Pain Meds Flashcards Preview

NCLEX-RN (4) Pharmacology > Pain Meds > Flashcards

Flashcards in Pain Meds Deck (15)
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1
Indication:

NSAIDs (nonsteroidal anti-inflammatory drugs)

  • Analgesic: to treat mild to moderate pain
  • Antipyretic: to decrease a fever

2
Generic names:

NSAIDs

Generic names:

  • celecoxib
  • ibuprofen
  • indomethacin
  • ketorolac
  • meloxicam
  • naproxen

3
Most common side effects and nursing considerations:

NSAIDs

  1. can cause GI upset and GI bleeding
    • take with food
    • assess for bleeding
  2. nephrotoxic
    • assess BUN, creatinine and urine output

4
Indication:

Opioids

  • Analgesic: to treat moderate to severe pain

5
Generic names:

Opioids

  • codeine
  • fentanyl
  • methadone
  • morphine
  • oxycodone
  • oxymorphone
  • tramadol
  • hydromorphone

These meds are highly addictive.

6
Most common side effects and nursing considerations:

Opioids

  • bradypnea: assess respirations and hold if < 12
  • suppresses cough reflex: encourage cough and deep breathing
  • constipation: encourage fluids, fiber, and walking
  • sedation: assess vital signs and prevent falls
  • use caution with head injury clients: can increase intracranial pressure

 

7
Nursing considerations:

morphine

Don't give to clients with cholecystitis:

  • can cause biliary spasms
  • give hydromorphone instead

8
Indication:

naloxone

  • antidote / opioid antagonist
  • to treat opioid overdose

9

How is opioid withdrawal treated?

Opioid withdrawal is treated with:

  • methadone: opioids are tapered
  • clonidine: to calm client

 

10
Nursing considerations:

meperidine

  • opioid analgesic given when there are no other viable options
  • do not give to children or elderly due to risk of seizures

11
Indication:

acetaminophen

  • analgesic: treat mild to moderate pain
  • antipyretic: treat fever

12

Antidote to acetaminophen

acetylcysteine

13
Most common side effects and nursing considerations:

acetaminophen

Hepatoxic

  • assess liver function: ALT, AST, bilirubin
  • don't give to clients with liver disease

14
Generic names:

opioid/acetaminophen combination med

  • acetaminophen/hydrocodone
  • acetaminophen/oxycodone

15
Nursing considerations:

opioid/acetaminophen combination med

  • assess client if taking additional acetaminophen
  • teach to avoid acetaminophen overdose