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    Course in The Ward

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    Dianne
    This document summarizes information on assessing and managing patients receiving opioid medications. It describes performing a physical assessment including vital signs and examinations of various body systems. It notes opioids like morphine are useful for managing severe acute or chronic pain when alternative treatments are inadequate, but cautions are needed in cases of respiratory depression or asthma. It also provides information on the mechanism of action and effects of the beta blocker propranolol.

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    Course in The Ward

    Uploaded by

    Dianne
    104 views2 pages
    This document summarizes information on assessing and managing patients receiving opioid medications. It describes performing a physical assessment including vital signs and examinations of various body systems. It notes opioids like morphine are useful for managing severe acute or chronic pain when alternative treatments are inadequate, but cautions are needed in cases of respiratory depression or asthma. It also provides information on the mechanism of action and effects of the beta blocker propranolol.

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    course in the ward

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    This document summarizes information on assessing and managing patients receiving opioid medications. It describes performing a physical assessment including vital signs and examinations of various body systems. It notes opioids like morphine are useful for managing severe acute or chronic pain when alternative treatments are inadequate, but cautions are needed in cases of respiratory depression or asthma. It also provides information on the mechanism of action and effects of the beta blocker propranolol.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    104 views2 pages

    Course in The Ward

    Uploaded by

    Dianne
    This document summarizes information on assessing and managing patients receiving opioid medications. It describes performing a physical assessment including vital signs and examinations of various body systems. It notes opioids like morphine are useful for managing severe acute or chronic pain when alternative treatments are inadequate, but cautions are needed in cases of respiratory depression or asthma. It also provides information on the mechanism of action and effects of the beta blocker propranolol.

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 2

    most patient who receive opiates for medical reasons do not develop dependence syndrome.

    Assessment:

    Physical:
    -Temperature
    -Skin color
    -Texture
    -Lesions
    -Orientation
    -Reflexes
    -Bilateral grip strength
    Affect; P. auscultation, BP, orthostatic BP, perfusion; R, adventitious sounds; bowel sounds,
    normal output; urinary frequency, voiding pattern, normal output; ECG; EEG; LFTs, real and
    thyroid function test

    Management of acute and chronic pain severe enough to require an opioid analgesic and for
    which alternative treatment are inadequate.

    Morphine is an incredibly useful medication when used appropriately. Extreme caution must be
    used with severe cases of respiratory depression and acute or severe bronchial asthma in an
    unmonitored setting or in the absence of resuscitative equipment since morphine can further
    decrease the respiratory drive. 14 days of MAOIs. Known or suspected GI obstruction, including
    paralytic ileus.

    Competitively blocks both β1 and β2 adrenergic receptors. When access to β-receptor sites is
    blocked by Propranolol HCl, the chronotropic, inotropic, and vasodilator responses to beta-
    adrenergic stimulation are decreased proportionately.
    Conventional beta blockers exert their effects by reducing myocardial contractility, heart rate,
    cardiac output, and by blockade of the β1 receptors of the renal juxtaglomerular complex,
    which reduces renin secretion, thereby reducing the level of circulating Ang II, which will lower
    total peripheral resistance (Eschengagen, 2018)
    https://www.pediatriconcall.com/drugs/propranolol/905
    http://www.robholland.com/Nursing/Drug_Guide/data/monographframes/P090.html
    https://slideplayer.com/slide/4479242/
    https://go.drugbank.com/drugs/DB09140
    https://quizlet.com/19847383/nursing-interventionsrationales-for-oxygen-delivery-systems-flash-
    cards/

    https://www.webmd.com/lung/copd/oxygen-therapy-for-copd

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