hires for nurses Exam Advanced Practice
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• Morphine
Opioid agonist: binds to the opioid mu-1 and mu-2 and kappa receptors in the CNS and alters
pain perception and response
Side effects: confusion, sedation, constipation, hypotension, respiratory depression
Antidote= naloxene
• Demerol
Opioid agonist mu-1 and mu-2 and kappa receptors.
side effects:
-Nausea
- Vomiting
- Euphoria
- Dysphoria
- Respiratory Depression
Adverse effect: seizures
Antidote= naloxene
• Ativan
•
Potentiates action of GABA, resulting in increased neuronal inhibition and CNS depression,
Side effects:
CNS: dizziness, drowsiness, lethargy, hangover, headache, ataxia, slurred speech, forgetfulness,
confusion, mental depression,
Dilantin
, 1. Anticonvulsant: stabilizes neuronal membranes and limits seizure activity by either increasing
efflux or decreasing influx of sodium ions across cell membranes in the motor cortex during
generation of nerve impulses.
2. Antiarrhythmic: normalizes sodium influx to Purkinje's fibers in patients with induced
dysrhythmias.
Side effects:
1. nausea, vomiting
2. CNS depression
3. respiratory depression
4. heart blocks
5. hypotension
6. dysrhythmias
• Nitroglycerine
-Reduces venous tone. (Blood pooling in periph veins, decreasing venous return to the heart.
-Decreased periph. vascular resistance.
-Dilation of coronary arteries and relief of coronary artery spasm.
-Vasodilation of cerebral arteries, increasing O2 to brain.
-Generalized smooth muscle relaxation.
Side effects:
Dizziness, hypotension, headache, -nausea
-vomiting
-blurred vision
-dizziness
-syncope
-diaphoresis
-confusion
-dry mouth
-palpations
• Coumadin
interferes with vitamin K synthesis that produces clotting.
it takes 72 hours to become active in system
give with heparin until PT/INR gets to 2 and above
Side affects= bleeding, cramps, nausea
Foods containing moderate to high amounts of vitamin K include ....