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Phenobarbital (Luminal) Nursing Considerations

Phenobarbital (Luminal) Nursing Considerations

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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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Med-Surge 3

Concepts Covered:

Study Plan Lessons

05.02 Liver Overview and Disease for CCRN Review

Airway Suctioning

Antidiabetic Agents

Cirrhosis Case Study (45 min)

Encephalopathies

Enteral & Parenteral Nutrition (Diet, TPN)

Gastrointestinal (GI) Bleed Concept Map

Insulin Mnemonic (Ready, Set, Inject, Love)

Nursing Care and Pathophysiology for Crohn’s Disease

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)

Nursing Care Plan (NCP) for Anemia

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed

Nursing Care Plan (NCP) for Pancreatitis

Nursing Case Study for Hepatitis

08.01 Psychological Review for CCRN Review

Addiction – Behavioral Problems Nursing Mnemonic (The 5 D’s)

Albumin Lab Values

Alcohol Withdrawal (Addiction)

Alcohol Withdrawal Case Study (45 min)

Alcoholism – Outcomes Nursing Mnemonic (BAD)

Alprazolam (Xanax) Nursing Considerations

Altered Mental Status- Delirium and Dementia for Progressive Care Certified Nurse (PCCN)

Alzheimer – Diagnosis Nursing Mnemonic (The 5 A’s)

Ammonia (NH3) Lab Values

Anorexia – Signs and Symptoms Nursing Mnemonic (ANOREXIA)

Antianxiety Meds

Antianxiety Meds

Antidepressants

Antidepressants

Anxiety Disorders (PTSD, Anxiety, Panic Attack) for Certified Emergency Nursing (CEN)

Atypical Antipsychotics

Benzodiazepines

Benzodiazepines Nursing Mnemonic (Donuts and TLC)

Blood Urea Nitrogen (BUN) Lab Values

Bulimia – Signs and Symptoms 1 Nursing Mnemonic (BULIMIA)

Bulimia – Signs and Symptoms 2 Nursing Mnemonic (WASHED)

Buspirone (Buspar) Nursing Considerations

Calcium-Ca (Hypercalcemia, Hypocalcemia)

Carbamazepine (Tegretol) Nursing Considerations

Chloride-Cl (Hyperchloremia, Hypochloremia)

Chlorpromazine (Thorazine) Nursing Considerations

Cholesterol (Chol) Lab Values

Cognitive Impairment Disorders

Creatinine (Cr) Lab Values

Day in the Life of a Hospice, Palliative Care Nurse

Day in the Life of a Mental Health Nurse

Defense Mechanisms

Defense Mechanisms

Dementia Nursing Mnemonic (DEMENTIA)

Depression Assessment Nursing Mnemonic (SIGNS)

Depression Concept Map

Diazepam (Valium) Nursing Considerations

Disruptive Behaviors, Aggression, Violence for Progressive Care Certified Nurse (PCCN)

Dissociative Disorders

Divalproex (Depakote) Nursing Considerations

Eating Disorders (Anorexia Nervosa, Bulimia Nervosa)

Encephalopathy Case Study (45 min)

End of Life for Progressive Care Certified Nurse (PCCN)

End-of-Life and Palliative Care (Organ and Tissue Donation, Advance Directives, Care Withholding, Family Presence) for Certified Emergency Nursing (CEN)

Escitalopram (Lexapro) Nursing Considerations

Fluoxetine (Prozac) Nursing Considerations

Generalized Anxiety Disorder

Glomerular Filtration Rate (GFR)

Haloperidol (Haldol) Nursing Considerations

Handling Death and Dying

Head to Toe Nursing Assessment (Physical Exam)

Homicidal and Suicidal Ideation for Certified Emergency Nursing (CEN)

Hypochondriasis (Hypochondriac)

Lamotrigine (Lamictal) Nursing Considerations

Lithium (Lithonate) Nursing Considerations

Lithium Lab Values

Liver Function Tests

Lorazepam (Ativan) Nursing Considerations

Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)

Manic Attack – Signs and Symptoms Nursing Mnemonic (DIG FAST)

MAO Inhibitors Nursing Mnemonic (TIPS)

