Acetaminophen Correct Answer ✓✓ not an nsaid, non-opioid for pain /
fever
inhibits prostaglandin synthesis
maximum dose: 4g a day
acetaminophen overdose is the most common cause of hepatic toxicity
in the u.s.
risk for: thrombocytopenia
Nursing interventions for acetaminophen Correct Answer ✓✓ note
history of liver dysfunction, liver enzyme tests
notify provider if symptoms do not improve
do not exceed 4g a day
NOT FOR CHILDREN
check otc drugs for acetaminophen in it
How do opioid analgesics work? Correct Answer ✓✓ Block release of
neurotransmitters in spinal cord
they can be administered by every route
PRN range orders
, patient controlled analgesia (PCA)
What are some side effects of opioid analgesics? Correct Answer ✓✓
CONSTIPATION
high doses: respiratory depression, urinary retention
Contraindications for morphine sulfate Correct Answer ✓✓
Hypersensitivity to narcotics
CNS depression
Increased intracranial pressure
Ileus
Shock
Asthmatics
Nursing interventions for morphine Correct Answer ✓✓ HAVE
ANOTHER RN THERE FOR WASTING PRIOR TO
ADMINISTRATION
naloxone on hand in case of overdose
monitor vitals and bowel sounds
administrating prior to peak pain
monitor pupil changes
Educating patients with morphine Correct Answer ✓✓ no ETOH