MEDS Flashcards
Morphine is what category of medication?
Analgesic
Adverse effects of Morphine (2)
- respiratory depression
- constipation
Vancomycin is…
Vancocin
Levofloxacin is…
Levaquin
Aminoglycoside is…
Gentamicin
Vancomycin has what kind of properties?
Vesicant properties
What do you need to monitor with Levofloxacin (Levaquin)?
Symptoms of allergic reaction
Which has a longer effect, Enoxaparin (Lovenox) or Heparin?
Lovenox
What do you need to monitor with Warfarin (Coumadin)?
PT and INR
Divalproex (Depakote) black box warning
Hepatic failure
Gabapentin (Neurontin)
Used to treat peripheral neuropathy
Adverse effects of Albuterol (Proventil) (2)
- tachycardia
- anxiety
What lab tests do you need to have for Atorvastatin (Lipitor)?
Liver function
What meds need to be tapered when discontinuing?
- Labetalol (Normodyne)
- Glucocorticosteroids
- Psychoactive meds (Fluoxetine (Prozac))
With metoprolol (Lopressor) what do you need to monitor?
BP
Clonidine (Catapres) has to be calculated using…
Tablets
SR meds can’t be…
Crushed
Possible effects of first dose of ACE Inhibitor Enalapril (Vasotec)
Dizziness upon standing
If the patient is NPO can they take Metformin (Glucophage)?
Metformin (Glucophage) should be held
Caution Metformin with what condition?
Hepatic impairment
Prednisone adverse effect
GI Irritation
Glucocorticosteroids can be given with what to avoid adverse effects?
Food/milk
What lab needs to be monitored with ionated contrast media?
Serum creatinine
Reversal agent for Benzodiazepines
Flumazenil (Romazicon)
Reversal agent for opioids
Naloxone (Narcan)
Antidote for heparin
Protamine sulfate
Benzodiazepines and elderly
RISK FOR FALLS
Lorazepam (Ativan) can have what kind of effects
- respiratory depression
- CO 2 retention
When giving Midazolam (Versed), you should have what available?
Flumazenil
Max safe rate for Potassium Chloride
10 mEq/hr
Calculation drops per minute
(Volume to be infused mL/hr) / (Drop factor constant) = gtt/min
With heparin, monitor
aPTT
Warfarin, monitor
PT , INR
Monitor Liver Function Tests with..
- statins
- Divalproex (Depakote)
- Metformin (Glucophage)
Monitor what with ABX therapy?
Peaks and troughs
Monitor what with iodinated contrast media?
Creatinine
Monitor what with digoxin (Lanoxin) and furosemide (Lasix)
Serum electrolytes (POTASSIUM)
Downstream occlusion message on IV pump
Kink in tubing or clamp may be closed
Drop factor constant for 10 gtt/mL
6
Drop factor constant for 15 gtt/mL
4
Drop factor constant for 60 gtt/mL
1
Post ear drop administration position
Remain on side for 5-10 minutes
What must you do with every enteral feeding tube?
FLUSH
What is an extravasation
Infiltration of vesicant fluid from IV into surrounding IV site
Eye drop administration
Drop in lower conjunctival sac / 3-5 min between drops
IM injection angle
72-90 degree
What is an infiltration
Escape of non-vesicant fluid from IV into subq tissue
Insulin sliding scale protocol
- discouraged for lack of effective glycemic control
- greater incidence of hypoglycemia
Intermediate acting insulin
- NPH (Humilin N)
- Lante (Humilin L)
TAKE PC
IV piggyback administration
- clean port
- flush line with 2-3 mL NS
- administer med
- flush again
Long acting insuline
Glargine (Lantus) 1 hr onset
Lorazepam (Ativan) disease interaction
COPD
Meds that cause GI irritation
Oral potassium chloride, prednisone
Morphine nursing care
- cough and deep breathe q 2 hr
PCA pump morphine levels
0.01 - 0.04 mg/kg/hr
Rapid acting insulin name and onset
Humalog (Lispro) 10-15 min
SubQ injection
45-90 degree angle, rotate sites to prevent fibrous tissue buildup
Total dosage with morphine drip + resuce boluses
2.5 - 15 mg q 4 hrs
What to monitor for beta blockers
- BP
- hold if systolic < 90
- hold if HR < 50
- taper to avoid arrhythmias, MI
What insulin can you NOT mix with any other
Lantus - long acting
