Medication III

Question 1

Metformin

Answer 1

Do not give this medication to someone having procedures with contrast dye, metformin can cause acute renal failure

Question 2

Insulin

Answer 2

Draw up regular before drawing up NPH

Question 3

Diuretics

Answer 3

When giving loop diuretics, watch for potassium depletion

Monitor Intake and Output

Monitor weight and VS

Question 4

Anticoagulant drugs

Answer 4

Monitor PTT for heparin and monitor platelet count, bleeding and s/s of infection

Question 5

Corticosteroid - Prednisone - Intermediate

AE:
Nausaea
Hypertension
Hyperglycemia
Insomnia
Psychosis
Redistribution of fat
Osteoporosis
Easy bruising
Edema
Infections
HPA axis suprression

Answer 5

Use short term whenever possible

Dose in the morning if PO

Monitor head to toe or by body system- CNS changes, BP, HR, GI upset, BG, signs of edema, easy bruising, impaired wound healing

Watch for signs of secondary infection- fever

Monitor electrolytes - kidney fxn (SCr), liver enzymes and BG

Monitor for specific parameters surrounding the condition being treated

Encourage adherence of dosing regimens

Do not stop abruptly - withdrawal