![]() Document whether this drug is effective as a cough suppressant. ![]() You can use the study as a second opinion to make health care decisions. ![]() Conclusion While opioids are an important tool that can be effective for the treatment of chronic pain, it is important for the clinician to be aware of the risks associated with this class of medication. The phase IV clinical study is created by eHealthMe based on reports (from sources including the FDA) of 312,722 people who take Norco and Medrol, and is updated regularly. Cardiac side effects may range from agitation and palpitations to rhythm abnormalities, conduction defects, and cardiac arrest. If used as a cough suppressant, assess cough and lung sounds (See Appendix K) and monitor sputum production. We compare the side effects and drug effectiveness of Norco and Medrol. Report balance problems and functional limitations to the physician and nursing staff, and caution the patient and family/caregivers to guard against falls and trauma. Tolerance, dependence and addiction are the main side effects of long-term Norco use. Report slow heart rate (bradycardia) or symptoms of other arrhythmias, including palpitations, chest discomfort, shortness of breath, fainting, and fatigue/weakness.Īssess dizziness that might affect gait, balance, and other functional activities (See Appendix C). Report low blood pressure (hypotension), especially if patient experiences dizziness, fainting, or other symptoms.Īssess heart rate, ECG, and heart sounds, especially during exercise (See Appendices G, H). CNS: confusion, dizziness, sedation, euphoria, hallucinations, headache, unusual dreams. Use appropriate pain scales (visual analogue scales, others) to document whether this drug is successful in helping manage the patient's pain.Īssess blood pressure periodically and compare to normal values (See Appendix F). Notify physician or nurse immediately if patient is unconscious or extremely difficult to arouse. ![]() Excessive respiratory depression requires emergency care.īe alert for excessive sedation or changes in mood and behavior (euphoria, confusion, hallucinations). Monitor pulse oximetry and perform pulmonary function tests (See Appendix I) to quantify suspected changes in ventilation and respiratory function. Early symptoms of opioid withdrawal can include: Agitation Anxiety Sleep. Assess symptoms of respiratory depression, including decreased respiratory rate, confusion, bluish color of the skin and mucous membranes (cyanosis), and difficult, labored breathing (dyspnea). Drowsiness, excessive fatigue, or sleepiness Less common side effects include throat irritation, heartburn, headaches, irritability and mood swings, tingling in the fingers and toes, and mouth ulcers. Acute withdrawal symptoms can last between 4-10 days for short-acting opioids. ![]()
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