Pentobarbital (Nembutal) Nursing Considerations

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Kara Tarr
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Drug Card Pentobarbital (Nembutal) (Cheatsheet)
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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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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