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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Pharmy

Concepts Covered:

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

Study Plan Lessons

ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
Atropine (Atropen) Nursing Considerations
Barbiturates
Bisacodyl (Dulcolax) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Drawing Blood from the IV
Drawing Up Meds
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Epoetin Alfa
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
Fentanyl (Duragesic) Nursing Considerations
Glipizide (Glucotrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Hanging an IV Piggyback
How to Secure an IV (chevron, transparent dressing)
How to Remove (discontinue) an IV
Insulin
Hydralazine
Hydromorphone (Dilaudid) Nursing Considerations
Insulin Drips
Insulin Mixing
Interactive Pharmacology Practice
Interactive Practice Drip Calculations
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
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 Pump Management
IV Push Medications
Ketorolac (Toradol) Nursing Considerations
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
Mood Stabilizers
Nalbuphine (Nubain) Nursing Considerations
NG Tube Medication Administration
NG Tube Med Administration (Nasogastric)
Nitro Compounds
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Nystatin (Mycostatin) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacodynamics
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
SubQ Injections
The SOCK Method – Overview
Tips & Tricks
Tips & Advice for Pediatric IV
Tips & Advice for Newborns (Neonatal IV Insertion)
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations