A patient is admitted for GI bleeding and is being treated for a headache 4/10 which med is appropriate for the nurse to give ?The client is taking oxycodone tylenol combination for management of chronic pain, which of the following is the lease relevant teaching point?A client is being prepared for discharge, which analgesic would be the most appropriate for administration by the RN for incisional pain ?Client has received a med for pain management which of the following complaints by the client would take priority interest by the nurse?Itchy chest, type 1 hypersensitivity might be a concern of a systemic reactionDecrease the characteristics of inflammation that are caused by histaminesDilates microvasculature, increase the permeability of the capillaries creating the edemaSkin, lungs, and GI tract ( are over the body have a higher concentration in these areas)Selectively binds to H1 receptor sites, blocking the effects of histamines, may also bloack muscarinic receptors, do not stop the release the histamines, but block the receptors.Allergic conjunctivitis, allergic rionitis Urticaria, Allergic Reactions, Motion Sickness, InsomniaNo, antihistamine can not be used for children under 2Anticholinergic effects, sedative effects, CNS effects because it crosses BBB3rd trimester of pregnancy, asthma as it creates a delay in care, Benign protestitc hypertrophyDo not take Benadryl and then go drive, or do something active...Functions within your body to produce pain and fever....also white blood cell and plaelet proliferationInduction of labor and other reproductive processees, inhibit gastric acid synthesis, increase mucous production in the stomach, promote constriction of bronchi associated with asthmaAfter the NSAIDS decrease COX1 and COX2 what happpens?Lymphocyte activity will decrease and neutrophil aggregation and activation will decrease alsoArthiritis , Any pain related to inflammation, chest pain related to heart attack , anti feverThromboxin lies on theoutside of your platelet by using COX 1 and COX 2, we stop the prostaglandin, then that inhibits thromboxin, the thromboxin becomes less sticky, platelets dont stickGood for heart attack use to bread down the clot formed on the arteries of the heart, strokes embolic stroke we can use NSAIDS to decrease the blood clot thenIrreversible function, to decrease the amount of plateletsAlot of patients have an allergy to alleve or naproxen?Broke it down quick, gets into the circulation quick, bypass the first passGI irritability, gastric ulceration, bleeding, vertigo, salicylism,Headache, Tinnitus, Diaphoresis, Disequilibrium, CNS alterationsDecrease absorption, fluid and electrolytes, enhance excretionAssociated with ASA administration during influenza or varicella zoster virusIn a lot of our medications, put on blackboard a list of what has aspirinSome of your GI meds have aspirin why is this important?Peptobismal, KOpeptake has aspirin, some of your antidiarrheas, be cognizant of giving that to someone who has flu like symptoms, shingles or chicken poxDecreased GI effects, the drug will increase the risk of bleeding SO we need to reduce the patients risk of bleeding, observe for signs of hypersenstivityIf a patient is actively bleeding or have the potential to bleed we do not want whatNo antiinflammatory properties and no antiplatelet effectsSome tylenol runs through a minor pathway that does whatDepletes glutathione and then you have an accumulation of toxic metabolitesDeplete Clutathione and this causes the toxic metabolites to build upMinimize absorption, Supportive measures, enhance meatabolismFluid, electrolyte support , this drug is very toxic to the liver can cause hepatic failurecan be used for tylenol overdose, works by replacing and replinishing the glutathione and the glutathione coverts the toxic to non toxicStructurally identical to steroids produced by the adrenal cortext, function within the cytoplasm rather than on cellular surfaceAdrenal insufficiency, physiologic doses, doses of steroids used to treat endorince problems are higherIndications for the use of Glucocorticoid IndicationsSuppresion of inflammation, peracarditis, the sack around the heart becomes inflammed, we can use steroids for that, immunoseression when a patient has an organ transplant, when the brain is inflammed, liver transplant, auto immune disorders like rheumatoid arthiritis, brain tumor which can cause swelling decrease the swelling surrounding those tumors, spinal traumaRamp up the bodies metabolism and increase the blood sugar, this can cause problems with diabetes problems type 1 and type 2 the body does not have the ability to regulate its blood sugar...steroids will create a more profund hyperglycemia in diabetes patientsBind to and activate steroid receprots in the cytoplasm and nucleus Adrenal insufficiency, osteporosis, immunosupression, psychological disturbances, sodium retentionAdrenal glands secretes natural steroids, secretes cortisol, a natural steroid that runs everything helps the body deal with stress, if we give you the steroid, the adrenal glands think they do not need to work ....this is not a problem until we stop the steroidOr the pt will have to go to the hospital especially if the adrenal glands stop their productionSteroids impair the bodies ability to grow and divide, can get growth retardation a young child who has bad asma who is onsteroids for asma control is on risk for being short statue because the long bones cant growAffects bodies ability to absorb and metabolism calcium cant get the calcium into the body to mineralize the bones, so the body will PULL calcium out of the boneUsed for long term control , not immediate control these decrease inflammation of the tissues of the lungsGive in the morning its more psychological, evaluate for signs and symptoms of adverse effects, masking of signs of infection educate the patients of what they need to be aware of, do not abruptly stop the steroid, make sure it is effective may need a new intervention