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20 Cards in this Set

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Brand names for hydrocodone?
Hycodan
Tussigon
Lortab
Vicodin
Therapeutic effects of hydrocodone?
allergy
cold
cough remedies (antitussive)
nonopioid analgesics
opioid analgesics
Pharmacologic effects of hydrocodone?
opioid agonists
nonopioid analgesic
combinations
Indications for hydrocodone?
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)
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
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?
What 3 things should nurse assess before and during administration?
blood pressure
pulse
respirations
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
Assess bowel function routinely. Prevention of _______ should be instituted with increased intake of fluids and bulk, and laxatives to minimize constipating effects.
constipation
Stimulant laxatives should be administered routinely if opioid use exceeds, unless contraindicated
2-3 days
What 3 things should be assessed prior to and 1 hr (peak) following administration?
type,
location,
intensity of pain
Reverse overdose or toxicity with?
naloxone (Narcan)
To avoid accidental overdose, have a second practitioner?
independently check original order and dose calculations
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.
liver damage
Renal damage may result from prolonged use or high doses of?
acetaminophen
aspirin
May cause dizziness or drowsiness. Advise patient to call for assistance when?
ambulating
smoking
Advise patient to change positions slowly to minimize?
orthostatic hypotension
Encourage patient to turn, cough, and breathe deeply every?
2 hours to prevent atelectasis
Advise patient that good oral hygiene, frequent mouth rinses, and sugarless gum or candy may?
decrease dry mouth
Effectiveness of therapy can be demonstrated by?
decrease in severity of pain
without a significant
alteration in level of
consciousness or
respiratory status
suppression of nonproductive
cough