Intracranial regulation Flashcards by Rudy McLean

Classification of Ibuprofen (Advil)?

Analgesic, NSAID, Antipyretic

How well did you know this?

Not at all

Perfectly

Contraindications for ibuprofen (advil)?

Peptic ulcers
bleeding
uticaria
severe rhinitis
bronchospasms
angioedema

How well did you know this?

Not at all

Perfectly

Uses/action for ibuprofen?

Cox-1 & Cox-2 inhibitor blocks prostaglandin synthesis, < inflammation.
Uses: Mild to moderate pain, rheumatoid & osteoarthritis, dysmenorrhea, fever.

How well did you know this?

Not at all

Perfectly

Before giving ibuprofen?

Assess for bleeding.

How well did you know this?

Not at all

Perfectly

Interactions with ibuprofen?

Anticoagulants
lithium
methotrexate
feverfew
garlic, ginger, ginkgo

How well did you know this?

Not at all

Perfectly

Side effects for ibuprofen?

Heartburn
Nausea
Occult blood loss

How well did you know this?

Not at all

Perfectly

Nursing interventions for ibuprofen?

Assess for bleeding or GI ulceration
Do not take aspirin concurrently
Avoid alcohol - GI bleeding
Take with food

How well did you know this?

Not at all

Perfectly

Opioids - Drugs, action, side effects, nursing interventions?

Drugs: Morphine, codeine, oxycodone, meperidine, fentanyl
Action: Bind w/ opiate receptors; analgesia & CNS depression
Side effects: Sedation, N&V, urinary retention, respiratory depression, constipation.
Nursing interventions: Monitor for respiratory depression, constipation, urinary retention. Caution while driving.

How well did you know this?

Not at all

Perfectly

Mixed drugs - Drugs, action, side effects, nursing interventions?

Drugs: Butorphanol, Nalbuphine
Action: Agonists - antagonists to opioid receptors
Side effects: Less intense than opioids
Nursing interventions: None

How well did you know this?

Not at all

Perfectly

Salicylates - drugs, actions, side effects, nursing interventions?

Drugs: Aspirin
Action: Inhibits prostaglandin synthesis (less pain & inflammation)
Side effects: GI distress, bleeding, tinnitus - toxic
Nursing intervention: Use Enteric coated, assess for bleeding.

How well did you know this?

Not at all

Perfectly

NSAIDS - drugs, action, side effects, nursing interventions?

Drugs: Ibuprofen, indomethacin, Ketorolac, Meloxicam, Naproxen.
Action: Inhibits COX-1 & COX-2 which < pain & inflammation.
Side effects: Bleeding, nausea, dizziness.
Nursing interventions: Monitor for bleeding.

How well did you know this?

Not at all

Perfectly

Central Acting - drugs, action, side effects, nursing interventions?

Drugs: Acetaminophen, Tramadol
Action:
— A: works at brain & spinal cord level
— T: Weak opioid, inhibit reuptake of norepinephrine & serotonin in the spinal neurons.
Side effects:
— A: Non common
— T: Dizziness, headache, N&V, constipation, lethargy.
Nursing interventions:
— A: Monitor liver function
— T: Monitor bowel & bladder function.

How well did you know this?

Not at all

Perfectly

Morphine sulfate classification?

Analgesic (narcotic)

How well did you know this?

Not at all

Perfectly

Morphine sulfate contraindications?

Seizures
asthma
resp depression
pancreatitis
hypothyroidism
MAOIs
Acute alcoholism
lactation
head trauma

How well did you know this?

Not at all

Perfectly

Morphine sulfate uses/action?

Binds w/ opiate receptors
Uses: Severe pain, acute It. ventricular failure & pulmonary edema, MI pain

How well did you know this?

Not at all

Perfectly

Before/after giving morphine sulfate?

Before: Assess respiratory rate, rhythm, depth
After: Monitor respirations

How well did you know this?

Not at all

Perfectly

Interactions with morphine sulfate?

CNS depressants
MAOIs (hypertension)
kava, valerian
St john’s wort

How well did you know this?

Not at all

Perfectly

Side effects of morphine sulfate?

Pruritis (itchiness)
Constipation
Nausea

How well did you know this?

Not at all

Perfectly

Nursing interventions for morphine sulfate?

