Med Surg I Basic Drugs
Terms
undefined, object
copy deck
-
Digoxin (Rx)
Lanoxin (t) -
Funct Class: Inotropic Antidysrhythmic, Cardiac Glycoside
Route/Typ Dosage: po 0.25mg
Target Symtoms: Atrial Fib/Flutter/Tachycardia, Acute/Chronic CHF
Common SE: Headache
Life Threating SE:
dysrhythmia, hypotension, AV Block
Nursing Tasks: If Pulse<60, do not give. Interactions - Antacids, Anticholingerics, Antidysrhythmics, Beta Blockers, Diuretics. Monitor Electrolytes, BUN, Creatine, H&H, Bilirubin -
Lasix (t)
Furosemide (Rx) -
Funct Class: Loop Diuretic
Route/Typ Dosage: IM IV
Target Symtoms: ^BP, Lung Edema, Hypercalcemia, Hepatic Cirrhosis
Common SE: Polyuria (frequency)/ dec K+,Mg,CL-,Ca++,Na+ / loss of hearing / Hypercholoric alkadosis / hyperuricemia / hyperglycemia
Life Threating SE: Renal Failure / Circulatory Collapse / Stevens-Johnson Synd / Thrombocytopenia, Leukopenia, neutropenia, anemia, agranulocytosis
Nursing Tasks: Monitor electrolytes s/s of decrease/ No amiogylcosides, Ethacrynic Acid, Antihypertensives, Digitalis glycosides, Nitrates, Muscle relaxers, St John's Wart/ Photosensitivity/ Assess hearing, tinnitus -
Prozac (t) , Sarafem (t)
Fluoxetine (Rx) -
Funct Class: SSRI Antidepressant
Route/Typ Dosage: po 20mg
Target Symtoms: Depression, OCD, Bulimia, ADD, Bipolar, Tourettes
Common SE: H, Nervousness, insomnia, drowsiness, anxiety, hot flashes, palpitations
Life Threating SE: Seizures, hemmorrhage, tachycardia, bradycardia, MI, Thrombophlebitis
Nursing Tasks: Monitor Ortho BP, CBC w/ Diff, hepatic, mental status, urinary retention/ NO Alcohol use (hold med), No antidepressants, Barbs, Benzodiazepines, MAIOs, Phenothiazines/ Wean off/ Photosensitivity -
Ativan (t)
Lorazepam (Rx) -
Funct Class: Antianxiety, Sed/Hypnotic
Route/Typ Dosage: po 1mg, IV
Target Symtoms: Anxiety, Irritability, Insomnia, Pre-OP sedation
Common SE: Dizzi, Drowsi, Blurred Vis, Orthohypotension
Life Threating SE: ECG changes, Tachycardia, Apnea, Cardiac Arrest
Nursing Tasks: Monitor BP >20pt drop = hold/ Assess mental status for effectiveness/ Wean/ No antidepressants, Antihistamines, Opiates, Smoking, Alcohol/ Caution driving -
Tegretol (t)
Carbamazepine (Rx) -
Funct Class: Anticonvulsant
Route/Typ Dosage: po 50mg
Target Symtoms: Seizures, Trigeminal neuralgia pain, Bipolar, Psychotic, Diabetic neuropathy
Common SE: Drowsi, N, Constipation, D, Rash
Life Threating SE: Paralysis, Seizures, Hypertension, CHF, AV block, hepatitis, renal failure,S-J Syndrome, aplastic anemia, penias and cytosis
Nursing Tasks: Monitor therapeutic 4-12mcg/ml/ No MAOIs = FATAL/ No grapefruit juice, Barbs/ Wear Med braclet/ Wean/ Photosensitivity/ report dark urine, rash, light stool, jaundice, abdominal pain, Ulcers, B Vision, Dizziness -
Vistaril (t), Atarax (t)
Hydroxyzine (Rx) -
Funct Class: Antianxiety, Sed/Hypnotic, Antihistamine, Antiemetic
Route/Typ Dosage: po/IM 25-100mg
Target Symtoms: Anxiety PreOP, N, V, Post OP, Alcohol/Drug Withdrawl, Allergies
Common SE: Dizzi, Drowsi
Life Threating SE: Seizures
Nursing Tasks: Assess Mental status, Resp status/ Monitor I&Os, Drowsiness, Dizziness, BP/ Push Fluids 2L per day/ NO Alcohol, depressants, OTCs/ Up with Assistance -
Xanax (t)
alprazolam (Rx) -
Funct Class: Antianxiety
Route/Typ Dosage: po 0.25mg
Target Symtoms: Anxiety, Panic disorders
Common SE: Dizzi, Drowsi, Orthostatic Hypotension, B Vision
Life Threating SE: ECG Changes, Tachycardia
