Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

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Kara Tarr
BSN,RN
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Study Tools For Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Blank Drug Card Template (Cheatsheet)
Drug Card Vicodin (Lortab) (Cheatsheet)

Outline

Generic Name

hydrocodone/acetaminophen

Trade Name

Vicodin, Lortab, Norco

Indication

management of moderate to severe pain

Action

alters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex

Therapeutic Class

opioid Analgesic, allergy, cold and cough remedies, antitussive

Pharmacologic Class

opioid agonists, nonopioid analgesic combinations

Nursing Considerations

• use caution with concurrent use of MAOI – avoid use within 14 days of each other
hypotensionmonitor hemodynamics and respirations after administering
• may increase ICP use caution with head trauma
• Narcan (nalaxone) is the antidote for overdose
• DO NOT exceed 4g of acetaminophen per day

 


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Transcript

Hey guys, let’s talk about hydrocodone acetaminophen also known as quite a few brand or tray names, including Vicodin LTAB and Norco. This is an oral medication. As you can see here, the therapeutic cloud of hydrocodone acetaminophen is an opioid analgesic also in allergy cold and cough ReMed in an antitusive. And remember that therapeutic class is how the drug works in the body. The pharmacologic class is the chemical effect. And for this medication, it is an opioid, a agonist and a non, an opioid antigenic combination. So hydrocodone acetaminophen works by altering the perception and reaction to pain by binding to opiate receptors in the central nervous system. And it also actually suppresses the cough reflex. We use this drug for the management of moderate to severe pain. So hydrocodone acetaminophen can come with some side effects. These can include things like hypotension, drowsiness, dizziness, and lightheadedness. 

So with the administration of hydrocodone acetaminophen, be sure to Mo the hemo dynamics and respirations in your patient, because these things can become depressed caution with use in patients with head trauma, because intracranial pressure may be increased. In the case of an overdose we use Narcan or Naloxone avoid use with MOIs. In fact, they should not be taken within 14 days of each other, be sure to teach the patient that they should not exceed four grams of acetaminophen per day because of liver toxicity, which they must know, and is within this medication. And guys, most patients are more familiar with the brand names of the medication rather than the generic name. So really stress this to them. So guys, I’m sure you are all aware of the opioid epidemic that is going on right now. So with that set at my job in the surgical setting, I have the definitely notice some changes that are being made to help with this epidemic. For instance, preoperative blocks are being utilized more frequent frequently to decrease the need of opioids following surgery. And this definitely does seem to be helping our patients and a lot of patients with chronic pain issue, they are being managed by pain management providers instead of opioids, just being prescribed to them freely. 

That’s it for hydrocodone, acetaminophen or Vicodin LTAB now go out and be your best self today. And as always happy nursing.

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Pharm

Concepts Covered:

  • Test Taking Strategies
  • Medication Administration
  • Microbiology
  • Anxiety Disorders
  • Depressive Disorders
  • Vascular Disorders
  • Nervous System
  • Intraoperative Nursing
  • Central Nervous System Disorders – Brain
  • Fundamentals of Emergency Nursing
  • Dosage Calculations
  • Immunological Disorders
  • Understanding Society
  • Gastrointestinal Disorders
  • Circulatory System
  • Concepts of Pharmacology
  • Studying
  • Newborn Care
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Cardiac Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Adulthood Growth and Development
  • Emergency Care of the Cardiac Patient
  • Tissues and Glands
  • Adult

Study Plan Lessons

12 Points to Answering Pharmacology Questions
6 Rights of Medication Administration
Anti-Infective – Antifungals
Antianxiety Meds
Antidepressants
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Barbiturates
Basics of Calculations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Combative: IV Insertion
Complex Calculations (Dosage Calculations/Med Math)
Cyclosporine (Sandimmune) Nursing Considerations
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Catheter Selection (gauge, color)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin
Injectable Medications
IM Injections
Hydromorphone (Dilaudid) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Lidocaine (Xylocaine) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
Needle Safety
Neostigmine (Prostigmin) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Nitro Compounds
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Nystatin (Mycostatin) Nursing Considerations
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Olanzapine (Zyprexa) Nursing Considerations
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pediatric Dosage Calculations
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Pharmacology Course Introduction
Phenobarbital (Luminal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method of Pharmacology 1 – Live Tutoring Archive
The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bariatric: IV Insertion
Anti-Platelet Aggregate
Anesthetic Agents
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
ACLS (Advanced cardiac life support) Drugs