Analgesics non-salicylates PDF

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Summary

Nursing Concepts: Health and Wellness Across the Lifespan I...

Description

PHARMACOLOGY: PAIN 3.2.2

NURSE ANGIE 2018

Non-Salicylates Acetaminophen Adverse effects Hives Hemolytic anemia Pancytopenia Hypoglycemia Jaundice Acute acetaminophen toxicity can cause liver necrosis and eventually liver failure. !

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aggregation and is the drug of choice when bleeding is an issue. !Also given to those whom have an aspirin allergies

Interactions Barbiturates: Increased risk of toxicity and decreased effect of acetaminophen Hydantoins: increased risk of toxicity and decreased effects of acetaminophen. Isoniazid and Rifampin: Increased risk of toxicity and decreased effect of acetaminophen Loop diuretics: Decreased effects of loop diuretic.!

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Symptoms of Acute Acetaminophen Toxicity • Nausea, vomiting, confusion, • liver tenderness, hypotension, cardiac

arrhythmias, jaundice, acute hepatic • renal failure!

INDICATIONS

INTERVENTIONS

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• If the body temp remains

Relieve mild to moderate pain !

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Reducing fever!

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Treat inflammatory disease such as

EDUCATION • Do not take before surgery

elevated contact the health care provider.!

• Let the provider know about

any OTC medications

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• Keep a record of when you

take this medication to avoid overdose

rheumatoid arthritis, osteoarthritis,

• Acetaminophen should be

taken with a full glass of water.

rheumatic fever#

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Known Hypersensitivity ‣ Alcohol abuse ‣ Do not take with NSAIDS or salicylates!

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Caution Be aware of polypharmacy interactions when administering acetaminophen. Acetaminophen may alter blood glucose levels by showing a false low, as a result inaccurate doses of anti-diabetic medications may be given.

Labs to consider Monitor liver function

NCLEX PRACTICE

OCTOBER 14, 2018

CASE STUDY When titrating an analgesic to manage pain, what is the nurses priority? A. administer smallest dose that provides relief with the fewest side effects B. titrate upward until the client is pain free C. tirate downwards to prevent toxicity D. ensure that the drug is adequate to meet the clients subjective needs

QUESTIONS You are caring for a patient who was admitted to the ED after threats of suicide and family stated he took a whole bottle of Tylenol approximately 1 hour ago. The patient is vomiting but able to talk and answer questions, bp is 110/72. What is the priority intervention? A. Attach the patient to a cardiac monitor B. Prepare to administer Mucomyst C. Prepare to administer activated charcoal D. Draw labs for liver studies

ANSWERS

1. Answers A. administer smallest does that provides relief with the fewest side effects the goal is to control pain while minimizing side effects. For severe pain, the medication can be titrated upward until pain is controlled. Downward titration occurs when the pain begins to subside. Adequate dosing is important; however, the concept of controlled dosing applies more to potent vasoactive drugs. 2. Answer C: Administer activated charcoal to bind with the medication in the system so it can be removed. Since the patient is in the first stage of overdose this action is most appropriate. Drawing labs for liver studies can be done after the administration of activated charcoal . Mucomyst is indicated if the OD even occurred greater than 4 hours ago.

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