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3 Cards in this Set
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- Back
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Acetaminophen Black box alert: Potential for severe liver injury. |
Class: Pharmacotherapeupic: Analgesic Clinical: Non-narcotic analgesic/antipyretic Uses: Releif mild-moderate pain/fever IV: Management of moderate to severe pain when combined with opioid analgesia Contraindications: Hypersensitivity to acetaminophen/severe hepatic impairment or severe liver disease Cautions: Sensitivity to acetaminophen/severe renal impairment/alcohol dependence/hepatic impairment/active hepatic disease/chronic malnutrition/hypovolemia/G6PD deficiency/limit dose to 4 g a day Action: Inhibits prostaglandin synthesis in CNS/results in antipyresis/produces analgesic effect Pharmacokinetics: PO: Onset less than 60 mins/peak 1-3 hrs/duration 4-6 hrs Interactions: Alcohol/hepatotoxic medications/warfarin/St.John's wort Labs: May increase serum ALT/AST/bilirubin/prothrombin levels Availability (Tylenol): 325mg/500mg/650mg Administration/handling: PO: Give without regard to meals/tablets may be crushed/do no crush extened release Indications:OTC/limit 3000mg a day Side effects: Rare Hypersensitivity reaction Adverse effects/toxic reactions: Early: Anorexia/nausea/diaphoresis/fatigue Late: Vomiting/RUQ pain/elevated LFTS within 48-72 hours after ingestion Nursing: Baseline assessment: Access onset/type/duration of pain/location Intervention/evaluation: Assess for clinical improvement of pain/releif of pain Patient/families teaching: Consult physician for children under 2 years/oral use longer 5 days children/or longer than 10 days adults/fever lasting longer than 3 days |
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Insulin Aspart pen (Novolog) |
Class: Pharmacokinetics: Exogenous insulin Clinical: Antidiabetic Use: Diabetes type 1/type 2 to improve glycemic control Precautions: Hypersensitivity to insulin/use during hypoglycemia Action: Regulates metabolism of carbohydrates/protein/fat Therapeutic effect: Controls serum glucose levels Pharmacokinetics: Onset 10-20 mins/peak 1-3/duration 3-5 Interactions: Alcohol/beta blockers/glucocorticoids/thiazide diuretics/garlic/ginger/ginseng Lab values: May decrease serum magnesium/phosphate/potassium Availability: 100 units/ml vial/ 3ml cartridge/3ml flex pen Administration: SQ/intravenously infusion/can mix with NPH (aspart 1st)/after 1st use stable room temp for 28 days/administrator 5-10 mins before meals Side effects: Localized redness/swelling/itching Adverse effects: Severe hypoglycemia Nursing: Baseline: Check BG levels Interventions: Access for hypoglycemia/cool wet skin/tremors/dizziness/headache/anxiety/tachycardia |
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Clopidogrel |
Nursing |
