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8 Cards in this Set
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Heparin
Anticoagulant Adult (thromboembolism) -IV 5,000 u..20,000-20,000 u 24 h -IVpg 5,000-10,000 u q 4-6 h -SC 10,000-20,000 u..8,000-20,000 u q 8-12 h Contraindications Hypersensitivity insulin Active bleeding/bleeding tendencies Inaccessible ulcers/open wounds Adverse side effects Spontaneous bleeding/transient thrombocytopenia Fever/↑BP/pruritis/numbness, tingling hands Bronchospasm, anaphylactoid rxn |
Nursing actions
Blood coagulation tests -Hct, Hgb, RBC, platelets -APPT levels (1.5-2.5X) VS Patient education Notify Dr. urine/vomit off color Unusual bleeding/Menstrual cycle SC injections |
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Warfarin Sodium
Anticoagulant Adult -PO/IV 2-10 mg daily (PT 1.2-2X;INR 2-3X) Contraindications Hemorrhagic tendencies/Active bleeding Vit C/K deficiency Open wounds/active peptic ulcer Adverse side effects Hemorrhage/hypersensitivity Anorexia/Vomiting Hepatitis |
Nursing actions
PT/INR - (PT 1.5-2.5X 12-15 secs)(15-35% of normal PT) - (INR 2-4X) Careful medical history Patient education Report unusual/prolonged bleeding |
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Analgesic/Antipyretic/Antiplatelet
Adult (pain, fever) -PO/PR 350-650 mg q4h (max 4g/d) (arthritis) -PO 3.6-5.4 g/d in 4-6 doses (thromboembolic) -PO 81-325 mg qd Contraindications Hypersensitivity salicylates/other NSAIDs GI ulceration/bleeding/CHF |
Adverse side effects
Hypersensitivity/prolonged bleeding Dizziness/drowsiness Vomitting/GI bleeding Impaired renal fnct Nursing actions Loss of tolerance PT/INR/Fasting blood glucose (diabetics) Salicylate toxicity Patient education Caution with surgery or heavy menstrual cycle Discontinue w ringing/buzzing ears/dizziness Self-prescribed ≤5d |
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Digoxin
Lanoxin Cardiac glycoside/antiarrhythmic Adult Digitalized dose (give½ dose initially..¼ at 8-12 h) -PO 0.75-1.5 mg -IV 0.5-1 mg Contraindications Hypersensitivity Sick sinus syndrome |
Adverse side effects
Fatigue/muscle weakness AV block/nausea Nursing actions Apical rate 1 min Baseline data (pulses, bp, etc) Serum digoxin, K, Ca, Mg I/O/toxicity Patient education Report vomtg/diarrhea/anorexia/weight gain Take precisely as prescribed No OTC medicines |
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Tylenol
Acetaminophen Nonnarcotic analgesic, antipyretic Adult (pain, fever) -PO 325-650 mg q4-6h max 4g/d -PR 650 mg q4-6h max 4g/d Contraindications Hypersensitivity to acetaminophen/phenacetin Use w alcohol |
Adverse side effects
Rash, nausea/vomtg, dizziness Lethargy/abdominal pains/hepatotoxicity Neutropenia/renal damage Nursing actions S&S hepatotoxicity Patient education Overdose/toxicity Don’t self-medicate ≥ 10 d/3 d with fever |
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Lopressor
Metoprolol Tartrate Beta-adrenergic antagonist/antihypertensive/antianginal Adult (Hypertension) -PO 50-100 mg/d in 1-2 divided doses…100-450 mg/d (Angina pectoris) -PO 100 mg/d in 2 divided doses…100-400 mg/d (Myocardial infaraction) -IV 5 mg q 2 min for 3 doses…PO -PO 50 mg q6h for 48 h…100 mg b.i.d. Contraindications Cardiogenic shock Overt cardiac failure |
Adverse side effects
Hypersensitivity (rash, sore throat) Larynogospasm/respiratory distress Dizziness/bradycardia Complete heart block/cardiac arrest Nursing actions Apical pulse/BP Monitor BP/HR/ECG (IV) Blood cell counts, blood glucose, liver and kidney fnct I&O/weight/pulmonary rales Patient education Learn radial pulse Avoid late evening doses Monitor blood glucose levels Report symptoms Raynaud’s disease Compliance important |
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Multivitamin with iron
Adult (supplement) -PO Males 19-51 10 mg Females 19-50 15 mg ((≥ 51 10 mg Contraindications Those receiving adequate levels of iron from food sources Adverse side effects Acute iron intoxication Vomtg/diarrhea/abdom pain Shock/convulsions/metabolic acidosis Chronic iron overload Cardiac dysrhythmias/heart failure/diabetes mellitus Bronze pigmentation skin/ liver enlargement/arthropathy |
Nursing actions
Deferoxamine/phlebotomy/NG tube aspiration Serum iron levels Patient education Adequate levels of iron needed and food sources |
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Potassium
Apo-K/Kaochlor Adult (hypokalemia) -PO 10-100 mEq/d in divided doses -IV 10-60 mEq/h diluted at least 10-20 mEq/100 mL (max 200-400 mEq/d-monitor if higher) Contraindications Severe renal impairment/hemolytic rxns Adverse side effects Nausea/vmtg/diarrhea Irritability/muscle weakness/flaccid paralysis Cardiac depression, arrhythmias, arrest Deterioration of QRS contour Oliguria/ anuria Respiratory distress |
Nursing actions
I&O ratio and pattern Patient education Tablet carcass in stool Sources K in food, OTC Avoid licorice/salt substitutes |
