Non-opioid vs Opioids
Non-opioid_ are used for mild-moderate pain
Opioid analgesics are used for moderate to severe pain.
What are used to enhance the effects of non-opioid analgesics
Adjuvant analgesics
hydrocodone
codeine
hydromorphone
fentanyl
morphine
oxycodone
methadone
What insulins cannot be mixed with others
Glargine
Detemir
What type of insluin can be given IV
Short acting
What is the process for drawing up different insulins
Draw up short-acting (Humulin, Novalin) first, then draw up long-acting (Levemir, Glargine)
How to store insulin Pens
Refrigerate until first use
Room temperature after use
Describe how you would prepare to administer subcutaneous heparin (enoxaparin):
Clean the injection site that I have chosen on the abdomen not near the belly button or previous injection site. Pinch the skin tissue and inject the heparin at a forty-five degree angle
Describe how you would administer epoetin alfa:
Subcutaneously in the abdomen
What actions are appropriate to manage infiltration? What about extravasation?
Stop the administration, disconnect IV tubing, remove catheter if no antidote is given, elevate the site and apply a warm or cold compress. Cold packs can help with pain and inflammation and hot packs can help disperse the medication and reduce localized effects.
Where would you administer an IM injection on an infant? Adult? Older adult?
Infant: vastus lateralis
Adult: deltoid, vastus lateralis, ventrogluteal
Older adult: deltoid, vastus lateralis, ventrogluteal
