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18 Cards in this Set

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Digoxin (Rx)
Lanoxin (t)
Funct Class: Inotropic Antidysrhythmic, Cardiac Glycoside

Route/Typ Dosage: po 0.25mg

Target Symtoms: Atrial Fib/Flutter/Tachycardia, Acute/Chronic CHF

Common SE: Headache

Life Threating SE:
dysrhythmia, hypotension, AV Block

Nursing Tasks: If Pulse<60, do not give. Interactions - Antacids, Anticholingerics, Antidysrhythmics, Beta Blockers, Diuretics. Monitor Electrolytes, BUN, Creatine, H&H, Bilirubin
Atrial Fib
Lasix (t)
Furosemide (Rx)
Funct Class: Loop Diuretic

Route/Typ Dosage: IM IV

Target Symtoms: ^BP, Lung Edema, Hypercalcemia, Hepatic Cirrhosis

Common SE: Polyuria (frequency)/ dec K+,Mg,CL-,Ca++,Na+ / loss of hearing / Hypercholoric alkadosis / hyperuricemia / hyperglycemia

Life Threating SE: Renal Failure / Circulatory Collapse / Stevens-Johnson Synd / Thrombocytopenia, Leukopenia, neutropenia, anemia, agranulocytosis

Nursing Tasks: Monitor electrolytes s/s of decrease/ No amiogylcosides, Ethacrynic Acid, Antihypertensives, Digitalis glycosides, Nitrates, Muscle relaxers, St John's Wart/ Photosensitivity/ Assess hearing, tinnitus
Hypertension, CHF
Prozac (t) , Sarafem (t)
Fluoxetine (Rx)
Funct Class: SSRI Antidepressant

Route/Typ Dosage: po 20mg

Target Symtoms: Depression, OCD, Bulimia, ADD, Bipolar, Tourettes

Common SE: H, Nervousness, insomnia, drowsiness, anxiety, hot flashes, palpitations

Life Threating SE: Seizures, hemmorrhage, tachycardia, bradycardia, MI, Thrombophlebitis

Nursing Tasks: Monitor Ortho BP, CBC w/ Diff, hepatic, mental status, urinary retention/ NO Alcohol use (hold med), No antidepressants, Barbs, Benzodiazepines, MAIOs, Phenothiazines/ Wean off/ Photosensitivity
Ativan (t)
Lorazepam (Rx)
Funct Class: Antianxiety, Sed/Hypnotic

Route/Typ Dosage: po 1mg, IV

Target Symtoms: Anxiety, Irritability, Insomnia, Pre-OP sedation

Common SE: Dizzi, Drowsi, Blurred Vis, Orthohypotension
Life Threating SE: ECG changes, Tachycardia, Apnea, Cardiac Arrest

Nursing Tasks: Monitor BP >20pt drop = hold/ Assess mental status for effectiveness/ Wean/ No antidepressants, Antihistamines, Opiates, Smoking, Alcohol/ Caution driving
Anxiety / Alcohol withdrawl
Tegretol (t)
Carbamazepine (Rx)
Funct Class: Anticonvulsant

Route/Typ Dosage: po 50mg

Target Symtoms: Seizures, Trigeminal neuralgia pain, Bipolar, Psychotic, Diabetic neuropathy

Common SE: Drowsi, N, Constipation, D, Rash

Life Threating SE: Paralysis, Seizures, Hypertension, CHF, AV block, hepatitis, renal failure,S-J Syndrome, aplastic anemia, penias and cytosis

Nursing Tasks: Monitor therapeutic 4-12mcg/ml/ No MAOIs = FATAL/ No grapefruit juice, Barbs/ Wear Med braclet/ Wean/ Photosensitivity/ report dark urine, rash, light stool, jaundice, abdominal pain, Ulcers, B Vision, Dizziness
Bipolar / Psychosis
Vistaril (t), Atarax (t)
Hydroxyzine (Rx)
Funct Class: Antianxiety, Sed/Hypnotic, Antihistamine, Antiemetic

Route/Typ Dosage: po/IM 25-100mg

Target Symtoms: Anxiety PreOP, N, V, Post OP, Alcohol/Drug Withdrawl, Allergies

Common SE: Dizzi, Drowsi

Life Threating SE: Seizures

Nursing Tasks: Assess Mental status, Resp status/ Monitor I&Os, Drowsiness, Dizziness, BP/ Push Fluids 2L per day/ NO Alcohol, depressants, OTCs/ Up with Assistance
Anxiety / Alcohol Withdrawl
Xanax (t)
alprazolam (Rx)
Funct Class: Antianxiety

Route/Typ Dosage: po 0.25mg

Target Symtoms: Anxiety, Panic disorders

Common SE: Dizzi, Drowsi, Orthostatic Hypotension, B Vision

Life Threating SE: ECG Changes, Tachycardia

Nursing Tasks: Wean Off- Severe withdrawl incl Suicidal tendencies/ Assess mental status, sleep patterns/ Monitor Ortho BP Hold if >20pt drop - Rise slowly/ NO anticonvulsants, alcohol, antihistamines, Barbs, Sedatives, Grape Juice, Hypnotics, Xanthines, St J Wart/
Anxiety / Panic Disorders
Ritalin (t) , Concerta (t)
Methylphenidate (Rx)
Funct Class: cerebral stimulant

