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JR SIDE MEDS #2
Question | Answer |
---|---|
Generic name for Proventil, Ventolin | albuterol |
Trade names for albuterol | Proventil Ventolin |
What is the actions and uses for albuterl / Proventil, Ventolin | Binds to Beta2 receptors, relaxation of airway smooth mucle Bronchodilaton |
What is basic doses for albuterol-Proventil, Ventolin | PO 2-4mg 3-4 times daily not to exceed 32mg/day USE A SPACER |
Side Effects of albuterl-Proventil, Ventolin | Increased Heart Rate, Nervousnes, Tremors, Headache, Insomnia |
Crittical Nursing Implications of albuterl-Proventil, Ventolin | Assess lung sounds, Pulse and Blood pressure before administration |
Patient Teaching for of albuterl-Proventil, Ventolin | 1) Propor Inhaler / Nebulizer use 2) Do not double dose or exceed recommended dose, this may cause adverse side effects |
Contraindications for albuterl-Proventil, Ventolin | Hypersensitivity to adrenergic amines & flurolabons |
Classification of albuterl-Proventil, Ventolin | Bronchodilators / adrenergics |
Generic Name for Lovenox | Low maleculer heparins / enoxaparin |
Classification of LW heparins / Lovenox | Anticoagulants |
Action and Uses of LW heparins / Lovenox | 1] To potentiate the inhibitory effect of antithrombin on Xa factor and thrombin 2] Prevention of thrombus formation |
Doses for LW heparins / Lovenox | Subcut 30mg q 12hrs, IV bolus 30mg plus 1mg/kg |
Contraindications of LW heparins / Lovenox | Active Bleeding, Hypersensitivity to Pork products |
Side Effects of LW heparins / Lovenox | BLEEDING, Anemia, Dizziness, Edema |
Critical Nursing Implications of LW heparins / Lovenox | Assess for signs of bleeding and hemorrhage |
Patient Teaching for LW heparins / Lovenox | 1] Rotate injection sites 2] Report signs of unusual bleeding, brusing, itching and swelling 3] Instruct PT not to take aspirin or NSAID's |
Trade Name for LW heprain | Lovenox |
Generic Name for Motrin | ibuprofen |
Trade name for ibuprofen | Motrin |
Clasification of ibuprofen / Motrin | Nonopiod Analgesics, Non steroidal anti-inflammatory |
Action of ibuprofen / Motrin | Inhibits prostaglandin synthesis |
Uses of ibuprofen / Motrin | Decreased pain and inflammation / Reduction of fever |
Doses of ibuprofen / Motrin | PO 400-800mg 3-4x day (max 3600mg/day) |
Contraindications of ibuprofen / Motrin | GI bleeding or ulcer disease. Cross sensitivity may exist with other NSAID's |
Side effects of ibuprofen / Motrin | GI bleeding, Hepatitis, Nausea, Vomiting |
Critical Nursing Implications of ibuprofen / Motrin | PTs with asthma, asprin-induced allergy at increased risk for hypersensitivity reactions. Asses for rhinitis, athma and urtcaria. |
Patient Teaching of ibuprofen / Motrin | 1] Take with full glass of water and remain upright for 15-30 mins 2]Caution PT to avoid concurrent use of alcohol |
Antagonist of Heparins | Protamein Sulfate |
Trade Name for glipizide | Glucotrol |
Generic name for Glucotrol | glipizide |
Classification of glipizde / Glucotrol | Antidiabetics |
Actions of glipizde / Glucotrol | Lower blood glucose by stimulating release of insulin from BetaCells in the Pancreas and increasing sensitivity of insulin reseptors |
Uses of glipizde / Glucotrol | Lower blood glucose in Diabetic Patients |
Doses for glipizde / Glucotrol | PO 5mg q day Max dose 40mg q day |
Contraindications of glipizde / Glucotrol | Hypersensitivity with sulfonamides, Type 1 Diabetes, Diabetic Coma |
Side Effects of glipizde / Glucotrol | Photosensitivity, Hypoglycemia, Dizziness, Constipation |
Critical Nursing Implications for glipizde / Glucotrol | Observe for S&S of Hypoglycemic reactions (sweating, hunger,weakness, dizziness, tremors, tachycardia, anxiety), Monitor CBC and report low Blood counts` |
Patient Teaching for glipizde / Glucotrol | 1] Take at same time each day 2] Explain meds cantrol hyperglycemia but doesn't cure diabetes 'long term therapy' 3] Teach S/S of Hypoglycemia to pt & Family |
Genric name for Lasix | furosemide |
Trade name for furosemide | Lasix |
Casification of furosemide / Lasix | Loop Diuretics |
Actions of furosemide / Lasix | Inhibits the reabsorption of sodium and chloride from the loop of henle. Increase Renal excretion of water |
Uses for furosemide / Lasix | Decrease excess fluid in the body. Decrease blood pressure |
Doses of furosemide / Lasix | PO 20-80mg/day may increase q 6-8hr for desired reponse IM, IV 20-40mg may repeat in 1-2hr |
Contraindications for furosemide / Lasix | 1]Hypotension 2]Dehydration 3]Hypokolemia 4]Blurred vission |
Critical Nursing Implications for furosemide / Lasix | Monitor daily weights, I/O's, Lung sounds, Skinturger, Mucous Membranes. VITAL SIGNS |
Patient Teaching for furosemide / Lasix | Orthostatic hypotention, High potassium dieats are bad. Notify Doc of weight gains or Weight losses |
