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N- drug list

QuestionAnswer
ACETAMINOPHEN (Tylenol) - CLASSIFICATION *Non opiod analgesic; * Antipyretic
ACETAMINOPHEN (Tylenol) - ACTION analgesic pain reliver, fever reducer
ACETAMINOPHEN (Tylenol) - WHY PT IS TAKING THIS mild to moderate pain/fever
ACETAMINOPHEN (Tylenol) - S/E hepatoxicity, liver failure, jaundice, clay colored stools
ACETAMINOPHEN (Tylenol) - NI assess how many mg pt consumes in 24 hrs. b) no more than 4000mg/24 hrs. c) many pain meds contain acetaminophen-hydrocodone. D) ANTIDOTE - acetlycysteine (MUCOMYST)
ASPIRIN (Bayer aspirin) - CLASSIFICATION antiinflamatory, analgesic, blood thinner, antipyretic
ASPIRIN (Bayer aspirin) - ACTION antipostaglandin activity, decreases platelet aggregation, NSAID, fever reducer
ASPIRIN (Bayer aspirin) - WHY PT IS TAKING THIS fever, heart attack, pain relief
ASPIRIN (Bayer aspirin) - S/E GI Irritation, occult bleeding, tinnitus, dizziness, confusion
ASPIRIN (Bayer aspirin) - NI contraindicated for clients less than 21 yrs due to Reys syndrome. B) monitor for GI bleeding, gum bleeding, skin bruising
ATORVASTATIN (Lipitor) - CLASSIFICATION antilipidemic
ATORVASTATIN (Lipitor) - ACTION inhibits HMG-CoA enzyme which decreases cholesterol& triglyceride synthesis
ATORVASTATIN (Lipitor) - WHY PT IS TAKING THIS hypercholesterolemia, elevated total & LDL cholesterol, reduce incidence of CV disease
ATORVASTATIN (Lipitor) - S/E myopathy, increased liver enzymes
ATORVASTATIN (Lipitor) - NI dec total cholesterol LDL, triglycerides, inc HDL. B) take w food, absorp dec by 30% on empty stomach. Avoid alcohol. C) notify MD stat for unexplained muscle pain, fever, malaise. D) monitor LFT's. E) take at night
CAPTOPRIL (Capoten) - CLASSIFICATION ACE inhibitor, antihypertensive
CAPTOPRIL (Capoten) - ACTION prevents conversion of angiotensin I to angiotensin II. Vasodilation. Dec NA & water retention. Dec B/p
CAPTOPRIL (Capoten) - WHY PT IS TAKING THIS Tx of HTN & CHF
CAPTOPRIL (Capoten) - S/E bronchospasm, facial swelling, orthostatic hypotension (FALL RISK), renal failure, inc K
CAPTOPRIL (Capoten) - NI take on empty stomach, b) monitor b/p & pulse rate prior to admin. C) assess for persistent, dry, non productive cough. D) assess K & renal function (BUN & creatinine). E) daily wt, I&O, F) fall precautions
DIAZEPAM (Valium) - CLASSIFICATION CNS depressant, muscle relaxer, anticonvulsant
DIAZEPAM (Valium) - ACTION CNS depressant, antianxiety
DIAZEPAM (Valium) - WHY PT IS TAKING THIS Tx: anxiety, acute alcohol withdrawal, seizure disorders, skeletal muscle relaxant
DIAZEPAM (Valium) - S/E respiratory depression. Orthostatic hypotension (fall risk)
DIAZEPAM (Valium) - NI monitor VS. b) high risk for abuse. C) fall precautions. D) do not drink alcohol or drive while on this med
DIGOXIN (Lanoxin) - CLASSIFICATION cardiotonic, anti-arrhythmic
DIGOXIN (Lanoxin) - ACTION inc force of myocardial contraction. Dec speed of electrical impulse conduction within in the heart. Dec heart rate
DIGOXIN (Lanoxin) - WHY PT IS TAKING THIS Tx of CHF, atrial fibrillation, atrial flutter
DIGOXIN (Lanoxin) - S/E bradycardia, confusion, nausea, anorexia, vomitting & fatigue, yellow halo's in visual field with toxicity
