NR I293 IExam I2 IStudy IGuide I
Major Icategories Iof Imedication: INursing Iimplication Irelated Ito Ithe Iadministration Iof Imedication.
Focusing Ion
I
• Adverse IEffects/Contraindications/side IEffects/interactions I(both Idrug Iand Ifood Iinteractions)
• Expected Iactions/Outcomes
• Medication Iadministration I(patient Ieducation, Iassessment, Imonitoring Iand Ievaluation)
Chapter I 10
• Opioid: IMorphine ISulfate/ Inaloxone Ihydrochloride
• Indications: Ialleviate Imoderate Ito Isevere Ipain, Ialso Iused Ifor Icough Isuppression,
Itreatment Iof Idiarrhea, Ibalanced Ianesthesia
• Contraindications: Idrug Iallergy, Isevere Iasthma, Iresp Iinsufficiency, Ielevated
Iintracranial Ipressure, Iobesity, Isleep Iapnea, Iparalytic Iileus, Ipregnancy
• Adverse Ieffects: ICNS Idepression, Inausea, Ivomiting, Iurinary Iretention,
Idiaphoresis, Ipupil Iconstriction, Iconstipation, Iitching
• Nursing Iimplications: I oral Iforms Ito Ibe Itaken Iwith Ifood, Iwithhold Idose Iif
I respirations Iare Iless Ithan I10-12 Ibreaths/min, Iconstipation Iis Icommon- Ieat Ifiber
drink Ifluids, Imonitor Ipulse Iox
I
• Opioid Iantagonist: Ireverse Ieffects Iof Ithese Idrugs Ion Ipain Ireceptors.
o INarcan: Iused Ifor Iopioid Itoxicity Ior IOD. IRegardless Iof Iwithdrawal
I symptoms, Iwhen Ia Ipt. Iexperiences Isevere Iresp. Idepression Ian Iopioid
antagonist Ishould Ibe Igiven.
I
• Tylenol: IOTC, Ianalgesic Iand Iantipyretic Ieffects.
● Mechanism Iof Iaction: Iblocks Ipain Iimpulses Iperipherally Iby Iinhibiting Iprostaglandin
Isynthesis
● Indication: Imild Ito Imoderate Ipain, Ifever, Iand Ialternative Ito Iaspirin
● Dose: IMAX Iadults: I3000 Img/daily, IMAX Ielderly Iw Iliver Idisease: I2000mg/daily,
● Contradictions: Idrug Iallergy, Iliver Idysfunction, Ipossible Iliver Ifailure, IG6PD
deficiency- Idangerous Iw Ialcohol Iand Idrugs Ithat Icause Ihepatotoxicity
I
● Toxicity Iand IOverdose: Ihepatic Inecrosis, Ihepatotoxicity
1
, ○ Antidote: Iacetylcysteine Iregimen
Chapter I 12
• Benzodiazepines: I“azepam” I“azolam”
o Mechanism Iof Iaction:
o Indications:
▪ Long Iacting I(valium): Iseizures
▪ Intermediate Iacting I(Xanax, Ivalium):
▪ Short Iacting I(
o Contraindications:
o Adverse Ieffects:
o Nursing Iimplications:
**Nursing Iimplications Irelate Ito Inursing Iadministration Iof ICNS Idepressants
Chapter I 44
• Ibuprofen
• Ketorolac I(Toradol)
• Allopurinol
**Nursing Iimplications Irelate Ito INSAID Iadministration
Chapter I13 ICNS Istimulant
(Use Idiazepam Ifor Istatus Iepilepticus)
• CNS Istimulant Ifor IADHD
o Amphetamines/methylphenidate,
o Non I–CNS Istimulant Ifor IADHD: Iatomoxetine I(Strattera)
• CNS IStimulant Ifor Imigraine:
o I Serotonin Iagonists I“triptan”
• CNS IStimulant Ifor IObesity:
o CNS Istimulant: Iphentermine
o Non-CNS Istimulant Ianorexiant: IOrlistat
**Nursing Iimplication Irelate Ito ICNS Istimulant Iadministration
2
Major Icategories Iof Imedication: INursing Iimplication Irelated Ito Ithe Iadministration Iof Imedication.
