How to monitor for therapeutic effects of opioids? what are the signs the drug is
working?
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1. low pain report
2. increased comfort
3. increased ADL
4. Decreased fever
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, 125 mL/min;
<60 NOT GOOD
nonBenzodiazepines hypnotics
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treat insomnia
AMbien
Rozerem: melatonin
-->does not suppress CNS
What in the body enhances sensitivity of pain receptors?
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prostaglandins and substance P
2 Adverse drug events
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1. med error(preventable)
2. adverse drug reactions
How to eliminate med errors in clinical practice
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1. stop abbrev. (lol)
2. check high alert meds
3. reduce verbal med orders
Bronchioles: parasymp. vs. symp
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parasymp: constrict
symp. dilate
What do you monitor for therapeutic effects for Barbiturates and benzodiazepines
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increased sleep
few adverse effects
Mu receptors cause
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Resp. depression, euphoria, sedation
, Adverse effects of direct acting cholinergics
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bradycardia
asthma (bronchiole constriction)
hypotension
increased salivation
3 actions of adrenergic agonists
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1. constrict blood vessels
2. increase heart rate
3. dilate bronchi
Benzodiazepines med interactions
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grapefruit juice/antifungals= low Benzodiazepines metabolism
CNS depressants= additive effect
CNS depressants 2 types
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working?
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1. low pain report
2. increased comfort
3. increased ADL
4. Decreased fever
Give this one a try later!
, 125 mL/min;
<60 NOT GOOD
nonBenzodiazepines hypnotics
Give this one a try later!
treat insomnia
AMbien
Rozerem: melatonin
-->does not suppress CNS
What in the body enhances sensitivity of pain receptors?
Give this one a try later!
prostaglandins and substance P
2 Adverse drug events
Give this one a try later!
1. med error(preventable)
2. adverse drug reactions
How to eliminate med errors in clinical practice
,Give this one a try later!
1. stop abbrev. (lol)
2. check high alert meds
3. reduce verbal med orders
Bronchioles: parasymp. vs. symp
Give this one a try later!
parasymp: constrict
symp. dilate
What do you monitor for therapeutic effects for Barbiturates and benzodiazepines
Give this one a try later!
increased sleep
few adverse effects
Mu receptors cause
Give this one a try later!
Resp. depression, euphoria, sedation
, Adverse effects of direct acting cholinergics
Give this one a try later!
bradycardia
asthma (bronchiole constriction)
hypotension
increased salivation
3 actions of adrenergic agonists
Give this one a try later!
1. constrict blood vessels
2. increase heart rate
3. dilate bronchi
Benzodiazepines med interactions
Give this one a try later!
grapefruit juice/antifungals= low Benzodiazepines metabolism
CNS depressants= additive effect
CNS depressants 2 types
Give this one a try later!
