Benzodiazepine- Midazolam - CORRECT ANSWERS ✔✔Uses: Conscious
sedation
S/E: Dizzy
Adverse reactions/ Toxicity: Respiratory depression
PT teaching: Safety
Contraindications: Cardiopulmonary disease
Non- Benzodiazepine- zolpidem tartrate - CORRECT ANSWERS ✔✔Uses:
Insomnia
S/E: Dizziness, Drowsiness, Behavioral changes
Adverse reactions/ Toxicity: Complex sleep behavior
Local Anesthetic- Lidocaine - CORRECT ANSWERS ✔✔Uses: Minor
procedure
S/E: Confusion, drowsiness, stinging, bradycardia
Nursing considerations: Rapid onset
Spinal Anesthesia- Spinal, Epidural - CORRECT ANSWERS ✔✔Uses: Pain,
Pregnancy
S/E: Back pain, Shivering
Adverse reactions/ Toxicity: Respiratory depression, Hypotension, Headache,
Nerve damage
,Pt teaching: Lay flat, Monitor for headache
NSAID (non-selective)- Ibuprofen - CORRECT ANSWERS ✔✔Uses: Moderate
to high pain, fever, inflammation
S/E: GI distress, Blurred vision, Fluid retention, headache, peripheral edema
Adverse Reactions/ Toxicity: Seizure, Ulcer, Hearing loss, Tinnitus, Kidney
damage, kidney damage, nephrotoxicity
Pt teaching: take with full glass of water, take as directed, don't take more than
10 days/pain and 3 days/fever
Nursing considerations: Pts with asthma, allergy, nasal polyps have high risk
for reactions, assess GI bleed, look 4 renal impairment
Lab values: BUN, CBC, serum creatine, liver function test will be increased,
alcohol increases bleeding
Contraindications: CABG, pregnancy, asthma, contraindicated in bleeding
disorders.
NSAID(COX 2 inhibitor)- Celecoxib - CORRECT ANSWERS ✔✔Uses:
Inflammation, Severe
S/E: Dizziness, GI distress, Peripheral edema, Herbal remedies
Adverse reactions/ Toxicity: Thromboembolism
Contraindications: CABG, Angina, Renal/ Hepatic disfunction
NSAID(Salicylate)- Aspirin - CORRECT ANSWERS ✔✔Uses: Inflammation,
anti-platelet
S/E: GI distress, Nosebleed
, Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome, Hyperuricemia
Contraindications: GI bleeding, Gout, Pregnancy
Anti-gout- Allopurinol - CORRECT ANSWERS ✔✔Uses: Lowers uric acid
levels
S/E: GI upset, dizziness
Adverse reactions/ Toxicity: Hepatotoxicity, hepatotoxicity
Pt teaching: No alcohol, increase water intake, alkaline diet
Nursing considerations: I &O, monitor kidney function
Lab values: I&O, BUN, Creatinine
Contraindications: Severe kidney disease
Non- Opioid Analgesic- Acetaminophen - CORRECT ANSWERS ✔✔Uses:
Pain, fever, NOT NSAID
S/E: GI upset
Adverse reactions/ Toxicity: Hepatotoxicity (Liver), steven Johnson syndrome,
epidermal necrolysis
Pt teaching: Take exactly as directed, chronic used can lead to hepatotoxicity,
avoid alcohol, consult PCP if fever not relieved in 3 days.
Nursing considerations: Asses for overall alcohol use and health status.
Lab values: Evaluate hepatic hematologic & renal function.
(About 4g/per day)