Oxycodone (OxyContin) Nursing Considerations

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Kara Tarr
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Drug Card Oxycodone (Oxycontin) (Cheatsheet)
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Outline

Generic Name

oxycodone

Trade Name

Oxycontin

Indication

pain

Action

binds to opiate receptors in CNS altering the perception and sensation of pain

Therapeutic Class

Opioid Analgesic

Pharmacologic Class

opioid agonists, opioid agonists/nonopioid, analgesic combinations

Nursing Considerations

• may cause respiratory depression, constipation, confusion , sedation, hallucinations, urinary retention
• use caution with increased intracranial pressure
• don’t use with MAOIs
• assess hemodynamics
• assess pain
• may elevate pancreatic enzymes
• can cause physical dependence
• assess bowel function

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Transcript

Okay, let’s take a look at the drug oxycodone as also known as Oxycontin. This is an oral medication, as you can see here, and it comes in the IV form. It could also be given intranasally rectally as an IM injection sublingually. So the therapeutic class of oxycodone or how it works in the body is an opioid analgesic in the pharmacologic class, or the chemical effect is an opioid agonist. So oxycodone works by binding to opiate receptors in the central nervous system, which alters the perception and sensation of pain, which is why we use it for pain. Some of the side effects that we see with this drug and opioids in general are things like constipation, confusion, sedation, and also urinary retention. Let’s take a look at some of the nursing considerations for oxycodone. In addition to the side effects already mentioned, it can cause respiratory depression and also hallucinations. 

Be sure to assess your patients, hemodynamics their pain and also their bowel function because re member opioids can cause constipation use caution in patients who have increased intracranial pressure and know that oxycodone may elevate pancreatic enzymes. Be sure to teach the patient that oxycodone is an opioid and it can cause physical dependence, especially does not use exactly as per prescribed. Guys. It’s important that patients are tapered off of this drug. So they don’t experience any withdrawal symptoms, which I have ha happened to see in many patients, that’s it for oxycodone or Oxycontin now go out and be your best self today as always happy nursing.

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Medical Administration

Concepts Covered:

  • Dosage Calculations
  • Medication Administration
  • Anxiety Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Postoperative Nursing
  • Intraoperative Nursing
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Microbiology
  • Prenatal Concepts
  • Substance Abuse Disorders
  • Adulthood Growth and Development

Study Plan Lessons

Complex Calculations (Dosage Calculations/Med Math)
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
6 Rights of Medication Administration
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
Oral Medications
Antianxiety Meds
Antidepressants
Basics of Calculations
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
IM Injections
Injectable Medications
Insulin
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
IV Catheter Selection (gauge, color)
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
IV Infusions (Solutions)
IV Insertion Angle
IV Insertion Course Introduction
IV Placement Start To Finish (How to Start an IV)
IV Push Medications
IV Pump Management
Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)
Ketorolac (Toradol) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Maintenance of the IV
Medication Errors
Medications in Ampules
Montelukast (Singulair) Nursing Considerations
Mood Stabilizers
Needle Safety
Opioid Analgesics in Pregnancy
Oral Medications
Oxycodone (OxyContin) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Pill Crushing & Cutting
Positioning
Propofol (Diprivan) Nursing Considerations
Starting an IV
SubQ Injections
Using Aseptic Technique