What is a contraindication for the administration of butorphanol?
Contraindications. Butorphanol Tartrate Injection is contraindicated in: Patients with significant respiratory depression (see WARNINGS) Patients with acute of severe bronchial asthma in an unmonitored setting or in the absence of resuscitative equipment (see WARNINGS)
Why morphine is contraindicated in respiratory depression?
Morphine and related opioids reduce respiratory drive by shifting the ventilation–arterial carbon dioxide partial pressure (Paco2) response curve down and to the right. Therefore, patients who retain carbon dioxide are most sensitive to the respiratory depressant actions of opioids.
What should you assess before giving stadol?
Examination and Evaluation
- Monitor signs of GI bleeding, including abdominal pain, vomiting blood, blood in stools, or black, tarry stools.
- Monitor signs of allergic reactions and anaphylaxis, including pulmonary symptoms (laryngeal edema, wheezing, cough, dyspnea) or skin reactions (rash, pruritus, urticaria).
What is butorphanol nasal spray?
Butorphanol nasal spray is used to relieve pain severe enough to require opioid treatment and when other pain medicines did not work well enough or cannot be tolerated. It belongs to the group of medicines called narcotic analgesics (pain medicines). Butorphanol acts on the central nervous system (CNS) to relieve pain.
How is stadol nasal spray supplied?
Butorphanol Tartrate Nasal Spray 10 mg/mL is supplied in a 2.5 mL bottle of nasal spray solution with a metered-dose spray pump. On average, one bottle will deliver 14 to 15 doses if no repriming is necessary.
How is respiratory depression treated with morphine?
The only treatment currently available to reverse opioid respiratory depression is by naloxone infusion. The efficacy of naloxone depends on its own pharmacological characteristics and on those (including receptor kinetics) of the opioid that needs reversal.
How does morphine cause respiratory depression pathophysiology?
Opioids induce respiratory depression via activation of μ-opioid receptors at specific sites in the central nervous system including the pre-Bötzinger complex, a respiratory rhythm generating area in the pons.
What is the nursing considerations for ketorolac?
RISK DURING LABOR AND DELIVERY The use of TORADOL (ketorolac tromethamine) is contraindicated in nursing mothers because of the potential adverse effects of prostaglandin-inhibiting drugs on neonates.
What are the side effects of sodium chloride nasal spray?
Sodium chloride intranasal spray (Ocean, Ayr Saline, Humist, NaSal, Little Noses, Ocean for Kids) is an over-the-counter (OTC) product used to relieve nasal dryness and congestion. Sodium chloride intranasal spray also is used as a pretreatment for nasal steroid administration. Common side effects include: Cough. Nose irritation.
How often can you use sodium chloride nasal spray?
Sodium chloride nasal 0.2% spray: 1 or 2 sprays in each nostril every 4 hours as needed. Usual Pediatric Dose for Nasal Congestion: Sodium chloride nasal buffered 0.9% powder for reconstitution: 5 years or older: Nasally once or twice daily. Sodium chloride nasal 0.2% spray: 2 years or older: 1 spray in each nostril every 4 hours as needed.
What is sodium chloride used for in the nose?
Sodium chloride nasal (for use in the nose) is used to treat stuffy nose, post-nasal drip, dryness inside your nose and nasal passages, or nasal irritation caused by colds, flu, allergies, or pollutants. This product contains a purified gentle salt solution (also called saline).
What is in a saline solution nasal spray?
This product contains a purified gentle salt solution (also called saline or sodium chloride solution). It does not contain any medication. Spray this product into each nostril as needed or as directed by your doctor. This product may also be given into the nose as drops or a stream.