Study These Flashcards

Antidote: Naloxone (Narcan)
Monitor vital signs; respiratory effect
Encourage cough & deep breathing
Monitor for urinary retention
Orthostatic hypotension
Pt ed: no alcohol or CNS depressants, avoid driving
Constipation - > fluid, sufficient fiber

Naloxone (Narcan) classification?

Study These Flashcards

Narcotic (opiate) antagonist

Uses for nalaxone (narcan)?

Study These Flashcards

Blocks opiates from reaching opiate receptors
Use: Barcotic overdose

After giving nalaxone?

Study These Flashcards

Monitor for opiate withdrawal.

Side effects for nalaxone (narcan)?

Study These Flashcards

None common

Nursing interventions for Naloxone (narcan)?

Study These Flashcards

Monitor VS, esp respirations
Monitor for bleeding - abnormal coagulation results

Classification for Hydrocodone (Vicodin)?

Narcotic analgesic: antitussive

Contraindications for hydrocodone (vicodin)?

Bronchitis COPD

Uses/action for hydrocodone?

CNS depressant for mild to moderate pain cough suppressant (medulla of brain)

Before/after giving hydrocodone?

Before: Assess for respirations After: Continue to monitor for respirations

Interactions with hydrocodone?

Alcohol CNS depressants St. John's wort

Side effects for hydrocodone?

Constipation Nausea Drowsiness Respiratory depression

Nursing interventions for hydrocodone?

Antidote: Nalaxone, naltrexone (IM, oral) Monitor for respiratory effort Encourage fiber & fluids to avoid constipation Take as prescribed

What are the primary drugs to treat migraines?

Triptans Ergot Alkaloids

Triptans - Drugs, action, side effects, nursing interventions?

Drugs: Sumatriptan, Almotriptan Action: Vasoconstriction or cerebral vessels; ABORT migraines Side effects: Tingling, warm sensation, dizziness, vertigo Nursing interventions: Monitor CV status

Ergot alkaloids - drugs, action, side effects, nursing interventions?

Drugs: Dihydroergotamine, ergotamine Action: Used to ABORT migraines when triptans don't work Side effects: Weakness, N&V, abnormal pulse, pruritis Nursing interventions: Monitor CV status, BP

Classification of sumatriptan (Imitrex)?

Serotonin 5-HT1 receptor agonist

Contraindications for sumatriptan (Imitrex)?

CV disease MAOI use Hypertension Intracranial bleeding PVD (vascular diseases) Hepatic disease

Uses/action for sumatriptan (Imitrex)?

Causes vasoconstriction of cranial arteries. Relieves migraine headache, photophobia, N&V associated with migraine.

Interactions with sumatriptan (imitrex)?

Ergot alkaloids (vasospasm, > BP) Other serotonin enhancing drugs St. john's wort

Side effects of sumatriptan (imitrex)?

Drowsiness Dizziness

Nursing interventions for sumatriptan (imitrex)?

Monitor CV status Pain relief begins in 10 minutes, complete relief in 2 hrs in 65% of pts Pain, redness @ injection site < 1 hr

Nonpharmacologic techniques for pain management?

Acupuncture Biofeedback Massage Heat or cold meditation prayer art or music relaxation physical therapy Natural agents applied to skin

Classification for Celecoxib (celebrex)?

Selective cox-2 inhibitor

Mechanism of action, use, side effects for celecoxib (celebrex)?

Mechanism of action: Similar to the NSAIDs Use: to relieve pain, fever, inflammation side effects: mild and related to GI system

Classification for acetaminophen (tylenol)?

Central acting nonopioid analgesic

Mechanism of action, use, side effects for acetaminophen (tylenol)?

Mechanism of action: to treat fever at the level of the hypothalamus; causes dilation of peripheral blood vessels, enabling sweating and dissipation of heat. Use: Treatment of fever and to relieve pain Side effects: uncommon with therapeutic doses; overuse or overdose - liver damage.

Classification of tramadol (ultram)?

Central acting nonopioid analgesic

Mechanism of action, use, side effects of tramadol (ultram)?

Mechanism of action: weak opioid activity use: as centrally acting analgesic Side effects: CNS, GI and CV effects

Intracranial regulation Flashcards

(47 cards)