Meds for Alzheimers

Mental Health Course Introduction

Metabolic Alkalosis

Methadone (Methadose) Nursing Considerations

Midazolam (Versed) Nursing Considerations

Mood Disorders (Bipolar, Depression) for Certified Emergency Nursing (CEN)

Mood Disorders (Bipolar)

Mood Stabilizers

Mood Stabilizers

Nurse-Patient Relationship

Nursing Care Plan (NCP) for Alcohol Withdrawal Syndrome / Delirium Tremens

Nursing Care Plan (NCP) for Alzheimer’s Disease

Nursing Care Plan (NCP) for Anxiety

Nursing Care Plan (NCP) for Depression

Nursing Care Plan (NCP) for Dissociative Disorders

Nursing Care Plan (NCP) for Eating Disorders (Anorexia Nervosa, Bulimia Nervosa, Binge-Eating Disorder)

Nursing Care Plan (NCP) for Mood Disorders (Major Depressive Disorder, Bipolar Disorder)

Nursing Care Plan (NCP) for Paranoid Disorders

Nursing Care Plan (NCP) for Personality Disorders

Nursing Care Plan (NCP) for Post-Traumatic Stress Disorder (PTSD)

Nursing Care Plan (NCP) for Schizophrenia

Nursing Care Plan (NCP) for Somatic Symptom Disorder (SSD)

Nursing Care Plan (NCP) for Suicidal Behavior Disorder

Nursing Case Study for (PTSD) Post Traumatic Stress Disorder

Nursing Case Study for Bipolar Disorder

Nursing Case Study for Mania (Manic Syndrome)

Olanzapine (Zyprexa) Nursing Considerations

Oxycodone (OxyContin) Nursing Considerations

Palliative Care for Progressive Care Certified Nurse (PCCN)

Paranoid Disorders

Paroxetine (Paxil) Nursing Considerations

Personality Disorders

Phases of Nurse-Client Relationship

Phosphorus-Phos

Post-Traumatic Stress Disorder (PTSD)

Postmortem Care

Potassium-K (Hyperkalemia, Hypokalemia)

Psychological Disorders (Anxiety, Depression) for Progressive Care Certified Nurse (PCCN)

Quetiapine (Seroquel) Nursing Considerations

Schizophrenia Case Study (45 min)

Senile Dementia – Assess for Changes Nursing Mnemonic (JAMCO)

Sertraline (Zoloft) Nursing Considerations

Sodium-Na (Hypernatremia, Hyponatremia)

Somatoform Disorder Case Study (30 min)

SSRI’s Nursing Mnemonic (Effective For Sadness, Panic, and Compulsions)

Substance Abuse (Alcohol, Drug Withdrawal) for Progressive Care Certified Nurse (PCCN)

Substance Abuse (Chronic Alcohol Abuse, Chronic Drug Abuse) for Progressive Care Certified Nurse (PCCN)

Substance Abuse (Drug-Seeking Behavior) for Progressive Care Certified Nurse (PCCN)

Suicidal Behavior

Therapeutic Communication

Therapeutic Drug Levels (Digoxin, Lithium, Theophylline, Phenytoin)

Thought Disorders (Psychosis, Schizophrenia) for Certified Emergency Nursing (CEN)

Total Bilirubin (T. Billi) Lab Values

Types of Schizophrenia

Urinalysis (UA)

Vitamin B12 Lab Values

12 Points to Answering Pharmacology Questions

6 Rights of Medication Administration

ACLS (Advanced cardiac life support) Drugs

Adenosine (Adenocard) Nursing Considerations

Amiodarone (Pacerone) Nursing Considerations

Anesthetic Agents

Anti-Infective – Antifungals

Anti-Platelet Aggregate

Antianxiety Meds

Antidepressants

Atenolol (Tenormin) Nursing Considerations

Atropine (Atropen) Nursing Considerations

Bariatric: IV Insertion

Basics of Calculations

Benztropine (Cogentin) Nursing Considerations

Bisacodyl (Dulcolax) Nursing Considerations

Buspirone (Buspar) Nursing Considerations

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Cefdinir (Omnicef) Nursing Considerations

Celecoxib (Celebrex) Nursing Considerations

Codeine (Paveral) Nursing Considerations

Combative: IV Insertion

Complex Calculations (Dosage Calculations/Med Math)

