When studying the drugs, always review the nursing process—what are
you assessing for and teaching the patient about? What are the common
diagnoses? What are the expected outcomes/what are you evaluating as
the effects of the medications?
******The “so what” factors are those factors that might be specific to a
drug. For example, acetylsalicylic acid (aspirin or ASA) is classified as an
NSAID, and will do all the things that the other NSAIDs do, but it also will
inhibit platelet aggregation, which is something that the other NSAIDs do
not do. ******
Analgesics:
Concepts of addiction vs. opioid tolerance, gate theory, types of pain,
breakthrough pain, management of chronic pain, synergistic effects, effects
of chewing or crushing extended-release opioid drugs
Mechanisms of action, “so what?” adverse effects/contraindications, overdose
management, drug/herb interactions
Anesthetics:
Why are they used and what is the effect?
Malignant hyperthermia
Mechanisms of action, “so what?” adverse effects/contraindications, overdose
management, drug/herb interactions
o General anesthetics—propofol, ketamine, nitrous oxide
o Moderate sedation
o Local anesthetics—epidural, spinal, intrathecal vs. nerve block and
topical
o Neuromuscular blockers--succinylcholine
CNS Depressants and Muscle Relaxants
Physiology of sleep—what happens when the sleep cycle is changed?
Sedatives vs. hypnotics—what is the difference?
Benzos and barbituates—mechanisms of action, “so what?” adverse
effects/contraindications, overdose management, drug/herb
interactionsdhbzx
Non-benzos—why do we use them, and common drugs prescribed from this
class
What does “therapeutic index” mean?
What is so important about the muscle relaxants? How do they work?
CNS stimulants
What disorders are treated with these and what are the common symptoms?
Amphetamines--mechanisms of action, “so what?” adverse
effects/contraindications, overdose management, drug/herb interactions
Common amphetamines used
Anorexiants—common drugs; contraindications; adverse effects
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