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Benzodiazepine- Midazolam - Correct Answer-Uses: Conscious sedation S/E: Dizzy Adverse reactions/ Toxicity: Respiratory depression PT teaching: Safety Contraindications: Cardiopulmonary disease Non- Benzodiazepine- zolpidem tartrate - Correct Answer-Uses: Insomnia S/E: Dizziness, Drowsiness, Behavioral changes Adverse reactions/ Toxicity: Complex sleep behavior Local Anesthetic- Lidocaine - Correct Answer-Uses: Minor procedure S/E: Confusion, drowsiness, stinging, bradycardia Nursing considerations: Rapid onset Spinal Anesthesia- Spinal, Epidural - Correct Answer-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 - Correct Answer-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 - Correct Answer-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 - Correct Answer-Uses: Inflammation, anti-platelet S/E: GI distress, Nosebleed Galen Pharm 210 Exam With 100% Correct Answers 2024/2025 | Graded A+ Adverse reactions/ Toxicity: Hearing, Tinnitus, Reye syndrome, Hyperuricemia Contraindications: GI bleeding, Gout, Pregnancy Anti-gout- Allopurinol - Correct Answer-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 - Correct Answer-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 - Correct Answer-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 Nursing Considerations: Use extreme caution with MAO inhibitors, assess conscience level, BP, pulse, and respirations Lab values: Liver enzymes Contraindications: hepatic/ renal dysfunction Opioid Antagonist (NARCAN)- Naloxone - Correct Answer-Uses: Opioid overdose, Reserves respiratory depression S/E: N/V, hypertension, hypotension Adverse reactions/ Toxicity: Ventricular arrhythmias Nursing Considerations: monitor respiratory rate, BP, and pulse, given in slow increments. Anti- (Migraine)- Sumatriptan - Correct Answer-Uses: Migraines, Cluster headache S/E: Drowsy, Flushing, warm sensation Adverse reactions/ Toxicity: Bradycardia Pt teaching: Only use during a migraine attack, avoid alcohol, overuse can cause headache Contraindications: History of hypertension, liver failure, pregnancy
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