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Medication Administration and Monitoring
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Medication Administration and Monitoring

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Questions and Answers

What is the primary mechanism of action of Celecoxib, a nonsteroidal anti-inflammatory drug?

Inhibiting prostaglandin synthesis by impeding cyclooxygenase-2, resulting in anti-inflammatory, analgesic, and antipyretic effects.

What is the primary indication for Celecoxib, and what are the potential benefits of its administration?

The primary indication for Celecoxib is the management of pain and reducing inflammation, which can provide relief from discomfort and improve quality of life.

What is the nurse's responsibility before administering Celecoxib, and why is it important?

The nurse must assess the patient for CV risk factors before therapy and obtain a baseline blood pressure, as Celecoxib can increase the risk of hypertension and cardiovascular events.

What is the recommended dosage and frequency of Celecoxib administration, and what is the route of administration?

<p>The recommended dosage and frequency of Celecoxib is 200mg/tab, Q12, P.O. (orally, every 12 hours).</p> Signup and view all the answers

What are the common side effects of Celecoxib, and how can they be minimized?

<p>Common side effects of Celecoxib include headache, dizziness, diarrhea, and dyspepsia. Taking the medication with food can help minimize the risk of stomach upset.</p> Signup and view all the answers

What is the importance of monitoring vital signs and coagulation indicators during and after Celecoxib administration?

<p>Monitoring vital signs and coagulation indicators is crucial to identifying potential signs of allergic reactions, adverse effects, and thromboembolic events.</p> Signup and view all the answers

What is the primary mechanism of action of Ketorolac, a Nonsteroidal Anti-inflammatory Drug (NSAID)?

<p>Inhibits the activity of both COX-1 and COX-2 enzymes, leading to reduced production of precursor molecules for prostaglandins.</p> Signup and view all the answers

How does the inhibition of COX-1 and COX-2 enzymes by Ketorolac contribute to its therapeutic effects?

<p>Reduces production of precursor molecules for prostaglandins, which are involved in temperature regulation and pain mediation.</p> Signup and view all the answers

What is the role of prostaglandins in the hypothalamus, and how does Ketorolac's mechanism of action affect this process?

<p>Prostaglandins in the hypothalamus are involved in temperature regulation, and Ketorolac's inhibition of COX-1 and COX-2 enzymes reduces their production, thereby contributing to temperature regulation and fever alleviation.</p> Signup and view all the answers

How does the reduced production of prostaglandins by Ketorolac's mechanism of action relate to its therapeutic effects on pain relief?

<p>Reduced production of prostaglandins leads to decreased pain mediation, resulting in alleviation of pain and discomfort.</p> Signup and view all the answers

What is the significance of inhibiting both COX-1 and COX-2 enzymes in the mechanism of action of Ketorolac?

<p>Inhibiting both COX-1 and COX-2 enzymes leads to a more comprehensive reduction in prostaglandin production, resulting in more effective pain relief and anti-inflammatory effects.</p> Signup and view all the answers

How does the mechanism of action of Ketorolac relate to its potential side effects, such as gastrointestinal upset and bleeding?

<p>Inhibiting COX-1 and COX-2 enzymes can lead to decreased production of prostaglandins that protect the gastrointestinal mucosa and promote platelet aggregation, resulting in increased risk of gastrointestinal upset and bleeding.</p> Signup and view all the answers

What is the mechanism of action of Nifedipine?

<p>Inhibits calcium ion movement across cell membranes of vascular smooth muscle and myocardium during depolarization.</p> Signup and view all the answers

What is the indication for Nifedipine?

<p>Management of hypertension, including preeclampsia during pregnancy.</p> Signup and view all the answers

What are the contraindications for Nifedipine?

<p>Hypersensitivity to Nifedipine or CCB, pregnancy.</p> Signup and view all the answers

What are the nursing responsibilities before administering Nifedipine?

<p>Obtain baseline blood pressure, double check physician's order, educate the patient about the purpose and frequency of the drug.</p> Signup and view all the answers

What are the side effects of Nifedipine?

<p>Dizziness, headache, flushing, peripheral edema, nausea, tachycardia.</p> Signup and view all the answers

What should the nurse evaluate after administering Nifedipine?

<p>Effectiveness of the drug by assessing blood pressure, monitor for any signs of adverse reaction.</p> Signup and view all the answers

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