Pentobarbital (Nembutal) Nursing Considerations

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Outline

Generic Name

Pentobarbital

Trade/Brand Name

Nembutal

Indication

  • Short term management of insomnia
  • Anesthesia
  • Emergency treatment of seizures

Action

  • Depress sensory cortex, motor activity
  • Alters cerebellar function
  • Produces drowsiness, sedation, hypnosis

Therapeutic Class

  • Sedative
  • Hypnotic
  • Anticonvulsant

Pharmacologic Class

Short-acting barbiturate

Nursing Considerations

  • High doses can cause death
  • Contraindicated
    • Hypersensitivity
    • Porphyria
  • Monitor
    • Hemodynamics
      • Respiratory status
      • Mechanical ventilation
  • Avoid use in geriatric patients
  • Use caution
    • Depression
    • Hepatic impairment
    • Renal impairment

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Transcript

Hey guys, let’s take a look at the drug. Pentobarbital also known as Nembutal. This is an IV medication. It also comes in an oral form, as you can see here. So the therapeutic class of Pento Barbi is a sedative, a hypnotic and an anticonvulsant. And remember, this is how it works in the body, the pharmacologic class, or the chemical effect of the drug is a short acting barbiturate. So pentobarbital works by depressing the sensory cortex and also motor it alters cerebellar function and produces drowsiness sedation, and also hypnosis. We use pentobarbital for the short term management of insomnia anesthesia, and also for seizures in an emergency situation. So of the way pentobarbital works in the body, the side effects that we can expect to see are things like drowsiness, dizziness, loss of coordination, and also nausea and vomiting, some nursing considerations for pentobarbital. It is contraindicated in patients with hypersensitivity, as well as patients who have porphyria avoid use in geriatric patients use caution in patients with depression and also patients who have liver and renal impairment monitor the hemodynamics of your patient while on pentobarbital, especially their respiratory status. In fact, most patients will probably be mechanically mechanically ventilated while being given pentobarbital. And it’s important to teach the patient to not consume alcohol. While on this medication, there is an awfully will use for this drug, which is a barbital coma for severe brain injury, and also for elevated intracranial pressure patients. Pento Bartol also has been a drug that has been commonly abused and is sold on the streets known as the name yellow jacket. 

That’s it for penal or ne Utah, and now go out and be your best self today. And as always happy nursing.

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Basics of Pharm Study Plan

Concepts Covered:

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

Study Plan Lessons

Pharmacology Course Introduction
Pharmacokinetics
Pharmacokinetics Nursing Mnemonic (ADME)
12 Points to Answering Pharmacology Questions
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
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
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Complex Calculations (Dosage Calculations/Med Math)
Pediatric Dosage Calculations
Struggling with Dimensional Analysis? – Live Tutoring Archive
Medication Errors
6 Rights of Medication Administration
Using Aseptic Technique
Supplies Needed
Needle Safety
Drawing Up Meds
Medications in Ampules
Oral Medications
SubQ Injections
IM Injections
Injectable Medications
Pill Crushing & Cutting
Positioning
Tips & Tricks
Insulin
Insulin Mixing
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin Drips
Glipizide (Glucotrol) Nursing Considerations
IV Insertion Course Introduction
Selecting THE vein
IV Catheter Selection (gauge, color)
IV Insertion Angle
Starting an IV
IV Placement Start To Finish (How to Start an IV)
Bariatric: IV Insertion
Combative: IV Insertion
Dark Skin: IV Insertion
Tattoos IV Insertion
Geriatric: IV Insertion
Tips & Advice for Pediatric IV
Tips & Advice for Newborns (Neonatal IV Insertion)
How to Secure an IV (chevron, transparent dressing)
Maintenance of the IV
How to Remove (discontinue) an IV
IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
Understanding All The IV Set Ports
Spiking & Priming IV Bags
IV Infusions (Solutions)
Hanging an IV Piggyback
Giving Medication Through An IV Set Port
IV Push Medications
IV Pump Management
IV Drip Administration & Safety Checks
IV Drip Therapy – Medications Used for Drips
Drawing Blood from the IV
NG Tube Medication Administration
NG Tube Med Administration (Nasogastric)
Interactive Practice Drip Calculations
Pain Management Meds – Live Tutoring Archive
Pain Management for the Older Adult – Live Tutoring Archive
Opioid Analgesics in Pregnancy
Patient Controlled Analgesia (PCA)
Codeine (Paveral) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
Methadone (Methadose) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Celecoxib (Celebrex) Nursing Considerations
Ketorolac (Toradol) Nursing Considerations
ACLS (Advanced cardiac life support) Drugs
Adenosine (Adenocard) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Atenolol (Tenormin) Nursing Considerations
Hydralazine
Lidocaine (Xylocaine) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Nitro Compounds
Verapamil (Calan) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
Anti-Platelet Aggregate
Antianxiety Meds
Antidepressants
TCAs
MAOIs
Mood Stabilizers
Olanzapine (Zyprexa) Nursing Considerations
Quetiapine (Seroquel) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Barbiturates
Sedatives-Hypnotics
Sedatives-Hypnotics
Pentobarbital (Nembutal) Nursing Considerations
Phenobarbital (Luminal) Nursing Considerations
Benztropine (Cogentin) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Parasympathomimetics (Cholinergics) Nursing Considerations
Anti-Infective – Antifungals
Nystatin (Mycostatin) Nursing Considerations
Cefdinir (Omnicef) Nursing Considerations
Cyclosporine (Sandimmune) Nursing Considerations
Diphenoxylate-Atropine (Lomotil) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Metoclopramide (Reglan) Nursing Considerations
Mannitol (Osmitrol) Nursing Considerations
Guaifenesin (Mucinex) Nursing Considerations
Montelukast (Singulair) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Epoetin Alfa
Neostigmine (Prostigmin) Nursing Considerations
Magnesium Sulfate
Magnesium Sulfate in Pregnancy
Meds for Postpartum Hemorrhage (PPH)
Methylergonovine (Methergine) Nursing Considerations
Rh Immune Globulin in Pregnancy
Eye Prophylaxis for Newborn
Phytonadione (Vitamin K) for Newborn
OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive
Anesthetic Agents
Propofol (Diprivan) Nursing Considerations
Nalbuphine (Nubain) Nursing Considerations
Interactive Pharmacology Practice