Medication Cards: 1-15 Flashcards
What is the classification of adalimumab
antirheumatic, NSAID
What is the route of adalimumab
Subcutaneously
What is the side effects of adalimumab
reaction to injection site, agranulocytosis (dangerously low number of granulocytes) , sepsis
What are the nursing implications of adalimumab
A TB test must be done before and during drug therapy
do not give to children under the age of 4
What are the client teachings for adalimumab
must be refrigerated
change injections sites each time (thigh and abdomen)
What is the action of adalimumab
binds to TNF- alpha
What is the classification of amlodipine
antihypertensive
What is the route of amlopidipine
PO
What are the side effects of amlopidipine
bradycardia, hypotension, flushing
What are the nursing implications of amlodipine
Closely watch: blood pressure, pulse, edema, weight, I/o, lung sounds
What are the client teachings for amlodipine
Assist with ambulation may cause orthostatic hypotension
educate on other htn interventions (low sodium diet, stress, mobility)
What is the action of amlodipine
transports calcium to myocardial
What is additional information for amlodipine
treats hypertension and angina
What is the classification for ceftriaxone
anti infective
What is the route for ceftriaxone
IM, IV
What are side effects of ceftriaxone
pancreatitis, renal failure, stevens johnson syndrome, seizures, super infection
What are nursing implications for ceftriaxone
allergy to drug, anaphylaxis or rash, AST/ ALT labs, BUN/ creatinine, bilirubin, bleeding with warfin
What are some client teachings for ceftriaxone
contact provider if rash, fever or diarrhea occur
What is the action of ceftriaxone
attaches to cell wall and causes cell death
What is additional information for ceftriaxone
hyperbilirubin and jaundice (in children) may occur
what is the classification for cephalexin
anti- infective
What is the route for cephalexin
PO
What are side effects of cephalexin
nausea, vomiting, diarrhea, rash
what are nursing implications for cephalexin
assess for allergy of penicillin or cephalosporins
assess for signs of anaphylaxis or rash
assess bowel function
What are some client teachings of cephalexin
complete entire prescription
What is the action of cephalexin
binds to bacterial cell wall membrane causing cell death. gram- positive cocci, not active against MRSA
what is the classification of ciprofloxacin
anti- infective
what is the route for ciprofloxacin
po, iv
what is the side effects of ciprofloxacin
acute psychosis, hepatotoxicity, tendonitis, pseudomembranous colitis, venous irritation
What are some nursing implications of ciprofloxcin
monitor liver labs (AST/ ALT)
administer IV over 60 minutes in a large vein
obtain specimens for culture and sensitivity prior to administration or first dose of antibiotic
do not crush or chew
What are some client teachings of ciprofloxcin
monitor bowel function
do not crush or chew
maintain fluid intake of at least 1500-2000 ml/ day
use sunscreen when outdoors, the start of through 5 days after therapy
complete entire prescription
What is the action of ciprofloxcin
inhibits bacterial DNA synthesis by inhibiting DNA gyrase
What is the classification of famotidine
anti ulcer
what is the route of famotidine
PO, IV
What are some side effects of famotidine
confusion
What are some nursing implications of famotidine
assess for epigastric and abdominal pain
adminster iv rate of 10 mg/ minute
what are some client teachings of famotidine
report black tarry stool
encourage client to quit smoking as it interferes with action of medication
take full course of treatment
What is the action of famotidine
inhibits the action of histamine at the H2 receptor site
What is additional information for famotidine
iv doses are to be given over at least 15-30 minutes
What is the classification of fluconazole
anti fungal
what is the route of fluconazole
po
What are side effects of fluconazole
hepatotoxicity, stevens johnson syndrome, diarrhea, dizziness, rash, headache
what are some nursing implications of fluconazole
monitor renal and liver labs
what are some client teachings of fluconazole
report any symptoms of liver dysfunction (jaundice, dark urine, pale stool, anorexia, nausea)
what is the action of fluconazole
inhibits synthesis of fungal sterols
what is additional information for fluconazole
iv must be infused between 1-2 hours
what is the classification of glyburide
anti diabetic
