Galen Pharm 210
Study online at https://quizlet.com/_d2nb43
1. Benzodiazepine- Uses: Conscious sedation
Midazolam S/E: Dizzy
Adverse reactions/ Toxicity: Respiratory depression
PT teaching: Safety
Contraindications: Cardiopulmonary disease
2. Non- Benzodi- Uses: Insomnia
azepine- zolpi- S/E: Dizziness, Drowsiness, Behavioral changes
dem tartrate Adverse reactions/ Toxicity: Complex sleep behavior
3. Local Anesthetic- Uses: Minor procedure
Lidocaine S/E: Confusion, drowsiness, stinging, bradycardia
Nursing considerations: Rapid onset
4. Spinal Anes- Uses: Pain, Pregnancy
thesia- Spinal, S/E: Back pain, Shivering
Epidural Adverse reactions/ Toxicity: Respiratory depression, Hypotension, Headache, Nerve
damage
Pt teaching: Lay flat, Monitor for headache
5. NSAID (non-se- Uses: Moderate to high pain, fever, inflammation
lective)- Ibupro- S/E: GI distress, Blurred vision, Fluid retention, headache, peripheral edema
fen Adverse Reactions/ Toxicity: Seizure, Ulcer, Hearing loss, Tinnitus, Kidney damage,
kidney damage, nephrotoxicity
Pt teaching: take with full glass of water, take as directed, don't take more than 10
days/pain and 3 days/fever
Nursing considerations: Pts with asthma, allergy, nasal polyps have high risk for
reactions, assess GI bleed, look 4 renal impairment
Lab values: BUN, CBC, serum creatine, liver function test will be increased, alcohol
increases bleeding
Contraindications: CABG, pregnancy, asthma, contraindicated in bleeding disor-
ders.
, Galen Pharm 210
Study online at https://quizlet.com/_d2nb43
6. NSAID(COX 2 in- Uses: Inflammation, Severe
hibitor)- Celecox- S/E: Dizziness, GI distress, Peripheral edema, Herbal remedies
ib Adverse reactions/ Toxicity: Thromboembolism
Contraindications: CABG, Angina, Renal/ Hepatic disfunction
7. NSAID(Salicy- Uses: Inflammation, anti-platelet
late)- Aspirin S/E: GI distress, Nosebleed
Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome, Hyperuricemia
Contraindications: GI bleeding, Gout, Pregnancy
8. Anti-gout- Allop- Uses: Lowers uric acid levels
urinol S/E: GI upset, dizziness
Adverse reactions/ Toxicity: Hepatotoxicity, hepatotoxicity
Pt teaching: No alcohol, increase water intake, alkaline diet
Nursing considerations: I &O, monitor kidney function
Lab values: I&O, BUN, Creatinine
Contraindications: Severe kidney disease
9. Non- Opioid Anal- Uses: Pain, fever, NOT NSAID
gesic- Aceta- S/E: GI upset
minophen Adverse reactions/ Toxicity: Hepatotoxicity (Liver), steven Johnson syndrome, epi-
dermal necrolysis
Pt teaching: Take exactly as directed, chronic used can lead to hepatotoxicity, avoid
alcohol, consult PCP if fever not relieved in 3 days.
Nursing considerations: Asses for overall alcohol use and health status.
Lab values: Evaluate hepatic hematologic & renal function.
(About 4g/per day)
10. Opioid Analgesic- Uses: MI, Cancer pain, SOB for dyspnea
Morphine sulfate S/E: urinary retention, dizziness, pinpoint pupils
Adverse reactions/ Toxicity: Respiratory depression, severe hypotension
Pt teaching: teach of abuse potential, avoid use of alcohol, change positions
Nursing Considerations: Use extreme caution with MAO inhibitors, assess con-
Study online at https://quizlet.com/_d2nb43
1. Benzodiazepine- Uses: Conscious sedation
Midazolam S/E: Dizzy
Adverse reactions/ Toxicity: Respiratory depression
PT teaching: Safety
Contraindications: Cardiopulmonary disease
2. Non- Benzodi- Uses: Insomnia
azepine- zolpi- S/E: Dizziness, Drowsiness, Behavioral changes
dem tartrate Adverse reactions/ Toxicity: Complex sleep behavior
3. Local Anesthetic- Uses: Minor procedure
Lidocaine S/E: Confusion, drowsiness, stinging, bradycardia
Nursing considerations: Rapid onset
4. Spinal Anes- Uses: Pain, Pregnancy
thesia- Spinal, S/E: Back pain, Shivering
Epidural Adverse reactions/ Toxicity: Respiratory depression, Hypotension, Headache, Nerve
damage
Pt teaching: Lay flat, Monitor for headache
5. NSAID (non-se- Uses: Moderate to high pain, fever, inflammation
lective)- Ibupro- S/E: GI distress, Blurred vision, Fluid retention, headache, peripheral edema
fen Adverse Reactions/ Toxicity: Seizure, Ulcer, Hearing loss, Tinnitus, Kidney damage,
kidney damage, nephrotoxicity
Pt teaching: take with full glass of water, take as directed, don't take more than 10
days/pain and 3 days/fever
Nursing considerations: Pts with asthma, allergy, nasal polyps have high risk for
reactions, assess GI bleed, look 4 renal impairment
Lab values: BUN, CBC, serum creatine, liver function test will be increased, alcohol
increases bleeding
Contraindications: CABG, pregnancy, asthma, contraindicated in bleeding disor-
ders.
, Galen Pharm 210
Study online at https://quizlet.com/_d2nb43
6. NSAID(COX 2 in- Uses: Inflammation, Severe
hibitor)- Celecox- S/E: Dizziness, GI distress, Peripheral edema, Herbal remedies
ib Adverse reactions/ Toxicity: Thromboembolism
Contraindications: CABG, Angina, Renal/ Hepatic disfunction
7. NSAID(Salicy- Uses: Inflammation, anti-platelet
late)- Aspirin S/E: GI distress, Nosebleed
Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome, Hyperuricemia
Contraindications: GI bleeding, Gout, Pregnancy
8. Anti-gout- Allop- Uses: Lowers uric acid levels
urinol S/E: GI upset, dizziness
Adverse reactions/ Toxicity: Hepatotoxicity, hepatotoxicity
Pt teaching: No alcohol, increase water intake, alkaline diet
Nursing considerations: I &O, monitor kidney function
Lab values: I&O, BUN, Creatinine
Contraindications: Severe kidney disease
9. Non- Opioid Anal- Uses: Pain, fever, NOT NSAID
gesic- Aceta- S/E: GI upset
minophen Adverse reactions/ Toxicity: Hepatotoxicity (Liver), steven Johnson syndrome, epi-
dermal necrolysis
Pt teaching: Take exactly as directed, chronic used can lead to hepatotoxicity, avoid
alcohol, consult PCP if fever not relieved in 3 days.
Nursing considerations: Asses for overall alcohol use and health status.
Lab values: Evaluate hepatic hematologic & renal function.
(About 4g/per day)
10. Opioid Analgesic- Uses: MI, Cancer pain, SOB for dyspnea
Morphine sulfate S/E: urinary retention, dizziness, pinpoint pupils
Adverse reactions/ Toxicity: Respiratory depression, severe hypotension
Pt teaching: teach of abuse potential, avoid use of alcohol, change positions
Nursing Considerations: Use extreme caution with MAO inhibitors, assess con-