Cyclosporine (Sandimmune) Nursing Considerations

Dark Skin: IV Insertion

Dimensional Analysis Nursing (Dosage Calculations/Med Math)

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Drawing Blood from the IV

Drawing Up Meds

Drug Interactions Nursing Mnemonic (These Drugs Can Interact)

Eye Prophylaxis for Newborn

Fentanyl (Duragesic) Nursing Considerations

Geriatric: IV Insertion

Giving Medication Through An IV Set Port

Glipizide (Glucotrol) Nursing Considerations

Guaifenesin (Mucinex) Nursing Considerations

Hanging an IV Piggyback

How to Remove (discontinue) an IV

How to Secure an IV (chevron, transparent dressing)

Hydrocodone-Acetaminophen (Vicodin, Lortab) Nursing Considerations

Hydromorphone (Dilaudid) Nursing Considerations

Injectable Medications

Insulin – Long Acting (Lantus) Nursing Considerations

Insulin – Mixtures (70/30)

Interactive Pharmacology Practice

Interactive Practice Drip Calculations

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 Infusions (Solutions)

IV Insertion Angle

IV Insertion Course Introduction

IV Placement Start To Finish (How to Start an IV)

IV Pump Management

IV Push Medications

Ketorolac (Toradol) Nursing Considerations

Labeling (Medications, Solutions, Containers) for Certified Perioperative Nurse (CNOR)

Lidocaine (Xylocaine) Nursing Considerations

Magnesium Sulfate

Magnesium Sulfate in Pregnancy

Maintenance of the IV

Mannitol (Osmitrol) Nursing Considerations

Medication Errors

Medication Reconciliation Review for Certified Perioperative Nurse (CNOR)

Medications in Ampules

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

Neostigmine (Prostigmin) Nursing Considerations

NG Tube Med Administration (Nasogastric)

NG Tube Medication Administration

Nitro Compounds

NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again

Nystatin (Mycostatin) Nursing Considerations

OB Pharm and What Drugs You HAVE to Know – Live Tutoring Archive

Olanzapine (Zyprexa) Nursing Considerations

Opioid Analgesics in Pregnancy

Oral Medications

Oxycodone (OxyContin) Nursing Considerations

Pain Management for the Older Adult – Live Tutoring Archive

Pain Management Meds – Live Tutoring Archive

Parasympathomimetics (Cholinergics) Nursing Considerations

Patient Controlled Analgesia (PCA)

Pediatric Dosage Calculations

Pentobarbital (Nembutal) Nursing Considerations

Pharmacodynamics

Pharmacokinetics

Pharmacokinetics Nursing Mnemonic (ADME)

Pharmacology Course Introduction

Phenobarbital (Luminal) Nursing Considerations

Phytonadione (Vitamin K) for Newborn

Pill Crushing & Cutting

Procainamide (Pronestyl) Nursing Considerations

Propofol (Diprivan) Nursing Considerations

Quetiapine (Seroquel) Nursing Considerations

Ranitidine (Zantac) Nursing Considerations

Rh Immune Globulin in Pregnancy

Sedatives-Hypnotics

Sedatives-Hypnotics

Selecting THE vein

Spiking & Priming IV Bags

Streptokinase (Streptase) Nursing Considerations

Struggling with Dimensional Analysis? – Live Tutoring Archive

SubQ Injections

Supplies Needed

Tattoos IV Insertion

The SOCK Method – C

The SOCK Method – K

The SOCK Method – O

The SOCK Method – Overview

The SOCK Method – S

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

Tips & Advice for Newborns (Neonatal IV Insertion)

Tips & Advice for Pediatric IV

Understanding All The IV Set Ports

Using Aseptic Technique

Verapamil (Calan) Nursing Considerations

03.02 Diabetes Insipidus for CCRN Review

03.01 Syndrome of Inappropriate Antidiuretic hormone (SIADH) for CCRN Review

03.03 Hypoglycemia for CCRN Review

03.04 DKA vs HHNK for CCRN Review

05.02 Liver Overview and Disease for CCRN Review

Absolute Neutrophil Count (ANC) Lab Values

ACE (angiotensin-converting enzyme) Inhibitors

Addisons Assessment Nursing Mnemonic (STEROID)

