This document provides information about the opioid analgesic Percocet, including its generic and trade names, classification, dosing, administration route, time/frequency, pharmacokinetics, mechanism of action, indications, nursing implications, interactions, and the nursing process for assessment and evaluation when administering the medication. Key details include that Percocet is used to manage moderate to severe pain, has an onset of 10-15 minutes, duration of 3-6 hours, common side effects of sedation and respiratory depression, and nursing focuses on assessing pain levels before and after administration and monitoring for decreased respiratory rate and constipation.
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This document provides information about the opioid analgesic Percocet, including its generic and trade names, classification, dosing, administration route, time/frequency, pharmacokinetics, mechanism of action, indications, nursing implications, interactions, and the nursing process for assessment and evaluation when administering the medication. Key details include that Percocet is used to manage moderate to severe pain, has an onset of 10-15 minutes, duration of 3-6 hours, common side effects of sedation and respiratory depression, and nursing focuses on assessing pain levels before and after administration and monitoring for decreased respiratory rate and constipation.
This document provides information about the opioid analgesic Percocet, including its generic and trade names, classification, dosing, administration route, time/frequency, pharmacokinetics, mechanism of action, indications, nursing implications, interactions, and the nursing process for assessment and evaluation when administering the medication. Key details include that Percocet is used to manage moderate to severe pain, has an onset of 10-15 minutes, duration of 3-6 hours, common side effects of sedation and respiratory depression, and nursing focuses on assessing pain levels before and after administration and monitoring for decreased respiratory rate and constipation.
Copyright:
Attribution Non-Commercial (BY-NC)
Available Formats
Download as DOC, PDF, TXT or read online from Scribd
This document provides information about the opioid analgesic Percocet, including its generic and trade names, classification, dosing, administration route, time/frequency, pharmacokinetics, mechanism of action, indications, nursing implications, interactions, and the nursing process for assessment and evaluation when administering the medication. Key details include that Percocet is used to manage moderate to severe pain, has an onset of 10-15 minutes, duration of 3-6 hours, common side effects of sedation and respiratory depression, and nursing focuses on assessing pain levels before and after administration and monitoring for decreased respiratory rate and constipation.
Copyright:
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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
oxycodone/acetaminophen Name opioid analgesics 5/325 PO Q 4 hrs. PRN Percocet 1-2 tabs Peak Onset Duration For IV meds, compatibility with IV drips and /or 60-90 min 10-15 min 3-6 hr solutions Mechanism of action and indications Nursing Implications (what to focus on) (Why med ordered) Contraindications/warnings/interactions Management of moderate to severe pain Hypersensitivity, Pregnancy or lactation (avoid chronic Binds to opiate receptors in the CNS use) Alters the perception of and response to painful stimuli, while Common side effects producing generalized CNS depression CNS: confusion, sedation, dizziness, dysphoria, euphoria, floating feeling, hallucinations, headache, unusual dreams, EENT: blurred vision, diplopia, miosis, Resp: RESPIRATORY DEPRESSION, CV: orthostatic hypotension, GI: constipation, dry mouth, nausea, vomiting, GU: urinary retention, Derm: flushing, sweating, Misc: physical dependence, psychological dependence, tolerance, Interactions with other patient drugs, OTC or herbal medicines Lab value alterations caused by medicine (ask patient specifically) May increase plasma amylase and lipase levels Additive CNS depression with alcohol, antihistamines , and sedative/hypnotics Be sure to teach the patient the following about this medication May be administered with food or milk to minimize GI irritation, Instruct patient on how and when to ask for pain medication, Medication may cause drowsiness or dizziness. Advise patient to call for assistance when ambulating or smoking. Caution patient to avoid driving and other activities requiring alertness until response to medication is known, Advise patient to make position changes slowly to minimize orthostatic hypotension, Encourage patient to turn, cough, and breathe deeply every 2 hr to prevent atelectasis 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 1 hr this med? If respiratory rate is Decrease in severity of pain (peak) after administration. When titrating opioid doses, <10/min, assess level of sedation. without a significant alteration increases of 25-50% should be administered until there is Physical stimulation may be in level of consciousness or either a 50% reduction in the patient"s pain rating on a sufficient to prevent significant respiratory status numerical or visual analog scale or the patient reports hypoventilation. Dose may need to Assess bowel function satisfactory pain relief. A repeat dose can be safely be decreased by 25-50%. Initial routinely. Prevention of administered at the time of the peak if previous dose is drowsiness will diminish with constipation should be ineffective and side effects are minimal continued use instituted with increased intake of fluids and bulk, and laxatives to minimize constipating effects. Stimulant laxatives should be administered routinely if opioid use exceeds 2-3 days, unless contraindicated
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