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Opioids - Coggle Diagram
Opioids
Contraindications
Asthma
Obesity
Enlarged prostates
Hepatic or Renal disease
Inflammatory bowel disease
CNS Depressants
Antihypertensives
Extreme ages
anticholinergic
Adverse Effects
Nausea
Acute Toxicity
Respiratory Depression
Less than 12 bpm
Constipation
Sedation
Urinary Retention
Pitting edema, Increased BUN and creatinine
Orthostatic Hypotension
Nursing Actions
Avoid sudden changes in position
Give the antidote is respiratory rate is less than 12
elimination of urine every 4 hours
Increase fiber and fluids for constipation
codeine-assess for crackling lungs and regular cough
Antidote: Narcan
Indications
Analgesia (moderate to severe)
Sedation
Euphoria
Resolution of diarrhea
Cough suppression (codeine only)
Treats MI by vasodilation (morphine only)
Activates MU and Kappa Receptors
morphine
Helps with vasodilation
Not for GI/ Biliary tract surgery
meperidine
risk of seizures
codeine
Anti-tussive
fentanyl
oxycodone
hydromorphone