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10 Cards in this Set

  • Front
  • Back
spironolactone (Aldactone)
Classification: Potassium-sparing diuretic
Route/dose: Edema/HTN PO 25-200 mg/day
Use: Edema of CHF, HTN, diuretic-induced hypokalemia, cirrhosis of the liver
Side effects: headache, confusion, drowsiness, hyperkalemia, bleeding, hyponatremia
Contraindiations: pregnancy, hypersensitivity, anuria, severe renal disease, hyperkalemia
Nursing/Teaching: Avoid foods c/ high potassium content: oranges, bananas, salt substitutes, dried apricots; drowsiness, ataxia, mental confusion; notify prescriber of cramps, diarrhea, lethargy, thirst, headache, skin rash
furosemide (Lasix)
Classification: Loop diuretic
Route/dose: Edema PO 20-80 mg/day; up to 600 mg/day
Use: Pulmonary edema; edema in CHF, heptaic disease, nephrotic syndrome, ascites, HTN
Side effects: Fluid & electrolyte imbalances, hypocalcemia, hypokalemia, dehydration, hyponatremia, orthostatic hypotension, loss of hearing
Contraindications: Breastfeeding, infants, hypersensitivity to sulfonamides, anuria, hypovolemia, electrolyte depletion
Nursing/Teaching: High potassium diet or potassium replacement, rise slowly from lying or sitting position; orthostatic hypotension may occur, recognize adverse reactions that may occur: muscle cramps, weakness, nausea, dizziness; take c/ food/milk for GI symptoms
hydrochlorothiazide (Diovan HCT)
Classification: Thiazide diuretic, antihypertensive
Route/Dose: PO 12.5-25 mg q day
Use: Edema, HTN, diuresis, CHF; edema in corticosteriod
Side effects: Drowsiness, headache, fatigue, weakness, orthostatic hypotension, volume depletion, hypokalemia, hypercalcemia, hyponatremia, hypomagnesaemia, uremia
lansoprazole (Prevacid)
Classification: Antiulcer, proton pump inhibitor
Route/Dose: PO (OTC) 15 mg daily up to 14 days, NG tube
Use: GERD, gastric ulcers, duodenal ulcers
Side effects: Headache, diarrhea, abdominal pain, nausea & vomiting, dizziness, flatulence, irritable colon
Contraindications: Hypersensitivity, long term therapy may predispose pt to the risk of osteoporosis & fractures
Nursing/Teaching: Instruct pt to avoid opening, chewing, or crushing capsules; should be taken before meals, return for f/u if symptoms are unresolved p/ 8 wks of therapy, encourage pts to maintain adequate intake of Ca & Vit D
pantoprazole (Protonix)
Classification: Proton pump inhibitor
Route/Dose: PO 40 mg/day x 8 wks, may repeat course
Use: GERD, severe erosive esophagitis, maintenance, Zollinger-Ellison syndrome
Side effects: headache, diarrhea, abdominal pain, flatulence, pneumonia
Contraindications: Hypersensitivity to this product or benzimidazole
Nursing/Teaching: Report severe diarrhea, black tarry stools, abdominal pain; product may have to be d/c; diabetic pt should know hyperglycemia may occur, avoid alcohol, salicylates, NSAIDs; may cause GI irritation
diphenhydramine (Benadryl)
Classification: Antihistamine (1st generation)
Route/Dose: Adult & child ˃12 yr: PO 25-50 mg q4-6hr; max 300 mg/day
Use: Prevent & treat seasonal allergies, ↓ itching & pruritus, motion sickness, nighttime sedation, nonproductive cough, anaphylaxis
Contraindications: Hypersensitivity to to H1 receptor antagonist, acute asthma at attack, lower respiratory tract disease, neonates
Nursing/Teaching: Avoid use of alcohol, other CNS depressants, avoid driving, other hazardous activity if drowsiness occurs, avoid breastfeeding
promethazine (Phenergan)
Classification: Antihistamine, H1 receptor antagonist, antiemetic
Route/Dose: PO/IM/IV/RECT 12.5-25 mg; q4-6hr prn
Use: Motion sickness, rhinitis, allergy symptoms, sedation, nausea, preoperative & postoperative sedation
Side effects: Sedation, drowsiness, confusion, hypotension, dry mouth, urinary retention, epigastric distress, blurred vision, tinnitus
Contraindications: Severe CNS depression, acute asthma, glaucoma, GI & GU obstruction, pregnancy, seizures
Nursing/Teaching: Avoid tasks that require mental alertness, may cause photosensitivity; to avoid prolonged sunlight, notify prescriber of confusion, sedation, hypotension, jaundice, fever
carbidopa-levodopa (Atamet, Sinemet)
Classification: Antiparkinson agent
Route/Dose: PO 25 mg carbidopa/100 mg levodopa tid, may ↑ daily or qod by 1 tab to desired response (8 tabs/day)
Use: Parkinson’s disease, parkinsonism resulting from carbon monoxide
Side effects: Involuntary choreiform movements, hand tremors, fatigue, headache, anxiety, twitching, numbness, weakness
Contraindications: Hypersensitivity, closed-angle glaucoma, malignant melanoma
Nursing/Teaching: Δ positions slowly to prevent orthostatic hypotension, report side effects: twitching, eye spasms which indicate overdose, use product as prescribed, urine & sweat may darken
betamethasone (Celestone)
Classification: Corticosteriod, synthetic, long acting
Route/Dose: PO 0.6-7.2 mg/day; IM 0.6-9 mg/day in joint or soft tissue (sodium phosphate)
Use: Immunosuppression, severe inflammation, prevention of neonatal respiratory distress syndrome
Side effects: Depression, flushing, sweating, headache, bruising, GI hemorrhage, poor wound healing, osteoporosis, hyperglycemia
Contraindications: Children <2 yr; psychosis, hypersensitivity, fungal infections, non-asthmatic bronchial disease, TB, high doses in traumatic brain injury, CHF, embolism, GI hemorrhage
Nursing/Teaching: Id as corticosteroid user should be carried, not to discontinue abruptly; adrenal crisis can result, the symptoms of adrenal insufficiency: nausea, anorexia, fatigue, dizziness, dyspnea, weakness, joint pain
Classification: Corticosteriod
Route/Dose: PO 5-60 mg/day or divided bid-qid
Use: Severe inflammation, immunosuppression, neoplasms, multiple sclerosis, collagen disorders, dermatologic disorders
Side effects: Circulatory collapse, embolism, depression, flushing, sweating, headache, mood Δs, GI hemorrhage, ↑ appetite, diarrhea, nausea, abdominal distension, poor wound healing, ↑ intraocular pressure
Contraindications: Child <2 yr, psychosis, hypersensitivity, acute glomerulonephritis, fungal infections, non-asthmatic bronchial disease, AIDS, TB
Nursing/Teaching: Id as corticosteroid user should be carried, notify prescriber if therapeutic response ↓, avoid vaccinations, not to discontinue abruptly, or adrenal crisis can result, avoid OTC products: salicylates, cough products c/ alcohol, cold preparations unless directed by dr