Podcast
Questions and Answers
A nurse is teaching a female client who has a new prescription for transdermal sumatriptan, for migraine headaches. What should the nurse include in the instructions?
A nurse is teaching a female client who has a new prescription for transdermal sumatriptan, for migraine headaches. What should the nurse include in the instructions?
- "Activate the patch 30 minutes after application."
- "You can bathe with the patch in place."
- "Use contraception while taking this medication." (correct)
- "Take this medication daily to prevent headaches."
What information should the nurse include in the teaching plan for a client who is prescribed sumatriptan for migraine headaches?
What information should the nurse include in the teaching plan for a client who is prescribed sumatriptan for migraine headaches?
- It should be administered when the headache is at its peak.
- It is contraindicated in people with coronary artery disease. (correct)
- It should be administered by deep intramuscular injection.
- Injectable sumatriptan may be administered every 6 hours as needed.
The nurse is teaching a client with migraine headaches about almotriptan. Which statement by the client indicates effective teaching?
The nurse is teaching a client with migraine headaches about almotriptan. Which statement by the client indicates effective teaching?
- "I will wait to take the medication until the pain has become unbearable."
- "I will take a dose every morning to make sure to prevent an acute attack."
- "I will take the medication as soon as I notice migraine symptoms." (correct)
- "If the first dose does not help, I can take two more doses 15 minutes apart."
A nurse is monitoring a client who took an acetaminophen overdose 72 hours ago. Which of the following findings the nurse should identify as a manifestation of acetaminophen poisoning?
A nurse is monitoring a client who took an acetaminophen overdose 72 hours ago. Which of the following findings the nurse should identify as a manifestation of acetaminophen poisoning?
A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
A nurse is teaching a client who takes acetaminophen daily to manage mild knee pain. The nurse should instruct the client to monitor for which of the following adverse reactions to this medication?
When assessing an adolescent who recently overdosed on acetaminophen, what area of the body is most important for the nurse to assess for pain?
When assessing an adolescent who recently overdosed on acetaminophen, what area of the body is most important for the nurse to assess for pain?
A client takes acetaminophen routinely. What substance will the nurse advise the client to avoid?
A client takes acetaminophen routinely. What substance will the nurse advise the client to avoid?
Which client statement indicates that teaching about acetaminophen is effective?
Which client statement indicates that teaching about acetaminophen is effective?
A nurse administers acetaminophen for pain relief to an infant. Based on the client's developmental stage, what is most important to include in the medication administration record?
A nurse administers acetaminophen for pain relief to an infant. Based on the client's developmental stage, what is most important to include in the medication administration record?
How would the nurse respond to a client taking ibuprofen for rheumatoid arthritis who asks if acetaminophen can be substituted?
How would the nurse respond to a client taking ibuprofen for rheumatoid arthritis who asks if acetaminophen can be substituted?
Which medication is safest to take for pain in the week before a surgical procedure?
Which medication is safest to take for pain in the week before a surgical procedure?
Which medication DOES NOT increase the risk for upper gastrointestinal (GI) bleeding?
Which medication DOES NOT increase the risk for upper gastrointestinal (GI) bleeding?
A client develops tinnitus. Which of the client's medications would the nurse suspect is the cause of this new development?
A client develops tinnitus. Which of the client's medications would the nurse suspect is the cause of this new development?
A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?
A client with arthritis takes large doses of aspirin. Which symptom would the nurse include when teaching the client about the clinical manifestations of aspirin toxicity?
A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. What complication is client experiencing?
A client who takes four 325-mg tablets of buffered aspirin four times a day for severe arthritis complains of dizziness and ringing in the ears. What complication is client experiencing?
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports hearing non-stop ringing in the ears. Which action should the nurse implement?
The nurse is assessing the effectiveness of high dose aspirin therapy for an 88-year-old client with arthritis. The client reports hearing non-stop ringing in the ears. Which action should the nurse implement?
A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?
A nurse is teaching a client who has a new prescription for aspirin to prevent cardiovascular disease. Which of the following instructions should the nurse include in the teaching?
The nurse is caring for a client who is receiving aspirin therapy. Which clinical indicator would be related to this therapy?
