nr293 exam 2 latest 2022 nr 293 exam 2 chamberlain college of nursing |100 correct answers
Written for
Chamberlain College Of Nursing
NR293: Pharmacology For Nursing Practice
All documents for this subject (50)
1
review
By: massagebytamika • 1 year ago
Seller
Follow
chamberlain_university
Reviews received
Content preview
1
, o Corticosteroids: If someone is on oral steroids, it cannot be stopped right away. Tell pts
to withdraw slowly/taper steroids because they can go into adrenal insufficiency.
Homeostasis! Wean off!
o SABA: use bronchodilator first
NSAIDS: metabolized in kidneys
o Anti-inflammatory used to pain and fever reducer
o Contraindicated: do not use in conjunction with anticoagulants, antiplatelet,
stjohns wort, ginko, or history of gastric ulcer disease
o Someone orders 200mg ibuprofen for someone with ESRF= call physician and clarify
order
o Creatinine: 0.6-1.2 mg/dL
o High creatinine and low GFR indicate renal failure
o Big risk factors for NSAIDS: GI bleeding (ulcers)
Cannot be on Aspirin or anticoagulants (Coumadin)
Tylenol: liver failure
o Max dose: 3g per day
o If pt is liver compromised or old: max 2g per day
o If pt is vomiting and has high fever, give suppository rectally
o Antagonist: Acetylcysteine
Tolerance with narcotics: body has higher threshold
o Dose is not relieving pain anymore
Pt has pain and is getting morphine 4mg Q6H and is still in pain= call DR and change the
med
, o Normal dose of morphine: 2-10 mg
o Dilaudid or fentanyl may be used instead of morphine
o Fentanyl is 10X stronger than morphine
Dr will order a lower dose for pt on fentanyl than on morphine
Narcotic Demerol for post op= not indicated for long term treatment of pain
o Just immediately post op or for endoscopy or pre-procedure for pain
o Contraindications: severe asthma or breathing problems, constipation
o Pt comes in ER and has an MI, put pt on morphine!! Why? Because it reduced pre-
load/workload of the heart (Demerol does not do that!)
Muscle relaxants (flexeril) = drowsiness
Narcotics= assess resp rate
o Antagonist: Narcan
Morphine is metabolized in the liver but can affect kidney function
o Assess for respiratory distress; hold if respirations less than 12
If pt takes aspirin, we are worried about salicylate intoxication
o Worry about Reye syndrome with salicylate poisoning in children
o Salicylate toxicity: ototoxicity, hyperventilation, tinnitus
Salicylates: Found in hundreds of OTC medications and in many prescription drugs!
o Salicylate toxicity: important cause of morbidity and mortality! Common cause of
poisoning in children and adolescents!
o Available for ingestion as tablets, capsules, and liquids; topical in creams or lotions
o Used as an analgesic agent for the treatment of mild to moderate pain
The benefits of buying summaries with Stuvia:
Guaranteed quality through customer reviews
Stuvia customers have reviewed more than 700,000 summaries. This how you know that you are buying the best documents.
Quick and easy check-out
You can quickly pay through credit card or Stuvia-credit for the summaries. There is no membership needed.
Focus on what matters
Your fellow students write the study notes themselves, which is why the documents are always reliable and up-to-date. This ensures you quickly get to the core!
Frequently asked questions
What do I get when I buy this document?
You get a PDF, available immediately after your purchase. The purchased document is accessible anytime, anywhere and indefinitely through your profile.
Satisfaction guarantee: how does it work?
Our satisfaction guarantee ensures that you always find a study document that suits you well. You fill out a form, and our customer service team takes care of the rest.
Who am I buying these notes from?
Stuvia is a marketplace, so you are not buying this document from us, but from seller chamberlain_university. Stuvia facilitates payment to the seller.
Will I be stuck with a subscription?
No, you only buy these notes for $15.49. You're not tied to anything after your purchase.