Route/Typ Dosage: po 5-20mg

Target Symtoms: ADHD, narcolepsy

Common SE: Hyperactivity?, Insomnia, restlessness?, talkativeness?, Palpitations, Tachycardia

Life Threating SE: dysrhythmias, Leukopenia, thrombocytopenic purpura, seizures, Exfoliative dermatitis

Nursing Tasks: Monitor BP may increase/ Monitor mental status for effectiveness, CBCs, urinalysis/ No MAOIs, SSRI, Anticonvulsants, Antidepressants(Tricylic)
Lithium (Rx)
Lithium Carbonate
Funct Class: Antimanic, Antipsychotic

Route/Typ Dosage:po 300-600mg

Target Symtoms: Bipolar

Common SE: H, Drowsi, Dizzi, confusion, fatigue, Dry mouth, anorexia, N, V, D, Muscle weakness, acneiform rash

Life Threating SE: seizures, dysrhythmias, circulatory collapse, edema, polyuria, glycosuria, proteinuria, albuminuria, renal tox, leukocytosis

Nursing Tasks: Assess for tox- D, V, Tremors, weakness, thirst, dilute urine/ Edema- Turgor qd/ Sodium levels affect lithium levels/ Assess Neuro/ 0.5-1.5 mEg/L is therapeutic
Haldol (t)
Haloperidol (Rx)
Funct Class: Antipsychotic, Neuroleptic

Route/Typ Dosage: po 0.5-5mg / IM 2-5mg

Target Symtoms: Psychotic disorders, tics, Tourette, hyperactivity, schixophrenia, sedation

Common SE: Extrapyramidal symptoms, pseudoparkinsonism, akathisa, dystonia, tardive dyskinesia, drowsi, H, Ortho HT, N, V, C, Anorexia, Dry Mouth, Rash

Life Threating SE: Seizures, Neuroleptic malignant syndrome, Cardiac Arrest, Tachycardia, Ileus, Hepatitis, Laryngospasm, resp depression

Nursing Tasks: NO alcohol, epinephrine, lithium, phenobarbital, Levodopa, Carbamasepine, anticholinergics, barbs, Beta adrenergic blockers, CNS depressants/ Assess mental status for dec in symptoms/ Watch for hoarding/ Monitor I&Os, Liver func, BPx3 positions/ Wean/ photosensi/ HTN risk- avoid heavy exercise, heat, hot tubs/ Avoid OTCs, alcohol, CNS depressants
Psychotic Disorders / Schizophrenia
Enoxaparin -Rx
Funct Class: Anticoagulant, Antithrombotic

Route/Typ Dosage: SQ 2500U

Target Symtoms: Risk of DVT, Pulmonary Emboli/ After Hip, knee, back, abdominal surgery

Common SE: Edema, N, Fever

Life Threat SE: Hemorrhage, Hypochronic Anemia, Thrombocytopenia

Nursing Tasks: Monitor Blood studies(Hct, CBC, Coag, Platlets, Occult Blood)/ Rotate SQ sites, T: Bleed precautions (Soft bristle toothbrush, No razors, No Sports/ Report bleeding, bruises, bloody stools/ Do not combine with Anticoagulants, thrombolytics, valporic acid, NSAIDS, Salicylates, etc.
SQ, Bleed risk, After Surgery
Demorol - T
Meperidine -Rx
Pethandol - T
Pethidine - T
Funct Class: Opiod Analgesic

Route/Typ dosage: IV, IM 50mg

Target Symptoms: Pain

Common SE: N, Constipation, Pruritis, Drowsi, Dizzi, Confusion, H, palpitations, bradycardia/tachicardia, Tinnitus, BV, V

Life Threat SE: ICP Seizures, Resp Depression

Nursing Tasks: A: Resp <10 don't give/ Renal&Liver function/ Allergic Reactions/ Withdrawl&Addiction Risk (T: No ETOH, or CNS depressants/ Up with Assist, Rise Slowly OHtn (I: ETOH, Procarbazine-Fatal, Antihistamines, Barbs
Resp <10, Procarbazine+ Fatal, N & Pruritis common
Nitroglycerin - Rx
Deponit, Minitran, Nitrek, Nitrocine, Nitrodisc, Nitro-Dur, Transderm-Nitro - T
Funct Class: Coronary vasodilator, Anti-Anginal

Route/Typ Dosage: SL, Transdermal 1 tab/Patch

Target Symptoms: Angina(Pectoris), CHF, Controlled Htn

Common SE: H, Flushing, Dizzi, OHtn

Life Threat SE: Collapse

Nursing Tasks: (A: B/P, Pulse, Pain, Tolerance of Drug (T: Avoid ETOH, Haloperidol(Haldol), Antidepressants, Phenothiazine, Ca Channel Blockers, Antihypertensives/ H are common/ Slow to rise-OHtn/
H & Orthostatic Hypertension Common
Watch for drops in B/P
Isoproterenol - Rx
Isuprel, Aeroone, VapoIso, Medihaler-Iso - T
Funct Class: Beta-Adrenergic agonist, AntiDysrhythmic, Inotropic

