front 1 Opioid considered anti antagonists adverse effects | back 1 CNS depression and urinary retention |
front 2 opioids BIG CONSTIPATORS | back 2 When on opioids need a bowel protocol |
front 3 tolerance of opioids | back 3 longer dose is required to maintain the same level of analgesia -they can get a physical and psychological dependence |
front 4 norphine sulfate | back 4 for severe pain -watch in patients with renal insufficiency |
front 5 codeine sulfate | back 5 most commonly used as an antitussive drug -cough suppressor |
front 6 fentanyl | back 6 used to treat moderate to severe pain. -fentanyl patches get changed every 72 hours -2 nurses MUST check the patch location at the beginning of each shift |
front 7 Dilavdid | back 7 very potent opioid analgesic |
front 8 oxycodone hydrochloride | back 8 combination of acetaminophen and oxycodone -there are many different forms |
front 9 opiate partial agonists | back 9 short term relief -subject to ceiling effect -check for prior use of opiate agonists -(drugs) buprenorphine (buprenex, subutex) and butorphanol (stadol) |
front 10 serious adverse effect of opiate partial agonoists | back 10 respiratory depression |
front 11 methadone hydrochloride | back 11 renewed interest in use of methadone for chronic and cancer related pain |
front 12 opiate antagonists drugs | back 12
action- reverse respiratory depression, sedation, hypotension associated with opiate agonists and opiate partial agonists |
front 13 prostaglandin inhibitors (drug) | back 13
-3,000mg a day! -someone with liver disease, older adults will get 2,000mg |
front 14 salicylates | back 14 help turn pain and fever off. -aspirin has unique property of inhibiting platelet aggregation and clotting. |
front 15 serious adverse effects of salicylatess | back 15 GI bleeding, salicylism -NOT recommended due to risk of Reyes syndrome |
front 16 NSAIDs | back 16 relief of pain, arthritis, osteoarthritis, gout. -can cause GI constipation and GI bleed (coffee grounds) |
front 17 althroga | back 17 arthritis pain |
front 18 adverse effects of NSAIDS | back 18 GI bleeding, mucosal lesions |
front 19 misoprostel (cytotec) | back 19 can be used to reduce these dangerous effects (effects of NSAIDS- EX: gi bleeding, musical lesions) |
front 20 misoprostol | back 20 they will give this with NSAIDS to prevent GI irritation |
front 21 PCA | back 21 patient controls when they are getting their pain meds. ONLY the patient can give this medication patient stilll needs to be monitored |
front 22 acetaminophen dangerous interactions | back 22 may occur if taken with alcohol or other drugs that are hepatotoxic |
front 23 ibuprofen hurts GI system and kidneys (T/F) | back 23 true |
front 24 Gout | back 24 condition that results from inappropriate uric acid metabolism |
front 25 gout drugs | back 25
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front 26 allopurinol | back 26 give for chronic gout |
front 27 colchicine | back 27 give for an acute gout attack -may cause short term leukopenia and bleeding into the GI or urinary tracts |
front 28 herbal products: feverfew | back 28 given to treat migraine headaches |
front 29 glucosamine and chondrotia | back 29 used to treat pain and joint stiffness |
front 30 patient has stage 4 lung cancer, taking anagelic and now its not working | back 30 opioid tolerance, they will need increase : eventually will hit ceiling effect |
front 31 getting aspirin 81, what are you getting it for? | back 31 anticoag platelet (after surgery) |
front 32 GOUT | back 32 overproduction of uric acid as well as underproduction |
front 33 what medication do you give for acute gout | back 33 colchine |
front 34 glucosamine and chrondrointin | back 34 joint pain stiffness |
front 35 fentanyl | back 35 given for severe pain -patch stays on for 72 hrs and need 2 nurses to verify |
front 36 acute toxicity from Tylenol | back 36 liver damage |
front 37 NSAIDS contraindications , are what conditions | back 37 gastric ulcers, peptic ulcer disease; will cause more ulcers if given. heart failure and pregnancy |
front 38 what are NSAIDS given for? | back 38 antipiretic, anagesic, arthralgia |
front 39 why do we give cytotec with NSAIDS | back 39 helps prevent bleeding / ulcers |
front 40 what could we educate patient on for opioid | back 40 fluids and exercise |
front 41 Tylenol is a antipyretic and agnostic | back 41 tylenol cannot sedate you |
front 42 given elderly patient NSAIDS everyday, what will occur? | back 42 a GI bleed |
front 43 which med do we give to decrease fever? | back 43 antipiretic |
front 44 patient coughing alot, no pain. what do we give? | back 44 antitussive |
front 45 antidote for Tylenol overdose? | back 45 acetycysteine |
front 46 what do we give for opioid overdose? | back 46 narcane (antagonist) |
front 47 PCA, who can give this???? | back 47 PATIENT ONLY |
front 48 salicylate overdose | back 48 tinitus or hearing loss |
front 49 neuropathic pain stems from? | back 49 nerves |
front 50 appendectomy pain is considered ? | back 50 visceral pain (deep organ pain) |
front 51 systemic pain, is what kind of pain? | back 51 bone pain |
front 52 indolognest neurotransmitters | back 52 enderfens |
front 53 actual term for sensation of pain | back 53 no suseption |
front 54 do anagelsics cause you to go unconscious ? | back 54 NO |
front 55 teronal | back 55 given for severe pain (given instead of morphine) |
front 56 opioid detoxation | back 56 suboxone and methadone |
front 57 chronic pain considered | back 57 3-6 months with persistent pain |
front 58 acute pain | back 58 sudden onset |
front 59 with opioids after we administer we check the patient after and hour; what are we checking? | back 59 respirations pain level |
front 60 side effect for aspirin in children | back 60 reyes syndrome |
front 61 with PCA pumps, what are we assessing ? | back 61 assess respirations! remember: they'll use less of the medication cause they are in control |
front 62 analgesic | back 62
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front 63 antiflam | back 63
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front 64 antipyretic | back 64
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