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MED COMPETENCY > MED COMPETENCY > Flashcards

MED COMPETENCY Flashcards

1
Q

LATANOPROST OPTHALMIC

SOLUTION

A

EYE DROP

INDICATIONS: open angle glaucoma

CONTRAINDICATIONS: hypersensitivity, intraoccular inflammation

SIDE EFFECTS: dry eye, itching, rash.

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2
Q

CYANOCOBALAMIN

A

INTRAMUSCULAR
INDICATION: vitamin B12, pernicious anemia

CONTRAINDICATIONS: hypersensitivity

SIDE EFFECTS: diarrhea, headache, pain and itching at intramuscular site
ADVERSE EFFECTS: anaphylaxis, pulmonary edema and heart failure

NURSING CONSIDERATION: assess patient for signs of vitamin b12 deficiency such as inflamed tongue, neuropathy and psychosis before and periodically during drug therapy

PATIENT TEACHING:

  • teach patient about foods enriched in vitamin B12 such as seafood, cheese and meat
  • encourage patient to comply with these diet recommendations
  • Encourage patient for follow up exams and evaluations because pernicious anemia requires a lifelong need for vitamin B12 replacement.
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3
Q

PANTOPRAZOLE / Protonix

A

IV
INDICATION: erosive esophagitis associated gastroesophageal reflux disease GERD

CONTRAINDICATIONS: hypersensitivity to rabeprazole
SIDE EFFECTS: headaches, diarrhea
ADVERSE EFFECT: C. difficile associated diarrhea

NURSING CONSIDERATION: asses patient routinely for abdominal pain, occult blood in stool

PATIENT TEACHINGS: instruct patient to notify health care professional immediately if abdominal pain, fever or bloody stools occurs

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4
Q

NITROGLYCERIN PATCH

A

TOPICAL
INDICATION: prophylactic long term management of angina pectoris

CONTRAINDICATION: Hypersensitivity, severe anemia, increase intracranial pressure

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5
Q

POTASSIUM CHLORIDE

A

ORAL
INDICATION: Potassium depletion

CONTRAINDICATIONS: hyperkalemia, severe renal impairment
SIDE EFFECTS: nausea vomiting
ADVERSE EFFECT: arrhythmia, GI ulceration

NURSE CONSIDERATION: asses patient for signs and symptoms of hypokalemia such as weakness slow and irregular heart beat

PATIENTS TEACHING: teach patient to take drug as directed. encourage patient to comply with the recommended diet. COTACT IF WEKANESS IN EXTREMETIES OCCUR OCCURS

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6
Q

ONDANSETRON

A

ORAL
INDICATIONS: prevents nausea and vomiting associated with chemo or radiation

CONTRAINDICATION: hypersensitivity, use with apomorphine
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECTS: serotonin syndrome, steven johnson’s syndrome
NURSING CONSIDERATION: monitor patient for sign and symptoms of serotonin syndrome (mental health changes).
Assess for rash periodically

PATIENTS TEACHING: take medication as directed.
Call healthcare profession if you have any irregular heart beat, serotonin syndrome, involuntary eyes, face and limbs movements

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7
Q

LEVOTHYROXINE

A

ORAL
INDICATION: treatment of hypothyroidism, goiters

CONTRAINDICATIONS: hypersensitivity, hyperthyroidism
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECTS: tachycardia, arrhythmias

NURSING CONSIDERATION: asses patients apical and BP periodically throughout therapy

  • Assess for tachyarrhythmias and chest pain
  • Monitor thyroid functions prior to and during therapy

PATIENT TEACHINGS: take medication at the same time each day.
- explain to patient that this drug does not cure hypothyroidism but it’s just a lifelong supplement therapy.

