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NSG 303 > MedComp Final > Flashcards

MedComp Final Flashcards

1
Q

acetaminophen (p/o)

TYLENOL

A

Indication: mild pain, fever

Contraindications: previous sensitivity, severe hepatic impairment, active liver disease

Side Effects: nausea, vomiting, diarrhea, constipation, anxiety

Adverse Reactions: hepatic impairment, renal failure, cardiac damage, toxic epidermal necrosis, rash

Nursing Considerations: consider other medications containing acetaminophen when calculating daily dose, lower doses for patients with hepatic impairment

Patient Teachings: take as directed, notify HCP if fever exceeds 3 days, discontinue and notify HCP if rash occurs

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2
Q

acetylsalicylic acid (p/o)

ASPIRIN

A

Indication: mild pain. fever, inflammatory disorders, prophylaxis for heart attacks

Contraindications: previous sensitivity to aspirin, bleeding disorders, cross-sensitivity to other NSAIDS

Side Effects: nausea, vomiting, diarrhea, epigastric distress, abdominal pain

Adverse Reactions: GI bleeding, anaphylaxis, tinnitus

Nursing Considerations: scheduled doses for inflammatory conditions, monitor for hypersensitivity reactions, monitor serum levels >400mcg/mL

Patient Teachings: Consult HCP if tinnitus occurs, Consult doctor if fever exceeds 3 days, take with food or water to reduce GI effects, sit upright for 15-30 min following administration to reduce GI effects

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3
Q

alprazolam (p/o)

XANAX

A

Indication: generalized anxiety disorder (GAD), panic disorders, anxiety associated with depression

Contraindications: previous hypersensitivity, sensitivity to other benzodiazepines, pre-existing CNS depression, severe uncontrolled pain

Side Effects: nausea, vomiting, diarrhea, constipation, dizziness

Adverse Reactions: blurred vision, tinnitus, chest pain, confusion

Nursing Considerations: monitor patients also taking opioids for signs and symptoms of respiratory depression, give smallest possible therapeutic dose to prevent ataxia

Patient Teachings: avoid grapefruit juice, drowsiness may occur so avoid driving, take exactly as prescribed and do not exceed prescribed amount, avoid alcohol

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4
Q

amlodipine (p/o)

**NORVASC*

A

Indication: hypertension, angina pectoris, spastic angina

Contraindications: hypersensitivity, systolic BP <90mmHG

Side Effects: nausea, dizziness, fatigue, flushing

Adverse Reactions: peripheral edema, angina, bradycardia, hypotension

Nursing Considerations: monitor BP before and during therapy, monitor intake and output ratios daily, monitor for signs of heart failure

Patient Teachings: take exactly as prescribed, teach patient to monitor pulse, drowsiness may occur so avoid driving, notify HCP if HR <50bpm

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5
Q

atorvastatin calcium (p/o)

LIPITOR

A

Indication: management of high cholesterol, prevention of coronary artery disease

Contraindications: hypersensitivity, active liver disease

Side Effects: nausea, diarrhea, constipation, flatulence, heartburn

Adverse Reactions: chest pain, peripheral edema, insomnia, memory loss

Nursing Considerations: obtain baseline lipid profile before treatment start, obtain diet history (fat consumption)

Patient Teachings: take medication exactly as prescribed, medication should be implemented along with diet and exercise changes, consult HCP in the event of unexplained muscle pain/tenderness/weakness

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6
Q

dextromethorphan (p/o)

**ROBITUSSIN*

A

Indication: coughs caused by upper respiratory infections, chronic non-productive coughs

Contraindications: hypersensitivity, chronic productive coughs, patients taking MAO inhibitors or SSRI’s

Side Effects: nausea, vomiting

Adverse Reactions: stomach pain, sedation

Nursing Considerations: monitor cough type and frequency, monitor for symptom improvement

Patient Teachings: Take drug exactly as prescribed and don’t exceed recommended amount, avoid alcohol, contact HCP if cough last longer than 1 week

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7
Q

diphenhydramine (p/o)

BENADRYL

A

Indication: relief of allergic symptoms, mild nighttime sedation, prevention of motion sickness

Contraindications: hypersensitivity, acute asthma attacks, known alcohol tolerance

SIde Effects: nausea, drowsiness, dizziness

Adverse Reactions: tinnitus, blurred vision, dysuria, hypotension

Nursing Considerations: There are multiple uses for this drug, so it’s important to know the reason it was ordered when assessing symptoms.

  • Anaphylaxis: assess for urticaria and patient airway
  • Insomnia: assess sleep patterns
  • Motion sickness: assess for nausea, vomiting and bowel sounds

Patient Teachings: Take exactly as prescribed. Medication may cause dizziness, avoid driving. Medication may cause dry mouth, oral rinses. Teach sleep hygiene, dark quiet room at night and limit daytime naps.

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8
Q

docusate sodium (p/o)

COLACE

A

Indication: constipation, prevent of opioid induced constipation

Contraindications: hypersensitivity, abdominal pain, nausea, vomiting associated with fever

Side Effects: nausea, vomiting, diarrhea, abdominal cramps

Adverse Reactions: electrolyte imbalance, urinary discoloration, rash

Nursing Considerations: Determine adequate fluid intake, exercise and diet before administration

Patient Teachings: Laxative should be used for short-term therapy. Teach patient other forms of bowel regulation including increase fluid intake. Teach cardiac patients to avoid straining during bowel movement.

