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Mind Altering (Anesthesia (Moderate (Drugs (Opioids (Fentanyl, Morphine),…

- - - - etomidate (Amidate)
  - - - Benzodiazapenes
        
        Versed
      - Opioids
        
        Fentanyl
        
        Morphine
    - - Have advanced life support cert to administer and monitor
      - Intubation capabilities available
  - - - lidocaine (Xylocaine)
        
        Nerve block - no pain, but maintain movement
- - - - Cannot be used with naltexone (ReVia)
- - - - Contra's
        
        Significant cardiac, renal disease
        
        pregnancy
      - Interactions
        
        Alchohol
        
        NSAIDs
        
        Diuretics
      - Nursing Considerations
        
        Requires therapeutic levels
        
        Monitor Na levels
        
        drink plenty of water
    - - Drugs
        
        Neuropleptics
        
        Phenothiazines
        
        chloropromazine (Thorazine)
        
        Adverse effects
        
        Excessive sedation
        
        Slurred Speech
        
        impaired mental processes
        
        Nursing considerations
        
        Photosensitivity
        
        Nonphenothiazines
        
        EPS symptoms in newborns from mother taking drug in last trimester
        
        Nursing considerations
        
        administer w/ food
        
        watch phtosensitivity
        
        do not take w/ CNS depressants