correctly answered already passed
morphine - correct answer ✔✔(MS Contin, Morphine Sulfate, Avanza)
Opioid, narcotic
Uses: pain related to surgery, trauma, cancer, visceral and moderate-severe pain
Other uses: suppresses cough and slows GI motility
MOA: bind to opioid receptor mimicking effects of analgesic peptides
Side effects: decreased mental alertness, euphoria, dysphoria, RESPIRATORY DEPRESSION, constipation,
nausea, vomiting, bronchoconstriction, decreased urination, bradycardia
-closely monitored by FDA, schedule II drug
acetaminophen/oxycodone - correct answer ✔✔(Percocet)
Class: opioid and acetaminophen, schedule II
Uses: moderate-severe pain
Nursing considerations: helps the dose of the narcotic to be kept small to avoid dependence and side
effects. Use in caution with additional acetaminophen in regards to recommended daily dose of 4gm
Side effects: same as opioids
acetaminophen/hydrocodone - correct answer ✔✔(Narco, Vicodin, Lortab)
Class: opioid and acetaminophen, schedule II
Uses: moderate-severe pain
Nursing considerations: helps the dose of the narcotic to be kept small to avoid dependence and side
effects. Use in caution with additional acetaminophen in regards to recommended daily dose of 4gm
Side effects: same as opioids/acetaminophen
acetaminophen - correct answer ✔✔(APAP, Tylenol)
Class: non-opioid analgesic
, Uses: anti-pyretic, analgesic, mild-moderate pain
MOA: unknown
Side effects: hepatotoxicity
Nursing considerations: 4gm (4,000mg) max daily dose, may use instead of ASA
Mucomyst (acetylcysteine) - reversal agent
Schedule I - correct answer ✔✔street drugs- substances with no currently accepted medical treatment
use in the U.S.
Schedule II - correct answer ✔✔drug has a currently accepted medical use in treatment in the United
States or a currently accepted medical use with severe restrictions. Abuse of the drug may lead to severe
psychological or physical dependence.
lantanoprost - correct answer ✔✔(Xalatan)
Class: Anti-glaucoma, Prostaglandin agonist
• Uses: reduces intraocular pressure (IOP) in glaucoma (open-angle).
• MOA: Increase outflow of aqueous humor
• Side Effects: hyperpigmentation of eye(iris color change) and irritating to eye, itching
• Nursing Consideration: Give at HS to decrease irritation, 5 mins b/t other ophthalmic drops
timolol - correct answer ✔✔(Ophthalmic) (Timoptic)
Class: Beta Blocker
• Uses: reduces IOP in glaucoma.
• MOA: unknown
• Side Effects: if systemic- same side effects as oral administration (dyspnea, insomnia, dizziness, visual
changes...)
• Nursing Considerations: block lacrimal duct after administration to decrease risk of systemic absorption
and use in caution with patients with COPD/Asthma. (SOB with lung patients), administer 10 mins after
other ophthalmic drops, don't discontinue abruptly.
pilocarpine ophthalmic - correct answer ✔✔(Isopto Carpine)