NSG 349 EXAM 1 FULL ACTUAL REVIEW WITH COMPLETE & VERIFIED
SOLUTIONS
Opioids treat....
moderate to severe pain
What should the nurse monitor for when a patient is taking opioids?
constipation, sedation, respiratory depression, low BP
What two organs should be monitored with opioids (or any medication) administration?
liver and kidneys
Tests to monitor liver
> liver function test (liver enzymes)
> creatinine
Tests to monitor kidneys
glomerular filtration rate (GFR)
Narcan (Naloxone)
,> opioid antagonist that reverses the effects of opioid drugs
> used to treat opioid overdose
What to assess for when patient is unresponsive due to opioid treatment
> assess vital signs (specifically respiratory system)
> notify physician
> may need to administer Narcan (Naloxone)
Educational priorities for patients taking opioids
> monitor for respiratory depression
> dizziness
> sedation
> constipation (may want to recommend a laxative)
> proper disposal and storage of the meds
> these meds can be addictive
Acetaminophen can....
adversely effect the liver
Systems to monitor in patients who are taking NSAIDs
> kidneys: can be nephrotoxic
> stomach: can lead to ulcers
,> cardiovascular: can increase the risk of thrombus
Coumadin
used to treat or prevent blood clots (anticoagulant)
Neuropathic Pain
abnormal processing of pain message; burning, shooting sensations
Neuropathic Pain Treatment
Gabapentin, Lyrica, or a Tricyclic antidepressant
Aspirin
NSAID with an anti platelet property
> patients taking this med may bruise easily
Lorazapam
CNS and respiratory depressant
> if taken with alcohol, there could be additive effects and resp. depression should be
monitored for
, Flumazenil
antidote to benzodiazepines
Zaleplon (Sonata)
short acting hypnotic for difficulty falling asleep
Zolpidem (Ambien) and Eszopiclone (Lunesta)
long acting hypnotics for difficulty falling asleep
Major side effect of Zolpidem (Ambien)
somnambulation (sleep walking)
Muscle Relaxers
> Cyclobenzaprine (Flexeril)
> Baclofen (Loiresal)
> Methcarbamol (Robaxin)
Therapeutic Range for Phenytoin
10 to 20 mcg/ml
SOLUTIONS
Opioids treat....
moderate to severe pain
What should the nurse monitor for when a patient is taking opioids?
constipation, sedation, respiratory depression, low BP
What two organs should be monitored with opioids (or any medication) administration?
liver and kidneys
Tests to monitor liver
> liver function test (liver enzymes)
> creatinine
Tests to monitor kidneys
glomerular filtration rate (GFR)
Narcan (Naloxone)
,> opioid antagonist that reverses the effects of opioid drugs
> used to treat opioid overdose
What to assess for when patient is unresponsive due to opioid treatment
> assess vital signs (specifically respiratory system)
> notify physician
> may need to administer Narcan (Naloxone)
Educational priorities for patients taking opioids
> monitor for respiratory depression
> dizziness
> sedation
> constipation (may want to recommend a laxative)
> proper disposal and storage of the meds
> these meds can be addictive
Acetaminophen can....
adversely effect the liver
Systems to monitor in patients who are taking NSAIDs
> kidneys: can be nephrotoxic
> stomach: can lead to ulcers
,> cardiovascular: can increase the risk of thrombus
Coumadin
used to treat or prevent blood clots (anticoagulant)
Neuropathic Pain
abnormal processing of pain message; burning, shooting sensations
Neuropathic Pain Treatment
Gabapentin, Lyrica, or a Tricyclic antidepressant
Aspirin
NSAID with an anti platelet property
> patients taking this med may bruise easily
Lorazapam
CNS and respiratory depressant
> if taken with alcohol, there could be additive effects and resp. depression should be
monitored for
, Flumazenil
antidote to benzodiazepines
Zaleplon (Sonata)
short acting hypnotic for difficulty falling asleep
Zolpidem (Ambien) and Eszopiclone (Lunesta)
long acting hypnotics for difficulty falling asleep
Major side effect of Zolpidem (Ambien)
somnambulation (sleep walking)
Muscle Relaxers
> Cyclobenzaprine (Flexeril)
> Baclofen (Loiresal)
> Methcarbamol (Robaxin)
Therapeutic Range for Phenytoin
10 to 20 mcg/ml
