Flashcards in test 2- analgesic drugs Deck (70):
-whatever the pt says it is
-exists whenever the pt says it does
level of stimulus needed to produce the perception of pain
the amount of pain a person can endure without it interfering with normal function
medication that relieve pain without causing loss of consciousness (opioids, non-opioids, NSAIDs)
assist primary drugs in relieving pain
analgesic and antipyretic effects, little to no anti-inflammatory effects
long term ingestion of acetaminophen
hepatotoxicity and/or nephropathy
antidote for acetaminophen
acetaminophen should not be taken in the presence of:
drug allergy, liver dysfunction, possible liver failure, hepatitis, TB medications
any drug, natural or synthetic that has actions similar to those of morphine
overdose of morphine causes:
coma, respiratory depression, pinpoint pupils
antidote for morphine
RR less than 10
what nursing implementation must be done when giving opioids?
the six rights!!
antidote for NMBDs
allopurinol (Zyloprim) used for?
reduce production of uric acid
misoprostol (Cytotc) used for?
prevent gastric ulcers by decreasing gastric acid that may occur in pts taking NSAIDs
A patient needs to switch analgesic drugs secondary to an adverse reaction to the present regimen. The patient is concerned that he will not receive an effective dose of a new drug to control pain. The nurse responds based on knowledge that potencies of analgesics are determined using an equianalgesic table comparing doses of these drugs with what prototype?
A patient is admitted to the psychiatric unit for treatment of narcotic addiction. The nurse would anticipate administration of which medication?
A patient has been admitted after overdosing on acetaminophen (Tylenol), with a total ingested dose of 14 g over a period of 1 hour. The nurse plane to monitor this patient for development of which of the following signs and symptoms related to the overdose?
acute hepatic necrosis
While admitting a patient for treatment of an acetaminophen overdose, the nurse prepares to administer which medication to prevent toxicity?
Massage therapy is ordered as adjunct treatment for a patient with musculoskeletal pain. The patient asks the nurse how "rubbing my muscles" will help the pain go away. The nurse responds based on the knowledge that
massaging muscles activates large sensory nerve fibers that send signals to the spinal cord to close the gate, thus blocking painful stimuli from reaching the brain
When assessing for the most serious adverse reaction to a narcotic analgesic, what does the nurse monitor for in the patient?
which medication is used to treat a patient suffering from severe adverse effects of a narcotic analgesic?
a pt admitted to the hospital with a diagnosis of pneumonia asks the nurse why she is receiving codeine when she does not have any pain. the nurse's response based on knowledge that codeine also has what effect?
in monitoring a pt for adverse effects related to morphine sulfate, the nurses assess for stimulation of
the chemoreceptor trigger zone
the nurse is preparing to administer an injection of morphine to a patient. assessment notes a respiratory rate of 10 breaths/min. which action with the nurse perform?
notify the physician and delay drug administration
a pt receiving narcotic analgesics for chronic pain can minimize the gastrointestinal side effects by
increasing fluid and fiber in the diet
the nurse teaches a patient prescribed the fentanyl (Duragesic) transdermal delivery system to change the patch at what interval?
every 72 hours
the nurse plans pharmacologic therapy for a patient with pain based on the knowledge that
pain relief is best obtained by administering analgesics around the clock
in developing a plan of care for a pt receiving morphine sulfate, which nursing diagnosis is a priority?
impaired gas exchange related to respiratory depression
when assessing a patient for adverse effects related to morphine sulfate, which effects would the nurse expect to find? (check all the apply)
decreased peristalsis, delayed gastric emptying, urinary retention
while completing preoperative patient teaching, the nurse explains that general anesthesia
produces deep muscle relaxation and loss of consciousness
a pt expresses fear of nausea and vomiting postoperatively from the anesthesia. which is the nurse's best response?
