QUESTIONS AND ANSWERS
Benzodiazepine- Midazolam - ANS Uses: Conscious sedation
S/E: Dizzy
Adverse reactions/ Toxicity: Respiratory depression
PT teaching: Safety
Contraindications: Cardiopulmonary disease
Non- Benzodiazepine- zolpidem tartrate - ANS Uses: Insomnia
S/E: Dizziness, Drowsiness, Behavioral changes
Adverse reactions/ Toxicity: Complex sleep behavior
Local Anesthetic- Lidocaine - ANS Uses: Minor procedure
S/E: Confusion, drowsiness, stinging, bradycardia
Nursing considerations: Rapid onset
Spinal Anesthesia- Spinal, Epidural - ANS Uses: Pain, Pregnancy
S/E: Back pain, Shivering
Adverse reactions/ Toxicity: Respiratory depression, Hypotension, Headache, Nerve damage
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Pt teaching: Lay flat, Monitor for headache
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, NSAID (non-selective)- Ibuprofen - ANS 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 - ANS 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 - ANS 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 - ANS Uses: Lowers uric acid levels
S/E: GI upset, dizziness
Adverse reactions/ Toxicity: Hepatotoxicity, hepatotoxicity
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Pt teaching: No alcohol, increase water intake, alkaline diet
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