Monitor/Do: PAIN MEDS

Question 1

What would you monitor/do for a patient taking opioids?

Answer 1

1. Assess pain via pain scale before/after administering.
2. Monitor respirations (hold if below 12), BP, and HR
3. Hold if hx of addiction

Question 2

What would you do/monitor for a patient taking a narcotic antagonist?

Answer 2

1. Monitor BP, HR, respiration rate
2. Assess alertness and pain response
3. Monitor response for second dose

Question 3

What would you monitor/do for a patient taking Triptan?

Answer 3

1. Assess for serotonin syndrome
2. Assess HR/BP
3. Assess for hx of CVA, vascular/ischemic heart disease, uncontrolled HTN

Question 4

What would you monitor/do for patient taking a salicylate?

Answer 4

1. Do not administer in children under 12 y/o; do not administer in children under 19 y/o w/ chickenpox/flu
2. Assess for GI bleeding
3. Assess for tinnitus

Question 5

What would you do/monitor for a patient taking NSAIDs?

Answer 5

1. Assess for Steven Johnson syndrome
2. Monitor renal function
3. Assess for hx of CV thrombotic events, MI/stroke. Do not give to patient with recent CABG.

Question 6

What would you do/monitor for a patient taking NSAID ketorolac?

Answer 6

1. DO NOT give for more than 5 days.
2. Monitor for GI perforation
3. Monitor respirations (bronchospasm)

Question 7

What would you do/monitor for a patient taking a COX-2 inhibitor?

Answer 7

1. BP
2. Monitor liver enzymes
3. Assess for hx of CV thrombotic events, CVA

Question 8

What would you do/assess for a patient taking a non-narcotic analgesic?

Answer 8

1. Assess for s/s of hepatotoxicity
2. Monitor liver enzymes
3. Assess for hx of alcoholism