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NUR 3196 2 Drugs Exam Questions With Verified Detailed Answers
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NUR 3196 2 Drugs Exam Questions With VerifiedDetailed Answers 2024-2025
Morphine brand name - Answer Astramorph PF, Duramorph
Morphine therapeutic class - Answer opioid analgesic
Morphine pharmacologic class - Answer opioid receptor agonist
Morphine actions - Answer -euphoria, constriction of pupils, stimulation of cardiac
muscle
-relieves acute or chronic pain if non-narcotic analgesics have failed
-preanesthetic
-acute chest pain associated with MI
Morphine administration alerts - Answer -oral solution may be given sublingually
-oral solution comes in multiple strengths
-can result in orthostatic hypotension
-never crush capsules or extended release tablets unless directed
-pregnancy category B
Morphine adverse effects - Answer -may cause dysphoria, hallucinations
-physical and psychologic dependence can develop when taking for prolonged periods
of time
Morphine side effects - Answer nausea, constipation, dizziness, and an itching
sensations
,Morphine contraindications - Answer -should be avoided is pt has gallbladder disease,
acute or severe asthma, GI obstruction, or kidney impairment
-should avoid if pt is taking CNS depressants (alcohol, antidepressants, sedatives)
-should not use kava, valerian, or St. John's wort (increases effects)
Morphine treatment of overdose - Answer -IV administration of naloxone
-activated charcoal, laxatives
Naloxone brand name - Answer Evzio, Narcan
Naloxone therapeutic class - Answer drug for treatment of acute opioid overdose and
misuse
Naloxone pharmacologic class - Answer opioid receptor antagonist
Naloxone actions Answer -reverses opioid effects in emergency situations when acute
opioid overdose is suspected
-works within minutes
Naloxone administration alerts Answer -administer for a respiratory rate of less than 10
breaths a minute
-pregnancy category B
Naloxone adverse effects Answer -has minimal toxicity itself
-reversal of effects of opioids cause increased blood pressure, tremors,
hyperventilation, nausea, vomiting, and drowsiness
Naloxone side effects Answer -see adverse effects
, Naloxone contraindications - Answer -do not administer to pts with depressed
respiration
-avoid taking echinecea- toxicity may result
Naloxone treatment of overdose - Answer oxygen, IV fluids, vasopressors
Aspirin brand name - Answer Acetylsalicylic Acid, ASA
Aspirin therapeutic class - Answer non-opioid analgesic, NSAID, antipyretic
Aspirin pharmacologic class - Answer salicylate, COX inhibitor
Aspirin actions - Answer pain and fever relief, anticoagulant activity-reduces mortality
risk post MI, has been shown to reduce risk of colorectal cancer
Aspirin administration alerts - Answer -should be stopped 1 week before surgery
-interferes with urine testing tests positive for VMA
-category D pregnancy
Aspirin adverse effects - Answer GI bleed
Aspirin side effects - Answer GI upset
Aspirin contraindications - Answer -clients receiving anticoagulant therapy warfarin and
heparin
-gastric upset may be increased with concurrent use of alcohol
-avoid concomitant use of garlic, ginger and ginkgo
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