Hi Brandon! You are being discharged today. I am giving you Hydrocodone prescription. It is an opioid analgesic that is used for moderate to severe pain when alternative treatments are inadequate.It binds to the opiate receptors in our central nervous system and alters the perception of pain.
Oh thank you. Yes i really need that for my recent appendectomy. I am in nursing school and i learned that its adverse effects are confusion, dizziness, blurred vision, double vision, headache, sedation, respiratory depression, hypotension, bradycardia, constipation, nausea, vomiting, physical & psychological dependence and tolerance right?
Yes Brandon you are right. Contact your doctor if pain gets worse or you have a reaction. It should be used cautiously when taking MAOI. Don't use it within 14 days of each other. Using with CYP3A4 inhibitors like Ketoconazole increases effects and with CYP3A4 inducers decreases effects.Using with alcohol, antihistamine, and sedatives increasees CNS depression. Using with anticholinergic drugs can increase risk of urinary retention and constipation. Concomitant use of Kava-Kava, valerian, skullcap, chamomile, or hops increases CNS depression too.
oh wow. What else should I be careful about?
It has abuse potential, withdrawal symptoms after long use. Protect from theft. Avoid driving or activities that requires alertness, change position slowing, use laxatives to prevent constipation and cough & deep breathe every 2 hours to prevent atelectasis. Perform good oral hygiene, and use sugarless gum/candy to avoid dry mouth. Avoid using alcohol or other CNS depressants concurrently. You can take it with food or milk to minimize stomach irritation. Take it as recommended by your doctor or as needed.
Thank you so much. I'll buy docusate, avoid alcohol, and will use it according to the level of my pain.
Reference: Deglin, J. H., Sanoski, C., Vallerand, A. H. (2017). Davis's Drug Guide for Nurses (15th ed.) Skyscape Medical Resources (Version 2.6.9) [Mobile application software]. Retreived from http://itunes.apple.com/
Lilley, R. A., Collins, S. R., & Snyder, J. S. (2017) Pharmacology and the nursing process (8th ed.). St. Louis, Missouri: Elsevier. Members:1. Andreana Min- Pharmacological action & interactions. 2. Kamal Ishiaka- collected potential complications, made storyboard.
3. Monila Khadka- Helped collect client teaching, put references in APA and make story board. 4. Nermine Rofael- Helped collect interactions, indication, therapeutic use, make story board.