Med-Surg Pre/Intra/Post-Op
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| Level 1 (1-3 rating) | Use non-opioids
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| Level 2 (4-6 rating) | Use weak opioids alone or with adjuvant drug
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| Level 3 (7-10 rating) | Use strong opioids
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| Three drug groups | 1. Non-opioids
2. Opioids
3. Adjuvants
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| Postoperative pain management in the PACU is usually managed through the use of | Intravenous opioid analgesics
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| Patient-controlled analgesia (PCA) | Morphine
Dilaudid
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| Pure agonists | Morphine (MS Contin), oxycodone (OxyContin), methadone, codeine
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| 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.
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| Side Effects of Opioids | Nausea/vomiting
Constipation
Sedation
Respiratory depression
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| Sutures | Absorbable or non-absorbable. Are used to close internal incisions and external skin closures.
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| Staples | Are used to close skin. Decreased injury to skin.
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| 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
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| DVT Prevention | Ambulate-ASAP!
Leg exercises
SCDS/Flowtrons
Anticoagulant therapy prophylaxis
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