Nursing Tasks: Wean Off- Severe withdrawl incl Suicidal tendencies/ Assess mental status, sleep patterns/ Monitor Ortho BP Hold if >20pt drop - Rise slowly/ NO anticonvulsants, alcohol, antihistamines, Barbs, Sedatives, Grape Juice, Hypnotics, Xanthines, St J Wart/ -
Ritalin (t) , Concerta (t)
Methylphenidate (Rx) -
Funct Class: cerebral stimulant
Route/Typ Dosage: po 5-20mg
Target Symtoms: ADHD, narcolepsy
Common SE: Hyperactivity?, Insomnia, restlessness?, talkativeness?, Palpitations, Tachycardia
Life Threating SE: dysrhythmias, Leukopenia, thrombocytopenic purpura, seizures, Exfoliative dermatitis
Nursing Tasks: Monitor BP may increase/ Monitor mental status for effectiveness, CBCs, urinalysis/ No MAOIs, SSRI, Anticonvulsants, Antidepressants(Tricylic) -
Lithium (Rx)
Lithium Carbonate -
Funct Class: Antimanic, Antipsychotic
Route/Typ Dosage:po 300-600mg
Target Symtoms: Bipolar
Common SE: H, Drowsi, Dizzi, confusion, fatigue, Dry mouth, anorexia, N, V, D, Muscle weakness, acneiform rash
Life Threating SE: seizures, dysrhythmias, circulatory collapse, edema, polyuria, glycosuria, proteinuria, albuminuria, renal tox, leukocytosis
Nursing Tasks: Assess for tox- D, V, Tremors, weakness, thirst, dilute urine/ Edema- Turgor qd/ Sodium levels affect lithium levels/ Assess Neuro/ 0.5-1.5 mEg/L is therapeutic -
Haldol (t)
Haloperidol (Rx) -
Funct Class: Antipsychotic, Neuroleptic
Route/Typ Dosage: po 0.5-5mg / IM 2-5mg
Target Symtoms: Psychotic disorders, tics, Tourette, hyperactivity, schixophrenia, sedation
Common SE: Extrapyramidal symptoms, pseudoparkinsonism, akathisa, dystonia, tardive dyskinesia, drowsi, H, Ortho HT, N, V, C, Anorexia, Dry Mouth, Rash
Life Threating SE: Seizures, Neuroleptic malignant syndrome, Cardiac Arrest, Tachycardia, Ileus, Hepatitis, Laryngospasm, resp depression
Nursing Tasks: NO alcohol, epinephrine, lithium, phenobarbital, Levodopa, Carbamasepine, anticholinergics, barbs, Beta adrenergic blockers, CNS depressants/ Assess mental status for dec in symptoms/ Watch for hoarding/ Monitor I&Os, Liver func, BPx3 positions/ Wean/ photosensi/ HTN risk- avoid heavy exercise, heat, hot tubs/ Avoid OTCs, alcohol, CNS depressants -
Lovenox-T
Enoxaparin -Rx -
Funct Class: Anticoagulant, Antithrombotic
Route/Typ Dosage: SQ 2500U
Target Symtoms: Risk of DVT, Pulmonary Emboli/ After Hip, knee, back, abdominal surgery
Common SE: Edema, N, Fever
Life Threat SE: Hemorrhage, Hypochronic Anemia, Thrombocytopenia
Nursing Tasks: Monitor Blood studies(Hct, CBC, Coag, Platlets, Occult Blood)/ Rotate SQ sites, T: Bleed precautions (Soft bristle toothbrush, No razors, No Sports/ Report bleeding, bruises, bloody stools/ Do not combine with Anticoagulants, thrombolytics, valporic acid, NSAIDS, Salicylates, etc. -
Demorol - T
Meperidine -Rx
Pethandol - T
Pethidine - T -
Funct Class: Opiod Analgesic
Route/Typ dosage: IV, IM 50mg
Target Symptoms: Pain
Common SE: N, Constipation, Pruritis, Drowsi, Dizzi, Confusion, H, palpitations, bradycardia/tachicardia, Tinnitus, BV, V
Life Threat SE: ICP Seizures, Resp Depression
Nursing Tasks: A: Resp <10 don't give/ Renal&Liver function/ Allergic Reactions/ Withdrawl&Addiction Risk (T: No ETOH, or CNS depressants/ Up with Assist, Rise Slowly OHtn (I: ETOH, Procarbazine-Fatal, Antihistamines, Barbs -
Nitroglycerin - Rx
Deponit, Minitran, Nitrek, Nitrocine, Nitrodisc, Nitro-Dur, Transderm-Nitro - T -
Funct Class: Coronary vasodilator, Anti-Anginal
Route/Typ Dosage: SL, Transdermal 1 tab/Patch
Target Symptoms: Angina(Pectoris), CHF, Controlled Htn
Common SE: H, Flushing, Dizzi, OHtn
