Benzodiazepine- Midazolam - Answers Uses: Conscious sedation
S/E: Dizzy
Adverse reactions/ Toxicity: Respiratory depression
PT teaching: Safety
Contraindications: Cardiopulmonary disease
Non- Benzodiazepine- zolpidem tartrate - Answers Uses: Insomnia
S/E: Dizziness, Drowsiness, Behavioral changes
Adverse reactions/ Toxicity: Complex sleep behavior
Local Anesthetic- Lidocaine - Answers Uses: Minor procedure
S/E: Confusion, drowsiness, stinging, bradycardia
Nursing considerations: Rapid onset
Spinal Anesthesia- Spinal, Epidural - Answers 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 - Answers 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 - Answers 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 - Answers 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 - Answers 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 - Answers 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.
Lab values: Evaluate hepatic hematologic & renal function.
(About 4g/per day)
Opioid Analgesic- Morphine sulfate - Answers Uses: MI, Cancer pain, SOB for dyspnea
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