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Nalbuphine (Nubain) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

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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:

Study Plan Lessons

Pharmacology Course Introduction

12 Points to Answering Pharmacology Questions

54 Common Medication Prefixes and Suffixes

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Essential NCLEX Meds by Class

6 Rights of Medication Administration

Pharmacodynamics

Pharmacokinetics

The SOCK Method – Overview

The SOCK Method – S

The SOCK Method – O

The SOCK Method – C

The SOCK Method – K

Basics of Calculations

Oral Medications

Injectable Medications

IV Infusions (Solutions)

Complex Calculations (Dosage Calculations/Med Math)

Interactive Pharmacology Practice

Interactive Practice Drip Calculations

Pediatric Dosage Calculations

Disease Specific Medications

Antianxiety Meds

Benzodiazepines

ACLS (Advanced cardiac life support) Drugs

Anti-Platelet Aggregate

NG Tube Medication Administration

Thrombin Inhibitors

Anticonvulsants

Antidepressants

Antidiabetic Agents

Insulin – Mixtures (70/30)

Histamine 1 Receptor Blockers

Histamine 2 Receptor Blockers

Renin Angiotensin Aldosterone System

Sympatholytics (Alpha & Beta Blockers)

ACE (angiotensin-converting enzyme) Inhibitors

Angiotensin Receptor Blockers

Calcium Channel Blockers

Cardiac Glycosides

Anti-Infective – Aminoglycosides

Anti-Infective – Antifungals

Anti-Infective – Antitubercular

Anti-Infective – Antivirals

Anti-Infective – Carbapenems

Anti-Infective – Fluoroquinolones

Anti-Infective – Glycopeptide

Anti-Infective – Lincosamide

Anti-Infective – Macrolides

Anti-Infective – Penicillins and Cephalosporins

Anti-Infective – Sulfonamides

Anti-Infective – Tetracyclines

Atypical Antipsychotics

Autonomic Nervous System (ANS)

Sympathomimetics (Alpha (Clonodine) & Beta (Albuterol) Agonists)

Bronchodilators

Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)

Proton Pump Inhibitors

HMG-CoA Reductase Inhibitors (Statins)

Magnesium Sulfate

Mood Stabilizers

Meds for Postpartum Hemorrhage (PPH)

Prostaglandins in Pregnancy

Rh Immune Globulin in Pregnancy

Lung Surfactant for Newborns

Eye Prophylaxis for Newborn

Phytonadione (Vitamin K) for Newborn

Opioid Analgesics in Pregnancy

Sedatives-Hypnotics

Anesthetic Agents

Corticosteroids

Betamethasone and Dexamethasone in Pregnancy

Nitro Compounds

ACLS (Advanced cardiac life support) Drugs

Anti-Infective – Aminoglycosides

Anti-Infective – Carbapenems

Anti-Infective – Macrolides

Anti-Infective – Fluoroquinolones

Anti-Infective – Sulfonamides

Anti-Infective – Tetracyclines

Anti-Infective – Antifungals

Anti-Infective – Antivirals

Anti-Infective – Lincosamide

Anticonvulsants

Antidiabetic Agents

Sympatholytics (Alpha & Beta Blockers)

Anti-Infective – Antitubercular

Anti-Infective – Glycopeptide

Bronchodilators

Anesthetic Agents

Antineoplastics

Alkylating Agents

Antimetabolites

Anti Tumor Antibiotics

Plant Alkaloids Topoisomerase and Mitotic Inhibitors

Patient Controlled Analgesia (PCA)

Acetaminophen (Tylenol) Nursing Considerations

Acyclovir (Zovirax) Nursing Considerations

Adenosine (Adenocard) Nursing Considerations

Albuterol (Ventolin) Nursing Considerations

Alendronate (Fosamax) Nursing Considerations

Alprazolam (Xanax) Nursing Considerations

Alteplase (tPA, Activase) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Amitriptyline (Elavil) Nursing Considerations

Amlodipine (Norvasc) Nursing Considerations

Amoxicillin (Amoxil) Nursing Considerations

Ampicillin (Omnipen) Nursing Considerations

ASA (Aspirin) Nursing Considerations

Atenolol (Tenormin) Nursing Considerations

Atorvastatin (Lipitor) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Azithromycin (Zithromax) Nursing Considerations

Benztropine (Cogentin) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Bupropion (Wellbutrin) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Butorphanol (Stadol) Nursing Considerations

Calcium Acetate (PhosLo) Nursing Considerations

Calcium Carbonate (Tums) Nursing Considerations

Captopril (Capoten) Nursing Considerations

Carbamazepine (Tegretol) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Cefaclor (Ceclor) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Cephalexin (Keflex) Nursing Considerations

Chlorpromazine (Thorazine) Nursing Considerations

Cimetidine (Tagamet) Nursing Considerations

Ciprofloxacin (Cipro) Nursing Considerations

Clindamycin (Cleocin) Nursing Considerations

Clopidogrel (Plavix) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Cortisone (Cortone) Nursing Considerations

