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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Pharm

Concepts Covered:

  • Prefixes
  • Suffixes
  • Test Taking Strategies
  • Adult
  • Medication Administration
  • Emergency Care of the Cardiac Patient
  • Intraoperative Nursing
  • Microbiology
  • Vascular Disorders
  • Nervous System
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Anxiety Disorders
  • Immunological Disorders
  • Hematologic Disorders
  • Newborn Care
  • Disorders of Pancreas
  • Respiratory Disorders
  • Pregnancy Risks
  • Neurological
  • Depressive Disorders
  • Postpartum Complications
  • Postoperative Nursing
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Peripheral Nervous System Disorders
  • Cardiac Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Concepts of Pharmacology
  • Studying

Study Plan Lessons

54 Common Medication Prefixes and Suffixes
12 Points to Answering Pharmacology Questions
ACLS (Advanced cardiac life support) Drugs
Amiodarone (Pacerone) Nursing Considerations
Anesthetic Agents
Anti-Infective – Antifungals
Atenolol (Tenormin) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Epoetin Alfa
Eye Prophylaxis for Newborn
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Interactive Pharmacology Practice
IV Drip Therapy – Medications Used for Drips
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
Mannitol (Osmitrol) Nursing Considerations
MAOIs
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
Nalbuphine (Nubain) Nursing Considerations
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
Parasympathomimetics (Cholinergics) Nursing Considerations
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
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Streptokinase (Streptase) Nursing Considerations
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
Verapamil (Calan) Nursing Considerations