Life Threat SE: Collapse
Nursing Tasks: (A: B/P, Pulse, Pain, Tolerance of Drug (T: Avoid ETOH, Haloperidol(Haldol), Antidepressants, Phenothiazine, Ca Channel Blockers, Antihypertensives/ H are common/ Slow to rise-OHtn/ -
Isoproterenol - Rx
Isuprel, Aeroone, VapoIso, Medihaler-Iso - T -
Funct Class: Beta-Adrenergic agonist, AntiDysrhythmic, Inotropic
Route/Typ Dosage: SL, Inhaler
Target Symptoms: Heart Block, V Dysrhythmias, Shock
Common SE: Tremors, Anxiety, palpitations, N, V, Hyperglycemia
Life Threat SE: Cardiac Arrest, Brochospasms
Nursing Tasks: A: allergic reaction(Bronchospasms), Resp Funct Before/After Admin (T: Avoid OTCs, Smoking, Caffeine, Smoking/ Do not double dose if missed/ Report Brochospasms/ No BetaAdrenergic Blocker, MAIOs -
Hydrocortisone- Rx
Methylprednisone- Generic
Prednisone, Betamethasone - T -
Funct Class: Short-Acting Glucocorticoid
Route/Typ Dosage:
Target Symptoms: Inflammation, psoriasis, eczema, dermatitis, pruritis
Common SE: Aggitation
Life Threat SE: Circulatory Collapse, thrombophlebitis, embolism, GI hemorrhage, thrombocytopenia
Nursing Tasks: (A: K+, ^BS, Urinary Glucose/ ^Temp/Inflammation/ Suppresses Infection, Adrenal Function/ No Anticoagulants, Vaccines, Anticonvulsants, Diuretics, Hypoglycemic Agents, NSAIDS, Aspirin/ Report N, Fatigue, Joint Pain/ Wear Med Braclet -
Levothyroxine - Rx
Synthroid, Levothroid, Levoxyl, T4 -T -
Funct Class: Thyroid Hormone
Route/Typ Dosage: 75mcg po
Target Symtoms: Hypothyroidism, cretinism, thyrotoxicosis, thyroid cancer
Common SE: Anxiety, insomnia, tremors, tachycardia, palpitations, angina, H, N, D, Menstral Fever, Heat Intolerance
Life Threat SE: Thyroid storm, Cardiac Arrest
Nursing Tasks: (A: B/P before each dose/ I&O, DW/ T3,T4(RAIU) => Dec Dosage/ Nervousness, Irratability => Inc Dosage/ Protime for Inc bleeding bruising/ (T: Long term therapy/ Report SE/ NO OTCs with Iodine/ One brand only/ (I: Amphetamines, decongestants, vasopressors, anticoagulants, BetaAdrenergic Blockers, Estrogens, hypoglycemics, Sympathomimetics -
Ketorolac -Rx
Toradol, Acular - T -
Funct Class: NSAID, Non Opiod analgesic
Route/Typ Dosage: 30mg IM
Target Symptoms: Mild to Moderate Pain, Inflammation, Ocular Itching
Common SE: Drowsiness
Life Threat SE: GI Bleed, Perforation, Nephrotoxicity, Dysuria, Oligura, Hematuria, Azotemia, Blood Dyscrasias
Nursing Tasks: (A: BC for Dec Platelets/ thrombocytopenia/ NSAIDs Sensitivity/ Eyes-redness, itching, swelling/ ROM q1 after admin/ GI bleed (T: No aspirin, ETOH, NSAIDs, Acetaminophen, or soft contact lenses/ Report bruising, bleeding, fatigue, malaise (I:Anticoagulants, ACE inhibitors, Antihypertensives, Cephalosporins, thrombolytics, salicylates, corticosteriods, NSAIDs, K+ products, Diuretics -
Phenytoin - Rx
Dilantin, Phenytex, Dipenylan -T -
Funct Class: Anticonvulsant, Antidysrhythmic
Route/Typ Dosage: 125mg/5ml po
Target symptoms: Seizures, Dysrhythmias
Common SE:
Life Threat SE: Ventricular Fib, Hepatisis, Nephritis, Agranulocytosis, Leukopenia, Aplastic Anemia, Thrombocytopenia, Megaloblastic anemia, Lupus erythematosus, S-J Syndrome
Nursing Tasks: (A: Levels of Tox/ Neuro Status/ Rash => S-J Syndrome/ Blood dyscrasiass/ Renal&Liver function (AST, bilirubin)/ withdrawl symptoms/ eye problems/ allergic reaction (T: Wear Med Bracelet/ No ETOH, Depressants, Driving, Antacids, Antidiarrheals/ Report Pink-red-brown Urine/ Wean off drug, Maintain Oral Hygiene (I: Antacids, Barbs, Anticonvulsants, Antidepressants, Benzodiazepines, Salicylates