Common Medications Flashcards
Acetylsalicylic Acid (ASA): PO
Therapeutic Class
- Antipyretic
- Non-opioid analgesic
Pharmacological Class
- Salicytes
Common Indications
- Treatment of inflammatory disorders
- Mild to moderate pain
- Fever
- Prophylaxis of transient ischemic attacks and MIs
Nursing Responsibilities
- Monitor hepatic functionand for hepatoxicity
- Monitor lab values such as AST, ALT, and serum phosphate
- GI Bleeding
- Caution patietns to avoid concurrent use of alcohol to minimize GI upset
Acetaminiphen with Codeine: 30 mg PO
*High Alert
Therapeutic Class
- Opioid analgesic
Pharmacology Class
- Antipyretic
Common Indications
- Mild to moderate pain
- Fever
Nursing Responsibilities
- Monitor liver function
- Assess level of sedation
Acyclovir: IV
Therapeutic Class
- Antivirals
Pharmacology Class
- Purine anatologues
Common Indications
- Treatment of genital herpes and herpes simplex encephalitis
Nursing Responsibilites
- Assess lesisions
- Monitor neurologic status in patients with herpes encephalitis
- Maintain adequate hydration
- Advise patient that no sexual contact should occur while lesions are present
Albuterol (Sulbutamol/ Ventolin): Nebulizer
Therpapeutic Class
- Bronchodilator
Pharmacology Class
- Adrenergic
Common Indications
- Treatment or prevention of bronchospasm
- in asthma or COPD
Nursing Responsibilities
- Assess lung sounds, pulse, and BP
- Observe for paradoxical bronchospasm (wheezing)
- Withhold medication
Amlodipine: PO
Therapeutic Class
- Antihypertensive
Pharmacology Class
- Calcium channel blockers
Common Indications
- Managment of hypertension, angina pectoris, and vasopastic angina
Nursing Responsibilities
- Monitor BP and pulse
- Monitor ins and outs
- Assess for signs of HF
- Caution patient to change position slowly to prevent orthostatic hypotension
Atrovastatin (Lipitor): PO
Therapeutic Class
- Lipid-lowering agent
Pharmacology Class
- HMG coa reductase inhibitor
Common Indications
- Managment of hypercholesterolemia
- Prevention of CAD in patients with increased LDL and decreased HDL
Nursing Respoinsibilites
- Obtain a diet history, especially regarding to fat consumption
- Check CPK levels if patient develops muscle tenderness during therapy
- If >10 times = discontinue
- Avoid grapefruit juice during therapy
Aspart (Novorapid)
*High Alert
Therapeutic Class
- Antidiabetic
Pharmacology Class
- Pancreatics
Common Indication
- Control of hyperglycemia in Type 1 and 2 DM
Nursing Responsibilites
- Assess for symptoms of hypoglycemia
- Anxiety, restlessness, tingling at extremities, chills, confusion, excessive hunger, and headach
- Asess for symptoms of hyperglycemia
- Excessive thirst, fruit breath, fatigue, increased urination
- Monitor blood glucose
- Instruct patient on signs and symptoms of hypoglycemmia and hyperglycemia
Budesomide (Pulmicort): Nebulizer
Therapeutic Class
- Anti-Inflammatories
Pharmacology Class
- Corticosteroids
Common Indications
- Maintenance treatment and prophylaxis therapy of asthma.
Nursing Responsibilities
- Monitor respiratory status and lung sounds
- Advise patient to notify HCP if signs if anaphylaxis occur
- Notify patient to rinse mouth after use
Calcium Glucomate: IV
*High Alert
Therapeutic Class
- PMineral and electrolyte repalcements
Common Indications
- Treatment and prevention of hypoglacemia
- Emrgency treatment of hyperkalemia an dhypermagnesemia and adjunct in cardiac arrest or calclium channel blocking agent toxicity
Nursing Responsibilities
- Monitor BP, pulse, and ECG
- May cause vasodilation resulting with hypotension, bradycardia, arrhythmias, and cardiac arrest
- Assess for signs of toxicity
- Nausea, vomiting, anorexia, thirst, braducardia, severe consipation, and peralytic ileus
- Administer slowly, high consentration may cause cardiac arrest.
