NURS 1544 Pharm Meds Test
With Complete Solution
Drug name for opioid analgesic - ANSWER Hydromorphone (dilaudid)
Indication for opioid analgesics - ANSWER pain management of moderate to
severe pain
Nursing considerations for opioid analgesics - ANSWER -do a pain
assessment PQRST
-hold if RR less than 12
-hold if BP systolic less than 90
-listen to bowel sounds (may cause constipation)
-IV push over 4-5 minutes
Adverse/Side effects of opioid analgesics - ANSWER -resp. depression
-hypotension
-sedation, difficulty arousing, lethargic
-confusion
-lightheaded, dizziness
-constipation
-nausea and vomiting
,Patient Teaching with opioid analgesics - ANSWER -start with
non-pharmacological pain interventions
-increase fluids and fiber in diet to prevent constipation
-teach maximum doses/ Safe usage, overuse, addiction
Drug name of non-opioid Analgesic - ANSWER Acetaminophen (tylenol)
indications of non-opioid analgesics - ANSWER -pain management (mild
pain)
-fever reducer (antipyretic)
Nursing Considerations for non-opioid analgesics - ANSWER -pain
assessment (PQRST)
-assess liver function, history of liver damage and alcohol use
-evaluate pain after 30 minutes after IV or 60 minutes after oral tx
-do not administer more than 4,000 mg per day
adverse side effects of non-opioid analgesics - ANSWER -skin reddening,
blisters, and rash
-hepatotoxicity (within 2-4 days of large doses or overdose)
, Patient teaching of non-opioid analgesics - ANSWER -geriatrics should not
exceed 3,000 mg per day due to hepatotoxicity
-alcoholics should not exceed 2,000 mg per day due to hepatotoxicity
-do not take longer than 10 days in a row
-teach non-pharmacological pain interventions
Nonsteroidal anti-inflammatory (NSAID) drug name - ANSWER Ibuprofen
(Advil/Motrin)
Indication for NSAIDs - ANSWER -pain management
-reduce inflammation
-fever reducer
considerations for NSAIDs - ANSWER -pain assessment PQRST
-administer orally with food to decrease GI upset
-assess hx of GI bleed, gastric ulcers, or intolerance to NSAIDs
-Assess active bleeding
-Assess kidney function hold if impaired renal function (NSAIDs are
nephrotoxic)
-do not give if within the last 3 months of pregnancy
With Complete Solution
Drug name for opioid analgesic - ANSWER Hydromorphone (dilaudid)
Indication for opioid analgesics - ANSWER pain management of moderate to
severe pain
Nursing considerations for opioid analgesics - ANSWER -do a pain
assessment PQRST
-hold if RR less than 12
-hold if BP systolic less than 90
-listen to bowel sounds (may cause constipation)
-IV push over 4-5 minutes
Adverse/Side effects of opioid analgesics - ANSWER -resp. depression
-hypotension
-sedation, difficulty arousing, lethargic
-confusion
-lightheaded, dizziness
-constipation
-nausea and vomiting
,Patient Teaching with opioid analgesics - ANSWER -start with
non-pharmacological pain interventions
-increase fluids and fiber in diet to prevent constipation
-teach maximum doses/ Safe usage, overuse, addiction
Drug name of non-opioid Analgesic - ANSWER Acetaminophen (tylenol)
indications of non-opioid analgesics - ANSWER -pain management (mild
pain)
-fever reducer (antipyretic)
Nursing Considerations for non-opioid analgesics - ANSWER -pain
assessment (PQRST)
-assess liver function, history of liver damage and alcohol use
-evaluate pain after 30 minutes after IV or 60 minutes after oral tx
-do not administer more than 4,000 mg per day
adverse side effects of non-opioid analgesics - ANSWER -skin reddening,
blisters, and rash
-hepatotoxicity (within 2-4 days of large doses or overdose)
, Patient teaching of non-opioid analgesics - ANSWER -geriatrics should not
exceed 3,000 mg per day due to hepatotoxicity
-alcoholics should not exceed 2,000 mg per day due to hepatotoxicity
-do not take longer than 10 days in a row
-teach non-pharmacological pain interventions
Nonsteroidal anti-inflammatory (NSAID) drug name - ANSWER Ibuprofen
(Advil/Motrin)
Indication for NSAIDs - ANSWER -pain management
-reduce inflammation
-fever reducer
considerations for NSAIDs - ANSWER -pain assessment PQRST
-administer orally with food to decrease GI upset
-assess hx of GI bleed, gastric ulcers, or intolerance to NSAIDs
-Assess active bleeding
-Assess kidney function hold if impaired renal function (NSAIDs are
nephrotoxic)
-do not give if within the last 3 months of pregnancy