DIGOXIN (Lanoxin) - NI monitor apical pulse for one full min. hold if pulse below 60bpm. B) monitor serum levels. C) therapeutic dig levels: 0.5-2.0 ng/dl. D) monitor renal function and lectrolytes
DIPHENHYDRAMINE (Benadryl) - CLASSIFICATION Antihistamine
DIPHENHYDRAMINE (Benadryl) - ACTION dec allergic response by blocking histamine. CNS depressant
DIPHENHYDRAMINE (Benadryl) - WHY PT IS TAKING THIS anaphylaxis, allergy symptoms
DIPHENHYDRAMINE (Benadryl) - S/E dizziness, drowsiness, hypotension
DIPHENHYDRAMINE (Benadryl) - NI be alert for urinary retention. Do not drive, drink alcohol, or operate heavy machinery while taking
EPINEPHRINE (Adrenalin) - CLASSIFICATION Bronchodilator, vasopressor
EPINEPHRINE (Adrenalin) - ACTION bronchodilation to open airway. Vasoconstriction of blood vessel = dec edema and swelling
EPINEPHRINE (Adrenalin) - WHY PT IS TAKING THIS acute asthma, bronchospasm. Anaphylaxis-allergic reaction
EPINEPHRINE (Adrenalin) - S/E tremors, anxiety, palpitations. Inc bp, pulse and resp
EPINEPHRINE (Adrenalin) - NI monitor vs frequently. B) SQ injections sting like a bee sting. C) read label carefully for concentration of the epineprhine. 1:100-inhilation,1:1000-SQ. d) can induce angina in pt with CAD
FUROSEMIDE (Lasix) - CLASSIFICATION Loop diuretic, rapid onset
FUROSEMIDE (Lasix) - ACTION increases renal excretion of water, K, NA & CA
FUROSEMIDE (Lasix) - WHY PT IS TAKING THIS tx of CHF - pulmonary edema - LT heart failure. Tx of CHF - peripheral edema - RT heart failure. Tx of HTN - hepatic and renal disease
FUROSEMIDE (Lasix) - S/E HYPOKALEMIA (nml K- 3.45-5). Orthostatic hypotension (FALL RISK), dehydration, dec sodium (nml NA 135-145). Confusion
FUROSEMIDE (Lasix) - NI daily wt I&O. b) monitor VS. C) check chemistry panel & electrolytes. D) monitor site of edema for improvement. E) fall precautions. F) check MAR for potassium supplement Rx
HEPARIN - CLASSIFICATION anticoagulant, rapid onset
HEPARIN - ACTION inhibits formation of thrombin fibers
HEPARIN - WHY PT IS TAKING THIS prevention of DVT, PE. Tx of MI. atrial fibrillation and flutter
HEPARIN - S/E BLEEDING. Thrombocytopenia. s/s of bleeding: bleeding from gums, epistaxis, hematuria or tea colored urine, black stools, abnormal skin bruising. Change in VS
HEPARIN - NI monitor aPTT (shld be 1.5-2.5 x control) b) monitor CBC for drop in HGB/HCT. C) Monitor VS. d) give SQ. do not aspirate, rotate sites. E) pt education re bleeding and drugs to avoid (ASA-NSAID's). F) antidote: PROTAMINE SULFATE
HYDROCHLOROTHIAZIDE (HCTZl) - CLASSIFICATION thiazide diuretic. Anti HTN, slow onset
HYDROCHLOROTHIAZIDE (HCTZl) - ACTION inc renal excretion of water, NA, CL & K. lowers BP by diuresis
HYDROCHLOROTHIAZIDE (HCTZl) - WHY PT IS TAKING THIS Tx of mild to moderate HTN, edema assoc with CHF, renal dysfunction, cirrhosis
HYDROCHLOROTHIAZIDE (HCTZl) - S/E HYPONATREMIA: NA dec 135 = confusion. HYPOKALEMIA: K dec 3.5 = arrhythmias. Orthostatic hypotension (fall risk). Dehydratiojn
HYDROCHLOROTHIAZIDE (HCTZl) - NI daily wt I&O. b) monitor VS. c) check chemistry panel & electrolytes. D) monitor site of edema for improvement. E) fall precautions.