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8
Q

GABAPENTIN

A

ORAL
INDICATIONS: partial seizures, postherpetic neuralgia (neurologic pain)
CONTRAINDICATIONS: hypersensitivity
SIDE EFFECTS: dizziness, drowsiness
ADVERSE EFFECTS: steven johnson syndrome, suicidal thoughts, hypersensitivity

NURSING CONSIDERATION: Monitor patients for notable changes in behavior in the form of depression, suicidal thoughts.
- assess location, characteristics and duration of SEIZURE or PAIN

PATIENTS TEACHINGS: teach patients about respiratory depression and to contact health care professional if they experience any thought of suicide, dying or panic attack attacks

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9
Q

FUROSEMIDE / LASIX

A

ORAL
INDICATIONS: hypertension, fluid retention due to heart failure, liver and kidney disease

CONTRAINDICATIONS: hypersensitivity,hepatic coma
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECTS: aplastic anemia, steven johnson syndrome

NURSING CONSIDERATION: monitor patients vital signs. Treat symptomatically: may recur if treatment is stopped

PATIENTS TEACHING: Take medication as prescribed, chnage positions slowly to reduce or tho static hypotension. consult doctor if you notice any significant weight gain. 3lbs and up

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9
Q

FERROUS SULFATE

A

ORAL
INDICATIONS: treatment and prevention of iron deficiency anemia

CONTRAINDICATIONS: hypersensitivity, iron overload
SIDE EFFECTS: nausea, dark stools
ADVERSE EFFECTS: GI bleeding, syncope

NURSING CONSIDERATION:

  • access patients hemoglobin and hematocrit levels during therapy
  • access bowel functions for constipation or diarrhea

PATIENTS TEACHINGS: explain the purpose of iron therapy to patient
- dark tools are normal
- advise patient to follow diets high in iron such as spinach
-

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10
Q

FAMOTIDINE

A

ORAL
INDICATION: heartburn, gastric ulcers, management of GERD

CONTRAINDICATIONS: hypersensitivity
SIDE EFFECTS: nausea, diarrhea
ADVERSE EFFECT: arrhythmia, aplastic anemia

NURSING CONSIDERATION: Monitor complete blood count periodically during therapy.
- assess patient for abdominal pain

PATIENT TEACHINGS: encourage patient to quit smoking whiles on therapy
- avoid alcohol or NSAIDs that can irritate the stomach

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11
Q

DOCUSATE SODIUM

A

ORAL
INDICATIONS: prevention of constipation, prevention of opioid induced constipation

CONTRAINDICATIONS: hypersensitivity, abdominal pain
SIDE EFFECTS: abdominal cramps, diarrhea
ADVERSE EFFECTS: electrolyte imbalance, rashes

NURSING CONSIDERATION: access for abdominal distention and bowel sounds
- access usual patterns of bowel functions

PATIENT TEACHINGS: advise patient that laxative should be used only for short term therapy

  • do not take this medication within two hours of taking other laxatives
  • instead, increase fluid intake. drink a lot of water
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12
Q

ATORVASTATIN CALCIUM

A

ORAL
INDICATIONS: management of high cholesterol, prevents coronary heart disease

CONTRAINDICATIONS: hypersensitivity, active liver disease
SIDE EFFECTS: nausea, constipation
ADVERSE EFFECT: hypersensitivity reactions, heartburn

NURSING CONSIDERATION: obtains patients diet history especially with regard to fat consumption
PATIENTS TEACHINGS: instruct patient to notify healthcare professional immediately if unexplained muscle pain, tenderness and weakness especially if it accompanied fever

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14
Q

ALPRAZOLAM / XANAX

A

ORAL
INDICATION: anxiety and panic disorders

CONTRAINDICATIONS: hypersensitivity, severe uncontrolled pain
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECT: drowsiness, blurred vision

NURSING CONSIDERATION: asses patients degree and manifestation of anxiety and mental disorders
- assess for dizziness and drowsiness

PATIENTS TEACHING
- Advise patient that alprazolam is a drug with known abuse potential. Protect it from theft, and never give to anyone other than the individual for whom it was prescribed.

