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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Exam 2

Concepts Covered:

  • Respiratory System
  • Respiratory Emergencies
  • Infectious Respiratory Disorder
  • Noninfectious Respiratory Disorder
  • Respiratory Disorders
  • Cardiac Disorders
  • Central Nervous System Disorders – Brain
  • Studying
  • Intraoperative Nursing
  • Medication Administration
  • Labor Complications
  • Postoperative Nursing
  • Substance Abuse Disorders
  • EENT Disorders
  • Neurologic and Cognitive Disorders
  • Sexually Transmitted Infections
  • Nervous System
  • Learning Pharmacology
  • Pregnancy Risks
  • Liver & Gallbladder Disorders

Study Plan Lessons

Respiratory A&P Module Intro
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Respiratory Infections Module Intro
Respiratory Trauma Module Intro
Respiratory Procedures Module Intro
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology of Pneumonia
Artificial Airways
Hierarchy of O2 Delivery
Airway Suctioning
Bronchoscopy
Thoracentesis
Thrombolytics
Seizure Causes Nursing Mnemonic (VITAMIN)
Respiratory Course Introduction
Oxygen Delivery Module Intro
Nursing Care and Pathophysiology of COPD (Chronic Obstructive Pulmonary Disease)
Chest Tube Management
Alveoli & Atelectasis
Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Anesthetic Agents
Magnesium Sulfate (MgSO4) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Nalbuphine (Nubain) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Terbutaline (Brethine) Nursing Considerations
Ondansetron (Zofran) Nursing Considerations
Salmeterol (Serevent) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Amoxicillin (Amoxil) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Erythromycin (Erythrocin) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Clindamycin (Cleocin) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Cimetidine (Tagamet) Nursing Considerations
Cefaclor (Ceclor) Nursing Considerations
Azithromycin (Zithromax) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Ampicillin (Omnipen) Nursing Considerations
The SOCK Method – O
Magnesium Sulfate
Histamine 1 Receptor Blockers
Benzodiazepines
Anti-Infective – Antitubercular
Rifampin (Rifadin) Nursing Considerations
Isoniazid (Niazid) Nursing Considerations
Nitroglycerin (Nitrostat) Nursing Considerations
Hemodynamics
Continuous Renal Replacement Therapy (CRRT, dialysis)
ARDS causes Nursing Mnemonic (GUT PASS)