NCLEX- Adjuvants for pain mediaction

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Gandrews
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201004
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NCLEX- Adjuvants for pain mediaction
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2013-02-16 18:01:26
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NCLEX Adjuvants pain mediaction
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NCLEX- Adjuvants for pain mediaction
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  1. Amitriptyline (Elavil)
    TCA. used for depressiona neuropathic pain such as cramping, aching, burning, dartting, and lancinating pain.
  2. Carbamazepine (Tegretol)
    Anticonvulsant. used to relieve neuropathic pain.
  3. Gabapentin (Neurontin)
    Anticonvulsant. Used to relieve neuroptathic pain.
  4. Methylphenidate (Ritalin)
    CNS stimulant. Augments analgesia and decreases sedation
  5. Hydroxyzine (Vistaril)
    Antihistamine. Decreases anxiety, prevents insomnia and relieve nausea.
  6. Dexamethasone (Dedcadron)
    Glucocorticoids. Decrease pain from icp and spinal cord compression.
  7. Edtidronate (Didronel)
    Biphosphonates. Manages hypercalcemia and bone pain
  8. Imipramine (Tofranil)
    TCA. used for depressiona neuropathic pain such as cramping, aching, burning, dartting, and lancinating pain.
  9. Phenytoin (Dilantin)
    Anticonvulsant. Used to relieve neuroptathic pain.
  10. Dextroamphetamine (Dexedrine)
    CNS stimulant. Augments analgesia and decreases sedation
  11. Prednisone (Deltasone)
    Glucocorticoids. Decrease pain from icp and spinal cord compression.
  12. Pamidronate (Aredia)
    Biphosphonates. Manages hypercalcemia and bone pain
  13. What are 3 adverse effects of TCAs?
    Orthostatic hypotension, Sedation and Anticholinergic side effects.
  14. What are a couple of side effects of anticonvulsants?
    Bone marow supression and GI distress.
  15. What are a couple of side effects with CNS stimulants?
    Weight loss and insomnia
  16. What are a couple of side effects with antihistamines?
    Sedation and dry mouth
  17. What are some side effects of glucocoritcoids?
    Adrenal insufficiency (hypotension, weakness), osteoporosis, hypokalemia, glucose intolerance and PUD
  18. What are some side effects of Biphosphonates?
    Flu like symptoms, injection site irritation and Renal failure /UTI
  19. What are some side effects of NSAIDs
    Bone marrow supression and GI distress
  20. Anticonvulsants are most effective as an adjuvant to pain medications when treating what?
    Neuropathic pain
  21. Colchine (Colgout)
    Antigout med. decreases inflam
  22. What is used for acute gout for clients that can't take NSAIDs ?
    Prednisone
  23. Allopurinol (Zyloprim)
    Inhibits uric acid for Gout
  24. Febuxostat (Uloric)
    Inhibits uric acid for Gout
  25. Probenecid
    Inhibits uric acid for Gout
  26. Allopurinol decreases the metabolism of what med which causes increased levels of the med.?
    Warfarin (coumadin)
  27. Ergotamine (Ergostat)
    Ergot alkaloid. Used for Migraines
  28. Sumatriptan (imitrex) "Triptan"
    Serotonin receptor agonists. Used for Migraine HA
  29. Propanolol (inderal)
    Beta blocker. can be used for Migraines
  30. Divalproex (Depakote ER)
    Anticonvulsants. can be used for Migraine HA
  31. Amitriptyline (Elavil)
    TCA. can be used for Migraine headaches
  32. Verapamil (Calan)
    Ca channel blocker. Can be used for Migraine ha
  33. Estrogens
    can be used for Migraine HA
  34. Caffiene (Cafergot)
    Ergot alkaloids. can be used for Migraine HA
  35. Besides bradycardia and hypotension, what is another side effect of Ca channel blockers?
    Verapamil
  36. What are some nursing intervention for someone taking Colchicine (colgout)
    It can cause thrombocytopenia so dont take with asa or alcohol with it
  37. When should a pt take Ergotamine (ergostat)?
    Right on the onset of a Migraine
  38. Client's trying to prevent Migraines should avoid foods containing ?
    Tyramine
  39. Why is Epinephrine given sometimes with Lidocaine?
    To prevent the spread of the lidocaine systemically. Epinephrine is a potent vasoconstrictor which confines Lidocaine to a local spot
  40. Toxic effects of local anesthetic can cause what?
    Seizure activity

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