Answer these questions: What class of pain medications typically should not be ordered for a moderately hepatic-impaired patient, or must be hepatic dosed adjusted? According to the Pharmacotherapeutics for Advanced Practice Nurse Prescribers textbook, pure opioid agonists such as Morphine have the effects such as respiratory depression

Nursing Question

1. What class of pain medications typically should not be ordered for a moderately hepatic-impaired patient, or must be hepatic dosed adjusted? Opioid analgesics  
2.  According to the Pharmacotherapeutics for Advanced Practice Nurse Prescribers textbook, pure opioid agonists such as Morphine have the effects such as respiratory depression. From your textbook, list 5 more possible effects of pure opioid agonists

• Constipation
• Nausea and vomiting
• Extreme sadness or happiness
• Sweating
• Drowsiness

3. Cough medications with codeine or antidiarrheal are what type of Scheduled medication? Schedule III 
4. Benzodiazepines must be tapered when you plan to discontinue them? Here’s your choices- Abruptly stopped, tapered, dosed around the clock to be effective, or have thorough renal and hepatic labs before prescribing.
5. How many refills can a patient have for Methylphenidate (Ritalin)? Methylphenidate is not refillable because of federal control.
6. What are the unique characteristics of Oxycodone (Oxycontin), aside from its potency? What Controlled Drug Schedule is it? Oxycodone is a semi-synthetic opioid having an analgesic effect. It has an excellent oral bioavailability due to its ability to retain half of its palliative power on oral administration. Oxycodone is under the schedule II drugs.
7. According to the Pharmacotherapeutics for Advanced Practice Providers textbook, severe toxicity has occurred in breastfed infants whose mothers are taking codeine