OB_Stadol (butorphanol)

OB_Stadol (butorphanol) - Stadol (butorphanol) Routine use:...

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Stadol (butorphanol) Routine use: Management of moderate to severe pain. IM (Adults): 2 mg q 3-4 hr as needed (range 1-4 mg). IV (Adults): 1 mg q 3-4 hr as needed (range 0.5-2 mg). Intranasal (Adults): 1 mg (1 spray in 1 nostril) initially. An additional dose may be given 60-90 min later. This sequence may be repeated in 3-4 hr. If pain is severe, an initial dose of 2 mg (1 spray in each nostril) may be given. May be repeated in 3-4 hr. C- Therapeutic: opioid analgesics Pharmacologic: opioid agonists/antagonists A- Decreased severity of pain. Major side effects: CNS: confusion , dysphoria , hallucinations , sedation , euphoria, floating feeling, headache, unusual dreams. EENT: blurred vision, diplopia, miosis (high doses). Resp: respiratory depression. CV: hypertension, hypotension, palpitations. GI: nausea , constipation, dry mouth, ileus, vomiting. GU: urinary retention. Derm: sweating , clammy feeling. Misc: physical dependence, psychological dependence, tolerance. Nursing Implications: Assess type, location, and intensity of pain before and 30-60 min after IM, 5 min after IV, and 60-90 min after intranasal administration. When titrating opioid doses, increases of 25-50% should be administered until there is either a 50% reduction in the patient's pain rating on a numerical or visual analogue scale or the patient reports satisfactory pain relief. A repeat dose can be safely administered
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This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

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OB_Stadol (butorphanol) - Stadol (butorphanol) Routine use:...

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