HYDROCODONE/ACETAMINOPHEN (Vicodin) - CLASSIFICATION opiod analgesic + non opiod analgesic. CNS depressant
HYDROCODONE/ACETAMINOPHEN (Vicodin) - ACTION alters perception & response to pain while depressing the CNS
HYDROCODONE/ACETAMINOPHEN (Vicodin) - WHY PT IS TAKING THIS mgmt of moderate to severe pain
HYDROCODONE/ACETAMINOPHEN (Vicodin) - S/E confusion, sedation, hypotension, CONSTIPATION
HYDROCODONE/ACETAMINOPHEN (Vicodin) - NI assess: type, level, loc of pain. B) monitor VS. c) inc fluids & fiber to prevent constipation. D) check MAR for stool softener Rx. E) calc pt's acetaminophen intake (shld not exceed 4000mg/24 hrs)
HYDROCORTISONE (Solu-Cortef) - CLASSIFICATION corticosteroid
HYDROCORTISONE (Solu-Cortef) - ACTION dec inflammation, dec capillary permeability
HYDROCORTISONE (Solu-Cortef) - WHY PT IS TAKING THIS tx of severe inflammation, septic shock, adrenal insufficiency.
HYDROCORTISONE (Solu-Cortef) - S/E mood swings, wt gain, GI hemorrhage
HYDROCORTISONE (Solu-Cortef) - NI daily wt I&O. monitor VS. check chem panel & electrolyte. Monitor site for inflammation for improvement
IBUPROFEN (Motrin) - CLASSIFICATION NSAID, antipyretic, nonopiod analgesic
IBUPROFEN (Motrin) - ACTION dec prostaglandin synthesis = dec inflammation. Analgesic = dec pain. Antipyretic = dec fever
IBUPROFEN (Motrin) - WHY PT IS TAKING THIS Tx of pain, fever and inflammation
IBUPROFEN (Motrin) - S/E inc bleeding risk, inc drug - drug interations. Gastritis, renal and hepatotoxicity
IBUPROFEN (Motrin) - NI admin with food. B) monitor VS. assess pain level. C) check chemistry panel (BUN/CR & LFT's). D) instruct pt not to take with aspirin or blood thinners, not to drink alcohol while taking, and s/s of bleeding
INSULIN LISPRO (Humalog) - CLASSIFICATION antidiabetic agent, pancreatic hormone, short acting/rapid onset
INSULIN LISPRO (Humalog) - ACTION dec blood sugar by moving it into cells. ONSET: 15 MINS
INSULIN LISPRO (Humalog) - WHY PT IS TAKING THIS tx of type 1 & 2 DM not responding to PO meds to lower blood glucose.
INSULIN LISPRO (Humalog) - S/E hypoglycemia s/s
INSULIN LISPRO (Humalog) - NI monitor blood glucose levels. B) monitor for s/s hypoglycemia. C) rotate SQ injection sites. Do not aspirate
NIFEDIPINE (Procardia) - CLASSIFICATION calcium channel blocker. Antianginal. Anti HTN
NIFEDIPINE (Procardia) - ACTION limits amt of action available for muscle contraction = relaxes muscle = vasodilation
NIFEDIPINE (Procardia) - WHY PT IS TAKING THIS tx of HTN, and chronic angina
NIFEDIPINE (Procardia) - S/E orthostatic hypotension = fall Risk. CHF. Renal failure. Arrythmias
NIFEDIPINE (Procardia) - NI monitor VS. b) monitor for s/s CHF. C) daily wt & I&O. d) listen to crackles in lung sounds. E) antidote: CALCIUM
NITROGLYCERIN (Nitrostat) - CLASSIFICATION universal vasodilator. Antianginal. Rapid onset.
NITROGLYCERIN (Nitrostat) - ACTION dilates ALL arteries. Inc blood flow to coronary arteries = dec angina. Dec workload of the heart
NITROGLYCERIN (Nitrostat) - WHY PT IS TAKING THIS tx of angina, MI, CHF
NITROGLYCERIN (Nitrostat) - S/E orthostatic hypotension = fall Risk. CHF. Headache - throbbing
NITROGLYCERIN (Nitrostat) - NI monitor vs & drug response. B) admin up to 3 doses SL. 3-5 min intervals depending on level of angina. When pain is relieved: MD will order Nitropaste - long acting. DO NOT ADMIN IF PT IS ON ERECTILE DYSFUNCTION MEDS. Light sensitive, renew supply q3m
PHENYTOIN (Dilantin) **This drug interacts w many others - CLASSIFICATION anticonvulsant, CNS depressant
PHENYTOIN (Dilantin) **This drug interacts w many others - ACTION inhibits seizure activity in the motor cortex of the brain.
