GALEN NUR 210 EXAM 1 MODULES 1-3 ACTUAL

GALEN NUR 210 EXAM 1 MODULES 1-3 (ACTUAL / )

QUESTIONS WITH VERIFIED ANSWERS

Celecoxib (Celebrex) - ---Answers---Classification: COX-2

inhibitor, NSAID

Action: Inhibits prostaglandin synthesis in COX 2, decreases

inflammation/pain

Uses: osteoarthritis, RA, mild-moderate pain, fever

Side Effects: GI upset, dizziness, diarrhea

Adverse Effects: headaches, peripheral edema, bleeding, HTN,

can cause strokes

Contraindications: cardiac conditions

Interactions: anticoagulants, lithium, herbal products (gingko

biloba)

Eval/Monitor/Teach: monitor for GI bleeding (severe stomach

pain, black/tarry stools), monitor VS, caution with hepatic or renal dysfunction, highly protein bound, dysrhythmias,

Allopurinol - ---Answers---Classification: uric acid inhibitor,

anti-gout

Action: reduces serum uric acid levels

Uses: gout, chronic gout prophylactic

Side Effects: GI upset, dizziness, pruritus, HA, flushed skin

Adverse Effects: blood dyscrasias, n/v, anemia, metallic taste,

pruritus

Contraindications: severe kidney disease 1 / 4

Interactions: cyclosporine, anticoagulants, diuretics

Eval/Monitor/Teach: monitor uric acid, increase fluids,

encourage yearly eye exams, take with food, avoid high purine foods (meats, salmon, legumes, gravy, coffee), increase fluids, assess renal/liver function

Acetominophen - ---Answers---•Analgesic, antipyretic •Not an NSAID •no anti-inflammatory properties •Little GI effects, no antiplatelet properties •Short half life - taken q 4 •Watch liver function •no more than 4 g/24 hours •Hepatic toxicity

•N/V

•Diarrhea •Abdominal pain •Used for mild headache and mild fever antidote is acetylcysteine

Opioid Analgesics - ---Answers---•Moderate to severe pain •Antitussive •Antidiarrheal •Act on PNS and CNS Pain receptor sites 2 / 4

Respiratory depression Euphoria Sedation Constipation Orthostatic hypotension (consider safety, falls risk) N/V •In the older adult with high doses Respiratory depression Urinary retention •Morphine Acute pain Watch for constipation RR Hypotension Urinary retention Decreased cough

Combination Drugs - ---Answers---Ibuprofen and hydrocodone

PCA pump - ---Answers---•Loading dose •Lock out prevents overdose •Patient must control

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transdermal - ---Answers---•Patch Wear gloves Clean site

Opioid Antagonists - ---Answers---•Naloxone Monitor patient closely Might need to add analgesia afterwards Withdrawal symptoms Tachycardia N/V Sweating

Migraine headaches - ---Answers---•Triptans •Beta blockers •Anticonvulsants

•TCA

Morphine - ---Answers---Classification: opioid analgesic

Uses: moderate to severe pain, SOB

Side Effects: constipation, urinary retention, rash, orthostatic

hypotension

Adverse Effects: respiratory depression, psychological

dependence, miosis (small pupils), sedation, blurred vision, euphoria

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