Captopril: PO
Therapeutic Class
- Anti-hypertensive
Pharmacology Class
- Ace Inhibitor
Common Indications
- Managment of HF
- Post MI therapy
- Treatment of nephropathy in patients with Type 1 DM of retinopathy
Nursing Responsibilities
- Monitor BP, pulse and ECG frequently
- Assess for angioedema
- Swelling of face, extremities, eyes, lips, and tongue
- Difficulty breathing
- Monitor weight and assess for fluid overload
- Monitor CBC
- Monitor ins and outs
Cefazolin: IV
Therapeutic Class
- Anti-infective
Pharmacology Class
- First generation cephalosporins
Common Indications
- Treatment of crtain infections
- Perioperative prophylaxis
Nursing Responsibilities
- Observe for signs and symptoms of anaphylaxis
- Monitor bowel function
- Diarrhea, abdominal cramping, fever and blood stools are sings of CDAD
- Assess for skin rash
- Assess for infection
Cetraxone: IV
Therpaeutic Class
- Anti-infective
Pharmacology Class
- Third generation cephalosporins
Common Indications
- Treatment of certain bacterial infections
- Perioperative prophylaxis
Nursing Responsibilities
- Assess for infection
- Observe for signs of anaphylaxis
- Assess for skin rash
- Monitor bowel function
- Diarrhea, abdominal cramping, fever and blood stools are sings of CDAD
- Monitor injection site for phlebitis
Ciprofloxacin: IV
Therpaeutic Class
- Anti-infective
Pharmacology Class
- Fluoroquinolones
Common Indications
- Treatment of certain bacterial infections
- Post-exposure prophylaxis of inhalation anthrax
- Treatment and priphylaxis of the plague
Nursing Responsibilites
- Observe for signs and symptoms of anaphylaxis
- Monitor bowel function, diarrhea, abdominal cramping, fever and blood stools
- Assess for skin rash
- Assess for infection
Clopidogrel (Plavix): PO
Therapeutic Class
- Antuplatelet agent
Pharmacology Class
- Platelet aggregation inhibitors
Common Indications
- Acute coronary syndrom
- Patients with established peripheral arterial disease, recent MI or recent stroke
Nursing Responsibilites
- Assess for signs of peripheral arterial disease, MI and stroke
- Monitor for thrombotic thrombocytic purpura
- Monitor bleeding time during therapy
- Monitor CBC
Combivent Nebulizer (Albuterol and Intrapropium)
Therapeutic Class
- Bronchodilator
- Adrenergic
Common Indications
- Treatment or prevention of bronchospasm in asthma or COPD
Nursing Responsibilites
- Assess lung sounds, pulse and BP
- Observe for paradoxial bronchospasm (wheexing)
- Withhold medication
Dexamethasone: PO/IV
Therapeutic Class
- Anti-inflammatory
Pharmacology Class
- Corticosteroids
Common Indications
- Wide variety of chronic diseases, such as inflammatory, allergic, endocrine and autoimmune
Nursing Responsibilities
- Monitor intake and output ratios
- Take daily weights
- Observe for peripheral edema, steady weight gain, reales/ cracklers and/or dyspnea
- Assess for signs of adreanl insufficency
- Hypotension, weight loss, weakness, nausea, vomiting
- Instruct patient to report severe abdominal pain and tarry stools
Digoxin: PO/IV
*High Alert
Therpaeutic Class
- Antiarrhythmics
- Inotropics
Pharmacology Class
- Digitalis glycosides
Common Indications
- Heart failure
- Arterial fibrillation and artierial flutter
- Paroxysmal arterial tachycardia
Nursing Responsibilities
- Monitor apical pulse
- Withhold if rate is less than 60 bpm for adult, 70 bpm for child, and 90 bpm for infant
- Monitor BP and ECG
- Teach patient to take pulse and to notify doctor if heart rate is less than 60 bpm per minute or above 100 bpm