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15
Q

HYDROCORTISONE CREAM

A

TYPICAL
INDICATION: inflammation and various skin irritations

CONTRAINDICATIONS: hypersensitivity, untreated bacterial or viral infections

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16
Q

PREDNISONE

A

ORAL
INDICATION: inflammation, immunosuppression, endocrine disorders
CONTRAINDICATIONS: active untreated infections
SIDE EFFECTS: depression
ADVERSE EFFECT: Peptic ulceration

NURSING CONSIDERATION: assess patient for signs and symptoms of adrenal insufficiency such as weigh loss, confusion

PATIENT TEACHING:

  • Do not double dose
  • Finish medication, stoping medication may result in adrenal insufficiency, fatigue dyspnea.
  • If any of the mentioned signs happens, contact a health care professional immediately
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17
Q

LORATADINE / CLARITIN

A 
ORAL
INDICATIONS: seasonal allergies, hives
CONTRAINDICATIONS: hypersensitivity
SIDE EFFECTS: drowsiness, dry mouth 
ADVERSE EFFECT: photosensitivity, rash

NURSING CONSIDERATION
- assess patient for allergy symptoms such as rhinitis and hives before and periodically throughout drug therapy

PATIENTS TEACHING:

  • Use sunscreen and protective clothing to avoid photosensitivity reactions
  • may cause drowsiness or dizziness so avoid driving
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18
Q

DIPHENHYDRAMINE/ BENADRYL

A

ORAL
INDICATIONS: relief of allergic symptoms, prevention of motion sicknesses
CONTRAINDICATIONS: hypersensitivity, acute asthma attacks, known alcohol intolerance
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECT: anorexia, dry mouth

NURSE CONSIDERATION:

  • this drug has multiple uses so know what the medication was ordered for.
  • Access patient for urticaria and patency of airway

PATIENTS TEACHING:
- Assess patients sleep pattern and cough type

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19
Q

INSULIN
LEVEMIR = long acting
NOVALOG = short acting

A

SUBCUTANEOUS
INDICATION: control of hyperglycemia in type 1 and 2 diabetes

CONTRAINDICATIONS: hypoglycemia, renal impairment

SIDE EFFECTS: swelling and itching at injection site
ADVERSE EFFECT: hypoglycemia and anaphylaxis

NURSING CONSIDERATION:

  • assess patient periodically for signs and symptoms of hypoglycemia, tingling in lips feet tongue which can indicate overdose
  • Monitor patients body weight periodically during therapy which may require change in insulin dose

PATIENT TEACHING

  • instruct patient correct self-injection technique, care and disposal
  • Advise patient to carry source of sugar with them at all times
  • Instruct patient on signs and symptoms of hypoglycemia and hyperglycemia and what to do if they occur.
20
Q

METFORMIN

A

ORAL
INDICATIONS: type 2 diabetes
CONTRAINDICATIONS: hypersensitivity, diabetic keto acidosis, history of alcoholism

SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECTS: lactic acidosis

NURSE CONSIDERATION: monitor patient for signs and symptoms of hypoglycemia reactions
- patient with renal impairments are at higher risk of lactic acidosis

PATIENTS TEACHING: take drug same time each day

  • drug helps control hyperglycemia and is usually a long term therapy
  • regular exercises are recommended
21
Q

IPRATROPIUM

A

INHALER
INDICATION: Reversible airway obstruction due to COPD

CONTRAINDCATIONS: hypersensitivity, acute bronchospasm

ADVERSE EFFECTS: cough, dry mouth, palpitations

22
Q

VANCOMYSIN

A

IV/ORAL
INDICATION: treatment of life threatening infections
CONTRAINDICATION: hypersensitivity
SIDE EFFECTS: diarrhea, nausea
ADVERSE EFFECTS: hypersensitivity reactions, rash

NURSING CONSIDERATION:

  • Obtain specimen for culture and sensitivity prior to therapy
  • Observe patient for signs and symptoms of anaphylaxis

PATIENT TEACHING: Advice patient to finish drug therapy even if they’re feeling better.