Addisons Disease

Airway Suctioning

Calcium Channel Blockers

Causes of Pancreatitis Nursing Mnemonic (BAD HITS)

Cirrhosis Complications Nursing Mnemonic (Please Bring Happy Energy)

Coagulation Studies (PT, PTT, INR)

Crohn’s Morphology and Symptoms Nursing Mnemonic (CHRISTMAS)

Cushings Assessment Nursing Mnemonic (STRESSED)

Diabetes Insipidus Case Study (60 min)

Diabetes Insipidus Nursing Mnemonic (DDD)

Diabetes Management

Diabetes Mellitus (DM) Module Intro

Diabetes Mellitus & Those Dang Blood Sugars! – Live Tutoring Archive

Diabetes Mellitus Case Study (45 min)

Diabetes Mellitus for Progressive Care Certified Nurse (PCCN)

Diabetes Mellitus Type 1- Signs & Symptoms Nursing Mnemonic (The 3 P’s)

Diabetic Emergencies for Certified Emergency Nursing (CEN)

Diabetic Ketoacidosis (DKA) Case Study (45 min)

Diabetic Ketoacidosis for Progressive Care Certified Nurse (PCCN)

Diagnostic Criteria for Lupus Nursing Mnemonic (SOAP BRAIN MD)

DKA Treatment Nursing Mnemonic (KING UFC)

Hypoglycemia symptoms Nursing Mnemonic (DIRE)

Hypoglycemia Management Nursing Mnemonic (Cool and Clammy – Give ‘Em Candy)

Hypoglycemia for Progressive Care Certified Nurse (PCCN)

Hypoglycemia – Signs and Symptoms Nursing Mnemonic (TIRED)

Hypocalcemia – Definition, Signs and Symptoms Nursing Mnemonic (CATS)

Hypertonic Solutions (IV solutions)

Hypoparathyroidism

Hypothermia (Thermoregulation)

Hypotonic Solutions (IV solutions)

Insulin – Intermediate Acting (NPH) Nursing Considerations

Insulin – Mixtures (70/30)

Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations

Insulin – Short Acting (Regular) Nursing Considerations

Insulin Mnemonic (Ready, Set, Inject, Love)

Intake and Output (I&O)

Iron (Fe) Lab Values

Leukemia – Signs and Symptoms Nursing Mnemonic (ANT)

Leukemia Case Study (60 min)

Metformin (Glucophage) Nursing Considerations

Metoprolol (Toprol XL) Nursing Considerations

Multiple Myeloma

Nursing Care and Pathophysiology for Crohn’s Disease

Nursing Care and Pathophysiology for Cushings Syndrome

Nursing Care and Pathophysiology for Diabetes Insipidus (DI)

Nursing Care and Pathophysiology for Hepatitis (Liver Disease)

Nursing Care and Pathophysiology for Herpes Simplex (HSV, STI)

Nursing Care and Pathophysiology for Hyperparathyroidism

Nursing Care and Pathophysiology for Hyperthyroidism

Nursing Care and Pathophysiology for Hypothyroidism

Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)

Nursing Care and Pathophysiology for Rhabdomyolysis

Nursing Care and Pathophysiology of Diabetes Mellitus (DM)

Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Addison’s Disease (Primary Adrenal Insufficiency)

Nursing Care Plan (NCP) for Chronic Kidney Disease

Nursing Care Plan (NCP) for Cushing’s Disease

Nursing Care Plan (NCP) for Diabetes

Nursing Care Plan (NCP) for Diabetes Insipidus

Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)

Nursing Care Plan (NCP) for Hashimoto’s Thyroiditis

Nursing Care Plan (NCP) for Hyperthyroidism

Nursing Care Plan (NCP) for Hypoglycemia

Nursing Care Plan (NCP) for Hypoparathyroidism

Nursing Care Plan (NCP) for Hypothyroidism

Nursing Care Plan (NCP) for Hypovolemic Shock

Nursing Care Plan (NCP) for Leukemia

Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)

Nursing Care Plan for Cirrhosis (Liver)

Nursing Case Study for Type 1 Diabetes