Dimenhydrinate (Gravol): IV
Therapeutic Class
- Antihistamine
- Antiemetic
Common Indications
- Nausea, vomiting, dizziness and vertigo accompanying motion sickness
Nursing Responsibilites
- Assess nausea, vomiting, bowel sounds, and abdominal pain
- Monitor intak and output
- May cause drowsiness, caution patient to avoit OTC cougha nd cold products while breasfeeding or to children under 4 years old
Enalapril: PO
Therapeutic Class
- Antihypertensive
Pharmacology Class
- Ace Inhibitor
Common Indications
- Managment of hypertension and HF
Nursing Responsibilites
- Monitor BP and pulse
- Assess for signs of angioedema
- Swelling of face, extremities, eyes, lips and tongue
- Difficultiy swallowing and breathing
- Monitor weight and for fluid overload
- Monitor CBC
Enoxaparin: SC
*High Alert
Therpaeutic Class
- Anticoagulant
Pharmacology Class
- Antithrombotic
- Low molecular weight heparin
Common Indications
- Prevention of VTE, DVT, and PE
- Treatment of DVT with or without PE
- Prevention of ischemic complictions from unstable angina and non-ST-segment elevation MI
- Treatment ofa cute ST-segment-elevation MI
Nursing Responsibilites
- Assess for bleeding
- Alternate injection site
Epinephrine: IM
Therapeutic Class
- Antiasthmatic
- Bronchodilator
- Vasopressor
Pharmacology Class
- Adrenergic
Common Indications
- Severe allergic reactions
Nursing Responsibilites
- Observe for paradoxical bronchospasm
- Withhold medication
- Assess lung sounds, respiratory pattern, pulse and BP
Fentanyl Patch (Duragesie)
*High Alert
Therapeutic Class
- Opioid analgesic
Parmacology Class
- Opioid agonists
Common Indications
- Moderate to severe chronic pain
Nursing Responsibilites
- Assess BP, pulse and respirations
- If respiration is <10 minutes, assess levle of sedtion
- Assess risk for opioid addiction abuse or misuse prior to adminsitration
Fluoxtine (Prozac): PO
Therapeutic Class
- Antidepresant
Pharmacology Class
- Selective serotonin reuptake inhibitor
Common Indications
- Major depressive disorder
- OCD
Bulimia nervosa - Panic disorder
- Acute tratment of depressive episodes assocaited with bipolar 1
Nursing Responsibilites
- Assess for suicidal thoughts
- Monitor development of neuroleptic malignant syndrom
- Assess for serotonin syndrom
Furosemid (Lasix): PO/IV
Therapeutic Class
- Diuretic
Pharmacology Class
- Loop diuretic
Common INdications
- Edema duet o HF, hepatic impairment or renal disease
- Hypertension
Nursing Responsibilities
- Assess fluid status
- Monitor daily weight, intake and output ratios, amount and location of edema, lungs sounds, skin tugor, and mucus membrains
- Assess for rash
- Monitor BP and pulse
Gabapentin: PO
Therapeutic Class
- Anticonvulsant
- Mood stabilizer
Common Indications
- Partial seizures
- Postherpeutic neurlagia
- Restless leg syndrome
Nursing Responsibilites
- Monitor for changes in behavior that can indicate suicidal thoughts, depression, or changes in mood
Glucagon: SC/IM
Therapeutic Classs
- Hormones
Pharmacology Class
- Pancreatic
Common Indications
- Acute managment of severe hypoglycemia
Nursing Responsibilites
- Assess for signs of hypoglycemia
- Assess nutritonal status
- Lack of liver glycogen stores will require glucos insted of glucagon
- Assess neurological status
Glyburide: PO
*High Alert
Therapeutic Class
- Antidiabetic
Pharmacology Class
- Sulfonylureas
Common Indications
- Control of blood sugars in type 2 DM when diet therapy fails.
