Phenobarbital (Luminal) Nursing Considerations
Included In This Lesson
Study Tools For Phenobarbital (Luminal) Nursing Considerations
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
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.
Rina’s NCLEX Study Plan
Concepts Covered:
- Cardiovascular
- Emergency Care of the Cardiac Patient
- Circulatory System
- Cardiac Disorders
- Disorders of the Posterior Pituitary Gland
- Endocrine
- Disorders of Pancreas
- Disorders of the Thyroid & Parathyroid Glands
- Hematology
- Gastrointestinal
- Liver & Gallbladder Disorders
- Lower GI Disorders
- Multisystem
- Neurological
- Nervous System
- Central Nervous System Disorders – Brain
- Renal
- Respiratory
- Urinary System
- Respiratory System
- Noninfectious Respiratory Disorder
- Basics of NCLEX
- Test Taking Strategies
- Respiratory Disorders
- Hematologic Disorders
- EENT Disorders
- Basics of Chemistry
- Adult
- Medication Administration
- Acute & Chronic Renal Disorders
- Emergency Care of the Respiratory Patient
- Respiratory Emergencies
- Studying
- Substance Abuse Disorders
- Disorders of the Adrenal Gland
- Behavior
- Infectious Disease Disorders
- Oncology Disorders
- Female Reproductive Disorders
- Anxiety Disorders
- Renal Disorders
- Prenatal Concepts
- Vascular Disorders
- Gastrointestinal Disorders
- Peripheral Nervous System Disorders
- Integumentary Disorders
- Immunological Disorders
- Sexually Transmitted Infections
- Upper GI Disorders
- Microbiology
- Labor and Delivery
- Communication
- Proteins
- Newborn Care
- Hematologic System
- Urinary Disorders
- Eating Disorders
- Musculoskeletal Disorders
- Bipolar Disorders
- Terminology
- Pregnancy Risks
- Concepts of Population Health
- Factors Influencing Community Health
- Postpartum Complications
- Prioritization
- Psychotic Disorders
- Basics of Human Biology
- Neurologic and Cognitive Disorders
- Labor Complications
- Writing
- Statistics
- Community Health Overview
- Dosage Calculations
- Musculoskeletal Trauma
- Neurological Trauma
- Note Taking
- Cardiovascular Disorders
- Concepts of Mental Health
- Health & Stress
- Endocrine and Metabolic Disorders
- Cognitive Disorders
- Depressive Disorders
- Developmental Considerations
- Shock
- Documentation and Communication
- Legal and Ethical Issues
- EENT Disorders
- Fundamentals of Emergency Nursing
- Emotions and Motivation
- Renal and Urinary Disorders
- Digestive System
- Integumentary Disorders
- Intraoperative Nursing
- Fetal Development
- Basics of Mathematics
- Prenatal and Neonatal Growth and Development
- Childhood Growth and Development
- Preoperative Nursing
- Postoperative Nursing
- Neurological Emergencies
- Understanding Society
- Somatoform Disorders
- Reading
- Emergency Care of the Neurological Patient
- Infectious Respiratory Disorder
- Metabolism
- Oncologic Disorders
- Developmental Theories
- Basics of Sociology
- Emergency Care of the Trauma Patient
- Med Term Basic
- Med Term Whole
- Suffixes
- Central Nervous System Disorders – Spinal Cord
- Muscular System
- Neonatal
- Newborn Complications
- Male Reproductive Disorders
- Adulthood Growth and Development
- Perioperative Nursing Roles
- Concepts of Pharmacology
- Endocrine System
- Postpartum Care
- Trauma-Stress Disorders
- Psychological Disorders
- State of Consciousness
- Shock
- Skeletal System
- Learning Pharmacology
- Hematologic Disorders
- Prefixes
- Delegation
- Tissues and Glands
- Personality Disorders
- Basic
- Musculoskeletal Disorders
- Disorders of Thermoregulation
- Integumentary Important Points
- Reproductive System
- Psychological Emergencies
- Growth & Development
- Intelligence and Language
- Pediatric
- Sensory System