Medications Indications For Use

1. Morphine Sulfate (morphine) 2.Codeine ( Tylenol #3) 3. Heroin 4. Hydromorphone (Dilaudid) 5. Meperidine (Demerol) 6. Methadone 7. Osycodone 8. Oxymorphone 9. Propoxyphene Relief of severe acute or chronic pain Constipation, Rash, Itching, Respiratory depression, G.I. irritation(e.g., anorexia, nausea, vomiting) dry mouth, drowsiness, dizziness Avoid Crush/chew Advise-Deep breath/cough/turn to avoid atelectasis Protect from falls (due to dizzy/drowsy) Assess the nature of pain, status + vitals-before/after medication administration Reassess client pain 30 minutes after giving medication Oral, Transdermal, Sub-Q, IM,IV, Rectal- Anesthesia

Opioid Analgesics

Common Side Effects

Nursing Education

Nursing Implications Route

Medications Indications For Use

1. Acetaminophen (Tylenol) 2. Salicylates (Aspirin) 3. NSAIDs (Ibuprofen,Motrin,Advil) 4. Indocin 5. Naproxen 6. Celecoxib Relief of pain/Fever Head ache, Fever, skin rash, hemolytic anemia, renal dysfunction Dependence can occur Avoid alcohol if taking > 2 dose/day Report bleeding Avoid prolonged use of > 10days adults/ >5 days Child Monitor bleeding and petechia (petechia is a small (1-2mm) red or purple spot on the body, caused by a minor hemorrhage (broken capillary blood vessels). Oral/Rectal

Non-Opioid Analgesics

Common Side Effects

Nursing Education

Nursing Implications Route

Medications Indications for Use

Valium (Diazepan) Mild/severe anxiety Status Epilepticus (Repeated seizure, or a seizure prolonged for 30 minutes) G.I. irritation (e.g, Constipation, nausea, ) Headache, dry mouth, dizziness, blurred vision, hypotention Can be addictive Should be administered smallest dose/shortest time Avoid abrupt discontinuation (seizures) Oral/Parenterally (IM)

Adjuvant Analgesics
Valium (Diazepan)

Common Side Effects Nursing Education Nursing Implications Route

Medications Indications for use

Vistaril (Hydroxyzine) Treatment of nausea/vomiting Wheezing, drowsiness, dizziness, restlessness, insomnia. Avoid driving/alcohol Safety (due to drowsy/dizzy) Bed rails/supervised ambulation Monitor vitals (adverse effects) Oral

Adjuvant Analgesics
(Hydroxyzine) Vistaril

Common Side Effects Nursing Education Nursing Implications Route