Med admin Lab Flashcards
Aluminum and magnesium hydroxide with simethicone (mylanta): Action
Neutralizes gastric acid on content
Aluminum and magnesium hydroxide with simethicone (mylanta): Classification
Antacid
Aluminum and magnesium hydroxide with simethicone (mylanta): Why is pt taking it
GERD
Aluminum and magnesium hydroxide with simethicone (mylanta): Assessments
Epigastric pain; heart burn; changes in stool
Aluminum and magnesium hydroxide with simethicone (mylanta): Lab assessments
Magnesium levels (s/s of hypermagnesemia- depressed or loss of deep tendon reflexes, shallow slow respirations, and low blood pressure
Aluminum and magnesium hydroxide with simethicone (mylanta): Special implications
give either 1 hour after or 2 hours before other medications
Aluminum and magnesium hydroxide with simethicone (mylanta): follow-up assessment
Heart burn, epigastric pain, and s/s of hypermagnesemia
Digoxin: Action
Increases the force of myocardial contraction, slows the heart rate, prolongs the refractory period of the AV node
Digoxin: Classification
Anti-arrhythmic; Inotropic; Digitalis Glycoside
Digoxin: Why is pt taking it
Chronic Heart Failure
Digoxin: Assessments
Dig level (0.8-2.0ng/dL) hold if >2; apical pulse for one full minute, hold if <60 BPM; and the potassium level (3.5-5) (hypokalemia leads to dig toxicity). Contact prescriber if you hold dose
Digoxin: Follow-up assessments
Common side effects (bradycardia); S/s of dig tox( N/V/D, bradycardia, yellow-green halo visual disturbances)
Furosemide: Action
Inhibits the reabsorption of sodium and chloride in the loop of hence and distal renal tubule
Furosemide: Classification
loop-diuretic
Furosemide: Why is pt taking it
CHF and fluid volume overload
Furosemide: Assessments
Potassium level, can decrease; Promotes loss of K, Mg, Cl, and Ca; Assess BP
Furosemide: Special implications
Increase K in diet to decrease chance of hypokalemia
Furosemide: Follow-up assessments
I/O and daily weight; Monitor for s/s of low K, Ca, Mg, and Cl
Heparin: Action
Potentiates the inhibitory effect of anti-thrombin on factor Xa and thrombin; prevents formation of thrombus
Heparin: Classification
Anti-coagulant
Heparin: Why is the pt taking it
To prevent DVT (DVT Prophylaxis)
Heparin: Assessments
Platelet count (hold if <100,000); aPTT(1.5-2 times the control); signs of bleeding
Heparin: Special implications
Second nurse check to double check the dose and labs
Heparin: Antidote
Protamine Sulfate
Heparin: Follow-up assessments
Signs of blood clots( Swelling of calf, redness and pain); common side effects of bleeding, anemia, and thrombocytopenia; monitor injection sites for hematoma
Insulin: Action
Lowers blood sugar by stimulating glucose uptake in skeletal muscles and fats
Insulin: Classification
Insulins; anti diabetics
Insulin: Why is pt taking it
History of diabetes
Insulin: Special implications
when mixing: air cloudy, air clear, draw clear, draw cloudy. be careful not to draw up too much or you will have to start over
Insulin: Assessments
Type of insulin and amount pt normally takes; Blood glucose (60-100mg/dL0 and hgb A1c
Insulin: follow-up assessments
blood glucose and hgb A1c
Iron dextran: Action
an essential mineral for hemoglobin production
Iron dextran: classification
iron supplement
Iron dextran: why is pt taking it
pt has mild anemia Hemoglobin (11.8) and hematocrit(34)
Iron dextran: Assessments
assess the hemoglobin and hematocrit
Iron dextran: special implications
Medication is given Z-track method in a big muscle
Iron dextran: follow-up assessments
asses the injection site for discomfort
TB test: why
pt has a past of illicit drug use with possible exposure to TB
TB test: given
Intradermal injection at 10-15 degree angle; don’t scratch or apply lotion in area
TB test:
TB follow up in 48-72 hours to have test read, and document date TB test is to be read
Morphine: Action
Binds to the opiate receptors in the CNS, alters the perception of painful stimuli
Morphine: Classification
Opioid Agonist
Morphine: Why is pt taking it
pt’s history and physical states that he has lower back pain and the plan is to order morphine IM
Morphine: Assessment
Pain level, location, and quality, blood pressure (if systolic <100, hold), respiration rate (if less than 10, hold) bowel function/ pattern, level of conciousness
Morphine: special implications
Set bed alarm and place the call light in reach and instruct the patient to call for assistance
Morphine: Antidote
Naloxone
Morphine: Follow-up assessments
pain level to see if it has decrease, common side effects such as constipation, sedation, hypotension, and respiratory depression
Aspirin: Action
Inhibits Prostaglandins (cox-1 and cox-2); Inhibits hypothalamic heat-regulation center
Aspirin: Classification
Anti-inflammatory, NSAID salicylates; antiplatelet; analgesic; antipyretic
Aspirin: why is pt taking it
Depending on dose either for pain in back or to help prevent DVT
Aspirin: Assessment
History of GI ulcers or bleeds, liver disease, drug history for interactions( oral anti diabetics, anticoagulants, or other NSAIDs), pain level/location, history of asthma
Hydrochlorothiazide: Action
on the renal distal tubules, promoting sodium, chloride, potassium, and water excretion
Hydrochlorothiazide: Classification
Thiazide diuretic
Hydrochlorothiazide: why is pt taking this
CHF edema and fluid volume overload
Hydrochlorothiazide: special indications
Drug interaction with Digoxin (hypokalemia)
Hydrochlorothiazide: Assessments
VS; Weight; urine output; labs (electrolytes, glucose, uric acid), edema, drug hx
Hydrochlorothiazide: Follow-up Assessments
BP and edema decreased; lab normal ranges; side effects and adverse reactions
Spironolactone: Action
Acts primarily in the collecting duct renal tubules and late distal tubules to promote sodium and water excretion and potassium retention
Spironolactone: Classification
Potassium-sparing diuretic
Spironolactone: why is pt taking this
CHF Edema and FVO
Spironolactone: Assessments
if pt is taking potassium supplement or salt substitute; VS, electrolytes, weight, urine output
Spironolactone: Follow-up assessments
edema decreased; potassium levels
Metaprolol: action
Blocks stimulation of beta 1 receptors
Metaprolol: classification
antihypertensive; beta-adrenergic blocker
Metaprolol: Assessments
VS, AST, ALT, BUN, Creatinine
