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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PATHOPHARMOCOLOGY

Concepts Covered:

  • Test Taking Strategies
  • Medication Administration
  • Understanding Society
  • Circulatory System
  • Adulthood Growth and Development
  • Vascular Disorders
  • Disorders of Pancreas
  • Postoperative Nursing
  • Intraoperative Nursing
  • Pregnancy Risks
  • Neurological
  • Depressive Disorders
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Microbiology
  • Peripheral Nervous System Disorders
  • Cardiac Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Prenatal Concepts
  • Nervous System
  • Concepts of Pharmacology
  • Studying
  • Central Nervous System Disorders – Brain
  • Newborn Care
  • Emergency Care of the Cardiac Patient
  • Dosage Calculations
  • Tissues and Glands

Study Plan Lessons

12 Points to Answering Pharmacology Questions
Dark Skin: IV Insertion
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Drawing Blood from the IV
Geriatric: IV Insertion
Giving Medication Through An IV Set Port
Hanging an IV Piggyback
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
Hydralazine
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
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 Pump Management
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
Maintenance of the IV
Mannitol (Osmitrol) Nursing Considerations
MAOIs
Medication Errors
Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)
Medications in Ampules
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
Needle Safety
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
Pain Management for the Older Adult – Live Tutoring Archive
Pain Management Meds – Live Tutoring Archive
Parasympathomimetics (Cholinergics) Nursing Considerations
Patient Controlled Analgesia (PCA)
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
Pill Crushing & Cutting
Positioning
Procainamide (Pronestyl) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Rh Immune Globulin in Pregnancy
Sedatives-Hypnotics
Sedatives-Hypnotics
Selecting THE vein
Spiking & Priming IV Bags
Starting an IV
Streptokinase (Streptase) Nursing Considerations
Struggling with Dimensional Analysis? – Live Tutoring Archive
SubQ Injections
Supplies Needed
Tattoos IV Insertion
TCAs
The SOCK Method – C
The SOCK Method – K
The SOCK Method – O
The SOCK Method – Overview
The SOCK Method – S
Tips & Tricks
Tips & Advice for Newborns (Neonatal IV Insertion)
Tips & Advice for Pediatric IV
Understanding All The IV Set Ports
Using Aseptic Technique
Verapamil (Calan) Nursing Considerations