The nurse is caring for a client who is receiving aspirin therapy. Which clinical indicator would be related to this therapy?
A toddler ingested half a bottle of aspirin tablets. Which finding should the nurse expect to see in this child?
A toddler ingested half a bottle of aspirin tablets. Which finding should the nurse expect to see in this child?
The nurse is caring for a client that is taking prednisone and aspirin for rheumatoid arthritis. Which action by the nurse is appropriate for this client?
The nurse is caring for a client that is taking prednisone and aspirin for rheumatoid arthritis. Which action by the nurse is appropriate for this client?
The client is using nonsteroidal anti-inflammatory drugs (NSAIDs) to manage arthritis pain. The nurse should caution the client about which potential side effect?
The client is using nonsteroidal anti-inflammatory drugs (NSAIDs) to manage arthritis pain. The nurse should caution the client about which potential side effect?
A child with juvenile idiopathic arthritis is prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy at home. Which important toxic effect of NSAIDs would the nurse include in discharge instructions to the child and family?
A child with juvenile idiopathic arthritis is prescribed nonsteroidal anti-inflammatory drug (NSAID) therapy at home. Which important toxic effect of NSAIDs would the nurse include in discharge instructions to the child and family?
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which response should the nurse provide?
A nurse is caring for a client who has difficulty swallowing medications and is prescribed enteric-coated aspirin PO once daily. The client asks if the medication can be crushed to make it easier to swallow. Which response should the nurse provide?
Which medication would the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?
Which medication would the nurse anticipate the health care provider will prescribe to relieve the pain experienced by a client with rheumatoid arthritis?
Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the medication is being used primarily for which property?
Aspirin is prescribed on a regular schedule for a client with rheumatoid arthritis. The nurse understands that the medication is being used primarily for which property?
A client has been given a prescription for acetylsalicylic acid/aspirin. The nurse knows that this medication has which property?
A client has been given a prescription for acetylsalicylic acid/aspirin. The nurse knows that this medication has which property?
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication
A client who has a history of myocardial infarction (MI) is prescribed aspirin 325 mg. The nurse recognizes that the aspirin is given due to which of the following actions of the medication
A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. Which medication is indicated to prevent progression to a myocardial infarction?
A client is admitted to the emergency department with crushing chest pain. A diagnosis of acute coronary syndrome is suspected. Which medication is indicated to prevent progression to a myocardial infarction?
A client with chronic arterial insufficiency of the legs refuses the prescribed dose of aspirin (ASA) stating 'My legs are not painful.' Which action will the nurse take?
A client with chronic arterial insufficiency of the legs refuses the prescribed dose of aspirin (ASA) stating 'My legs are not painful.' Which action will the nurse take?
A client who recently had a heart attack has been prescribed low-dose (81 mg) aspirin at bedtime. The client states "Why am I supposed to take a 'baby aspirin' instead of a regular 325 mg tablet?" Which statement represents the nurse's best response?
A client who recently had a heart attack has been prescribed low-dose (81 mg) aspirin at bedtime. The client states "Why am I supposed to take a 'baby aspirin' instead of a regular 325 mg tablet?" Which statement represents the nurse's best response?
How would the nurse instruct a client with arthritis to take aspirin when the client states that the aspirin causes stomach irritation?
How would the nurse instruct a client with arthritis to take aspirin when the client states that the aspirin causes stomach irritation?
The nurse is teaching a group of clients diagnosed with arthritis about the use of non- steroidal anti-inflammatory agents (NSAIDs). In order to minimize side effects of these drugs, which action should the nurse emphasize?
The nurse is teaching a group of clients diagnosed with arthritis about the use of non- steroidal anti-inflammatory agents (NSAIDs). In order to minimize side effects of these drugs, which action should the nurse emphasize?
A health care provider prescribes aspirin for a client with severe arthritis. What advice will the nurse provide to the client?
A health care provider prescribes aspirin for a client with severe arthritis. What advice will the nurse provide to the client?
A nurse is caring for an older adult client who has rheumatoid arthritis and is taking aspirin 650 mg every 4 hours. Which diagnostic test should the nurse monitor to evaluate the medication's effectiveness?
