Common Pain medications for BMTCN fully solved graded A+ 2023/2024

Common Pain medications for BMTCN Acetaminophen - correct answer analgesic po or rectal SE = rare when used in correct dosage May cause liver damage...increased risk with alcohol intake 4g/24hours is the max dosage Gabapentin; Carbamazepine; Pregabalin - correct answer Anticonvulsant po or rectal Common SEs: dizziness, amnesia, tremor, difficulty with coordination, double vision, unusual eye movements, thoughts of suicide or death/attempted suicide/new or worse depression/new or worse anxiety, agitated and restless, panic attacks, insomnia, irritability Nursing Implications: neuropathic pain, do not stop abruptly, with or without food, avoid alcohol, be alert for mental status change and suicidal ideation Nortriptyline, doxepin, desipriamine, venlafaxine, duloxetine - correct answer Anti-depressant PO Common SEs: serotonin syndrome (mental status changes - agitation, hallucinations, coma), autonomic instability (tachycardia, labile blood pressure, hyperthermia), neuromuscular aberrations (hyper-reflexia, incoordination), GI symptoms (nausea, vomiting, diarrhea) Nursing Implications: neuropathic pain, be alert for changes in metal status/suicidal ideations Etidronate, pamidronate, alendronate, risedronate, zoledronate, ibandronate - correct answer Bisphosphonates PO or IV Common Ses: hypocalcemia, skin rash, bone pain, arrhythmias, upper GI symptoms, esophageal irritation, kidney problems, fever NIs: pain related to bone mets, empty stomach, 4 oz of water, do not take before bed Corticosteroids - correct answer Po, IV, IM, and inhaled Common SEs: localized infections of the mouth and pharynx (Candida albicans/inhaled), suppressed immune system, decreases in bone mineral density, hypokalemia, hyperglycemia NIs: monitor blood sugar and potassium, rinse mouth after inhaled use, watch for increased immunosuppression Clonidine/clonidine hydrochloride - correct answer Epidural Intrathecal Common SEs: sedation, hypotension, postural hypotension, decreased heart rate, rebound hypertension, dry mouth, nausea, confusion, dizziness, somnolence, fever