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9
Q

famotidine (p/o)

PEPCID

A

Indication: Management of GERD, acid indigestion, active duodenal ulcers, benign gastric ulcers

Contraindications: Hypersensitivity, patients with phenylketonuria

Side Effects: nausea, diarrhea, drowsiness, dizziness

Adverse Reactions: arrhythmias, agranulocytosis, aplastic anemia (no RBC production)

Nursing Considerations: assess patient for abdominal pain, look for blood in emesis/stool/gastric aspirate

Patient Teachings: Take course exactly as directed even if you are feeling better, may cause drowsiness so avoid driving, avoid alcohol

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10
Q

ferrous sulfate (p/o)

IRON

A

Indication: iron deficiency anemia

Contraindications: hypersensitivity, hemochromatosis (iron overload with organ damage), hemosiderosis (iron overload w/o organ damage)

Side Effects: nausea, vomiting, constipation, dark stools

Adverse Reactions: GI bleeding, syncope

Nursing Considerations: GI upset may be related to dose, monitor Hb level, hematocrit and reticulocyte count during therapy

Patient Teachings: Explain purpose of iron therapy. Inform patients that stools may appear dark green/black. Educate patients on high-iron foods that should also be implemented.

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11
Q

furosemide (p/o)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
Nursing Considerations: 
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12
Q

gabapentin (p/o)

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Indication: 
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13
Q

guaifenesin (p/o)

A 
Indication: 
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14
Q

hydrochlorothiazide (p/o)

A 
Indication: 
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Adverse Reactions: 
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15
Q

ibuprofen (p/o)

A 
Indication: 
Contraindications: 
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Adverse Reactions: 
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16
Q

levothyroxine (p/o)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
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17
Q

lisinopril (p/o)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
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18
Q

loratidine (p/o)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
Nursing Considerations: 
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19
Q

losartan (p/o)

A 
Indication: 
Contraindications: 
Side Effects: 
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20
Q

metformin (p/o)

A 
Indication: 
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21
Q

metoprolol (p/o)

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Indication: 
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22
Q

ondansetron (p/o)

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Indication: 
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23
Q

oxycodone (p/o)

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Indication: 
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24
Q

potassium (p/o)

A 
Indication: 
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25
Q

prednisone (p/o)

A 
Indication: 
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26
Q

bacitracin (topical)

A 
Indication: 
Contraindications: 
Side Effects: 
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27
Q

fentanyl patch (topical)

A 
Indication: 
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Side Effects: 
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28
Q

hydrocortisone cream (topical)

A 
Indication: 
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29
Q

lidocaine patch (topical)

A 
Indication: 
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30
Q

nitroglycerin patch (topical)

A 
Indication: 
Contraindications: 
Side Effects: 
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31
Q

enoxaparin (SQ)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
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Patient Teachings:
32
Q

heparin (SQ)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
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33
Q

insulin short-acting (SQ)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
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Patient Teachings:
34
Q

insulin long-acting (SQ)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
Nursing Considerations: 
Patient Teachings:
35
Q

cyanocobalamin (IM)

A 
Indication: 
Contraindications: 
Side Effects: 
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36
Q

latanoprost ophthalmic solution (eye drop)

A 
Indication: 
Contraindications: 
Side Effects: 
Adverse Reactions: 
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Patient Teachings:
37
Q

timolol (eye drop)

A 
Indication: 
Contraindications: 
Side Effects: 
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38
Q

albuterol (inh)

A 
Indication: 
Contraindications: 
Side Effects: 
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39
Q

fluticasone propionate (inh)

A 
Indication: 
Contraindications: 
Side Effects: 
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40
Q

ipatropium (inh)

A 
Indication: 
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41
Q

ceftriaxone (IV)

A 
Indication: 
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42
Q

ciprofloxacin (IV)

A 
Indication: 
Contraindications: 
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43
Q

doxycycline (IV)

A 
Indication: 
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44
Q

piperacillin/tazobactam (IV)

A 
Indication: 
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Side Effects: 
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45
Q

pantoprazole (IV)

A 
Indication: 
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46
Q

vancomycin (IV)

A

Indication: bacterial infections

Contraindications: known hypersensitivity

Side Effects: nausea, vomiting, rash

Adverse Reactions: Redman’s Syndrome, an allergic-like reaction. Alleviate this by lowering rate of infusion. Hypotension, anaphylactic reaction, nephrotoxicity.

Nursing Considerations: Assess for infection recovery, obtain specimen for culture and sensitivity, monitor BP throughout Tx

Patient Teachings: Report any hypersensitivity reaction, tinnitus, vertigo or hearing loss to HCP

47
Q

What angle should be used for IM injections?

A

90 degrees

48
Q

What angle should be used for ID injections?

A

45 degrees

49
Q

What angle should be used for SQ injections?

A

15 degrees

NSG 303 (2 decks)

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