A nurse is caring for an older adult client who has rheumatoid arthritis and is taking aspirin 650 mg every 4 hours. Which diagnostic test should the nurse monitor to evaluate the medication's effectiveness?
A client with a history of heart disease has been prescribed prophylactic aspirin daily. Which action should the nurse implement to help prevent aspirin toxicity?
A client with a history of heart disease has been prescribed prophylactic aspirin daily. Which action should the nurse implement to help prevent aspirin toxicity?
The nurse educating a client who is postpartum about the use of ibuprofen for uterine cramping. What statement should the nurse include in the teaching?
The nurse educating a client who is postpartum about the use of ibuprofen for uterine cramping. What statement should the nurse include in the teaching?
Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen?
Which life-threatening complication may occur in clients taking high-dose or long-term ibuprofen?
The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. The mother asks the nurse why her child isn't being given ibuprofen. Which response by the nurse is most appropriate?
The nurse administers acetaminophen to a child who complains of pain after abdominal surgery. The mother asks the nurse why her child isn't being given ibuprofen. Which response by the nurse is most appropriate?
After administering ibuprofen, what therapeutic outcomes could the nurse expect?
After administering ibuprofen, what therapeutic outcomes could the nurse expect?
A nurse is reviewing prescriptions for a client with a history of rheumatoid arthritis and peptic ulcer disease. The client has prescriptions for ibuprofen and ranitidine. Which action will the nurse perform?
A nurse is reviewing prescriptions for a client with a history of rheumatoid arthritis and peptic ulcer disease. The client has prescriptions for ibuprofen and ranitidine. Which action will the nurse perform?
The mother of a toddler with hemophilia A (bleeding disorder) asks the nurse 'Can I give my child ibuprofen for fever or pain?' How will the nurse respond?
The mother of a toddler with hemophilia A (bleeding disorder) asks the nurse 'Can I give my child ibuprofen for fever or pain?' How will the nurse respond?
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?
A nurse is caring for a client who is to start therapy with ibuprofen for hip pain. Which of the following information should the nurse provide about ibuprofen?
A nurse teaching a client, who has a new prescription for ibuprofen to treat hip pain, Includes which of the following instructions?
A nurse teaching a client, who has a new prescription for ibuprofen to treat hip pain, Includes which of the following instructions?
A nurse is evaluating a client who takes naproxen for pain associated with osteoarthritis. Which documented statement indicates the expected outcome was met?
A nurse is evaluating a client who takes naproxen for pain associated with osteoarthritis. Which documented statement indicates the expected outcome was met?
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
A nurse is caring for a client who is taking naproxen following an exacerbation of rheumatoid arthritis. Which of the following statements by the client requires further discussion by the nurse?
A client who is receiving medication for an eye disorder reports bleeding in the eye. Which medication should the nurse expect to find in the client's recent medication history?
A client who is receiving medication for an eye disorder reports bleeding in the eye. Which medication should the nurse expect to find in the client's recent medication history?
An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac (Toradol) 30 mg IV every 6 hours. What action should the nurse take?
An adult client has prescriptions for morphine sulfate 2.5 mg IV every 6 hours and ketorolac (Toradol) 30 mg IV every 6 hours. What action should the nurse take?
A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which adverse effects?
A client is starting celecoxib to treat osteoarthritis. The nurse should instruct the client to watch for and report which adverse effects?
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex). The nurse notes the client is allergic to sulfa. What is most important for the nurse to implement prior to administering the first dose?
A client with osteoarthritis receives a new prescription for celecoxib (Celebrex). The nurse notes the client is allergic to sulfa. What is most important for the nurse to implement prior to administering the first dose?
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for post-operative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another does. How should the nurse respond?
A nurse is caring for a client who is using a patient-controlled analgesia (PCA) pump for post-operative pain management. The nurse enters the room to find the client asleep and his partner pressing the button to dispense another does. How should the nurse respond?
Flashcards
Morphine:
Morphine:
Used for pain relief, known as "Morpheus" dreams.
Aspirin:
Aspirin:
Common pain reliever, watch for tinnitus & bleeding.
PCA
PCA
A method that allows patient to control their analgesic.