Route/Typ Dosage: SL, Inhaler

Target Symptoms: Heart Block, V Dysrhythmias, Shock

Common SE: Tremors, Anxiety, palpitations, N, V, Hyperglycemia

Life Threat SE: Cardiac Arrest, Brochospasms

Nursing Tasks: A: allergic reaction(Bronchospasms), Resp Funct Before/After Admin (T: Avoid OTCs, Smoking, Caffeine, Smoking/ Do not double dose if missed/ Report Brochospasms/ No BetaAdrenergic Blocker, MAIOs
Monitor for reactions
No double dose
Hydrocortisone- Rx
Methylprednisone- Generic
Prednisone, Betamethasone - T
Funct Class: Short-Acting Glucocorticoid

Route/Typ Dosage:

Target Symptoms: Inflammation, psoriasis, eczema, dermatitis, pruritis

Common SE: Aggitation

Life Threat SE: Circulatory Collapse, thrombophlebitis, embolism, GI hemorrhage, thrombocytopenia

Nursing Tasks: (A: K+, ^BS, Urinary Glucose/ ^Temp/Inflammation/ Suppresses Infection, Adrenal Function/ No Anticoagulants, Vaccines, Anticonvulsants, Diuretics, Hypoglycemic Agents, NSAIDS, Aspirin/ Report N, Fatigue, Joint Pain/ Wear Med Braclet
Wean off
^Temp/Inflammation = thrombocytopenia etc
^ Blood Sugar
Masks infection
Levothyroxine - Rx
Synthroid, Levothroid, Levoxyl, T4 -T
Funct Class: Thyroid Hormone

Route/Typ Dosage: 75mcg po

Target Symtoms: Hypothyroidism, cretinism, thyrotoxicosis, thyroid cancer

Common SE: Anxiety, insomnia, tremors, tachycardia, palpitations, angina, H, N, D, Menstral Fever, Heat Intolerance

Life Threat SE: Thyroid storm, Cardiac Arrest

Nursing Tasks: (A: B/P before each dose/ I&O, DW/ T3,T4(RAIU) => Dec Dosage/ Nervousness, Irratability => Inc Dosage/ Protime for Inc bleeding bruising/ (T: Long term therapy/ Report SE/ NO OTCs with Iodine/ One brand only/ (I: Amphetamines, decongestants, vasopressors, anticoagulants, BetaAdrenergic Blockers, Estrogens, hypoglycemics, Sympathomimetics
Anxiety, tremors, heart pounding
Not for use with contrast dyes
Ketorolac -Rx
Toradol, Acular - T
Funct Class: NSAID, Non Opiod analgesic

Route/Typ Dosage: 30mg IM

Target Symptoms: Mild to Moderate Pain, Inflammation, Ocular Itching

Common SE: Drowsiness

Life Threat SE: GI Bleed, Perforation, Nephrotoxicity, Dysuria, Oligura, Hematuria, Azotemia, Blood Dyscrasias

Nursing Tasks: (A: BC for Dec Platelets/ thrombocytopenia/ NSAIDs Sensitivity/ Eyes-redness, itching, swelling/ ROM q1 after admin/ GI bleed (T: No aspirin, ETOH, NSAIDs, Acetaminophen, or soft contact lenses/ Report bruising, bleeding, fatigue, malaise (I:Anticoagulants, ACE inhibitors, Antihypertensives, Cephalosporins, thrombolytics, salicylates, corticosteriods, NSAIDs, K+ products, Diuretics
watch platelets, bruising

Not with anticoagulants or antihypertensives

Treatment of mild/Moderate pain
Phenytoin - Rx
Dilantin, Phenytex, Dipenylan -T
Funct Class: Anticonvulsant, Antidysrhythmic

Route/Typ Dosage: 125mg/5ml po

Target symptoms: Seizures, Dysrhythmias

Common SE:

Life Threat SE: Ventricular Fib, Hepatisis, Nephritis, Agranulocytosis, Leukopenia, Aplastic Anemia, Thrombocytopenia, Megaloblastic anemia, Lupus erythematosus, S-J Syndrome

Nursing Tasks: (A: Levels of Tox/ Neuro Status/ Rash => S-J Syndrome/ Blood dyscrasiass/ Renal&Liver function (AST, bilirubin)/ withdrawl symptoms/ eye problems/ allergic reaction (T: Wear Med Bracelet/ No ETOH, Depressants, Driving, Antacids, Antidiarrheals/ Report Pink-red-brown Urine/ Wean off drug, Maintain Oral Hygiene (I: Antacids, Barbs, Anticonvulsants, Antidepressants, Benzodiazepines, Salicylates