- Requries some pancreatic function
Nursing Responsibilities
- Observe for signs and symptoms of hypoglycemic reactions
- Sweating, hunger, weakness, dizziness, tremor, tachycardia, anxiety
- Monitor CBC
- Report decreased blood counts
Heparin: SC/IV
*High Alert
Therapeutic Class
- Anticoagulant
Pharmacology Class
- Antithrombotic
Common Indications
- Prophylaxis and treatment of VTE, PE, afib with enbolization
Nursing Responsibilities
- Assess for signs of bleeding and hemorrage
- Monitor platelet count every 2-3 days during therapy
- Advise patient to report any signs of bleeding or bruising
Humulin N (Novolin N): SC
*High Alert
Therapeutic Class
- Antidiabetic
- Hormones
Pharmacology Class
- Pancreatic
Common Indications
- Controls of hyperglycemia in patients with diabetes
Nursing Responsibilites
- Assess for hypoglycemia
- Mild toxicity is treated with oral glucose
- Severe toxicity is an emergency and is treated with IV glucose, glucagon, or epi.
- Instruct patient on signs of hypoglycemia and hyperglycemia
Humulin R (Novolin R): SC
*High Alert
Therapeutic Class
- Antidiabetic
- Hormones
Pharmacology Class
- Pancreatic
Common Indications
- Controls of hyperglycemia in patients with diabetes
Nursing Responsibilites
- Assess for hypoglycemia
- Mild toxicity is treated with oral glucose
- Severe toxicity is an emergency and is treated with IV glucose, glucagon, or epi.
- Instruct patient on signs of hypoglycemia and hyperglycemia
Hydralazine (Apresoline): PO/IV
Therapeutic Class
- Antihypertensives
Pharmacology Class
- Vasodilators
Common Indications
- Moderate to severe hypertension
Nursing Responsibilites
- Monitor BP and pulse
- Advise patient to weigh themselves twice wekly and assess feet and ankles for fluid retention
Lorazepam (Ativan): SL/IV
Therapeutic Class
- Analgesic adjuncts
- Antianxiety agents
- Sedative/hypnotics
Pharmacology Class
- Benzodiazepines
Common Indications
- Anxiety disorder
- Status epilepticus
Nursing Responsibilities
- Adminsiter at a rate not to exceed 2mg/min or 0.05 mg/kg over 2-5 minutes
- Rapid IV administration may result in apna, hypotension, bradycardia, or cardiac arrest
Levothroxine: PO
Therapeutic Class
- Hormones
Pharmacology Class
- Thyroid preparations
Common Indications
- Thyroid supplementation in hypothyroids
- Treatment or suppression of eutyroid goiters
Nursing Responsibilites
- Assess apical pulse and BP
- Assess for tachyarrhythmias and chest pain
Ketorolac (Toradol): IV
Therapeutic Class
- Nonsteroidal anti-inflammatory agent
- Non-opioid analgsic
Pharmacology Class
- Pyrroziline carboxylic acid
Common Indications
- Short term managment of pain
- Not to exceed 5 day
Nursing Responsibilities
- Patients who have asthma, aspring- induced allergy, and nasal polyps are at increased risk for hypresensitivity reactions
- Assess for rhinitis, asthma, and urticaria
- Assess for rash
- Advise patient to avoid concurrent use of alcohol, asprin, NSAIDs, acetaminophen
Lorsartan: PO
Therapeutic Class
- Antihypertensive
Pharmacology Class
- Angiotension II receptor
- Antagonist
Common Indications
- Managment of hypertension
- Treatment of diabetic nephropathy in type 2 diabetes
- Prevention of stroke in patients with hypertension and left ventricular hypertrophy
Nursing Responsibilites
- Assess for signs of angio edema
Insulin Lispro (Humalong): SC
*High Alert
Therapeutic Class
- Antidiabetic
- Hormones
Pharmacology Class
- Pancreatics
Common Indications
- Control of hyperglycemia in patients with type 1 and 2 diabetes
Nursing Responsibilites
- Assess for symptoms of hypoglycemia
- Restlessness, tingling at extremities, chills, cold sweats, confusion, pale skin, drowsinness, excessive hunger, headache
- Monitor body weight
- Monitor blood glucose
- Instruct patient on sings of hypoglycemia
