Exam 4: NSG318 / NSG 318 (Latest Update ) Introduction to Pharmacology Exam | Questions and Verified Answers | 100% Correct | Grade A - GCU Question: Ketorolac (Toradol) Answer: nonopioid analgesics Indication: short term pain management (5 days or less) Action: Pain relief due to prostaglandin inhibition Nursing Considerations: -may cause GI bleeding, GI Distress anaphylaxis, drowsiness - should not exceed 5 days of therapy - bleeding risk increased with garlic, ginger, and ginkgo - may decrease effectiveness of hypertensive medications and diuretics elevated hepatic levels Question: Tramadol (Ultram) Answer: Non-opiate analgesic; Indication: For moderate to severe pain Contraindications: Severe alcoholism; use of opioids or CNS depressants side effects: GI effects, headache, CNS effects with anxiety, agitation Question: Opioid Analgesics Answer: Use: Moderate and severe pain Action site: Acts on CNS -suppresses pain impulses -suppresses respiration and coughing by action on respiratory and cough centers in the medulla Contraindication: Head injury, respiratory disorder, and hypotension must have a prescriber order risk for addiction, withdrawal, and dependence Question: Morphine Sulfate Answer: Side effects/adverse reactions: CNS effects and euphoria, depression GI distress and constipation Orthostatic hypotension Urinary retention Dependence Respiratory depression Question: Fentanyl Answer: Routes: IM, IV, patch Use: For moderate to severe pain, anesthesia induction and maintenance -More potent than morphine by 100 times -Longer duration of action than morphine
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