Exam (elaborations)
2024 NSG 251 MARIAN UNIVERSITY EXAM 2 WITH ANSWERS
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2024 NSG 251 MARIAN UNIVERSITY EXAM 2 WITH ANSWERS
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2024 NSG 251 MARIANUNIVERSITY EXAM 2 WITH
ANSWERS
Acute Pain - CORRECT-ANSWERSResults from injury, trauma, disease process
that damages the body tissue. Intensity of pain is proportional to amount of
tissue damage. Also known as fast pain - occurs quickly after damange
Chronic Pain - CORRECT-ANSWERSLasts 3 months or longer. Demands
attention less urgently. Always there. May not have wide spread visible
signs. Often accompanied by stress, irritability, depression, and problems
sleeping.
Referred Pain - CORRECT-ANSWERSOriginates from smooth organs or
muscles. Ex gallbladder attack
Oxycodone (oxycontin) - CORRECT-ANSWERSPopular drug of abuse
Combined with ASA - Percodan, w/ acetaminophen Percocett
Codeine - CORRECT-ANSWERSUsually with acetaminophen
Sometimes pt might say has an allergy with this, but usually AE of N/V. So a
lot of people can't take.
Hydrocodone (Norco) - CORRECT-ANSWERSSchedule II, abuse issues
Common after surgery and in ER
Packaged with 325mg of acetaminophen. Drug similar is Vicodin (packaged
with 500mg acetaminophen and FDA put a limit on how much can put with
products)
Meperidine (Demerol) - CORRECT-ANSWERSSynthetic
May cause tremors, hallucinations, seizures
With repeated dosages can cause renal impairment. Get accumulation of
toxic metabolite called normeperidine and so drug is not used much.
, Sometimes still used in ER for migraines. More common 5 years ago
Tramadol - CORRECT-ANSWERSSynthetic
Original use for chronic pain, but now seeing abuse potential
Schedule IV due to abuse potential
Opioid Agonist/Antagonist - CORRECT-ANSWERSButorphanol (Stadol)
Nalnbuphine (Nubain)
Agonist at some receptors and antagonist activity at others
Reduced potential of abuse
Never give to someone who has received opioid analgesics (due to
antagonist activity)
Not given very often
Opioid Nursing Implications - CORRECT-ANSWERSMost schedule II, well
absorbed orally
Caution if used for chronic due to risk of addiction
Monitor for sedation. Especially if have never take an opioid (opioid naive)
Alternate with non-narcotics
Do not drive, operate machinery, smoke or ETOH
Constipation is common
IR vs SR
May be used in PCA pumps (pt controlled analgesic)
PCA Pump - CORRECT-ANSWERSRN programs to amt of drug MD orders. Can
be morphine or hydromorphone. Pt presses button to release drug when in
pain. Program allows for certain amt of med to be given and no more than
MD ordered. Common postop.
Opioid Adverse Effects - CORRECT-ANSWERSSedation, respiratory depression
(due to sedation), postural hypotension, flushing, N/V, constipation, urinary
retention, pupil constriction
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