Generic Name for Neurontin | gabapentin |
Trade name for gabapentin | Neurontin |
Classification of gabapentin / Neurontin | Analgesic Adjuncts, Anticonvolsants, Mood Stabilizers |
Actions of gabapentin / Neurontin | Mechanism of action is not known |
Uses of gabapentin / Neurontin | Decreased incidence of seizures / post-herpatic pain / neuropathic pain |
Doses for gabapentin / Neurontin | PO 100-300mg 3x day Titrate up 900-1800mg 3xday |
Side Effects of gabapentin / Neurontin | CNS - Confusion, Depression, Drowsiness Neuro - Ataxia (loss of volintary muscle control) |
Contraindications for gabapentin / Neurontin | Caution w/ renal insufficincy, Under 3yrs old, Pregnant |
Critical Nursing Implications for gabapentin / Neurontin | Assess location, duration and characteristics of seizure activity |
Patient teaching for gabapentin / Neurontin | 1] Don't take within 2hrs of antacids 2] Avoid activities requiring alertness 3] Notify Doc if planning pregnancy or suspected it |
Trade name for warfarin | Coumadin |
Generic name for Coumadin | warfarin |
Classification of warfrin / Coumadin | Anticoagulants |
Actions of warfrin / Coumadin | Interfears w/ vitamin K-dependent clotting factors |
Uses for warfrin / Coumadin | Prevention of thromboemblolic events, Stop a clot from forming |
Doses of warfrin / Coumadin | PO, IV 2.5-10mg q day for 2-4 days then adjust from there |
Side Effects of warfrin / Coumadin | Bleeding, Cramping, Nausea |
Contraindications for warfrin / Coumadin | Uncontrolled Bleeding, Open Wounds, Active ulcers, Recent Brain eye or spinal cord injury or surgery |
Critical Nursing Implications for warfrin / Coumadin | 1] Assess for signs of Bleeding 2] Double check everything with another nurse before administration |
Patient Teaching w/ warfrin / Coumadin | 1] No double dosing on missed doses 2] Keep consistant diet to keep Vit K levels equal 3]Report signs of unusual Bleeding 4] AVOID ALCOHOL AND NSAID's |
Trade Name for prednisone | Sterapred |
Generic Name for Sterapred | prednisone |
Classification of prednisone / Sterapred | Antiasthmatics |
Actions of prednisone / Sterapred | Suppress inflamation and the normal immune response in asthmatics |
Uses for prednisone / Sterapred | Suppress inflamation and the normal immune response in asthmatics |
Doses of prednisone / Sterapred | PO 5-60mg q day as single or individual doses |
Side Effects of prednisone / Sterapred | 1] Decreased wound healing 2] Hyperglycemia 3] Increased risk of infections 4] Cushingoid apperance (moon face) |
Critical Nursing Implications for prednisone / Sterapred | Assess vital signs before and during therapy |
Containdications for prednisone / Sterapred | Active untreated infections |
Patient Teaching w/ prednisone / Sterapred | 1] When D/Cing wean off dosing 2] May cause immunosuppression |
Trade Name for metoprolol | Lopressor, Toprol-XL |
Generic Name for Lopressor, Toprol-XL | metoprolol |
Classification of metoprolol / Lopressor, Toprol-XL | Antianginals, Anti-hypertensives |
Actions of metoprolol / Lopressor, Toprol-XL | Beta1 Blocker (myocardial) |
Uses for metoprolol / Lopressor, Toprol-XL | Decreased blood pressure, heart rate and frequency of angina attacks |
Doses for metoprolol / Lopressor, Toprol-XL | PO 25-100mg q day up to 450mg q day IV 5mg q 2 mins for 3 doses |
Side Effects of metoprolol / Lopressor, Toprol-XL | Hypotension, Fatigue, Weakness, E.D. in males Bradycardia, Pulmonary Edema |
Critical Nursing Implications for metoprolol / Lopressor, Toprol-XL | Monitor Vital Signs and ECG every 5-15 mins during and after admin. Monitor I&Os and daily wieghts for S&S of CHF |
Contratindications for metoprolol / Lopressor, Toprol-XL | Uncompensated CHF, Pulmanary edema, Bradycardia |
Patient Teaching w/ metoprolol / Lopressor, Toprol-XL | 1] Do not Take/Give if SBP below 100 or HR below 60 2] Apical Pulse most be taken before administering 3] take same time everyday and No double dosing 4] May cause drowsiness |
Generic name for Percocet | oxycodone |
Trade Name for oxycodone | Percocet |
Classification of oxycodone / Percocet | Opiod Analgesics |
Actions for oxycodone / Percocet | Alters the the perception of and response to painful stimuli |
Uses for oxycodone / Percocet | Decrease Pain |
Doses for oxycodone / Percocet | PO 5-10mg q 3-4 hr |
Contraindications for oxycodone / Percocet | Head Trauma, Pregnancy or lactation |
Side Effects of oxycodone / Percocet | Hypotention, Respitory Depression, Confusion, Constipation |
Critical Nursing Implications for oxycodone / Percocet | Assess Vital Signs and Resp Rate Before and After administering Resp less than 10/min do not administer |
Patient Teaching w/ oxycodone / Percocet | Instruct PT when to ask for pain meds (before pain is really bad) Can cause drowsiness or dizziness call assistance when ambulating Orthostatic Hypotention |