Cyclosporine (Sandimmune) Nursing Considerations

Dexamethasone (Decadron) Nursing Considerations

Diazepam (Valium) Nursing Considerations

Digoxin (Lanoxin) Nursing Considerations

Diltiazem (Cardizem) Nursing Considerations

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Diphenhydramine (Benadryl) Nursing Considerations

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Divalproex (Depakote) Nursing Considerations

Dobutamine (Dobutrex) Nursing Considerations

Dopamine (Inotropin) Nursing Considerations

Enalapril (Vasotec) Nursing Considerations

Enoxaparin (Lovenox) Nursing Considerations

Epinephrine (EpiPen) Nursing Considerations

Epoetin (Epogen) Nursing Considerations

Erythromycin (Erythrocin) Nursing Considerations

Escitalopram (Lexapro) Nursing Considerations

Famotidine (Pepcid) Nursing Considerations

Fentanyl (Duragesic) Nursing Considerations

Ferrous Sulfate (Iron) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Fluticasone (Flonase) Nursing Considerations

Furosemide (Lasix) Nursing Considerations

Gabapentin (Neurontin) Nursing Considerations

Gentamicin (Garamycin) Nursing Considerations

Glipizide (Glucotrol) Nursing Considerations

Glucagon (GlucaGen) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Haloperidol (Haldol) Nursing Considerations

Heparin (Hep-Lock) Nursing Considerations

Hepatitis B Vaccine for Newborns

Hydralazine (Apresoline) Nursing Considerations

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Ibuprofen (Motrin) Nursing Considerations

Indomethacin (Indocin) Nursing Considerations

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Iodine Nursing Considerations

Isoniazid (Niazid) Nursing Considerations

Ketorolac (Toradol) Nursing Considerations

Lactulose (Generlac) Nursing Considerations

Lamotrigine (Lamictal) Nursing Considerations

Levetiracetam (Keppra) Nursing Considerations

Levofloxacin (Levaquin) Nursing Considerations

Lidocaine (Xylocaine) Nursing Considerations

Lisinopril (Prinivil) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Loperamide (Imodium) Nursing Considerations

Lorazepam (Ativan) Nursing Considerations

Losartan (Cozaar) Nursing Considerations

Magnesium Sulfate (MgSO4) Nursing Considerations

Mannitol (Osmitrol) Nursing Considerations

Meperidine (Demerol) Nursing Considerations

Meropenem (Merrem) Nursing Considerations

Metformin (Glucophage) Nursing Considerations

Methadone (Methadose) Nursing Considerations

Methylergonovine (Methergine) Nursing Considerations

Methylphenidate (Concerta) Nursing Considerations

Methylprednisolone (Solu-Medrol) Nursing Considerations

Metoclopramide (Reglan) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Metronidazole (Flagyl) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Montelukast (Singulair) Nursing Considerations

Morphine (MS Contin) Nursing Considerations

Nalbuphine (Nubain) Nursing Considerations

Naproxen (Aleve) Nursing Considerations

Neostigmine (Prostigmin) Nursing Considerations

Nifedipine (Procardia) Nursing Considerations

Nitroglycerin (Nitrostat) Nursing Considerations

Nitroprusside (Nitropress) Nursing Considerations

Norepinephrine (Levophed) Nursing Considerations

Nystatin (Mycostatin) Nursing Considerations

Olanzapine (Zyprexa) Nursing Considerations

Omeprazole (Prilosec) Nursing Considerations

Ondansetron (Zofran) Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Oxytocin (Pitocin) Nursing Considerations

Pancrelipase (Pancreaze) Nursing Considerations

Pantoprazole (Protonix) Nursing Considerations

Parasympatholytics (Anticholinergics) Nursing Considerations

Parasympathomimetics (Cholinergics) Nursing Considerations

Paroxetine (Paxil) Nursing Considerations

Pentobarbital (Nembutal) Nursing Considerations

Phenazopyridine (Pyridium) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

Phenytoin (Dilantin) Nursing Considerations

Procainamide (Pronestyl) Nursing Considerations

Promethazine (Phenergan) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Propranolol (Inderal) Nursing Considerations

Propylthiouracil (PTU) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Rifampin (Rifadin) Nursing Considerations

Salmeterol (Serevent) Nursing Considerations

Selegiline (Eldepyrl) Nursing Considerations

Sertraline (Zoloft) Nursing Considerations

Spironolactone (Aldactone) Nursing Considerations

Streptokinase (Streptase) Nursing Considerations

Sucralfate (Carafate) Nursing Considerations

Terbutaline (Brethine) Nursing Considerations

Tetracycline (Panmycin) Nursing Considerations

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Uterine Stimulants (Oxytocin, Pitocin) Nursing Considerations

Vancomycin (Vancocin) Nursing Considerations

Vasopressin (Pitressin) Nursing Considerations

Verapamil (Calan) Nursing Considerations

Warfarin (Coumadin) Nursing Considerations

02.01 Hypertensive Crisis for CCRN Review