NR 293 Chapter 10 pharm test 2 ROK - Chamberlain
Chapter 10
• Morphine drug action, therapeutic indications, administration, side effects and patient education
o Opioid agonist
o Schedule II controlled substance-
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NR 293 Chapter 10 pharm test 2 ROK - Chamberlain
Chapter 10
• Morphine drug action, therapeutic indications, administration, side effects and patient education
o Opioid agonist
o Schedule II controlled substance- for sever pain and has high abuse potential
• Dosage adjustments for when patient is taking multiple narcotics
• Demerol drug action, therapeutic indications, administration, side effects and patient education
• Long-term use of Demerol
o Not recommended because of the unpredictable effects of neurometabolites at analgesic doses and seizure risk
• Lidocaine (Lidoderm patch) drug action, therapeutic indications, administration, side effects and patient education
• Assessment and treatment of opioid overdose
o Naloxone and naltrexone- can reverse adverse effects such as respiratory depression
o Withdrawal symptoms
• Considerations for patient safety and nursing assessments in the administration of narcotics
o Known drug allergy
o Severe asthma
o CNS depression- leads to respiratory depression
o Treat pain before it becomes severe
• Narcotic tolerance
o Repetitive exposure, over time, induces changes in drug receptors that reduce the drugs effecrs
o Increased likelihood of withdrawal symptoms in abrupt discontinuation
Chapter 11
• Review malignant hyperthermia
o Genetically linked adverse reaction to anesthesia
o Rapid rise in body temperature with tachycardia, tachypnea and sweating
• Succinlycholine expected effects
• Consider important nursing assessments and interventions when caring for patients before anesthesia(preanesthesia), during anesthesia, and after anesthesia(postanesthesia)
o Use caution in elderly- cardiac and respiratory problems, polypharmacy, declining liver function
o Neonates at higher risk of upper airway obstruction
o Drug interactions- antihypertensives and beta blockers
o Check vitals, gag reflex, orientation
• Herbal products and surgery
o Assess patients level of homeostasis
o Can increase sedating effects, bleeding, adverse cardiac effects
Chapter 12
• Indications for giving sedatives and hypnotics
o Hypnotics- given in low to moderate doses calm or soothe the CNS, at high doses can cause sleep
o Sedatives- inhibitory effect on the CNS, reduce nervousness, excitability and irritability w/o causing sleep
• Patient education for sleep aid medication
• Benzodiazapines (zolpidem[Ambien] drug action, therapeutic indications, administration, side effects and patient education
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Chapter 37
• Bronchodilatiors drug action, therapeutic indications, administration, side effects and patient education
o Relax bronchial smooth muscle, which causes dilation of the bronchi and bronchioles that are narrowed as a result of the disease process
• Beta agonist drug action, therapeutic indications, administration, side effects and patient education
o Commonly used during the acute phase of an asthmatic attack to quickly reduce airway constriction and restore airflow to normal
• Albuterol (Proventil) drug action, therapeutic indications, administration, side effects and patient education
o Short-acting beta2-specific bronchodilating beta agonist
o If used too frequently, dose-related adverse effects may be seen- beta1 receptors are stimulated, which causes nausea, increased anxiety, palpitations, tremors and an increased heart rate
• Salmeterol (Serevent) self-administration
o Should never be given more than twice daily
• Xanthine drug action, therapeutic indications, administration, side effects and patient education
• Corticosteroid drug action, therapeutic indications, administration, side effects, and patient education related to inhaled respiratory medications
• Beclomethasone dipropionate (Beclovent) drug action, therapeutic indications, administration, side effects and patient education
• Fluticasone (Flovent) drug action, therapeutic indications, administration, side effects and patient education
• Implications of inhaled steroid discontinuation [Review tapering dosages]
• Therapeutic indicators for bronchodilator efficacy related to patient responses
• Patient teaching for multiple inhalers, i.e., one inhaler is a bronchodilator and the other is a corticosteroid.
• Aminophylline (Aminophylline) intravenous administration monitoring and safety
• Aminophylline (Aminophylline) interactions
• Theophylline (Theo-Dur) interactions
Chapter 44
• NSAIDs drug action, therapeutic indications, administration, side effects and patient education
• Acetaminophen (Tylenol) drug action, therapeutic indications, administration, side effects and patient education
• Potential interactions between NSAIDS and other drugs
• Pediatric use of NSAIDs and aspirin
• Flexeril drug action, therapeutic indications, administration, side effects and patient education
• Acetaminophen (Tylenol) and the use of OTC drugs
• Signs/Symptoms and treatment of salicylate overdose
Chapter 54
• Epoetin alpha (Epogen) drug action, therapeutic indications, administration, side effects and patient education
o Causes progenitor cells in the bone marrow to manufacture large numbers of immature RBCs and to greatly speed up their maturation. Ineffective w/o adequate body iron stores and bone marrow function, also need to receive an oral iron preparation
o Contraindicated in cases of uncontrolled hypertension and when hemoglobin levels are above 10 g/dL for cancer patients and 12 g/dL for renal patients
o Can increase tumor growth and risk for thrombosis
• Iron preparations drug action, therapeutic indications, administration, side effects and patient education
o Dietary sources- meats, certain vegetables and grains must be broken down by gastric juices before iron can be absorbed
o Foods containing ascorbic acid may help iron absorption
• Relationship of iron to pediatric deaths
o Most common cause of pediatric poisoning deaths
o Enteric tablets resemble candy
• Prevention of neural tube defects
o Folic Acid Helps prevent spina bifida, anencephaly and encephalocele
• Ferrous sulfate drug action, therapeutic indications, administration, side effects and patient education
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