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Overview Flashcards

1
Q

Analgesics

A

Example: Morphine

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2
Q

Morphine

A

Classification: Opioid / Analgesic
Schedule 2 (high abuse potential)
Possible Interactions: Increased CNS depression with given with other CNS depressants / Note: 2 weeks between MAO inhibitors and opioids

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3
Q

Morphine - Nursing Implications

A

Use: Relief of moderate to severe pain
ADE: CNS depressant, slows GI mobility, sedates
Monitor: Pain level / Resp Rate (hold for RR

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4
Q

Antibiotics

A

Examples: Aminoglycosides, gentamicin
Levofloxacin (Levaquin)
Vancomycin (Vancocin)

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5
Q

Gentamycin Sulfate

A

Classification: Antibiotic (Bactericidal)

Do NOT mix with PCN, give 2 hours apart

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6
Q

Gentamycin Sulfate - Nursing Implications

A

Uses: gram-negative bacilli infections
ADE: ototoxicity (damage to 8th CN), nephrotoxicity
Monitor: Peak (4-12 mg/L) / trough (1-2 mg/L) / renal and auditory function
Care: check C&S, assess hearing, tinnitus / BUN and Creatine, urine output

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7
Q

Anticoagulants (3)

A
  1. Heparin
  2. Enoxaparin (Lovenox)
  3. Warfarin (Coumadin)
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8
Q

Heparin - Classification

A

Anticoagulant - best at preventing venous clot formation)

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9
Q

Heparin - Nursing Implications

A

Use: Anticoagulant
ADE: Bleeding, thrombocytopenia –>Oral anticoagulants, NSAIDs, ASA increase risk of bleeding / Multiple drug incompatibilities IV or in the syringe.
Monitor: S&S of bleeding, platelet count.
—
PTT (therapeutic range) - 38 to 70 seconds. This is 1.5 to 2.5 times the norm

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10
Q

Coumadin (Warfarin) - Therapeutic Levels

A

**INR therapeutic level: 2 - 3

PT therapeutic: 18 - 26 seconds (also 1.5 to 2 times norm)

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11
Q

Anticonvulsants (3)

A

Divalproex (Depakote)
Gabapentin (Neurontin)
Phenytoin (Dilantin)

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12
Q

Anticonvulsant - Dilantin

A

Uses: Antiseizure
Precaution: Do NOT mix with D5NS, D5W, LR, 1/2NS
ADE: gingival hyperplasia, drowsiness, fatigue
Monitor: Dental Check

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