Thursday, March 7, 2013

Pharmacology

1. Opioid analgesic teaching plan, toxicity, addiction, tolerance, abstinence syndrome.

Relieve moderate to arrant(a) pain and include Codeine sulfate, Fentanyl citrate, Meperidine HCl, Methad cardinal HCl, Morphine sulfate, Oxycodone, Naloxone, Vicodin, Pentazocine, Nalbuphine

& bell ringer; Teaching Plan: no alcohol c/o more CNS depression, tolerance, report any confusion, difficulty breathing, ambulate & perform ADL’s w/caution, no doubling up on doses
• Toxicity: would notice respiratory depression, euphoria, trying sedation, miosis (constriction of pupil)
• Addiction: psychological dependent on the drug, the drug is no longer needed physiologically only if the patient of “needs” it. Characterized by impaired control all oer the drug, compulsive utilize, continued use despite harm, and craving.
• valuation account: adaptation to the drug that causes a diminished effect over one or more of the drugs effects over time, the patient needs higher doses each time to reach the rational therapeutic effect. Common problem w/opiods.
• abstention Syndrome: occurs when the opioid drig is discontinued, it is like withdrawal. The patient experiences anxiety, irritability, chills, hot flashes, joint pain, lacrimation, rhinorrhea, diaphoresis, nausea, vomiting, confusion, diarrhea, abdominal cramps.

2.

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Lung Cancer.

rampant cell growth in the tissues of the lungs, growth can rail to metastasis (spread of cancer to nearby organs and tissues). Signs include: SOB, coughing up blood, chest pain, dysphasia. I still need to research this one more

3. Acetaminophen (Tylenol): toxic effect of acute acetaminophen overdose.

inlet of large amounts of acetaminophen is an acute acetaminophen overdose. Standard scoop shovel dose is 4000 mg/day. Results in hepatic toxicity, long tem use of large amounts of acetaminophen result in nephropathy. Overdose is set with Acetylcysteine.

4. Morphine Sulfate: Nursing Responsibility.

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