Acetaminophen:
Acetaminophen:
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Naloxone
Naloxone
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Ibuprofen
Ibuprofen
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Fentanyl
Fentanyl
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Codeine
Codeine
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Almotriptan, sumatriptan:
Almotriptan, sumatriptan:
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Hydromorphone
Hydromorphone
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Methadone
Methadone
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Meperidine
Meperidine
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Naproxen
Naproxen
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Ketorolac
Ketorolac
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Celecoxib
Celecoxib
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Pregnancy contraindication
Pregnancy contraindication
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Coronary Artery Disease
Coronary Artery Disease
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Osteoarthritis
Osteoarthritis
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Acetaminophen
Acetaminophen
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Aspirin Side Effect: Tinnitus
Aspirin Side Effect: Tinnitus
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Aspirin Side Effect: Bleeding
Aspirin Side Effect: Bleeding
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Enteric Coated Aspirin
Enteric Coated Aspirin
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Aspirin
Aspirin
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Active myocardial infarction
Active myocardial infarction
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Chronic arterial insufficiency
Chronic arterial insufficiency
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Patient education
Patient education
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Serum Albumin
Serum Albumin
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Ibuprofen
Ibuprofen
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Ibuprofen Therapeutic effect
Ibuprofen Therapeutic effect
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Ibuprofen Contraindication
Ibuprofen Contraindication
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Naproxen Therapeutic effect
Naproxen Therapeutic effect
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Ketorolac (NSAID) can be used
Ketorolac (NSAID) can be used
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Celecoxib Adverse effect
Celecoxib Adverse effect
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Sulfa (type of antibiotic) Allergies
Sulfa (type of antibiotic) Allergies
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PCA Monitor Respirations
PCA Monitor Respirations
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Patient Education
Patient Education
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decrease dosage
decrease dosage
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Morphine Respiratory Depression
Morphine Respiratory Depression
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Myocardial Infarction
Myocardial Infarction
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Study Notes
Analgesic Homework Key Summary
- The total number of questions per category is 135.
Medication Classes (Most to Least Asked)
- Morphine ("Morpheus" dreams) was asked 34 times
- Aspirin was asked 23 times
- PCA was asked 11 times
- Acetaminophen (N-aceTYL-para-aminophENOL...Tylenol!) was asked 10 times
- Naloxone (nal- “we can reverse opioids" oxone) was asked 9 times
- Ibuprofen (“NSAID”-profen) was asked 8 times
- Fentanyl (100 x More Powerful than Morphine) was asked 7 times
- Miscellaneous Pain Management & Narcotic Pain Management was asked 6 times
- Codeine (“rhymes with morphine") was asked 5 times
- Oxycodone, hydrocodone (“DONE with pain”) was asked 4 times
- Almotriptan, sumatriptan (“Trips my Migraines away” “-triptans") was asked 4 times
- Hydromorphone (Dilaudid x 10 more powerful than morphine) was asked 3 times
- Methadone (“Done with Pain”) was asked 3 times
- Meperidine was asked 2 times
- Naproxen (NSAID-proxen) was asked 2 times
- Ketorolac (“Super NSAID”) was asked 2 times
- Celecoxib (Celebrex) was asked 2 times
Medication Classes Aligned with PowerPoint
- Almotriptan and sumatriptan (“Trips my Migraines away” “-triptans”) was asked 4 times
RN Top Focus: Contraindication
- Pregnancy is a contraindication; use birth control.
- Coronary Artery Disease is a contraindication because vasoconstriction promotes migraine relief, not good for those with blocked arteries.
Sumatriptan
- Use contraception while taking this medication.
- It is necessary to activate the patch within 15 minutes of application
- It should be administered when a headache begins.
- Limit dose to two 6-mg doses in 24 hours for a total of 12mg
- Sumatriptan is contraindicated in people with coronary artery disease, it can promote undesirable coronary artery vasoconstriction.
Almotriptan
- Take ASAP if you feel a migraine coming on
- Most effective when taken as soon as migraine symptoms start
- If the headache goes away and comes back, one second dose is acceptable.
- No more than two doses of any triptan in 24 hours.
- Almotriptan and other triptans are serotonin receptor agonists that work by causing vasoconstriction of intracranial arteries.
Acetaminophen RN Focus: Side/Adverse Effect
- Vomiting is a sign of overdose.
