Nalbuphine (Nubain) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

nalbuphine

Trade Name

Nubain

Indication

pain, analgesia during labor, sedation before surgery, supplement to balance anesthesia

Action

alters perception and response to pain, causes CNS depression

Therapeutic Class

Opioid Analgesic

Pharmacologic Class

opioid agonists/analgesics

Nursing Considerations

• use caution with head trauma
• can cause dizziness, headache, nausea, vomiting, respiratory depression
• do not use with MAOIs
• assess pain
• may cause respiratory depression in newborn
• asses hemodynamic parameters
• may elevate pancreatic enzymes
• Narcan (naloxone) is the antidote

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Transcript

Hey guys, let’s talk about NEN also known as new vein. This is an injectable medication. So the therapeutic class or how the drug works in the body is an opioid analgesic in the pharmacologic class or the chemical effect of Ning is an opioid agonist. So Ning works by altering the perception of the response to pain by causing CNS depression. We use now bine for pain, for analgesia, during labor, for sedation before surgery, and also as a supplement to anesthesia. Some of the side effects that we see with N bine are dizziness, headache, nausea, and vomiting. 

So let’s take a look at some of the nursing considerations for NEN use caution in patients who have head trauma, because it can elevate ICP. NEN may cause respiratory depression in adults and in newborns. And it may elevate pancreatic enzymes in the event of receiving too much of this medication, Narcan or Naloxone is the antidote and do not use in patients who are also on Mao eyes, assess your patient’s hemodynamic parameters and also their pain response while on now be bine. So Navine is highly dependent on the liver. So if your patient has liver issues, it is critical that a lower dose is started and then the patient is monitored even closely than you would sum ’em without liver issues. That’s it for Nin or new vein now go out and be your best self today. And as always happy nursing.

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Pharmacology

Concepts Covered:

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

Study Plan Lessons

MAOIs
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
Selecting THE vein
Ranitidine (Zantac) Nursing Considerations
Pharmacology Course Introduction
Pharmacokinetics Nursing Mnemonic (ADME)
12 Points to Answering Pharmacology Questions
Tattoos IV Insertion
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Mannitol (Osmitrol) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Infective – Antifungals
Anti-Platelet Aggregate
Atropine (Atropen) Nursing Considerations
Barbiturates
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Combative: IV Insertion
Dark Skin: IV Insertion
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Drawing Blood from the IV
Epoetin Alfa
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
Ketorolac (Toradol) Nursing Considerations
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Meds for Postpartum Hemorrhage (PPH)
Meperidine (Demerol) Nursing Considerations
Methylergonovine (Methergine) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Med Administration (Nasogastric)
NG Tube Medication Administration
Parasympathomimetics (Cholinergics) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Phytonadione (Vitamin K) for Newborn
Positioning
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Sedatives-Hypnotics
Streptokinase (Streptase) Nursing Considerations
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Verapamil (Calan) Nursing Considerations
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Fentanyl (Duragesic) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bariatric: IV Insertion
Atenolol (Tenormin) Nursing Considerations
Antidepressants
Antianxiety Meds
Anesthetic Agents
Neostigmine (Prostigmin) Nursing Considerations
Opioid Analgesics in Pregnancy
Olanzapine (Zyprexa) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pharmacodynamics
Pharmacokinetics
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Interactive Pharmacology Practice
Hydromorphone (Dilaudid) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydralazine
Eye Prophylaxis for Newborn