  • Not finishing medication can lead to super infection
  • contact hcp if diarrhea occurs especially if it contains blood mucus and pus
23
Q

PIPERACILLIN/TAZOBACTAM

A

IV
INDICATION: treatment of bacterial infections (peritonitis)

CONTRAINDICATION: hypersensitivity to pencillin
SIDE EFFECTS: diarrhea, rash
ADVERSE EFFECTS: toxic epidermal necrosis, c. difficile

NURSING CONSIDERATION:

  • Obtain specimen for culture and sensitivity prior to therapy
  • Observe patient for signs and symptoms of anaphylaxis

PATIENT TEACHING: Advice patient to finish drug therapy even if they’re feeling better.

  • Not finishing medication can lead to spider infection
  • contact hcp if diarrhea occurs especially if it contains blood mucus and pus
24
Q

DOXYCYCLINE

A

IV / ORAL. INDICATION: treatment of various infections
CONTRA: hypersensitivity
SIDE EFFECTS: diarrhea, nausea
ADVERSE EFFECTS: Toxic epidermal necrosis, C. difficile

NURSING CONSIDERATION:

  • Obtain specimen for culture and sensitivity prior to therapy
  • Observe patient for signs and symptoms of anaphylaxis

PATIENT TEACHING: Advice patient to finish drug therapy even if they’re feeling better.

  • Not finishing medication can lead to spider infection
  • contact hcp if diarrhea occurs especially if it contains blood mucus and pus
25
Q

CIPROFLOXACIN

A

IV/ PO. INDICATION: treatment of various infections
CONTRA INDICATION: hypersensitivity
SIDE EFFECT: diarrhea, rash
ADVERSE EFFECT: toxic epidermal necrosis, C. difficile

NURSING CONSIDERATION:

  • Obtain specimen for culture and sensitivity prior to therapy
  • Observe patient for signs and symptoms of anaphylaxis

PATIENT TEACHING: Advice patient to finish drug therapy even if they’re feeling better.

  • Not finishing medication can lead to super infection
  • contact hcp if diarrhea occurs especially if it contains blood mucus and pus
26
Q

CEFTRIAXONE

A

IV/IM. INDICATION: treatment of various infections
CONTRAINDICATIONS: hypersensitivity
SIDE EFFECTS: diarrhea, nausea
ADVERSE EFFECTS: Toxic epidermal necrosis, C. difficile

NURSING CONSIDERATION:

  • Obtain specimen for culture and sensitivity prior to therapy
  • Observe patient for signs and symptoms of anaphylaxis

PATIENT TEACHING: Advice patient to finish drug therapy even if they’re feeling better.

  • Not finishing medication can lead to super infection
  • contact hcp if diarrhea occurs especially if it contains blood mucus and pus
27
Q

BACITRACIN

A

TOPICAL || INDICATION: treatment of localized infections
CONTRAINDICATIONS: hypersensitivity
SIDE EFFECTS: diarrhea, nausea
ADVERSE EFFECTS: toxic epidermal necrosis, c. difficile

NURSING CONSIDERATION:

  • Obtain specimen for culture and sensitivity prior to therapy
  • Observe patient for signs and symptoms of anaphylaxis

PATIENT TEACHING: Advice patient to finish drug therapy even if they’re feeling better.

