Hydrocodone with Acetaminophen PDF

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ATI templates and testing material....

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ACTIVE LEARNING TEMPLATE:

Medication

Melyn Cruz STUDENT NAME _____________________________________ Hydrocodone with Acetaminophen MEDICATION __________________________________________________________________________ REVIEW MODULE CHAPTER ___________ Opioid analgesic CATEGORY CLASS ______________________________________________________________________ PURPOSE OF MEDICATION

Expected Pharmacological Action Hydrocodone: Binds to and activates opioid receptors at sites in the periaquaductal and peventricular gray matter, the ventromedial medulla, and the spinal cord to produce pain r Acetominophen: Inhibits cycooxygenase, blocking prostaglandin production and interfering with pain impulse generation in the PNS. Acts directly on temperature-regulating center in hypothalamus by inhibiting synthesis of prostaglandin E2

Therapeutic Use Moderate to severe pain

Complications Light-headedness Dizziness Nausea and vomiting Drowsiness Blurred vision Respiratory depression Constipation

Medication Administration Assess BP, pulse, a respirations before and periodically during administration Start a low dose and titrate up as necessary

Contraindications/Precautions Astma GI obstruction Sever respiratory depression Renal disease Thrombocytopenia

Interactions Alcohol CNS depressants MAO inhibitors Antihistamines Anticholinergics SSRIs

Nursing Interventions Monitor for signs of addiction, abuse, or misuse Monitor for signs of respiratory depression especially with in 24-72hrs Monitor for signs of confusion and over-sedation in the elderly Pain assessment

Client Education Evaluation of Medication Effectiveness Adequate pain management without substantial any complications

ACTIVE LEARNING TEMPLATES

Do not stop taking the medication abruptly Speak with the doctor about taking any OTC medications as they may have acetophenomin and if is not safe to have more than 4g/day Take missed dosed as soon as possible, if close to the next dosage skip the dose and go back to regular dosing Eat foods high in fiber...