Treatment of OD (ASA) - activated charcoal, gastric lavage, laxative, or drug therapy for OD
why is acetaminophen not good at treating arthritis? - It has no anti-inflammatory properties, so it
is not useful in treating arthritis or tissue pain/swelling following injury
Opioid dependence - Poten...
SCF Nursing 1-Exam 3 Pain Medications
Treatment of OD (ASA) - activated charcoal, gastric lavage, laxative, or drug therapy for OD
why is acetaminophen not good at treating arthritis? - It has no anti-inflammatory properties, so it
is not useful in treating arthritis or tissue pain/swelling following injury
Opioid dependence - Potential to cause physical & psychologic dependence
Patient-controlled analgesia (PCA)
Combinations with nonnarcotic analgesics
Roles of the nurse for opioid therapy - 1. Monitor Patient's condition & provide education
2. Assess for dependency (have opioid antagonist available to reverse negative effects)
3. Assist with activity
4. Monitor urine output for retention
5. Monitor patient's bowel habits for constipation
6. Pain assessment
7. Look for side effects
Non-opioid analgesics - Acetaminophen (Tylenol)
NSAIDs (Ibuprofen, Aleve)
Non-opioid analgesic uses - 1. Mild to moderate pain associated with inflammation
2. Fever, inflammation, analgesia
Role of Nurse for non-opioid analgesics - -Monitor patient's condition & provide education
-Thorough assess for hypersensitivity & bleeding disorders
-Thorough assess for gastric ulcers, severe renal/hepatic disease & pregnancy
, -Obtain lab tests for liver & renal function
-Pain assessment
-Monitor for side effects
Prototype drug for antipyretics - Acetaminophen (Tylenol)
Acetaminophen mechanism of action - -Reduces fever by direct action at level of hypothalamus
and dilation of peripheral blood vessels
-Enables sweating and dissipation of heat
-NOT ANTI-INFLAMMATORY AGENT
Non-opioid Analgesics: Acetaminophen - -Used for fever, inflammation & analgesia
-mild to moderate pain from inflammation
-
Therapeutic class (Acetaminophen) - antipyretic, analgesic
Pharmacologic class (Acetaminophen) - Centrally acting COX inhibitor
Pregnancy Category (Acetaminophen) - Category B
Opioids - Natural or synthetic morphine-like substances responsible for reducing moderate to
severe pain
Onset, Peak, Duration (Acetaminophen) - O: 30-60 min
P: 0.5-2h
D: 4-6 h
In treatment of severe pain, what can be given with Acetaminophen? - Opioids
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