  • Not finishing medication can lead to super infection
  • contact hcp if diarrhea occurs especially if it contains blood mucus and pus
28
Q

AMLODIPINE/Norvasc

A

ORAL. INDICATION: hypertension
CONTRAINDICATIONS: hypersensitivity, systolic BP less than 90 mm Hg
SIDE EFFECTS: fatigue, dizziness
ADVERSE EFFECT: hypotension, bradycardia

NURSING CONSIDERATION: monitor patients BP, ECG PULSE before and periodically during drug therapy
- monitor patients intake and output ratios and daily weight

PATIENT TEACHINGS: teach patient how to self monitor BP HR AND PULSE and to report to HCP if HR falls below 50 beats per mins

  • may cause dizziness so avoid driving
  • take drug as ordered even if you’re feeling well. take missed dose ASAP
29
Q

HYDROCHLOROTHIAZIDE

A

ORAL. INDICATION: hypertension
CONTRAINDICATIONS: hypersensitivity, systolic BP less than 90 mm Hg
SIDE EFFECTS: fatigue, dizziness
ADVERSE EFFECT: steven Johnson’s syndrome, pancreatitis

NURSING CONSIDERATION: monitor patients BP, ECG PULSE before and periodically during drug therapy

  • monitor patients intake and output ratios and daily weight
  • assess for skin rash periodically

PATIENT TEACHINGS: teach patient how to self monitor BP HR AND PULSE and to report to HCP if HR falls below 50 beats per mins

  • may cause dizziness so avoid driving
  • take drug as ordered even if you’re feeling well. take missed dose ASAP
30
Q

LISINOPRIL

A

ORAL. INDICATION: hypertension
CONTRAINDICATIONS: hypersensitivity, systolic BP less than 90 mm Hg
SIDE EFFECTS: fatigue, dizziness
ADVERSE EFFECT: hypotension, angioedema

NURSING CONSIDERATION:

  • assess patient for sign of angioedema (swelling of face)
  • monitor patients BP, ECG PULSE before and periodically during drug therapy
  • monitor patients intake and output ratios and daily weight

PATIENT TEACHINGS: teach patient how to self monitor BP HR AND PULSE and to report to HCP if HR falls below 50 beats per mins

  • may cause dizziness so avoid driving
  • take drug as ordered even if you’re feeling well. take missed dose ASAP
  • avoid salt
31
Q

LOSARTAN : Cozaar

A

ORAL. INDICATION: hypertension
CONTRAINDICATIONS: hypersensitivity, systolic BP less than 90 mm Hg
SIDE EFFECTS: fatigue, dizziness
ADVERSE EFFECT: steven Johnson’s syndrome, angioedema

NURSING CONSIDERATION:

  • assess patient for sign of monitor patients BP, ECG PULSE before and periodically during drug therapy
  • monitor patients intake and output ratios and daily weight
  • assess for skin rash periodically

PATIENT TEACHINGS: teach patient how to self monitor BP HR AND PULSE and to report to HCP if HR falls below 50 beats per mins

  • may cause dizziness so avoid driving
  • take drug as ordered even if you’re feeling well. take missed dose ASAP
32
Q

METOPROLOL

A

ORAL. INDICATION: hypertension
CONTRAINDICATIONS: hypersensitivity, systolic BP less than 90 mm Hg
SIDE EFFECTS: fatigue, dizziness
ADVERSE EFFECT: hypotension, HF

NURSING CONSIDERATION: monitor patients BP, ECG PULSE before and periodically during drug therapy
- monitor patients intake and output ratios and daily weight

PATIENT TEACHINGS: teach patient how to self monitor BP HR AND PULSE and to report to HCP if HR falls below 50 beats per mins

  • may cause dizziness so avoid driving
  • take drug as ordered even if you’re feeling well. take missed dose ASAP
33
Q

TIMOLOL

A

EYE DROP: INDICATION: hypertension, prevention of MI, Treatment of migraines
CONTRAINDICATIONS:uncompensated HF, pulmonary edema
SIDE EFFECTS: fatigue, weakness
ADVERSE EFFECTS: hypotension , bradycardia

NURSING CONSIDERATION: monitor patients BP, ECG PULSE before and periodically during drug therapy
- monitor patients intake and output ratios and daily weight

PATIENT TEACHINGS: teach patient how to self monitor BP HR AND PULSE and to report to HCP if HR falls below 50 beats per mins

