Britt B's Med Cards

Front 1

warfarin
Coumadin

Back 1

class-anticoagulant
why is it given-interferes w/blood clotting by indirect means
normal dose-PO/IV 2.5-10mg/dayx3
SE/interactions-hepatitis, hemorrhage, anaphylaxis, hematuria.
interventions/teaching-assess bleeding gums, petechiae, fever, skin rash
needed info-avoid OTC's, use soft bristle toothbrush, carry emergency ID, inform dentists of anticoagulant intake

Front 2

heparin

Back 2

class-anticoagulant
why is it given-pulmonary emboli, dvt, patency of indwelling venipuncture devices
normal dose-5000-7000units IV
SE/interactions-hematuria, hemorrhage, thrombocytopenia, anemia, anaphylaxis. increases diazepam action and risk of bleeding, decreases corticosteroid acion
interventions/teaching-assess bleeding gums, black tarry stools, blood studies, BP
use with caution in diabetes, pregnancy, alcoholism, geriatric patients, children & renal disease

Front 3

Potassium chloride

Back 3

class-electrolyte, mineral replacement
why is it given-prevention and treatment of hypokalemia
normal dose-PO 40-100mEq
IV 20mEq
SE/interactions-cardiac depression, dysrhythmias, arrest,hyperkalemia
interventions/teaching-assess for peaking T waves, potassium level during treatment, I&O ratio.
needed info-add potassium rich foods to diet, avoid OTC products, report hyperkalemic symptoms, do not crush, break or chew tablets

Front 4

pantoprazole
Protonix

Back 4

class-proton pump inhibitor
why is it given-GERD, esophagitis, Zollinger Ellison syndrome
normal dose-PO 40mg/day
IV 80mg every 12 hrs
SE/interactions-headache, diarrhea, abdominal pain, rash, increases bleeding and pantoprazole serum levels
interventions/teaching-report severe diarrhea, avoid hazardous activities and alcohol. assess GI system and hepatic studies

Front 5

metoprolol
Lopressor

Back 5

class-antihypertensive
why is it given-lowers BP
normal dose-PO 50mg bid
SE/interactions-depression, bradycardia, CHF, chest pain. do not use with MAOI's
interventions/teaching-assess ECG, I&O, weight, BP. take immediately after meals, report bradycardia, avoid alcohol
needed info-wear support hose to minimize effects of orthostatic hypotension

Front 6

furosemide
Lasix

Back 6

class-loop diuretic
why is it given-inhibits reabsorption of sodium and chloride
normal dose-PO 20-80mg per day
SE/interactions-circulatory collapse, loss of hearing, renal failure, neutropenia. increases toxicity of lithium, severe photosensitivity
interventions/teaching-assess drowsiness, restlessness, rashes, temp, hearing, weight, I&O. use sunscreen, avoid OTC, high potassium diet

Front 7

digoxin
Lanoxin

Back 7

class: antidysrhythmic
why it's given: heart failure
normal dose: 0.75-1.25mg PO
SE/interactions: dysrhythmias, av block, herbs cause bradycardia, St. John's wort decreases effect
interventions/teaching: assess apical pulse for 1 min before giving, do not break crush or chew tabs, assess electrolytes, report signs of shortness of breath

Front 8

tamsulosin
Flomax

Back 8

class: adrenergic blocker
why it's given: BPH
normal dose: 0.4mg/day PO
SE/interactions: dizziness, HA, caution in pregnancy, do not take with prazosin, terazosin
interventions/teaching: assess prostatic hyperplasia, CBC, BUN, I&O ratios, do not drive or operate machinery 4hr after first dose

Front 9

levothyroxine
Levothroid

Back 9

class: thyroid hormone
why it's given: hypothyroidism
normal dose: 50mcg/daily PO
SE/interactions: thyroid storm, cardiac arrest, caution in pregnancy, SSRI'S decrease effects
interventions/teaching: assess BP, weight daily, cardiac status, hair loss will occur in children, report excitability

Front 10

nizatidine
Axid

Back 10

class: H2 receptor antagonist
why it's given: benign gastric and duodenal ulceration
normal dose: 300mcg/daily PO
SE/interactions: cardiac arrest, aplastic anemia, bronchospasm, hypersensitivity, caution in pregnancy
interventions/teaching: ass CBC, administer with meals, evaluate mental status