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NURS 2516 Clinical Medications Worksheets: Opioid Analgesics

This document provides information about the generic and trade names, classification, dosing, administration route, and timing of the medication Darvocet-N. It is an opioid analgesic used to treat mild to moderate pain. Key nursing implications include monitoring for constipation, assessing pain levels before and after administration, and checking vital signs such as blood pressure, pulse, and respiration during administration. Patients should be educated on proper use of the medication and side effects like dizziness and nausea. Elderly patients require reduced dosages due to increased sensitivity to central nervous system effects.

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95 views1 page

NURS 2516 Clinical Medications Worksheets: Opioid Analgesics

This document provides information about the generic and trade names, classification, dosing, administration route, and timing of the medication Darvocet-N. It is an opioid analgesic used to treat mild to moderate pain. Key nursing implications include monitoring for constipation, assessing pain levels before and after administration, and checking vital signs such as blood pressure, pulse, and respiration during administration. Patients should be educated on proper use of the medication and side effects like dizziness and nausea. Elderly patients require reduced dosages due to increased sensitivity to central nervous system effects.

Uploaded by

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Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
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NURS 2516 Clinical Medications Worksheets

(You will need to make additional copies of these forms)

Generic Name Trade Classification Dose Route Time/frequency


propoxyphene  Name opioid analgesics N-100 mg PO q 4 hours PRN
napsylate/acetaminophen Darvocet-N

Peak Onset Duration For IV meds, compatibility with IV drips and /or
2-3 hr 15-60 min 4-6 hr solutions

Mechanism of action and indications Nursing Implications (what to focus on)


(Why med ordered) Contraindications/warnings/interactions
Mild to moderate pain Appears on Beers list. Elderly or debilitated patients require
Binds to opiate receptors in the CNS reduced dosages
Alters the perception of and response to painful stimuli, while Undiagnosed abdominal pain, Hypothyroidism,
producing generalized CNS depression Common side effects
dizziness, weakness, nausea

Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine
(ask patient specifically) May cause ↑ serum amylase and lipase levels, May cause ↑
↑ CNS depression with AST, ALT, serum alkaline phosphatase, LDH, and bilirubin
antidepressants , and sedative/hypnotics
Be sure to teach the patient the following about this
medication
Instruct patient on how and when to ask for pain medication
Encourage patient to turn, cough, and breathe deeply every
2 hr to prevent atelectasis
Advise patient to change positions slowly to minimize
orthostatic hypotension
Advise patient that good oral hygiene, frequent mouth
rinses, and sugarless gum or candy may decrease dry
mouth
Nursing Process- Assessment Assessment Evaluation
(Pre-administration assessment) Why would you hold or not give Check after giving
Assess type, location, and intensity of pain prior to and 2 this med? Decrease in severity of pain
hr (peak) following administration. Assess blood pressure, pulse, and without a significant alteration
Assess bowel function routinely. Prevention of respirations before and periodically in level of consciousness
constipation should be instituted with increased intake of during administration. If respiratory
fluids and bulk, and laxatives to minimize constipating rate is <10/min, assess level of
effects. Stimulant laxatives should be administered sedation. Physical stimulation may be
routinely if opioid use exceeds 2-3 days, unless sufficient to prevent significant
contraindicated hypoventilation. Dose may need to be
Geriatric patients may be more sensitive to CNS effects; decreased by 25-50%. Initial
monitor closely and assess falls risk drowsiness will diminish with
continued use

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