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For today i’m serving you another nursing drug study about aspirin if you want to know more about that stay tuned welcome back to my channel if you’re new here my name is and i’m a registered nurse and i do have a degree in medical surgical nursing i create nursing educational content to help nursing students with their studies if that’s something that you are
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Up and share with your friends because that will really help me know that you’d like to see more contents like this without further ado let’s jump into the video for today we’re going to have a thorough drug study of aspirin in order for me to do that i’ll switch back to my pc and i’ll see you guys in a bit hi everybody welcome to satin formal discussion on young
Aspirin nursing drug study yes in some point in your nursing life you will meet this guy in the area or in the pre-hospital setting you might as well get acquainted with this guy not just get acquainted but totally know and understand the concept of your aspirin now let me share to you our objectives for today we’re going to have classification generic brand
Name round and dose we’re also going to discuss about mechanism of action indications contraindications adverse effects nursing responsibilities of course and we’re gonna have a short quiz all right let’s begin classification generic and brand name including your route and dose of administration okay very simple yes aspirin belongs to the drug class salicylates
Generic name of course is aspirin you have two brand names you have your aspirin from bayers manufacturers and amperine the route is pretty much the same there’s only one round for aspirin it’s just oral but two different choices so you will administer 300 to 325 milligrams per orange if you are given this as a blood thinner this is actually the first line of
Medications among mi’s angina such as pain now you need to ask your patient to chew do not swallow but you and then for treatment of headache you’re gonna give 500 milligrams every four hours to six hours indication mechanism of action on young aspirin well it inhibits synthesis of prostaglandin and inflammatory reaction mediators antiparetic effect is through
Blocking prostaglandin mediators of hyrule genes what are pyrogenes this is the chemicals released by active white blood cells that cause increase in body temperature at the thermoregulator centers of hypothalamus aspirin at low levels can affect reduced platelet aggregation by inhibiting syntheses of thromboxane alpha a potent vasoconstrictor that normally
Increases platelet aggregation blood clot formation on the other hand at higher levels it inhibits the synthesis of prostacyclin a vasodilator that inhibits platelet aggregation what are the indications well there’s two i list two here you have as a blood thinner and for acute pain now for acute pain aspirin is similarly efficient as paracetamol on trivial acute
Pain example acute pain molyumanga headaches dental pain or colds however it is also used for chronic states of pain example for cancer patients for other rheumatic diseases such as your chronic polyarthritis osteoarthritis etc and for dysmenorrhea aspirin is not as efficient or not as well tolerated as other prostaglandin synthesis inhibitors such as ibuprofen
In small doses 330 to 300 milligrams per day of aspirin serves as the prevention of thromboembolic angiopathies it is used as well documented as a secondary prophylaxis for coronary heart disease after a myocardial infarction or bypass operation aspirin is also used after transient ischemic attacks and cerebral vascular accidents and for peripheral occlusive
Arterial disease aspirin can be used for acute pain and blood thinner all right what are the contraindication of your aspirin you guys well first allergy to salicylates and seeds and tartarus in you guys because of food coloring opponents young food coloring okay and opa bleeding abnormalities changes in platelet aggregation since aspirin is for a blood thinner
It can promote further bleeding now impaired renal function you need to understand that this drug is suscripted through urine so you need to check renal function if you have impaired renal function how is the body able to excrete this medication next chickenpox or influenza risk of rye syndrome in children and teenagers surgery or other invasive procedure within
One week because of what risk of increased bleeding pregnancy and lactation potential adverse effects on the neonate or mother what are the adverse effects of your aspirin okay he says gi problems nausea dyspepsia heartburn epigastric discomfort are some of the adverse effect of your aspirin say young blood you have blood loss bleeding abnormalities warning
Warning sign nothing detanglism this can occur with high levels of aspirin characterized by dizziness ringing in the ears difficulty hearing nausea vomiting and diarrhea this also involves mental confusion and latitude if you have a patient who is um you know in aspirin therapy you might want to observe for such lines like this because that will prompt you that
Your patient is having adverse effect of your aspirin what you’re going to do is to report that to your physician you need to check out for the warning signs of acute salicylate toxicity this occurs at doses of 20 to 25 grams in adults or four grams in children signs include hypernia tachypnea hemorrhage excitement confusion pulmonary edema convulsions tetany
