Nclex Pharmacology (Analgesics)

Front 1

aspirin

Back 1

NONOPIOID ANALGESIC
S/E: n/v, rash
NURS. CON: w/long term use check for liver damage: dark urine, clay colored stools, yellowing of skin or sclera, itching, abd pain

Front 2

celecoxib
(Celebrex)

Back 2

NONOPIOID ANALGESIC/ NON STEROIDAL ANTIINFLAM
S/E: increased risk of heart attack and stroke, serious skin reactions and intestinal problems, fatigue, anx, dep, bleeding ulcers, n/v/d, dry mouth, constipation
NURS CON: management of acute and chronic arthritis pain
Do not take if: allergic to sulfonamide, aspirin or NSAIDs

Front 3

ibuprofen
(Motrin, Advil)

Back 3

NON OPIOID ANALGESIC
S/E: headache, nausea, anorexia, GI bleeding, blood dyscrasias
NURS. CON: tx of RA, osteoarthritis, primary dysmenorrhea, gout - contact clinician if ringing or roaring in ears, which may indicate toxicity

Front 4

codeine

Back 4

NON OPIOID ANALGESIC
S/E: drowsiness, sedation, n/v, anorexia, respiratory depression, constipation, orthostatic hypotension
NURS. CONS.: tx of moderate to severe pain and non-productive cough
Do Not Give: if respirations are less than 12 breaths per minute, avoid use of alcohol and other CNS depressants

Front 5

hydrocodone bitartrate and acetaminophen
(Lortabs)

Back 5

OPIOID ANALGESICS
S/E: dizziness, drowsiness, constipation, n/v
NURS. CON.: used for relief of moderate to moderately severe pain, may be habit forming, avoid alcohol during tx

Front 6

hydromorphone
(Dilaudid)

Back 6

OPIOID ANALGESICS
S/E: drowsiness, sedation, n/d, anorexia, resp depression, constipation, cramps, orthostatic hypotension, confusion, ha, rash
NURS. CON: tx of moderate to severe pain, non productive cough, do not give if respirations are less than 12 breaths per minute

Front 7

meperidine
(Demerol)

Back 7

OPIOID ANALGESIC
S/E: drowsiness, sedation, respiratory depression, euphoria, orthostatic hypotension, confusion, ha
Nursing Cons.: management of moderate to severe pain, pre-op sedation, post-op OB analgesia - physical dependency may result from long term use

Front 8

methadone

Back 8

OPIOID ANALGESIC
S/E: drowsiness, sedation, respiratory depression, euphoria, orthostatic hypotension, confusion, ha
Nursing Cons: relief of pain, detoxification/maintenance of narcotic addiction - physical dependency may result from long term use

Front 9

morphine
(MS Contin)

Back 9

OPIOID ANALGESIC
S/E: respiratory depression, sedation, euphoria, orthostatic hypotension
Nursing Con: management of severe pain, continuous dosing is more effective than prn; may be given to a patient via PCA pump

Front 10

oxycodone
(Oxy Contin; with aspirin: Percodan, with acetaminophen: Percocet

Back 10

OPIOID ANALGESIC
S/E: drowsiness, sedation, n/v, anorexia, respiratory depression, constipation, cramps, orthostatic hypotension, confusion, ha, rash, euphoria
Nursing Cons: management of moderate to severe pain. Withdrawal symptoms may occur: n/v, cramps, fever, faintness, anorexia - physical dependency may occur from long term use

Front 11

propoxyphene
(Darvon, Darvocet- N: propoxyphene with acetaminophen)

Back 11

OPIOID ANALGESIC
S/E: drowsiness, sedation, n/v, anorexia, respiratory depression, constipation, cramps, orthostatic hypotension, confusion, ha, rash
Nursing Con: management of mild to moderate pain - do not use in pts with: suicidal tendencies

Front 12

tramadol
(Ultram, Ultram ER, Ultracetm: tramadol with acetaminophen)

Back 12

OPIOID ANALGESIC
S/E: dizziness, drowsiness, sedation, insomnia, ha, nervousness, agitation, uncontrollable shaking, muscle tightness, changes in mood
Nursing Con: management of moderate to sever pain, notify prescriber of significant symptoms - hives, rashes, flu like symptoms