- Watch for jaundice (yellow skin) as it can cause liver damage
- Watch for pain in the abdomen as it can cause liver damage
- Go easy on alcohol due to it being hepatoxic
- It is safe to take for pain in the week before a surgical procedure
- It doesn't increase the risk for upper gastrointestinal (GI) bleeding
Acetaminophen
- Monitor and report jaundice, abdominal pain, clay-colored stools, and fever.
- Avoid alcohol, alcohol and acetaminophen are both hepatotoxic substances.
- Metabolites of acetaminophen, along with alcohol, can cause irreversible liver damage
- Acetaminophen is the primary drug of choice for treating osteoarthritis.
- Many OTC drugs have acetaminophen and can cause overdose.
- Infants need to be dosed based on weight
- No anti-inflammatory qualities like NSAIDs, acetaminophen works in the brain but mechanism of action is unknown.
- Doesn't cause bleeding like NSAIDs or prednisone
- Many over-the-counter cold preparations contain acetaminophen, so consider the amount of acetaminophen in cold preparations when calculating daily intake.
- Do not exceed 3 to 4 g a day.
- An emetic is contraindicated because clients may reduce the ability to tolerate oral acetylcysteine, the antidote for acetaminophen toxicity.
- Always take for Osteoarthritis, better safer drug than NSAIDS.
- Watch out for jaundice, abdominal pain etc, can cause hepato-toxicity
- Safe to take post surgery
Aspirin
- Can cause tinnitus and hearing disturbances due to damage on the inner ear hair cells
- Antiplatelet. Bleeding is a major side effect. Preventing platelets from aggregating (clotting)
- Causes prolonged bleeding times leading to nose bleeds.
- It should be taken with food
- It should be Avoided before surgery
- It is useful in with rheumatoid arthritis due to anti-inflammatory effect
- Inhibit production of inflammatory mediators that acts as an analgesic
- Given after myocardial infarction to prevent further clots
- Discard tablets that smell like vinegar because these tablets are decomposing and are ineffective.
- Extensive use of salicylates can cause salicylism
- Prolonged bleeding time can result from aspirin therapy.
- Low serum albumin can result in altered salicylate binding
- Prevents platelets from aggregating (clotting)
- Take with food to reduce gastric distress.
- It is a bloody stomach slicer
Aspirin Therapy
- Monitor for tinnitus, sweating, headache, and dizziness.
- Can relieve pain
- Nurse to teach to look out black stools and easy bruising
- It is also used to reduce the risk of a second heart attack or stroke.
- Salicylic acid is irritating to the stomach lining and can cause ulceration
Enteric Coated Aspirin
- Do NOT chew or crush, the coating is there so aspirin will dissolve later and not hurt a clients gut.
Enteric Coated Aspirin RN Top Focus: Purpose
- Effective anti-inflammatory during rheumatoid Arthritis
- Be careful of side/adverse effects
- Good for mild pain due to analgesic properties
- Prevents further clot/platelets from occuring after active myocardial Infarction , prevent secondary
- Given in arterial insufficiency to the legs to Prevent Clotting
- Take small dose: Prevents Heart Attacks/MIʼs
Ibuprofen
- Profen: "Bloody NSAID" –profen
- Can cause gastrointestinal distress and bleeding while taken by a client long term
- Can prolong bleeding time
- Better to give acetaminophen to children, ibuprofen can cause liver toxicity
- Not appropriate for the toddler with hemophilia A because it interferes with platelet function and may cause more bleeding
- Increase ROM/ambulation Naproxen
Ibuprofen RN Focus; Therapeutic effect
- Good for pain relief, temp reduction and reduce inflammation,
- Do NOT expect diuresis after ibuprofen administration
- To maximize effectiveness patients should take the medication with food!
- Minimizes gastric irritation
- Be aware that Ibuprofen decreases the antiplatelet effect of aspirin.
Ibuprofen RN focus contraindications
- Should avoid while having A bleeding condition; will get a whole lot bloodier!