Metabolic acidosis fever coma and cardiovascular renal and respiratory collapse guys be mindful of the signs and symptoms nursing responsibilities definition nursing responsibilities when giving out aspirin assess for contraindications or cautions example history of allergy to salicylate antartic resin renal disease bleeding disorders pregnancy and lactation to
Avoid what adverse effects now establish baseline physical assessment to monitor for any potential adverse effects assess for presence of skin lesions the monitor for dermatological effects monitor temperature to evaluate drugs effectiveness in lowering temperature evaluate central nervous system status to assess cns effect of the drug bucket evaluation remember
Monitor pulse blood pressure and perfusion to assess for bleeding effects of cardiovascular effects of the drug evaluate respirations and advantageous sounds to detect hypersensitivity reactions perform a liver evaluation and monitor bowel sounds to detect hypersensitivity reactions bleeding and gi effects of the drug monitor laboratory tests for cbc liver and
Renal function tests urinalysis stool geac and clotting times to detect bleeding or other adverse effects of the drug and changes in function that could interfere with the drug metabolism and excretion nursing intervention administer drug with food to elevate gi effects check all drugs being taken for possible salicylate ingredients to avoid toxic levels monitor
For severe reactions to avoid problems and provide emergency procedure example emergency procedure mo eye gastric lavage induction of vomiting etc now our range for supportive care and comfort measures example nitto unrest environment control to decrease body temperature or to elevate infiltration ensure patient is well hydrated during therapy to increase risk of
What toxicity provide patient education about drug effects and warning signs to increase knowledge about drug therapy a chambray annual health teachings you need to provide patient education about drug effects and warning signs to increase knowledge about drug therapy and to increase compliance to medication all right i think short quiz i will give you ten items
And five minutes to answer this questions let’s go 300 to 325 milligrams per orange then you ask your patient to chew literacy number two true or false aspirin has two indications one of which is as a blood thinner related to the question number one the answer is true remember what is the priority nursing action prior to giving aspirin and that’s a good detail
You guys the answer is letter a nalal subordinate exam capacity assessment aspirin is a blood thinner and put the patient in high risk for bleeding number four a nurse is attending to a patient who is in ongoing aspirin therapy what signs and symptoms will prompt the nerves that the patient is developing what’s alicialism the answer is letter c that’s why you
Need to check your cnn status right number five the nurse understands that in administering aspirin the drug should be given with food to what what is the rationale this is to prevent gi effects yes because this could be irritating to the gi and can cause gi discomfort number six true or false ah typographical error but true at higher levels aspirin inhibits
The synthesis of prostate cyclin a vasodilator that inhibits platelet aggregation the answer is true number seven the nurse should ensure the patient number seven the nurse should ensure that the patient who is on aspirin therapy is well hydrated to ensure what decreased nephrotoxicity why anode needed to uh through urine so hyaluronicia well hydrated actually
During the therapy tara ma promote or my facilitate nathaniel excretion through urine now attain aspirin number eight the nurse is reviewing the history of a patient who is newly admitted to the ward before carrying out the order of the doctor to start aspirin therapy what information will prompt the nurse that aspirin therapy is contraindicated to the patient
Indication now aspartame indicated the answer is letter a patient underwent appendectomy seven days prior to admission why because for the risk of leading all right number nine the nurse is caring for number nine the nurse is caring for a patient who is on aspirin therapy during his rounds he noticed that the patient is having hyperpnia tachypnea confusion and
Pulmonary edema what should the nurse next action relay data to the attending physician you don’t just document because you know that this is the acute sign of toxicity number 10 true or false the nurse should also evaluate cnn status to assess cns effects of the drug of course true all right you guys let me know how well you did on this um uh quiz so once again
Thank you so much you guys for watching i hope you learned something please like share and subscribe to my channel for more nursing educational content now i also encourage you guys to check out the playlists i created for you i’ll be putting just check out my channel it’s all in there i also have other drug study and there i will create upcoming videos related
To nursing pharmacology so if you have any suggestions any requests any lectures that you want us to do put it down in the comment section below okay and help me grow my channels per revenues per revenues share to your nursing friends all right you guys you stay safe thank you so much you guys for watching hope you enjoyed this one helping grow my channel you’re
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Transcribed from video
ASPIRIN (ASA) COMPLETE NURSING DRUG STUDY | NURSING PHARMACOLOGY | NEIL GALVE By Neil Galve
