NURS 180 PHARM (100% solved)

What are some types of complementary alternative therapies? correct answers Therapeutic touch, acupunture, massage Why can complementary therapies bevused as adjuvants correct answers They help decrease side effects as well as allowing lower doses of the main pharmocotherapy How do oral medications effects compare to those of iv meds? correct answers Oral meds have less side effects Why do oral meds have less side effects then iv meds? correct answers A good amount of the oral dose is lost through the hepatic metabolism (first pass effect) What pt education about the transition should be included correct answers When pts go home with pain med drs will order for transitioning iv meds to oral po meds In what cases would opioid analgesics be contraindicated? Why? correct answers Pts that are positive for brain hemorrhages or in situation where pt is presenting increased intracranial pressure. Why? The should be avoided due to the need to closely monitor the LOC. Analgesic opiates will decrease LOC disrupting appropriate assessment. Opioids are... correct answers CNS depressants and can mask the pts level of consciousness. Dangerous when pt has a brain injury What is a common side effect of opiate analgesics? correct answers Nausea Difference between side effects vs adverse effects correct answers Adverse effects is something we do not expect while side effect is expected taking nsaids puts older adults at risk for? What teaching should be provided correct answers Bleeding Report unusual bleeding Due to potentially serious adverse effects, system glucocorticoids ... correct answers Should be reserved for th short- term treatment as an anti- inflammatory Prolonged use of systemic glucocorticoids can lead to correct answers Cushings syndrome When should tylenol be avoided? Why? correct answers Tylenol is hepatotoxic and should be avoided for pts who have liver issues or for pts that are alcholoics. Tylenol as it is metabolized, its byproducts is hepatotoxic Why is there a ceiling dosage for tylenol correct answers Can be hepatotoxic