PHENYTOIN (Dilantin) **This drug interacts w many others - WHY PT IS TAKING THIS generalized tonic-clonic seizures
PHENYTOIN (Dilantin) **This drug interacts w many others - S/E orthostatic hypotension = fall risk. Drowsiness, dizziness
PHENYTOIN (Dilantin) **This drug interacts w many others - NI monitor VS & drug response. B) FALL PRECAUTIONS - padded siderails. C) do not drive, operate heavy machinery or drink alcohol with this med
POTASSIUM CHLORIDE (Slow K) - CLASSIFICATION electrolyte
POTASSIUM CHLORIDE (Slow K) - ACTION req for electrical impulse conduction
POTASSIUM CHLORIDE (Slow K) - WHY PT IS TAKING THIS Tx of hypokalemia and prevention of dec K if pt is taking furosemide
POTASSIUM CHLORIDE (Slow K) - S/E confustion, arrythmias, inc K
POTASSIUM CHLORIDE (Slow K) - NI monitor VS. assess K & renal function (BUN & creatinine). Daily wt, I&O. DO NOT GIVE TO PT IN RENAL FAILURE.
SPIRONOLACTONE (Aldactone) - CLASSIFICATION Potassium sparing diuretic
SPIRONOLACTONE (Aldactone) - ACTION competes with aldosterone in distal tubule; results in excretion of sodium chloride & H2O. Retains K
SPIRONOLACTONE (Aldactone) - WHY PT IS TAKING THIS Tx of edema of CHF, HTN, diuretic induced hypokalemia
SPIRONOLACTONE (Aldactone) - S/E confustion, inc K, dehydration
SPIRONOLACTONE (Aldactone) - NI daily wt I&O. monitor VS. check chem panel & electrolyte. Monitor site for edema for improvement. Fall precautions
LEVOTHYROXINE (Synthroid) - CLASSIFICATION thyroid agent
LEVOTHYROXINE (Synthroid) - ACTION inc metabolic rate of body tissues
LEVOTHYROXINE (Synthroid) - WHY PT IS TAKING THIS replacement therapy in diminished or absent thyroid function
LEVOTHYROXINE (Synthroid) - S/E arrhythmias, tachycardia, irritability, nervousness, insomnia
LEVOTHYROXINE (Synthroid) - NI assess for adverse reactions and hyperthyroidism, monitor thyroid labs : TSH, T3 & T4. give in AM
METOPROLOL (Lopressor) - CLASSIFICATION beta blocker
METOPROLOL (Lopressor) - ACTION lowers bp by blocking beta receptors so norepinephrine cannot be activated
METOPROLOL (Lopressor) - WHY PT IS TAKING THIS tx of HTN, acute MI
METOPROLOL (Lopressor) - S/E orthostatic hypotension (FALL RISK) bronchospasm, CHF, arrhythmias
METOPROLOL (Lopressor) - NI monitor VS, monitor s/s of CHF. Daily wt & I&O. listen to crackles in lung sounds
VERAPAMIL (Calan) - CLASSIFICATION calcium channel blocker. Antiarrhythmic, anti HTN
VERAPAMIL (Calan) - ACTION limits amt of calcium available for muscle contraction = relaxes muscle = vasodilation. Dec bp and pulse
VERAPAMIL (Calan) - WHY PT IS TAKING THIS tx of HTN, angina, arrhythmias
VERAPAMIL (Calan) - S/E orthostatic hypotension (FALL RISK), CHF, renal failure, arrhythmias
VERAPAMIL (Calan) - NI monitor VS, monitor s/s of CHF. Daily wt & I&O. listen to crackles in lung sounds. ANTIDOTE: CALCIUM
WARFARIN (Coumadin) ** this drug interacts with many other - CLASSIFICATION anticoagulant, administered orally
WARFARIN (Coumadin) ** this drug interacts with many other - ACTION interferes w hepatic synthesis of vit K and formation of clotting factors. SLOW onset 2-5 days
WARFARIN (Coumadin) ** this drug interacts with many other - WHY PT IS TAKING THIS tx of prevention and tx of venous thrombosis (DVT) . Chronic atrial fibrillation
WARFARIN (Coumadin) ** this drug interacts with many other - S/E BLEEDING. s/s of bleeding: bleeding from gums, epistaxis, hematuria or tea colored urine, black stools, abnorma skin bruising, change in VS
WARFARIN (Coumadin) ** this drug interacts with many other - NI monitor PT/INR. Monitor CBC for drop in HGB/HCT. Monitor VS. PT education re bleeding and drugs to avoid - ASA & NDAIDs. Antidote: Vit K
Created by: jekjes
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