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Oxycodone Acetaminophen Percocet

Oxycodone Acetaminophen Percocet

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Published by: E on Sep 25, 2008
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INDEX Generic Name oxycodone Peak Trade Name Percocet Onset

NURS 2236 Clinical Form 3: Clinical Medications Worksheet (You will need to made additional copies of these forms) Classification Dose Route Time/Frequency opioid analgesics Schedule II Duration 3-6 hr For IV meds, compatability with IV drips and/or solutions 1-2g PO q4 hour prn prn

Normal dosage range

5-10mg q3-4 hr

60-90 min 10-15 min Why is your patient taking this medication?

Mechanism of action and indications Moderate to severe pain

Bind to opiate receptors in the CNS. Alter perception of and response to painful stimuli, while producing generalized CNS depression

Nursing Implications (what to focus on) Contraindications/warnings/interactions Hypersensitivity, pregnancy. Use cautiously in: head trauma; increased intracranial pressure; severe renal, hepatic or pulmonary disease; hypothyroidism; adrenal insufficiency; alcoholism. Undiagnosed abdominal pain; prostatic hypertrophy Common side effects CNS: confusion, sedation, dizziness, dysphoria, euphoria floating feeling, hallucinations, headache, unusual dreams. Blurred vision diplopia, miosis, respiratory depression. Othrostatic hypotension. constipation, dry mouth, nausea, vomiting. Urinary retention, flushing, sweating physical dependence, psychological dependence; tolerance Lab value alterations caused by medicine May increase plasma amylase and lipase levels

Interactions with other patient drugs, OTC, or herbal medicines (ask patient specifically) Caution with MAO inhibitors Alcohol, antihistamines, sedative/hypnotics, partial antagonist opioid analygesics Nalbuphine; buprenorphine; pentazocine

Be sure to teach the patient the following about this medication Instruct patient on how and when to ask for pain medication. Medication may cause drowsiness or dizziness. Patient to call for assistance when ambulating. Patient to avoid alcohol or other CNS depressants.

Nursing Process - Assessment (Pre-administration assessment Assess BP, pulse, and respirations before and periodically during administration; Level of sedation. Assess type, location, and intensity of pain prior to and 1 hr (peak) after administraion Pain scale 1-10. Assess bowel function

Assessment Why would you hold or not give this med? Respiratory rate <10 tachycardia increased BP

Evaluation Check after giving Decrease in severity of pain without a significant alteration in level of consciousness or respiratory status.

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