HPS Flashcards
Lisinopril 10mg daily oral
Description
Possible interaction
Angiotensin-converting enzyme (ACE) inhibitor
Hypertension treatment
Relaxes blood vessels
INTERACTION: NSAID affecting kidney function
Heparin (5000 U subQ p8h)
Description:
Negative Interactions:
Anticoagulant (prevent blood clots)
Negative Interaction: Heparin may cause bleeding
NSAID & Heparin use may increase risk of bleeding
Hydrocodone 5mg / Acetaminophen 350 mg (oral every 6 hrs for pain prn)
Description
Possible Neg Effects
Opoid Analgesic Pain Releif
Hydrocodone: acts on CNS as an analgesic
Acetaminophen: reduces fever / pain
Negative Interaction:
Concurrent use with other CNS depressants will increase the following side effects:
Drowsiness, constipation, resp dist,
Ondansetron (Zofran) 2 mg IM q8h prn
What is Ondansetron (Zofran) for…
Description:
Possible Negative Effects:
Nausea
Desc: antimetic, used postoperative
Possible negative effects: Headache Constipation
Heparin
Safe dosage range
How often in our class
Safe range: 5,000 - 10,000 Units
Our class said 8,000 - 10,000
q8h
Heparin: 5000 units SQ qh8
Reason for giving
Patient is post-op unable to walk
Heprin will reduce risk of DVT
Heprin: 5000 units SQ qh8
SE
Teaching
SE: Anemia, bleeding, Hyperkalemia, rash
Teaching:
Why were giving this: To prevent blood clots that can occur from you not being able to walk
Advise patient to report unusual bleeding or bruising
Heparin: 5000 units SQ qh8
Labs:
VS:
Labs:
BMP, K+ (potassium)
CBC: Hemoglobin & platelets
VS: BP, HR, TEMP, PULSE OX, RESPITORY RATE
Lisinopril: 10 mg Oral Daily
Class / Action
Usual Range
Class / Action: ACE inhibitor (Angiotensin-converting enzyme)
Treats: hypertension (high blood pressure), heart failure, and certain kidney diseases
By interference with the renin-angiotensin-aldosterone system (RAAS)
RAAS: crucial role in regulating blood pressure and fluid balance in the body.
Usual Range: 10 - 40 mg daily
Why is Lisinopril 10 mg PO daily being given?
History of hypertension
Lisinopril 10mg PO daily
SE
Teaching
SE: Dry cough, angioedema, dizzy/drowsy, fatigue/ headache
Teaching:
Monitor BP
Get up slowly due to: Orthostatic Hypotension
Importance of getting regular blood test to monitor kidney function, because this medication effects kidney function
Lisinopril 10mg PO daily
LABS
VS
Labs:
BUN
Creatine
Potassium
VS:
BP
HR
Hydrocodone / Acetaminophen dose
Frequency
Hydrocodone 5mg
Acetaminophen 350mg
q6h PRN
Hydrocodone 5 mg / Acetaminophen 350mg q6h PRN
Therapeutic use
Max dose
Decrease pain
Hydrocodone 30mg
Acetaminophen 2,100*
4,000 chtgpt
Hydrocodone 5mg/ Acetaminophen 350mg
SE
Teaching
SE
Drowsiness
Dizziness
Nausea or vomiting
Constipation
TEACHING
Take as prescribed
Beware of Acetaminophen content and don’t take too much Avoid Level Damage
Take food
No alcohol
CONSTIPATION (drink fluids)
