Electrolyte Med Cards

Front 1

Med: promethazine (generic) Histanil, Phenadoz, Phenergan, (trade)
Dose:PO/IM/IV/RECT 12.5-25 mg(nausea) PO/IM/IV 25-50 mg (sedation)
Action: acts on blood vessels, GI, respiratory system by competing with histamine for receptor sites < allergic response.
side effects:(severe) neuroleptic malignant syndrome, thrombocytopenia, agranulocytosis, hemolytic anemia, apnea in the young (common) dizziness, drowsiness, constipation, urinary retention,

Back 1

Contra:Hypersensitivity to H1-receptor antagonist, acute asthma attack, lower resp tract disease, sulfite allergy, child <2yrs
Patient teaching/NSC: that product may cause photosensitivity-avoid prolonged sunlight, to notify HCP of confusion-sedation-hypotension-jaundice-fever, to avoid driving & other hazardous activity if drowsy, to avoid concurrent use of alcohol.

Front 2

Med:Potassium-" "all forms (generic)K-Lyte, Effer-K K+care ET Twim-K (trade most contain letter K)
side effects: (severe) cardiac depression, dysrhythmias, arrest, peaking T waves, lowered R & depressed RST, prolonged P-R interval, widened QRS complex
Dose: (acetate) PO 40-100mEq/day (bicarbonate) PO 25-50 mEq (Chloride) PO 40-100 mEq IV 20 mEq (gluconate) PO 40-100mEq, (phosphate) IV 1 mEq/hr PO 40-100
Action: needed for adequate transmission of nerve impulses and cardiac conduction, renal function, intracellular ion maintenance

Back 2

Side effects cont. (common) nausea, vomitting, cramps & diarrhea
Contr: renal disease, severe hemolytic disease, Addisons disease, hyperkalemia, acute dehydration, extensive tissue breakdown
Patient teaching/NSC: to add potasium rich foods-bannanas, broccoli, to avoid OTC product- antacids, analgesics, to report any signs of hyperK+- lethargy, confusion, diarrhea, nausea, vomiting, < output, weakness, cardiac changes, to dissolve powder or tab in 120ml of H2O or OJ, importance of follow-up visits, that levels of K+ need to be monitored

Front 3

Med: Magnesium " " all forms (generic) Choromag, Sio-Mag, citrate of magnesia, Citroma, Magtrate OTC, Maox, MOM
Dose: (Laxative) PO 30-60ml (MOM) 300 mg, (sulfate) PO 10-20ml (citrate) PO 5-10 oz
Action: increases osmotic pressure, draws fluid into the colon, neutralizes HC1
side effects: (severe) flaccid paralysis, circulatory collapse, (common) nausea, vomitting, anorexia, & cramps

Back 3

Contr: Hypersensitivity, abdominal pain, nausea/vomiting, obstruction, acute surgical abdomen, rectal bleeding, heart block, myocardial damage.
Patient teachin/NSC: not to use laxatives for long term therapy, that chilling helps taste of Magnesium citrate, to shake suspension well, to not give at bedtime as a laxative it may interfere with sleep, to give citrus fruit after to counteract unpleasant taste.

Front 4

Med: Sodium bicarbonate (generic)Baking Soda, Bellans, Brioschi-Neut, Citrocarbonate, Neut, Sellymin, Soda Mint (trade)
Dose (acidosis Meta) IV 2-5 mEq/kg (cardiac arrest) IV 1mEq/kg (akalinization of urine) PO 325mg (antacid) PO 300 mg
Action: orally neutralizes gastric acid, which forms H2O, NaCL, CO2 : increases plasma bicarbonate which buffers H+; reverses acidosis IV
Side effects: (severe) tetany, seizures, cardiac arrest, paralytic ileus, apnea (common) twitching, hyperreflexia, belching, distention, alkalosis,

Back 4

Contr: hypertension, peptic ulcer, renal disease, hypocalcemia
patient teaching/NSC: not to take antacid with milk or milk-alkali syndrome may result, to notify HCP if indigestion is accompanied by chest pain; dyspnea; diarrhea; dark tary stool; coffe-grounds looking vomit; swelling in feet/ankles, not to use antacid for >2 wks, about sodium restriction diet avoid use of baking soda for indigestion

Front 5

Med: calcium gluconate, calcium chloride, calcium gluceptate, calcium lactate (generic) Kalcinate, Cal-Lac (trade)
Dose: gluconate IV 0.5-2g
@ 0.5 ml/min, PO 0.5-2 g
Action: cation needed for maintenance of nervous, muscular, skeletal function, enzyme reactions, normal cadiac contactility, coagulation of blood; affects secretory activity of endocrine, exocrine glands

Back 5

Side effects: (severe) dysrhythmias, cardiac arrest (IV), coma, (common) hypercalcemia
Contr: hypercalcemia, digoxin toxicity, ventricular fibrillation, renal calculi.
Patient teaching/NSC: to avoid foods high in vit D, to addd calcium rich foods to diet- dairy product/green leaf veg, to prevent injuries, avoid immobilization.