  • may cause dizziness so avoid driving
  • take drug as ordered even if you’re feeling well. take missed dose ASAP
34
Q

GUAIFENESIN

A

ORAL
INDICATION: Coughs associated with viral upper respiratory tract infections.
CONTRAINDICATIONS: hypersensitivity, intolerance to alcohol
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECTS: stomach pain, urticaria

NURSING CONSIDERATION:
- Monitor cough type and frequency 
- Access lung sounds 
PATIENTS TEACHINGS
- instruct patient to cough effectively
- may cause drowsiness, avoid driving 
- contact HCP if cough last more than a week 
- potential abuse, protect it from theft
35
Q

DEXTROMETHORPHAN

A

ORAL
INDICATION: Coughs associated with viral upper respiratory tract infections.
CONTRAINDICATIONS: hypersensitivity, intolerance to alcohol
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECTS: stomach pain, urticaria

NURSING CONSIDERATION:
- Monitor cough type and frequency 
- Access lung sounds 
PATIENTS TEACHINGS
- instruct patient to cough effectively
- may cause drowsiness, avoid driving 
- contact HCP if cough last more than a week 
- potential abuse, protect it from theft
36
Q

ACETAMINOPHEN/TYELENOL

A

ORAL
INDICATION: treatment of mild pain and fever
CONTRAINDICATIONS: previous hypersensitivity, active liver disease
SIDE EFFECTS: headache, constipation
ADVERSE EFFECT: toxic epidermal necrosis, steven johnson’s syndrome

NURSING CONSIDERATION: Assess overall health status and alcohol usage. Assess skin for rashes before and periodically during therapy. May OTC drugs contains acetaminophen so be careful when calculating total daily dose. reduce total daily dose and increase dorsal in

PATIENT TEACHING: Discontinue use and contact HCP if rash occurs whiles on therapy. do not exceed recommended dose and avoid alcohol

37
Q

ACETYLSALICYLIC ACID / ASPIRIN

A

ORAL:
INDICATION M: treatment of mild pain, fever, prophylaxis for heart attack. PREVENTS BLOOD CLOT
CONTRAINDICATIONS: hypersensitivity, cross sensitivity with other NSAIDS
SIDE EFFECTS: nausea, vomiting
ADVERSE EFFECT: GI bleeding, hypersensitivity reactions

NURSING CONSIDERATION: monitor patients for sign of GI bleeding prior and periodically during drug therapy. monitor patients for hypersensitivity reactions

PATIENTS TEACHING: Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain
NURSING CONSIDERATION:

38
Q

IBUPROFEN / ADVIL

A

ROUTE: ORAL
INDICATION: treatment of pain, inflammation
CONTRAINDICATIONS: hypersensitivity, cross sensitivity with other NSAIDS
SIDE EFFECTS: nausea, constipation
ADVERSE EFFECT: HF, toxic epidermal necrosis, steven johnson syndrome, GI bleeding

NURSING CONSIDERATION:

  • make sure person does not have asthma
  • assess pain prior and an hour or 2 after therapy
  • access patient for skin rash frequently during therapy
  • treat symptomatically

PATIENTS TEACHINGS.

  • avoid alcohol as it can increase risk of GI bleeding
  • Advise patient to consult health care professional if rash, itching, visual disturbances, tinnitus, weight gain
39
Q

OXYCODONE

A 
ORAL: 
INDICATION: moderate to severe pain 
CONTRAINDICATION: hypersensitivity, 
SIDE EFFECTS: nausea, sedation 
ADVERSE EFFECT: respiratory depression, orthostatic hypotension

NURSING CONSIDERATION:
Access BP and respiration before and periodically during therapy
- assess level of sedation
- assess risk for opioid addiction , abuse, or misuse before administration.

