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IM 3 > Medications to Know for PeriOP > Flashcards

Medications to Know for PeriOP Flashcards

1
Q

NSAID stands for?

A

Non-Steriodal Anti-inflammatory Drug

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2
Q

What are the three NSAIDS we need to know?

A

Aspirin and
Ibuprofen (Advil, Motrin) and Naproxen (Aleve)

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3
Q

Where is Aspirin Metabolized, and what is the route of administration?

A

Aspirin is metabolized primarily through the small intestine and stomach, route of administration in PO.

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4
Q

What is contraindicated when thinking of giving Aspirin?

A

Patients who have/had history of peptic/ GI ulcers and bleeding disorders

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5
Q

What are the 3 characteristics common amongst NSAIDS?

A

Reduces Pain, Fever and is an Anti-Inflammatory

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6
Q

Low doses of Aspirin are good for protection against what?

A

Low Doses = Protect agaisnt Myocardial Infarction and Ischemic Strokes heart healthy

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7
Q

what is the route of admission for Ibuprofen?

A

IV

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8
Q

Is Ibuprofen Heart Healthy?
what can Ibuprofen cause when taking too much?

A

No it doesnt protect agaisnt MI or IS
Can cause GI upset or renal issues but usually less

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9
Q

What dose of acetaminophen should you not exceed in a day?

A

not to exceed 4,000mg in a day

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10
Q

How fast is Ofirmev (acetaminophen IV) infused?

A

Infusion of 15 mins
No mixing with other medications.

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11
Q

What organ is affected when taking acetaminophen?

A

The liver, but causes no GI issues or Renal Issues

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12
Q

Is acetaminophen an NSAID?

A

No, it only reduces pain and fever it is not an anti-inflammatory agent.

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13
Q

What class of drug is Tramadol?

A

Non-Opioid Centrally Acting Analgesics

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14
Q

List the Narcotics:

A

Fentanyl, Morphine, Hydromorphone, Oxycodone.

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15
Q

Route of Transmission for Narcotics?

A

Any Route
IM, IV,Transderm, PO, Sublingual,spray,etc

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16
Q

Common Adverse reactions when taking Narcotics?

A

Respiratory Depression and Constipation

17
Q

what is the reversal drug for fentanyl ?

A

Naloxone (Narcan)

18
Q

what are the narcotic-combos?

A

Oxycodone-Acetaminophen = Percocet
Hydrocodone- Acetaminophen= Lortab, Norco
Codiene-Aceteminophen= Tylenol w codiene 3

19
Q

What is Midazolam and its characteristics?

A

IV Anesthetic
Versed, causes Amnesia and lowers anxiety. Its used for conscious sedation. It has a quick onset and you want to wait 1-2 minutes before administering more medication
The patient is still able to follow commands while on this medication

20
Q

What is a Conscious Sedation?

A

A cocktail between Versed + opioid (fentanyl or morphine)

21
Q

what is Propofol and its characteristics?

A

IV anesthetic
Diprivan, develops less than 60 seconds after administration. There is no drowsiness “hangover” after use. RN CANNOT PUSH PROPOFOL. A total procedure can be done with Propofol alone.

22
Q

Propofol (Diprivan) has a high risk of developing what?

A

High risk of bacterial infection due to its lipid base medium which is perfect for bacterial growth

23
Q

when should vials of propofol be discarded?

A

within 6 hours

24
Q

What is Lidocaine (xylocaine) w/ Epinephrine ?

A

Lidocaine numbs and the epinephrine decreases blood flow (stops bleeding) and delays absorption.

25
Q

What is Lidocaine + Epinephrine contraindicted for ?

A

Fingers/Nose/ other body parts with end arteries due to vasoconstriction
Necrosis can occur

26
Q

Spinal/ Epidural Nerve Block is used in hand with what? and what nursing interventions should happen post Epidural?

A

In hand with a concious sedation. Always Check for feeling in their legs before ambulation. Always assess the epidural site for cleanliness and Hematomas

27
Q

What is a HUGE issue that can occur when using a General Anesthetic?

A

Malignant Hyperthermia

28
Q

What is Malignant Hyperthermia and what is the drug of choice when this AE occurs?

A

Malignant Hyperthermia is when the pt temp goes over 104 to 110 which causes siezures and death.
The drug of choice is Dantrolene

29
Q

What are the first signs of Malignant Hyperthermia?

A

Rapid breathing, a fast heart rate, and muscle rigidity, especially in the jaw. Abnormal heart rhythms, nausea, and vomiting may occur.

30
Q

What is Immediate treatment of Malignant Hyperthermia? (5)

A
  1. Medication. A drug called dantrolene
  2. Oxygen. You may have oxygen through a face mask. …
  3. Body cooling. …
  4. Extra fluids. …
  5. Supportive care.

IM 3 (14 decks)

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