Focusing Ion
I
• Adverse IEffects/Contraindications/side IEffects/interactions I(both Idrug Iand Ifood Iinteractions)
• Expected Iactions/Outcomes
• Medication Iadministration I(patient Ieducation, Iassessment, Imonitoring Iand Ievaluation)
Chapter I 10
• Opioid: IMorphine ISulfate/ Inaloxone Ihydrochloride
• Indications: Ialleviate Imoderate Ito Isevere Ipain, Ialso Iused Ifor Icough Isuppression,
Itreatment Iof Idiarrhea, Ibalanced Ianesthesia
• Contraindications: Idrug Iallergy, Isevere Iasthma, Iresp Iinsufficiency, Ielevated
Iintracranial Ipressure, Iobesity, Isleep Iapnea, Iparalytic Iileus, Ipregnancy
• Adverse Ieffects: ICNS Idepression, Inausea, Ivomiting, Iurinary Iretention,
Idiaphoresis, Ipupil Iconstriction, Iconstipation, Iitching
• Nursing Iimplications: I oral Iforms Ito Ibe Itaken Iwith Ifood, Iwithhold Idose Iif
I respirations Iare Iless Ithan I10-12 Ibreaths/min, Iconstipation Iis Icommon- Ieat Ifiber
drink Ifluids, Imonitor Ipulse Iox
I
• Opioid Iantagonist: Ireverse Ieffects Iof Ithese Idrugs Ion Ipain Ireceptors.
o INarcan: Iused Ifor Iopioid Itoxicity Ior IOD. IRegardless Iof Iwithdrawal
I symptoms, Iwhen Ia Ipt. Iexperiences Isevere Iresp. Idepression Ian Iopioid
antagonist Ishould Ibe Igiven.
I
• Tylenol: IOTC, Ianalgesic Iand Iantipyretic Ieffects.
● Mechanism Iof Iaction: Iblocks Ipain Iimpulses Iperipherally Iby Iinhibiting Iprostaglandin
Isynthesis
● Indication: Imild Ito Imoderate Ipain, Ifever, Iand Ialternative Ito Iaspirin
● Dose: IMAX Iadults: I3000 Img/daily, IMAX Ielderly Iw Iliver Idisease: I2000mg/daily,
● Contradictions: Idrug Iallergy, Iliver Idysfunction, Ipossible Iliver Ifailure, IG6PD
deficiency- Idangerous Iw Ialcohol Iand Idrugs Ithat Icause Ihepatotoxicity
I
● Toxicity Iand IOverdose: Ihepatic Inecrosis, Ihepatotoxicity
1
, ○ Antidote: Iacetylcysteine Iregimen
Chapter I 12
• Benzodiazepines: I“azepam” I“azolam”
o Mechanism Iof Iaction:
o Indications:
▪ Long Iacting I(valium): Iseizures
▪ Intermediate Iacting I(Xanax, Ivalium):
▪ Short Iacting I(
o Contraindications:
o Adverse Ieffects:
o Nursing Iimplications:
**Nursing Iimplications Irelate Ito Inursing Iadministration Iof ICNS Idepressants
Chapter I 44
• Ibuprofen
• Ketorolac I(Toradol)
• Allopurinol
**Nursing Iimplications Irelate Ito INSAID Iadministration
Chapter I13 ICNS Istimulant
(Use Idiazepam Ifor Istatus Iepilepticus)
• CNS Istimulant Ifor IADHD
o Amphetamines/methylphenidate,
o Non I–CNS Istimulant Ifor IADHD: Iatomoxetine I(Strattera)
• CNS IStimulant Ifor Imigraine:
o I Serotonin Iagonists I“triptan”
• CNS IStimulant Ifor IObesity:
o CNS Istimulant: Iphentermine
o Non-CNS Istimulant Ianorexiant: IOrlistat
**Nursing Iimplication Irelate Ito ICNS Istimulant Iadministration
2