PATIENT TEACHING:

  • take drug as directed
  • Advise patient that oxycodone is a drug with known abuse potential. Protect it from theft, and never give to anyone other than the individual for whom it was prescribed.
40
Q

FENTANYL PATCH

A

TOPICAL
INDICATION: moderate to severe chronic pain
CONTRAINDICATION: hypersensitivity,
SIDE EFFECTS: nausea, sedation
ADVERSE EFFECT: respiratory depression, orthostatic hypotension

NURSING CONSIDERATION:
Access BP and respiration before and periodically during therapy
- assess level of sedation
- assess risk for opioid addiction , abuse, or misuse before administration.
- access bowel function

PATIENT TEACHING:
- Advise patient that oxycodone is a drug with known abuse potential. Protect it from theft, and never give to anyone other than the individual for whom it was prescribed.
- instruct correct method for application and disposal of patch.
• avoid grapefruit juice

41
Q

LIDOCAINE PATCH

A 
TOPICAL
INDICATION: pain due to post-op neuralgia
CONTRAINDICATION: 
SIDE EFFECTS: confusion, sedation 
ADVERSE EFFECTS: seizure, cardiac arrest

NURSING CONSIDERATION

  • monitor ECG continuously. BP & Respiratory status frequently during administration
  • monitor for pain intensity periodically during therapy

PATIENT TEACHING
- May cause drowsiness; avoid driving
• explain purpose of lidocaine to patient
• avoid contact with water since patch may not stick

42
Q

ENOXAPARIN / LOVENOX

A

SUBCUTANEOUS
INDICATION: prevention of VTE, DVT, PE, MI

CONTRAINDICATION: past hypersensitivity, active bleeding benzyl alcohol

SIDE EFFECTS: edema, nausea, vomiting
ADVERSE EFFECTS: hemorrhage, heparin induced thrombocytopenia

NURSE CONSIDERATION: assess patient for any sign of bleeding, asses patient for evidence or increase in thrombosis

PATIENT CONSIDERATION: instruct patient correct self injection technique, care and disposal

  • advise patient to follow up with any unusual bleeding, bruising or rash
  • advise patient not to take aspiring or ibuprofen without talking tot a doctor
43
Q

HEPARIN

A

SUBCUTANEOUS
INDICATIONS: treatment of VTE, pulmonary emboli, atrial fibrillation

CONTRAINDICATION: uncontrolled bleeding, open wounds
ADVERSE EFFECTS: heparin induced thrombocytopenia (HIT)

NURSE CONSIDERATION:

  • assess patient for any sign of bleeding.
  • assess patient for evidence or increase of thrombosis
  • monitor platelet count every 2-3 days during therapy

PATIENT TEACHCHINGS

  • Advise patient to report any signs of unusual bleeding or bruising
  • Advise patient not to take aspirin or NSAIDs while on therapy
  • Avoid IM injections and activities that may lead to injury
44
Q

ALBUTEROL

A

INHALER
INDICATION: Treatment or prevention of bronchospasm in asthma or COPD
CONTRAINDICATIONS: Hypersensitivity
SIDE EFFECTS: chest pain, hypertension
ADVERSE EFFECTS: paradoxical bronchospasm

NURSING CONSIDERATIONS

  • Observe patient for paradoxical bronchospasm (wheezing)
  • if this happens, withhold medication

PATIENTS TEACHINGS:
- contact a HCP if shortness of breath occurs especially if it accompanies dizziness or chest pain

45
Q

FLUTICASONE PROPIONATE

A

INHALER
INDICATION: maintenance treatment of asthma
CONTRAINDICATIONS: Hypersensitivity
SIDE EFFECTS: headache, dizziness
ADVERSE EFFECT: hypersensitivity reaction

NURSING CONSIDERATION:

  • Monitor patients respiratory status and lung sounds
  • Monitor for withdrawal symptoms

PATIENTS TEACHING
- stop use and contact HCP if signs and symptoms of hypersensitivity occurs

MED COMPETENCY (3 decks)

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