MED COMP :( Flashcards
T: Antispasticity agent, skeletal muscle relaxants
baclofen
SE: coordination difficulties, hyperglycemia, hypersensitivity, ataxia, weakness, seizures
baclofen
NI:
-Assess muscle spasticity
-increased serum glucose, alkaline phosphatase, AST & ALT
-Take with food or milk
-(IT) use titran
baclofen
action: inhibits reflexes at the spinal level and decreases muscle spasticity
baclofen
this drug can be used for cerebral palsy, MS, or traumatic brain injuries
baclofen
T: antiparkinson agent
P: dopamine agent
carbidopa/levodopa
SE: darkening of urine/swear, involuntary movement, dry mouth
carbidopa/levodopa
NI:
-“on-off phenomenon”
-assess BP
-increases blood glucose
-monitor liver, kidney function, & CBC
-assess toxicity (facial grimacing, protrusion of tongue)
carbidopa/levodopa
what med should you teach your clients…
- eat after taking to avoid gastric irritation
-have good oral hygiene
-avoid vitamin B, iron, & protein
carbidopa/levodopa
action: converts to dopamine in CNS, where it serves as a neurotransmitter
carbidopa/levodopa
T: antiplatelet agent
P: platelet aggregation
clopidogrel
what are the SE of clopidogrel
cough, chest pain, bleeding, neutropenia, thrombocytopenia
NI:
-assess symptoms of a MI, stroke, PVD
-Monitor CBC with bleeding time
-increased: bilirubin, liver enzymes, cholesterol, uric acid levels
clopidogrel
CT:
-notify HCP of other medications/herbal products
clopidogrel
action: inhibits platelet aggregation by irreversibly inhibiting the binding of ATP to platelet receptors
clopidogrel
what can clopidogrel be used for?
reduction of atherosclerotic events
T: antiarrhythmic, inotropic
P: digitalis glycoside
digoxin
SE: arrhythmias, bradycardia, anorexia
digoxin
NI:
-take pulse 1 full minute before administering (<60-HCP)
-i/o, weight
-assess for edema
-lung sounds
digoxin
CT: if miss a dose you must take within 12 hours or not at all
digoxin
action: increase force of myocardial contraction and prolongs refractory period of the AV node
digoxin
what can digoxin be used for?
tachyarrhythmias
CHF
T: antianginal, antiarrhythmic, antihypertensive
P: calcium channel blockers
diltiazem
SE: dizziness, edema, headache, bradycardia, hypotension, palpitations
diltiazem
NI:
-i/o, weight
-pulse
-ECG
-edema
-lung sounds
-BP
diltiazem
action: inhibits transport of calcium into myocardial & vascular smooth muscle cells which will inhibit excitation and contraction
diltiazem
T: anti Alzheimer agent
P:cholinergic
donepezil
SE: n/v, GI bleeding, syncope, HYPO/HYPERtension, diarrhea, bradycardia, diaphoreses
donepezil
NI:
-cognitive function
-heart rate and rhythm
-notify HCP of drug before going under anesthesia
donepezil
CT:
-This drug may take weeks to work
-diarrhea may last 1-3 days
donepezil
action: inhibits acetylcholinesterase thus improving cholinergic function by making more acetylcholine available
donepezil
T: anticoagulant
P:antithombotic
enoxaparin
low molecular weight heparin
enoxaparin
SE: anemia, (LOCALIZED) erythema, hematoma, pain, ecchymosis
enoxaparin
enoxaparin antidote?
protamine sulfate
NI:
-monitor CBC, Platelets, stool, HCT
enoxaparin
when should the HCP discontinue enoxaparin?
<100,00 platelet count
action: inhibits clot formation
enoxaparin
AI:
-Do NOT expel air bubble
enoxaparin
T: lipid-lowering agent
P: fabric acid deviate
fenofibrate
SE: muscle pain, cholelithiasis, and pancreatitis
fenofibrate
NI:
-monitor lipid, AST, ALT, HGB, HCT, WBC
-assess for cholelithiasis
fenofibrate
what are the client teachings for fenofibrate
-eat a low triglyceride diet
-encourage follow up labs
action: inhibits triglyceride synthesis
fenofibrate
what is fenofibrate used for
decreasing LDL, total cholesterol, and triglycerides
when should a PT not take enoxaparin
when the PT has hypersensitivity to sulfates, benzyl, alcohol, or pork
what is the T & P of heaparin
anticoagulant
antithrombotic
What should the nurse assess when giving a PT heparin
bleeding, bruising, platelet, PTT, HCT
action: prevent the conversion of prothrombin to thrombin
heparin
what is the normal APTT of heparin
20-35 seconds
what is the therapeutic of heparin
1.5-2.5 the control
what specific med should you stop taking 5-7 days before surgery
clopidogrel
T: hormones
P: thyroid preparation
levothyroxine
what med could cause these side effects…
insomnia, irritability, nervousness cardiovascular collapse, arrhythmias, tachycardia, weight loss
levothyroxine
what needs assessed when using levothyroxine
-tachyarrhythmias & chest pain
-Monitor thyroid function test
-OVER DOSE (hyperthyroidism: tachycardia, chest pain, diaphoresis, etc.) ^ same as the SE
what is the most important CT when prescribing levothyroxine
checking pulse before giving (must be over 100)
should you take levothyroxine on a full or empty stomach
empty
action: replacement or supplement to endogenous thyroid hormone
levothyroxine
what is levothyroxine used for
thyroid cancer
what is the therapeutic class of metoclopramide
antiemetic
what is the #1 thing to look for when giving metoclopramide
extrapyramidal effects
(involuntary movements, facial grimacing, trembling of hands)
what must the client know when taking metoclopramide
NO driving
avoid CNS depressants
action: blocks dopamine in chemo receptor trigger zone in CNS
metoclopramide
T: anti-infective, antiprotozoal
metronidazole
SE: seizures, anorexia, headache
metronidazole
what should the nurse assess/obtain when giving metronidazole?
assess infection
assess neurological function
obtain specimen
action: disrupts DNA protein synthesis in susceptible organisms
metronidazole
what bacteria does metronidazole work best for
anaerobic and gut