what is the route for glyburide
po
what are some side effects of glyburide
hypoglycemia, aplastic anemia, photosensitivity, pancytopenia
what are some nursing implications of glyburide
wear sunscreen
must have some pancreatic function
what are some client teachings for glyburide
assess for signs and symptoms of hypoglycemia and hyperglycemia
instruct patient on healthy diet, exercise, and medication to also help manage diabetes
avoid alcohol
monitor blood sugar and ketones
what is the action of glyburide
decreases blood glucose by increasing the sensitivity to insulin at receptor sites
what is additional information for glyburide
assess for allergy to sulfonamides
monitor CBC: may increase AST, LDH, BUN, creatine
what is the classification of insulin glargine, insulin lispro, and insulin regular
antidiabetic hormone
what is the route of insulin glargine, insulin lispro, and insulin regular
subq
what are side effects of insulin glargine, insulin lispro, and insulin regular
hypoglycemia, anaphylaxis, lipodystrophy, pruritus, erythema, swelling
what are nursing implications of insulin glargine, insulin lispro, and insulin regular
control hyperglycemia with type one or type two diabetes
what are some clients teachings with insulin glargine, insulin lispro, and insulin regular
check blood sugar every 6 hours
watch for signs and symptoms of hyperglycemia and hypoglycemia
what is the action of insulin glargine, insulin lispro, and insulin regular
stimulating glucose uptake in skeletal muscle and fat
what is some additional information for insulin glargine
high alert medication
do not mix with other insulin
onset: 3-4 hours, peak: none, duration: 24 hours
what is some additional information for insulin lispro
onset: 10-20 minutes; peak: 1-3 hours (adults); duration: 3-5 hours
what is some additional information for insulin regular
onset: 30-60 minutes; peak: 2-4 hours; duration: 5-7 hours
what is the classification of metformin
antidiabetic hormone
what is the route of metformin
po
what are the side effects of metformin
hypoglycemia, abdominal bloating, diarrhea, nausea, vomiting, decreased b12 levels
what are client teachings with metformin
monitor blood glucose
risk for lactic acidosis
report gastrointestinal symptoms
take with meal to minimize gi effects
what are some nursing implications with metformin
monitor b12 levels
assess renal function
monitor blood glucose
what is the action of metformin
decrease hepatic glucose production
what is additional information for metformin
hold during stress, trauma, surgeries
eliminated almost entirely by kidney
duration: 12 hours
what is the classification of omeprazole
anti ucler
what is the route for omeprazole
po
what are the side effects of omeprazole
abdominal pain
what are some nursing implications of omeprazole
assess for epigastric and abdominal pain
administer on an empty stomach
what are some client teachings for omeprazole
do not crush or chew
take before meals
avoid alcohol, and nsaids
what is the action of omeprazole
prevents the final transport of hydrogen into the stomach
what is the classification of sitagliptin
antidiabetic
what is the route of sitagliptin
po
what are the side effects of sitagliptin
upper respiratory infections, rash, urticaria, pancreatitis
what are the nursing implications of sitagliptin
may be used alone or combination with metformin
monitor blood glucose and Hgb A1C
what are the client teachings of sitagliptin
increase levels of active incretin hormones
what is additional information for sitagliptin
may be administered without regard to food
renal impairment requires lower dose
onset: rapid; peak: 1-4 hours; duration: 24 hours
what is the classification of vancomycin
anti infective
what is the route for vancomycin
po, iv
what is the side effects of vancomycin
ototoxicity, nephrotoxicity, phlebitis, suprainfection, red man syndrome, rash
what are the nursing implications for vancomycin
causes necrosis
use large vein, and switch site frequently
monitor outputs and watch for pale pink urine
monitor bun and creatinine levels
monitor blood pressure during infusion
monitor for red man syndrome
infusion should run over 1 hour
what are some client teachings for vancomycin
report signs of hypersensitivity, tinnitus, vertigo, or hearing loss
what is the action of vancomycin
binds to bacterial cell wall, resulting in cell death
what is some additional information for vancomycin
active against gram- positive pathogens, including MRSA