Insulin Glargine (Lantus): SC
*High Alert
Therapeutic Class
- Antidiabetic
- Hormones
Pharmacology Class
- Pancreatics
Common Indications
- Control of hyperglycemia in patients with type 1 and 2 diabetes
Nursing Responsibilites
- Assess for symptoms of hypoglycemia
- Restlessness, tingling at extremities, chills, cold sweats, confusion, pale skin, drowsinness, excessive hunger, headache
- Monitor body weight
- Monitor blood glucose
- Instruct patient on sings of hypoglycemia
Insulin Detemir (Levemir)
*High Alert
Therapeutic Class
- Antidiabetic
- Hormones
Pharmacology Class
- Pancreatics
Common Indications
- Control of hyperglycemia in patients with type 1 and 2 diabetes
Nursing Responsibilites
- Assess for symptoms of hypoglycemia
- Restlessness, tingling at extremities, chills, cold sweats, confusion, pale skin, drowsinness, excessive hunger, headache
- Monitor body weight
- Monitor blood glucose
- Instruct patient on sings of hypoglycemia
Ibuprofen (Advil): PO
Therapeutic Class
- Antipyretic
- Antirheumatic
- Nonopioid analgesic
- Nonstereidal anti-inflamamtory agent
Pharmacology Class
- Nonopioid analgesic
Common Indications
- Treatment of mild to moderate pain and fever
- Treatment of inflamamtory disorders
Nursing Responsibilities
- Assess for asthma, rhinits and urticaria
- Increased risk for hypersensitivity
- Assess for skin rash
- Advise patient that alcohol increases risk of GI bleeding
- Advise patient to report if rash, itching, visual disturbances, edema, weight gain, epigastric pain or bleeding occurs
Hydromorphone (Dilaudid): IV
*High Alert
Therapeutic Class
- Allregy, cold and cough remedies
- Opioid analgesic
Pharmacology Class
- Opioid agonists
Common Indications
- Moderate to severe pain
Nursing Responsibilites
- Assess BP, pulse and respirations
- If respiration rate is <10 minutes, assess level of sedation
- Assess risk for opioid addiction, abuse or misuse prior to adminstration
- Rapid adminsitration may lead to respiratory depression, hypotension and circulatory collapse
Hydrochlorothiazide: PO
Therapeutic Class
- Antuhypertensive
- Diuretic
Pharmacology Class
- Thiazide diuretic
Common Indications
- Managment of mild to moderate hypertension
- Treatment of edema associated with HF, renal dysunction, cirrhosis and estrogen therapy
Nifidipine: IV
Therapeutic Class
- Antianginal
- Antihypertensive
Pharmacology Class
- Claclium channel blockers
Common Indications
- Managment of hypertension
- Managment of angina pectoris
- Managment of vasopastic angina
Nursing Responsibilities
- Monitor ECG during prolonged therapy
- Monitor intake and output ratios and daily weight
- Assess for signs of HF
- Assess for rash
Naproxen: PO
Therapeutic Class
- Nonopioid analgsic
- Nonsteroid anti-inflammatory agent
- Antupyretics
Common Indications
- Moderate to mild pain
- Fever
- Dysmenorrhea
- Inflamatory disroder
Nursing Responsibilties
- Assess for rhinitis, asthma, and urticaria
- Assess for rash
- Advise patient that alcohol (3 or more glasses a day) increases risk for GI bleed
Morphine: IV/PO
*High Alert
Therapeutic Class
- Opioid analgesics
Pharmacology Class
- Opioid agonists
Common Indications
- Severe pain
- Pulmonary edema
- Pain associated with MI
Nursing Responsibilities
- Assess levle of consciousness, BP, pulse and respirations
- If respirations are less then 10, assess level of sedaition
- Rapid adminstration may lead to respiratory depression, hypotension, and circulatory collapse
Midazolam: IV
*High Alert
Therpaeutic Class
- Antianxiety agents
- Sedative/ hypnotics
Pharmacology Class
- Benzodiazepines
Common Indications
- Perioperative sedation
- Aids in anesthesia, status epilepticus and anti-anxiety
Nursing Responsibilities
- Monitor BP, pulse and respirations
Metronidazole (Flagy): IV
Therpaeutic Class
- Antiinfectives
- Antiprotozoals
