Phenobarbital (Luminal) Nursing Considerations
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Drug Card Phenobarbital (Luminal) (Cheatsheet)
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Outline
Generic Name
Phenobarbital
Trade/Brand Name
Luminal
Indication
- Seizures
- Sedation
Action
- Depresses sensory cortex
- Decrease motor activity
- Alters cerebellar function
- Produces drowsiness, sedation, hypnosis
Therapeutic Class
- Sedative
- Hypnotic
- Anticonvulsant
Pharmacologic Class
Long-acting barbiturate
Nursing Considerations
- Contraindicated
- Airway obstruction
- Severe renal disorders
- Monitor
- Phenobarbital concentrations
- CNS status
- CBC with differential
- Assess seizures
- Use caution
- Anemia
- Depression
- Cardiac disease
- Diabetes
- Hepatic impairment
- Drug abuse
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Transcript
Hey guys, let’s take a look at the drug phenobarbital. Also known as luminal. This is an IV IM oral medication, as you can see here. So the therapeutic class of phenobarbital or how it works in the body is an anticonvulsant sedative. And also H NTIC agent, the pharmacologic class or chemical effect of the drug is a long acting barbiturate Phenobarbital works by depressing the sensory cortex decreasing motor activity in altering Sarah Beller function in producing drowsiness and hypnosis. We use phenobarbital for the treatment of seizures, as well as for sedation. Some of the side effects that we see with phenobarbital are things like mood changes, fatigue, headache, and nausea.
A few nursing considerations for phenobarbital. Phenobarbital is contraindicated with airway obstruction, as well as in patients with severe renal disorders. Make sure you monitor the phenobarbital concentrations, CNS status and CBC with D in your patient, assess your patient’s seizures. While on this medication use caution in patients who have anemia, depression, cardiac disease, diabetes, hepatic impairment, as well as drug abuse issues or history teach the patient that they should eat foods high vitamin D and also that folic acid vitamin D supplementation may be necessary while on this drug. And guys, sometimes phenobarbital is used off-label for alcohol sedative and hypnotic drug withdrawal. That’s it for phenobarbital or Lumin now go out and be your best self today. And as a happy nursing.
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Concepts Covered:
- Concepts of Pharmacology
- Test Taking Strategies
- Prefixes
- Suffixes
- Bipolar Disorders
- Immunological Disorders
- Medication Administration
- Learning Pharmacology
- Dosage Calculations
- Noninfectious Respiratory Disorder
- Anxiety Disorders
- Substance Abuse Disorders
- Emergency Care of the Cardiac Patient
- Cardiac Disorders
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- Acute & Chronic Renal Disorders
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- Disorders of Pancreas
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- Disorders of the Adrenal Gland
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- Terminology
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- Prioritization
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Study Plan Lessons
Pharmacology Course Introduction
12 Points to Answering Pharmacology Questions
54 Common Medication Prefixes and Suffixes
Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)
Essential NCLEX Meds by Class
6 Rights of Medication Administration
Pharmacodynamics
Pharmacokinetics
The SOCK Method – Overview
The SOCK Method – S
The SOCK Method – O
The SOCK Method – C
The SOCK Method – K
Basics of Calculations
Dimensional Analysis Nursing (Dosage Calculations/Med Math)
Oral Medications
Injectable Medications
IV Infusions (Solutions)
Complex Calculations (Dosage Calculations/Med Math)
Disease Specific Medications
Antianxiety Meds
Benzodiazepines
Alprazolam (Xanax) Nursing Considerations
Lorazepam (Ativan) Nursing Considerations
Midazolam (Versed) Nursing Considerations
Diazepam (Valium) Nursing Considerations
Buspirone (Buspar) Nursing Considerations
Amiodarone (Pacerone) Nursing Considerations
Adenosine (Adenocard) Nursing Considerations
Procainamide (Pronestyl) Nursing Considerations
Clopidogrel (Plavix) Nursing Considerations
Warfarin (Coumadin) Nursing Considerations
Enoxaparin (Lovenox) Nursing Considerations
Heparin (Hep-Lock) Nursing Considerations
Alteplase (tPA, Activase) Nursing Considerations
Streptokinase (Streptase) Nursing Considerations
Carbamazepine (Tegretol) Nursing Considerations
Divalproex (Depakote) Nursing Considerations
Gabapentin (Neurontin) Nursing Considerations
Lamotrigine (Lamictal) Nursing Considerations
Levetiracetam (Keppra) Nursing Considerations
Phenytoin (Dilantin) Nursing Considerations
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Bupropion (Wellbutrin) Nursing Considerations
MAOIs
Selegiline (Eldepyrl) Nursing Considerations
SSRIs
Escitalopram (Lexapro) Nursing Considerations
Fluoxetine (Prozac) Nursing Considerations
Paroxetine (Paxil) Nursing Considerations
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TCAs
Glipizide (Glucotrol) Nursing Considerations
Metformin (Glucophage) Nursing Considerations
Insulin
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
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Insulin – Mixtures (70/30)
Insulin – Long Acting (Lantus) Nursing Considerations
Histamine 1 Receptor Blockers
Diphenhydramine (Benadryl) Nursing Considerations
Promethazine (Phenergan) Nursing Considerations
Histamine 2 Receptor Blockers
Cimetidine (Tagamet) Nursing Considerations
Famotidine (Pepcid) Nursing Considerations
Ranitidine (Zantac) Nursing Considerations
Renin Angiotensin Aldosterone System
Atenolol (Tenormin) Nursing Considerations
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Quetiapine (Seroquel) Nursing Considerations
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Omeprazole (Prilosec) Nursing Considerations
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Epoetin (Epogen) Nursing Considerations
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ASA (Aspirin) Nursing Considerations
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Opioid Analgesics in Pregnancy
Butorphanol (Stadol) Nursing Considerations
Codeine (Paveral) Nursing Considerations
Fentanyl (Duragesic) Nursing Considerations
Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations
Hydromorphone (Dilaudid) Nursing Considerations
Meperidine (Demerol) Nursing Considerations
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Morphine (MS Contin) Nursing Considerations
Nalbuphine (Nubain) Nursing Considerations
Oxycodone (OxyContin) Nursing Considerations
Sedatives-Hypnotics
Phenobarbital (Luminal) Nursing Considerations
Pentobarbital (Nembutal) Nursing Considerations
Propofol (Diprivan) Nursing Considerations
Lidocaine (Xylocaine) Nursing Considerations
Corticosteroids
Betamethasone and Dexamethasone in Pregnancy
Cortisone (Cortone) Nursing Considerations
Dexamethasone (Decadron) Nursing Considerations
Fluticasone (Flonase) Nursing Considerations
Methylprednisolone (Solu-Medrol) Nursing Considerations
Hydralazine
Hydralazine (Apresoline) Nursing Considerations
Nitro Compounds
Nitroglycerin (Nitrostat) Nursing Considerations
Nitroprusside (Nitropress) Nursing Considerations
Vasopressin
Epinephrine (EpiPen) Nursing Considerations
Norepinephrine (Levophed) Nursing Considerations
Vasopressin (Pitressin) Nursing Considerations
Pharmacology Terminology
Psychiatry Terminology
Psychological Disorders
Prioritizing Assessments
How to Take Nursing Report
Introduction to the Electronic Medical Record (EMR)
Confidence in Communication
Acute Coronary Syndrome for Certified Emergency Nursing (CEN)
X-Ray (Xray)