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20 Cards in this Set
- Front
- Back
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Brand names for hydrocodone?
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Hycodan
Tussigon Lortab Vicodin |
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Therapeutic effects of hydrocodone?
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allergy
cold cough remedies (antitussive) nonopioid analgesics opioid analgesics |
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Pharmacologic effects of hydrocodone?
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opioid agonists
nonopioid analgesic combinations |
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Indications for hydrocodone?
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used mainly in combination with nonopioid analgesics
(acetaminophen/aspirin/ibuprofen) in the management of moderate to severe pain antitussive (usually in combination products with decongestion) |
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MOA for hydrocodone?
Binds to which receptors in CNS? CNS depression...suppresses which reflex via a direct central action? |
opiate...alters the perception of and response to painful stimuli while producing generalized?
cough |
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Use hydrocodone with extreme caution in patients receiving with inhibitors?
25% |
MAO...may produce severe, unpredictable reaction--reduce initial dose of hydrocodone to what percentage of usual dose?
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What 3 things should nurse assess before and during administration?
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blood pressure
pulse respirations |
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If respiratory rate is less than ____assess level of sedation. Physical stimulation may be sufficient to prevent significant?
25-50%...initial drowsiness will ____ with continued use |
10/min
hypoventilation...dose may need to be decreased by? diminish |
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Assess bowel function routinely. Prevention of _______ should be instituted with increased intake of fluids and bulk, and laxatives to minimize constipating effects.
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constipation
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Stimulant laxatives should be administered routinely if opioid use exceeds, unless contraindicated
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2-3 days
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What 3 things should be assessed prior to and 1 hr (peak) following administration?
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type,
location, intensity of pain |
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Reverse overdose or toxicity with?
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naloxone (Narcan)
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To avoid accidental overdose, have a second practitioner?
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independently check original order and dose calculations
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Advise patient to take meds exactly as directed and not to take more than the recommended amount. Severe and permanent ______ ______ may result from prolonged acetaminophen use.
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liver damage
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Renal damage may result from prolonged use or high doses of?
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acetaminophen
aspirin |
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May cause dizziness or drowsiness. Advise patient to call for assistance when?
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ambulating
smoking |
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Advise patient to change positions slowly to minimize?
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orthostatic hypotension
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Encourage patient to turn, cough, and breathe deeply every?
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2 hours to prevent atelectasis
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Advise patient that good oral hygiene, frequent mouth rinses, and sugarless gum or candy may?
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decrease dry mouth
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Effectiveness of therapy can be demonstrated by?
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decrease in severity of pain
without a significant alteration in level of consciousness or respiratory status suppression of nonproductive cough |
