | antacids and calcium supplements |
| what is compazine | anorexiant, relieves N/V and improves psychotic conditions |
| side effects of compazine? | hypotension, dizziness, fainting |
| nursing measures with compazine | assess for dehydration, monitor BP, limit caffeine, avoid alcohol, may cause drowsiness |
| contraindications with compazine | angle-closure glaucoma, CNS depression, coma, myleosupression, cardiac and hepatic impairment |
| drug interactions with compazine | alcohol and CNS depressants |
Created by:
bkgrota
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