Pentobarbital (Nembutal) Nursing Considerations

You're watching a preview. 300,000+ students are watching the full lesson.
Kara Tarr
BSN,RN
Master
To Master a topic you must score > 80% on the lesson quiz.

Included In This Lesson

Study Tools For Pentobarbital (Nembutal) Nursing Considerations

Drug Card Pentobarbital (Nembutal) (Cheatsheet)
Blank Drug Card Template (Cheatsheet)
NURSING.com students have a 99.25% NCLEX pass rate.

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
Unlock the Complete Study System
Used by 300,000+ nursing students. 99.25% NCLEX pass rate.
  • Full lesson outlines
  • NCLEX simulator (SIMCLEX)
  • 6,500+ practice questions
  • 2,000+ lesson videos
  • 300+ cheatsheets

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

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.

Study Faster with Full Video Transcripts
99.25% NCLEX Pass Rate vs 88.8% National Average
  • Full lesson outlines
  • NCLEX simulator (SIMCLEX)
  • 6,500+ practice questions
  • 2,000+ lesson videos
  • 300+ cheatsheets

200% NCLEX Pass Guarantee.
No Contract. Cancel Anytime.

🎉 Special Offer 🎉

Nursing School Doesn't Have To Be So Hard

Go from discouraged and stressed to motivated and passionate

Pharmacology Exam III

Concepts Covered:

  • Oncology Disorders
  • Concepts of Pharmacology
  • Medication Administration
  • Nervous System
  • Adulthood Growth and Development
  • Bipolar Disorders
  • Substance Abuse Disorders
  • Depressive Disorders
  • Disorders of Pancreas
  • Intraoperative Nursing
  • Anxiety Disorders
  • Disorders of the Adrenal Gland
  • Central Nervous System Disorders – Brain
  • Hematologic Disorders
  • Respiratory Disorders
  • Cardiac Disorders
  • Immunological Disorders
  • Disorders of the Thyroid & Parathyroid Glands
  • Upper GI Disorders
  • Liver & Gallbladder Disorders
  • Cardiovascular Disorders
  • Urinary System
  • Personality Disorders
  • Psychotic Disorders
  • Peripheral Nervous System Disorders
  • Urinary Disorders
  • Pregnancy Risks
  • Female Reproductive Disorders
  • Neurologic and Cognitive Disorders
  • Noninfectious Respiratory Disorder
  • Learning Pharmacology

Study Plan Lessons

Antineoplastics
Pharmacokinetics
Pharmacodynamics
Parasympathomimetics (Cholinergics) Nursing Considerations
Pain Management for the Older Adult – Live Tutoring Archive
Mood Stabilizers
Methadone (Methadose) Nursing Considerations
MAOIs
Interactive Pharmacology Practice
Insulin Mixing
Insulin Drips
Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin
Glipizide (Glucotrol) Nursing Considerations
Barbiturates
Antidepressants
Antianxiety Meds
Addisons Assessment Nursing Mnemonic (STEROID)
Anticonvulsants
Antianxiety Meds
Barbiturates
MAOIs
Phenobarbital (Luminal) Nursing Considerations
TCAs
Anti Tumor Antibiotics
Alkylating Agents
Sedatives-Hypnotics
Lithium (Lithonate) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Corticosteroids
Antidiabetic Agents
Sympatholytics (Alpha & Beta Blockers)
Epoetin Alfa
Cyclosporine (Sandimmune) Nursing Considerations
Iodine Nursing Considerations
Levothyroxine (Synthroid)
Propylthiouracil (PTU) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
Histamine 2 Receptor Blockers
Histamine 1 Receptor Blockers
Cardiac Glycosides
Calcium Channel Blockers
ACE (angiotensin-converting enzyme) Inhibitors
Metoprolol (Toprol XL) Nursing Considerations
Renin Angiotensin Aldosterone System
Atypical Antipsychotics
Chlorpromazine (Thorazine) Nursing Considerations
Antipsychotics
Haloperidol (Haldol) Nursing Considerations
Atropine (Atropen) Nursing Considerations
Neostigmine (Prostigmin) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Carbidopa-Levodopa (Sinemet) Nursing Considerations
Autonomic Nervous System (ANS)
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Proton Pump Inhibitors
Ondansetron (Zofran) Nursing Considerations
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Amitriptyline (Elavil) Nursing Considerations
Sertraline (Zoloft) Nursing Considerations
Paroxetine (Paxil) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Escitalopram (Lexapro) Nursing Considerations
SSRIs
Bupropion (Wellbutrin) Nursing Considerations
Antidepressants
Phenytoin (Dilantin) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Lamotrigine (Lamictal) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
Carbamazepine (Tegretol) Nursing Considerations
Antianxiety Meds
Buspirone (Buspar) Nursing Considerations
Diazepam (Valium) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Alprazolam (Xanax) Nursing Considerations
Benzodiazepines
Disease Specific Medications
Pharmacology Course Introduction
The SOCK Method – Overview