NU 150 PHARM EXAM 3 QUESTIONS
AND ANSWERS
What are nursing implications for NSAIDs? - Answer-Assess pain
Assess pt for GI bleeding
Instruct pt to take medication with food
Inform pt this can cause a bigger problem
Instruct pt to be cautious with self medicating
What is the patient at risk for when taking NSAIDs and anticoagulants together? -
Answer-Increased risk of bleeding
What drugs are in the Opioid class? - Answer-Codeine
Fentanyl
Hydrocodone
Hydromorphone
Morphine
Oxycodone
Tramadol
What are the actions of the Opioid class? - Answer-Agonist Agents (works on opioid
receptors in the CNS to produce analgesics effects/relieve severe pain)
What are Opioids used for? - Answer-severe pain
decrease anxiety
support anesthesia/obstetric
sedate pt before surgery
severe diarrhea & cramping
severe/persistent cough
What are adverse reactions of Opioids? - Answer-Euphoria (joy)
Headache
Dizziness
Tremor
Tachy/Brady/Palpitations
Decreased RR
Biliary tract spasm
Constipation
Urinary Retention
Sweating
Local tissue irrigation
What are contraindications of Opioids? - Answer-emphysema
acute bronchial asthma
, upper airway obstructions
head injury or increased intracranial pressure
convulsion disorders
hepatic or renal failure
ulcer colitis
labor/pregnancy category b & c
What are precautions of Opioids? - Answer-Older Adults
Opioid Naive (pt who have not had these meds before)
pt at greater risk for respiratory depression
biliary surgery
location (wait 4/6h to breastfeed)
undiagnosed abd pain/hypoxia/ tachycardia/prostatic hypertrophy
renal or hepatic impairment
What drug is in the Opioid antagonist class? - Answer-Naloxone
What is the action of Opioid antagonist? - Answer-Antagonist (reverse opioid
effect/prevents from responding to pain)
What is Opioid antagonist drug used for? - Answer-Post-op respiratory depression
Reverse opioid effect
Overdoses/addictions
What are adverse reactions of Opioid antagonist drug? - Answer-Increase BP
Tachycardia
Sweating
Tremors
What are precautions of Opioid antagonist drug? - Answer-Pregnancy B
Infants (due to mother's addiction)
Opioid dependency
Cardiac Disease
What drugs can Opioid antagonist drug prevent the effect of? - Answer-Anti-diarrheal
Antitussive
Analgesics
What drugs are in the Local Anesthesia class? - Answer-Lidocaine
Novocain
Xylocaine
Topical patches
What is the action of Anesthesia? - Answer-Local (site specific)
General (whole body; decrease cough, decrease swallowing & decrease reflexes)
AND ANSWERS
What are nursing implications for NSAIDs? - Answer-Assess pain
Assess pt for GI bleeding
Instruct pt to take medication with food
Inform pt this can cause a bigger problem
Instruct pt to be cautious with self medicating
What is the patient at risk for when taking NSAIDs and anticoagulants together? -
Answer-Increased risk of bleeding
What drugs are in the Opioid class? - Answer-Codeine
Fentanyl
Hydrocodone
Hydromorphone
Morphine
Oxycodone
Tramadol
What are the actions of the Opioid class? - Answer-Agonist Agents (works on opioid
receptors in the CNS to produce analgesics effects/relieve severe pain)
What are Opioids used for? - Answer-severe pain
decrease anxiety
support anesthesia/obstetric
sedate pt before surgery
severe diarrhea & cramping
severe/persistent cough
What are adverse reactions of Opioids? - Answer-Euphoria (joy)
Headache
Dizziness
Tremor
Tachy/Brady/Palpitations
Decreased RR
Biliary tract spasm
Constipation
Urinary Retention
Sweating
Local tissue irrigation
What are contraindications of Opioids? - Answer-emphysema
acute bronchial asthma
, upper airway obstructions
head injury or increased intracranial pressure
convulsion disorders
hepatic or renal failure
ulcer colitis
labor/pregnancy category b & c
What are precautions of Opioids? - Answer-Older Adults
Opioid Naive (pt who have not had these meds before)
pt at greater risk for respiratory depression
biliary surgery
location (wait 4/6h to breastfeed)
undiagnosed abd pain/hypoxia/ tachycardia/prostatic hypertrophy
renal or hepatic impairment
What drug is in the Opioid antagonist class? - Answer-Naloxone
What is the action of Opioid antagonist? - Answer-Antagonist (reverse opioid
effect/prevents from responding to pain)
What is Opioid antagonist drug used for? - Answer-Post-op respiratory depression
Reverse opioid effect
Overdoses/addictions
What are adverse reactions of Opioid antagonist drug? - Answer-Increase BP
Tachycardia
Sweating
Tremors
What are precautions of Opioid antagonist drug? - Answer-Pregnancy B
Infants (due to mother's addiction)
Opioid dependency
Cardiac Disease
What drugs can Opioid antagonist drug prevent the effect of? - Answer-Anti-diarrheal
Antitussive
Analgesics
What drugs are in the Local Anesthesia class? - Answer-Lidocaine
Novocain
Xylocaine
Topical patches
What is the action of Anesthesia? - Answer-Local (site specific)
General (whole body; decrease cough, decrease swallowing & decrease reflexes)
