Pain

• Non-Opioid Analgesics

  acetaminophen
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDS)

  naproxen, ibuprofen, ketorolac
• Non-Steroidal Anti-Inflammatory Drugs (NSAIDS) Management

  mild to moderate pain
• Non-steroidal anti-inflammatory Drugs (NSAIDS) Metabolize

  in liver
• non-steroidal anti-inflammatory drugs (nsaids) Excreted:

  in kidneys
• non-steroidal anti-inflammatory drugs (nsaids) Side Effects:


  GI Bleeding, taken with food
• non-steroidal anti-inflammatory drugs (nsaids)Contraindicated 


  with patients with severe liver disease
• non-steroidal anti-inflammatory drugs (nsaids) Education


  GI bleeding, other meds might already have acetaminophen already
• Opioid Analgesics / Narcotics


  morphine , hydromorphone, hydrocodone with acetaminophen, meperidine HCL, oxycodone HCL acetaminophen, fentanyl [ seen a lot in patches, for chronic pain for constant relief, but still may have PRN med ]
• Opioid Analgesics / Narcotics Management

  moderate to severe pain
• moderate to severe pain Metabolize

  in liver
• Opioid Analgesics / Narcotics Excreted

  in kidneys
• Opioid Analgesics / Narcotics Side Effects

  hypotension, sedation (but should be arousable), nausea, constipation, respiratory depression
• Opioid Analgesics / Narcotics Assessment 


  vital signs to determine if can take, determine level of consciousness, last bowel movement, increase fluids/ fiber, risk for falls because of hypotension. Look for Respiratory depression , anything lower than 10 breaths per minute, need to further assess
• Opioid Analgesics / Narcotics Educate

  safety, coughing/ deep breathing exercises
• Opioid Antagonist/ Antidote : naloxone (narcan)