Galen Pharm 210 Study guide with verified solutions

Benzodiazepine- Midazolam - Uses: Conscious sedation S/E: Dizzy Adverse reactions/ Toxicity: Respiratory depression PT teaching: Safety Contraindications: Cardiopulmonary disease Non- Benzodiazepine- zolpidem tartrate - Uses: Insomnia S/E: Dizziness, Drowsiness, Behavioral changes Adverse reactions/ Toxicity: Complex sleep behavior Local Anesthetic- Lidocaine - Uses: Minor procedure S/E: Confusion, drowsiness, stinging, bradycardia Nursing considerations: Rapid onset Spinal Anesthesia- Spinal, Epidural - Uses: Pain, Pregnancy S/E: Back pain, Shivering Adverse reactions/ Toxicity: Respiratory depression, Hypotension, Headache, Nerve damage Pt teaching: Lay flat, Monitor for headache NSAID (non-selective)- Ibuprofen - Uses: Moderate to high pain, fever, inflammation S/E: GI distress, Blurred vision, Fluid retention, headache, peripheral edema 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 disorders. NSAID(COX 2 inhibitor)- Celecoxib - Uses: Inflammation, Severe S/E: Dizziness, GI distress, Peripheral edema, Herbal remedies Adverse reactions/ Toxicity: Thromboembolism Contraindications: CABG, Angina, Renal/ Hepatic disfunction NSAID(Salicylate)- Aspirin - Uses: Inflammation, anti-platelet S/E: GI distress, Nosebleed Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome, Hyperuricemia Contraindications: GI bleeding, Gout, Pregnancy Anti-gout- Allopurinol - Uses: Lowers uric acid levels 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 Non- Opioid Analgesic- Acetaminophen - Uses: Pain, fever, NOT NSAID S/E: GI upset Adverse reactions/ Toxicity: Hepatotoxicity (Liver), steven Johnson syndrome, epidermal 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.