- Peptic Ulcers and Hemophilia should be avoided
Naproxen RN Focus: Side/Adverse Effect
- Can cause GI Discomfort/Bleed
Ketorolac RN Focus: Side/Adverse Effect
- NSAIDS can cause bleeding
Ketorolac RN Focus: Drug Administration
- NSAIDS may be given concurrently with Opioids
Celecoxib RN Focus: Side/Adverse Effect
- Bleading! No surprise with an NSAID
- Celecoxib and sulfa antibiotics have sulfur molecules. Contraindications Sulfa
Celecoxib RN Focus:
- Notify the healthcare provider if client is allergic to sulfa.
PCA RN Focus: Drug Administration
- ONLY the patients pushes/uses the PCA button
- Patirnt is in TOTAL safe Control of their analgesic
- Patient can give when THEY want and need
- Two RN's for checks and Waste. Due to narcotic diversion
- Monitor Respirations. Narcotics will depress respirations
PCA RN Focus: Patient Education
- Educate the client to Use Pain Scale and know when to use PCA with pain scale
- Educate client to Let RN Know if PCA not working so RN can call Doc to change dosage
PCA
- Patient to know to only self-administer
- Notify the nurse if pain control is not achieved
- Pump prevents overdose
- Nurse must verify infusion record with another licensed nurse prior to discontinuation
- Fentanyl Requires recordkeeping of usage and must be verified with licensed provider
- Two RNs are required to witness the wasting of a narcotic and to sign the narcotic record.
- Client needs information to make an educated decision about usage
- Client needs support before making the decision to refuse PCA
Morphine RN Top Focus: Side/Adverse Effect
- All narcotics/opioids depress respiration rate, let staff know of any issues
- Monitor respiratory rate, hold medications for less than 12 breaths per minute. Pulse Oximetry (readily available)
- Constipation
Morphine Top Focus
- In Hospice/Cancer, give regularly, around the clock
- Acute pain relief
Morphine Can:
- Cause dizziness have clients lie down, take vitals
- Cause hypotension and Bradycardia so do NOT give to those already with B/P or symptoms
Morphine Administration
- Monitor respiratory rate
- If less than 12 breaths per minute, the PCA pump should be stopped and the healthcare provider notified immediately.
- Patients should be monitored for Bradycardia:
Indications
- Relief of pain. Opioid analgesic to alleviate pain opioid
- Used to treat postoperatively
- Relieve anxiety and apprehension in clients with pulmonary edema.
- Myocardial Infarction- helps to relax body easing stress/pain on heart, help decreasing workload
- Hospic/Cancer- give regularly, around the clock, not to worry about addiction, want them comfortable.
- Acute Sevrere Pain, it id the gold standard
- Given 60 min before dressing change
Contraindications
- All with Any Downers – “Benzos (anxiety reducing drugs)” & Alcohol
- Any Downers/CNS depressants increase respiratory depression.
- Paralytic Ileus
Meperidine
- BAD for Pain Control – An opiod with WAY too many bad effects -- Poor pain control, -- Risk of extrapyramidal symptoms (bad muscle movements), -- Short duation
Codeine
- It is combined with Tylenol or ibprofen for synergistic relief.
Codeine: RN Top Focus
- Can relieve mild to moderate pain and codeine is is an opioid analgesic and antitussive
Codeine: Side effects
- Can result in hypotension
- Slow down involuntary moments and cause constipation
- Do not take with alchohol or other depressants
Hydromorphone
- Very powerful morphine so caution
- Should be combined with Narcan when administered.
Dilaudid: Top Focus
- Always waste drug with a second nurse or LVN
Analgesic with Rapid Pain Relief
- Fentanyl is recommended
Fentanyl
- 100 x More Powerful than Morphine x 7
- Got Liver Disease? -Fentanyl better metabolized by liver better than Tylenol.
Administration?
- Can take half a day or longer. Prepare to give other analgesics
- Put on different parts of the body
- Pediatic Fentanyl Lollipops. Have the child suck on this till pain is gone
- Managing Severe Pain Quickly!! It is an outstanding FAST short term analgesic
Fentanyl Transdermal Patches
-- May take up to a half a day or longer for the patch to start working, the first time I use it." -- Old patches are removed and place new the new patch on a different skin area
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Description
Review of analgesic medications, including morphine, aspirin, and acetaminophen. Covers PCA, naloxone, ibuprofen, fentanyl, codeine, and others. Highlights key differences and power.
