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N151 > Meds to Master > Flashcards

Meds to Master Flashcards

1
Q 
ARTIFICIAL TEARS
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Safe dose:
Therapeutic action:
Nursing considerations:
A
  • 1-2 drops according to manufacturer
  • Lubrication of eyes
  • Apply pressure to corner of eye near nose to prevent drops from entering nasal area
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2
Q 
ASPIRIN
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Generic name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/side effects:
Nursing considerations:
A
  • Bayer
  • Acetylsalicylic acid (ASA)
  • 325-650mg q4-6; 975mg q6 PRN;
  • Blocks prostaglandin synthesis and inhibits platelet aggregation
  • Reduces inflammation, pain, and anticoagulant
  • Bleeding
  • Don’t give to kids with recent viral infection.
  • Assess hx of GI bleeding or peptic ulcer
  • May need to be given with food.
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3
Q 
Docusate sodium
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Colace
  • 240 mg PO once qd
  • Enhances water and fat in stool
  • Stool softener for constipation
  • Abd cramps and diarrhea
  • Excessive use can cause dependence
  • Excess elimination can cause electrolyte imbalance
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4
Q 
Warfarin
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Coumadin
  • Maintenance: 2-10mg PO qd
  • Depletes vit K, which reduces synthesis of clotting factors
  • Anticoagulant, vit K antagonist
  • Bleeding
  • Check pt’s INR and blood test to see how well blood clots
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5
Q 
Digoxin
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Digox, lanoxin
  • Maintenance dose: 0.125-0.25 mg PO
  • Increases force of myocardial contraction
  • Used for HF, arrhythmias
  • Toxicity
  • If apical pulse is <60, do not administer.
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6
Q 
Erythromycin
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Erythrocin
  • 250-500 mg q6; 800 mg q12h
  • Suppresses protein synthesis at the level of 50S bacterial ribosome
  • Strep and Staph infection, STI, acne
  • Hypersensitivity, dry skin, irritation/itching
  • Obtain full list of allergies
  • Importance of finishing course of abx
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7
Q 
Heparin
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • 5000 IU SubQ on abd
  • Blocks conversion of prothrombin to thrombin; fibrinogen to fibrin
  • Anticoagulant
  • Bleeding
  • Check pt’s INR and blood test to see how well blood clots
  • Allergy to pork
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8
Q 
Influenza vaccine (IM)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
A
  • 0.5 mL
  • Stimulates AB production of specific disease
  • Prevents flu
  • Can get mild form of disease
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9
Q 
Potassium chloride
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A

10-20 mEq/day

  • Maintain acid-base balance
  • Essential to transmission of nerve impulses
  • Contraction of cardiac, skeletal, and smooth muscle
  • Prevents hypokalemia
  • Arrhythmia
  • Cardiac monitoring
  • Monitor potassium levels
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10
Q 
Lasix (PO, IM, IV)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A

Furosemide

Initially; 20-80mg/dose
Can increase 20-40mg/dose

Inhibits the reabsorption of sodium and chloride in LOH

  • Diuretic
  • Antihypertensive
  • Edema
  • Increased UO
  • Electrolyte imbalance
  • Check BP before administering
  • Labs: Na and K
  • Skin turgor
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11
Q 
Lopressor/ Torpol XL (oral, IV)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Metoprolol
  • 100-200 mg
  • Blocks Beta-adrenergic receptors
  • Antianginal
  • Antihypertensive
  • Diminished sex function, insomnia, fatigue
  • Overdose: low BP, bradycardia

-If apical pulse is <60, do not administer

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12
Q 
Enoxaparin (SUBQ)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Lovenox
  • 30 mg subq
  • Enhances inhibition rate of clotting protease
  • Anticoagulant
  • Injection site hematoma/bleeding
  • Check pt’s INR
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13
Q 
Prilosec
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Omeprazole
  • 10-40 mg tab
  • Inhibits the enzyme on the surface of gastric parietal cells
  • Antiacid
  • Hepatotoxicity, pancreatitis
  • Take in AM before breakfast
  • GI discomfort
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14
Q 
Acetaminophen/codene (Oral/ IV)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Tylenol #3
  • 325-650 mg q4-6; Max 3g/day
  • Analgesics: activates serotonergic pathways in CNS.
  • Antipyretic: inhibits hypothalamic heat regulation
  • Mod-severe pain
  • N/V, diaphoresis
  • Allergic to codeine
  • May cause drowsiness
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15
Q 
Hydroxyzine (oral, tablet soln)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Brand name:
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • Vistaril
  • 25 mg/mL

CNS depressant

-Antihistamine, anxiety, agitation

Drowsiness, dry mouth

  • Assess motor and autonomic response
  • Skin turgor
  • Arrhythmias
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16
Q 
Insulin 
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Dose:
Mechanism of action:
Therapeutic use:
Adverse actions/ side effects:
Nursing considerations:
A
  • HIGHLY individualized
  • Regulates blood glucose levels
  • Control serum glucose levels
  • Severe hypoglycemia
  • Check glucose and Hgb A1c prior to administration
17
Q 
Regular insulin
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Route:
Onset:
Peak:
Duration:
A
  • SQ, IM, IV
  • Can be mixed w/ NPH for immediate use

30-60 min (administer 30 min before meals)

1-5 hrs

6-10 hrs

18
Q 
NPH insulin (intermediate)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Route:
Onset:
Peak:
Duration:
A

SQ only

1-2 hrs (administer 30 min before meals when mixed w/ Regular, 15 min before when mixed with aspart)

6-14 hrs

16-24 hrs

19
Q 
Lantus insulin (Glargine- Long acting)
\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_\_
Route:
Onset:
Peak:
Duration:
A

SQ only (DON’T MIX W/ OTHER INSULIN)

3-4 hrs (administer once daily at same time)

No peak

24 hrs

N151 (4 decks)

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