Course
Objectives
At the end of this course,
participants will be able to:
- Identify individuals who are at greatest
risk for having their pain under-treated.
- Distinguish between nociceptive and neuropathic pain.
- Identify 3 classifications of analgesic drugs.
- Identify the mechanism of action, side effects, and maximum daily dose
of acetaminophen.
- Identify the relationship between aspirin and Reyes syndrome.
- Recognize the mechanism of action of nonsteroidal anti-inflammatory drugs
(NSAIDs) and distinguish between nonselective and selective NSAIDS.
- Identify common side effects of NSAIDs, ways to prevent and/or manage them
and advantages and disadvantages of combining NSAIDs with opioid analgesics.
- Discuss the concept of "opioid dose sparing."
- Identify the mechanism of action of mu agonist opioid analgesics.
- Discuss the concept of "analgesic ceiling."
- List 3 opioid analgesics that are commonly used to treat severe escalating
acute pain.
- Discuss guidelines for using opioid analgesics and the concept of "titrating
to effect" as it applies to opioid analgesics.
- Recognize the rationale for avoiding using meperidine as an analgesic.
- Discuss the value of giving analgesics on an around-the-clock rather than
on a PRN basis to manage continuous pain
- Recognize common side effects associated with opioid analgesics and ways
to manage side effects.
- Recognize ways to assess respiratory depression in patients receiving
opioid analgesics.
- Distinguish among the terms "tolerance," "physical dependency,"
and "addiction."
- Identify the percentage of patients who become addicted to opioids when
receiving them under medical supervision.
- Discuss conditions under which the following administration routes for
opioid analgesics are used: oral, rectal, subcutaneous, intramuscular, intravenous,
transdermal, and intrathecal.
- Recognize nursing considerations for patients receiving opioid analgesics
and identify ways in which patients receiving opioids can minimize adverse
effects.
- Discuss the mechanism of action of antidepressants and anticonvulsants
in relation to pain management.
- Evaluate the effects of the CDC
Opioid Guidelines on your nursing practice.