The nurse is caring for a patient who has severe burning pain in his right arm caused by a compressed nerve in his neck
Which medications can be used along with a narcotic pain reliever to relieve the patient's pain until surgery can be performed to release the nerve? (Select all that apply.)
a.
Diphenhydramine (Benadryl) 50 mg PO daily
b.
Amitriptyline (Elavil) 50 mg PO BID
c.
Ondansetron (Zofran) 8 mg PO q 4 hours PRN
d.
Gabapentin (Neurontin) 400 mg PO BID
e.
Senna (Senokot) 8.6 mg PO daily
f.
Naloxone (Narcan) 0.4 mg IV now, may repeat in 1 hour PRN
ANS: B, D
Tricyclic antidepressants like Elavil and anticonvulsants like Neurontin are often used to treat neuropathic pain because they work directly on the nervous system. They may be given along with narcotic pain medication to make the patient comfortable. Senokot will relieve constipation and Benadryl will relieve itching. Zofran is used to relieve nausea and vomiting whereas Narcan will reverse narcotic-induced respiratory suppression.
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