"nausea and vomiting occur much less frequently than in the past related to the use of a balanced approach to anesthesia
an intubated, mechanically ventilated patient in the intensive care unit is becoming increasingly restless and anxious. the nurse expects to administer which intravenous anesthetic drug?
which postoperative nursing action will help the patient recover from the effects of anesthesia
turning, coughing, and deep breathing every 2 hours
immediate postoperative assessment of a patient reveals a body temperature of 102F. which action will the nurse perform?
notify the physician
a patient questions the sue of epinephrine for repair of a laceration stating, "I thought that was the drug they use in the emergency room for patients who are coding." which is the nurses best response?
Vasoconstriction caused by epinephrine enhances the duration of action for lidocaine and minimizes bleeding at the laceration site
A mechanically ventilated patient reviewing a neuromuscular blocking drug has hearing in the eyes and increased heart rate and blood pressure. the nurse interprets that the
patients level of sedation is adequate
while taking a patient's history prior to surgery for a cardiac problem, the patient informs the nurse he is addicted to cocaine. the nurse alerts the anesthesiologist of the finding because the nurse knows the use of cocaine can cause which effe when a pt is under anesthesia
most nonsteroidal anti-inflammatory drugs (NSAIDs) work by
inhibiting prostaglandin production
when teaching a patient about potential side effects of NSAID therapy, the nurse will teach the patient to promptly report which effect?
black tarry stools (indicative of GI bleed)
the nurse is administering probenecid (Benemid) to a patient with recurrent strep throat. the nurse teaches the patient that the most likely reason for taking this medication is to
prolong the effectiveness of penicillin therapy
The advantage of cyclooxygenase-2 (COX-2) inhibitors over other NSAIDs is that they
do not decrease the cytoprotective lining of the stomach
the patient questions a nurse about herbal treatments for arthritic pain. what is the nurse's best response?
Glucosamine sulfate with chondroitin has demonstrated promising results in the treatment of joint stiffness and pain. Discuss this with your heath care provider.
the nurse assess for therapeutic effects of colchicine based on the knowledge that colchicine
increases process of phagocytosis
assessment of the patient taking colchicine should include consideration of which nursing diagnoses?
deficient fluid volume related to side effects of nausea, vomiting, and diarrhea
Patient teaching for a patient receiving allopurinol (Zylorprim) should include which information
increase your fluid intake to 3 L per day
the nurse would questions an order to administer misoprostol (cytotec) to a patient with which condition?
the nurse should question a border written to administer aspirin to which patient
a 14 year old boy with a history of flu like symptoms
which NSAID would the nurse anticipate administering parenterally for treatment of acute postoperative pain?
the acetic acid derivative indomethacin (Indochina) has which properties?
antiinflammatory, antirhermatic, antipyretic
pain that is thought to account for most migraine headaches
pain that relates to a body part that has been removed
pain that originates from the skin or mucous membranes
pain that occurs with tumors, trauma, or inflammation of the brain
pain that originates from the organs or smooth muscles
pain that originates from the skeletal muscles, ligaments or joints
during a marathon, a runner had to drop out after 16 miles because of sever muscle spasms. what type of pain is this?
a young man has been taken to the ED because of a suspected overdose of morphine. the nurse prepares to administer which drug?
an anticonvulsant drug has been ordered as part of a patient's pain management program. the nurse explains to the patient that the purpose of the anticonvulsant is to
relieve neuropathic pain
moderate ot severe pain is best treated with which of these medications
the nurse is preparing to administer an opioid analgesic. which factors should be assessed before the dose is given? (check all that apply)
the level of pain rated on a scale
prior analgesic use
a type of anesthetic that is applied directly to the skin and mucous membranes
a commonly used, long-acting, non depolarizing NMBD
the term for anesthetic drugs that alter the CNS, resulting in loss of consciousness and deep muscle relaxation
the type of anesthetic drug that reduces pain sensations at the level of the peripheral nerves
dugs used in combination with anesthetics for anesthesia initiation, sedation, reduction of anxiety, and amnesia
the term for dugs that depress the CNS; used for surgical procedures
the practice of using combinations of drugs to produce general anesthesia rather than using a single dose