- Antiulcer agents
Common Indications
- Treatment of amaerobic infections
Nursing Responsibilities
- Assess for rash
- Advise patient to notify HCP if rash occurs
Metoprolol: PO/IV
*High Alert
Therpaeutic Class
- Antianginals
- Antihypertensive
Pharmacology Class
- Beta Blockers
Common Indications
- Hypertension
- Angina pectoris
- Prevention of MI and dedreased mortality in patients with recent MI
Nursing Responsibilities
- Monitor BP, pulse and ECG
- Monitor intake and output ratios and daily weights
- Monitor for signs of HF
- Take apical pulse before adminsitrating, if less than 50 bpm, withold and notify Dorctor
- Do not abruptly stop medication
Metformin: PO
Therpaeutic Class
- Antidiabetics
Pharmacology Class
- Biguamides
Common Indications
- Managment if type 2 diabetes
Nursing Responsibilities
- Assess for ketoacidosis or lacti acidosis
- Assess serume lectrolytes, ketones, glucose, blood pH, lactale, pyruvate, and metformin levles
- Discontinue if either form of acidosis is present
Meropenem: IV
Therpaeutic Class
- Anti-infective
Pharmacology Class
- Carbapenem
Common Indications
- Treatment of intra-abdominal infections
- Treatment of bacterial meningitis
- Treatment of skin infections
Nursing Responsibilities
- Monitor bowel function
- Diarrhea, abdominal craming, fever, and bloody stools should be reported
- Observe for signs and symptoms of anaphylaxis
- Monitor for signs and symptoms of DRESS
- Fever, rash, facial swelling
Mannitol: IV
Therpaeutic Class
- Diuretics
Pharmacology Class
- Osmotic diuretics
Common Indications
- Treatment of:
- Acute oliguric renal fialure
- edema
- Increased intra-cranial or intraocular pressure
- Toxic overdose
Nursing Responsibilities
- Monitor viral signs, urine output, CVP and pulmonary artery pressure
- Monitor neurologic status and intracranial pressure
Magnesium Sulfate: IV
*High Alert
Therpaeutic Class
- Mineral and electrolyte
- Replacment/ Supplements
Pharmacology Class
- Minerals electrolytes
Common Indications
- Treatment of hypomagnesemia
- Treatment of hypertension
- Prevention of seizures assocaited with severe eclampsia, pre-eclampsia, or acute nephritis
Nursing Responsibilities
- Monitor BP, pulse, ECG and respirations
- Respirations should be 16/minute before each dose
- Monitor neurologic status
Prednisone (Rayos, Sterapred, Winipred): PO
Therapeutic Class
- Anti-inflammatories
- Immune modifiers
Common Indications
- Used for wide variety of chronic diseases
- Inflammatory
- Allergic
- Hematologic
- Neiplastic
- Autoummine disorders
Nursing Responsibilites
- Assess for adreanl insufficiency
- Hypotension, anorexia, vomiting, weakness
- Monitor intake and output ratios and daily weights
- Inform patient to notify doctor if severe abdomonal pain or tarry stoll occur
*
Pottassium Chloride (KCL): PO/IV
*High Alert
Therapeutic Class
- Mineral and electorlyte replacments and/or supplements
Common Indications
- Treatment/ precention of pottassium depletion
Nursing Responsibilities
- Assess for hypokalemia and hyperkalemia
- Monitor BP, pulse, and ECG during IV therapy
- Adminsiter slowly (IV)
Polyethylene Glycol (Lax-A-Day): PO
Therapeutic Class
- Laxative
Phamacology Class
- Osmotics
Common Indications
- Treatment of constipation
Nursing Responsibilites
- Monitor for pain and abdominal distention
Phenytoin (Dilantin): PO/IV
Therapeutic Class
- Anticonvulsant
Pharmacology Class
- Hydantoins
Common Indications
- Treatment/ prevention of tonic-clonic seaizures and complex parital seizures
Nursing Responsibilites
- Assess for emergence or worsening of suicidal thoughts or behavior or dpression
- Assess for phenytooin hypersensitivity syndrome
- Assess for rash
- Assess mental status
- Monitor for signs and symptoms of DRESS
- Monitor CBC, serum clacium, albumin, and heaptinc function test