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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Concepts Covered:

  • Emergency Care of the Cardiac Patient
  • Medication Administration
  • Vascular Disorders
  • Nervous System
  • Central Nervous System Disorders – Brain
  • Gastrointestinal Disorders
  • Anxiety Disorders
  • Microbiology
  • Immunological Disorders
  • Concepts of Pharmacology
  • Studying
  • Circulatory System
  • Intraoperative Nursing
  • Disorders of Pancreas
  • Respiratory Disorders
  • Postoperative Nursing
  • Neurological
  • Depressive Disorders
  • Postpartum Complications
  • Substance Abuse Disorders
  • Upper GI Disorders
  • Noninfectious Respiratory Disorder
  • Bipolar Disorders
  • Peripheral Nervous System Disorders
  • Learning Pharmacology
  • Psychotic Disorders
  • Adulthood Growth and Development
  • Cardiac Disorders
  • Pregnancy Risks
  • Fundamentals of Emergency Nursing

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Insulin Drips
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IV Complications (infiltration, phlebitis, hematoma, extravasation, air embolism)
IV Drip Administration & Safety Checks
IV Insertion Angle
IV Placement Start To Finish (How to Start an IV)
IV Pump Management
IV Push Medications
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Patient Controlled Analgesia (PCA)
Pentobarbital (Nembutal) Nursing Considerations
Pharmacokinetics Nursing Mnemonic (ADME)
Phenobarbital (Luminal) Nursing Considerations
Positioning
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Propofol (Diprivan) Nursing Considerations
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Ranitidine (Zantac) Nursing Considerations
Spiking & Priming IV Bags
Starting an IV
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The SOCK Method – C
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The SOCK Method – O
The SOCK Method – S
The SOCK Method – Overview
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The SOCK Method of Pharmacology 2 – Live Tutoring Archive
The SOCK Method of Pharmacology 3 – Live Tutoring Archive
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IV Drip Therapy – Medications Used for Drips
IM Injections
How to Remove (discontinue) an IV
How to Secure an IV (chevron, transparent dressing)
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Giving Medication Through An IV Set Port
Combative: IV Insertion