Meds For Skills

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TYLENOL 3- Acetaminophen 300mg + Codeine 30___

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mg

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TYLENOL 3 Classification

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Antipyretic and opioid analgesic

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TYLENOL 3 Therapuetic effects

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Analgesia Antipyresis

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TYLENOL 3 INDICATIONS -Treatment of Mild P----- and fever

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Pain

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TYLENOL 3 ACTIONS- Inhibits the service of prostaglandins that serve as mediators of pain and fever, primarily in the C++++No antiinflammatory properties or GI toxicity

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CNS

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Tylenol 3- Nursing Implications- Assess overall health status and alcohol usage before administering. Patients who are mal_____ or chronic alcohol users are at greater risk for developing hepotoxicity with chronic doses.

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malnourished

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Tylenol 3 drug interactions Chronic high dose risk of bleeding with war++++

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warfarin

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AMOXCILLIN- Classification=antiinfective, antiul____ agent

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antiulcer

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AMOXCILLIN: Theraputic effects bactericidal action. Broader spectrum than penic_____

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penicillin

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AMOXCILLIN: Indications: Treatment of skin and skin structure infec____ such as otis media, sinusitis, genitourinary infections, endocarditis prophylaxis, Postexposure inhalation anthrax prophylaxis

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infections

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AMOXCILLIN: Nursing Implicatons: 1Vital signs, appearance of wound, sputum, urine, stool, and WBC. 2Obtain a history before initiating therapy to determine previous reaction to and use of penicillin or cephalosp++++, People with a negative history of penicilin sensitivity may still have an allergic re____

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cephalosporins
response

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AMOXCILLIN: Nursing Implications: Observe for signs and symptoms of anaphy++++, rash, pruritis, laryngeal edema, whee____; Notify doctor if these occur STAT

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anaphylaxis
wheezing

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AMOXCILLIN: Nursing Implications: Obtain specimens for cult____ and sensitivity prior to therapy. First dose may be given before receiving resu____

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culture
sensitivity

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AMOXCILLIN: Nursing Implications: Monitor bowel func___. Diarrhea, abodominal cramping, fever, and blood y stoo___ should be reported to DR as a sign of psuedomembrane colitis. May begin up to several weeks after cessation of therapy.

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function
stools

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PLAVIX- CLOPIDOGREL- CLASSIFICATION_ Antiplatelet agent; platelet aggregation inhib++++ safe dose PO ___ mg daily

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inhibitor
75mg

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PLAVIX- CLOPIDOGREL-THERAPUTIC EFFECTS- Decreased occurrence of atheroscl events in pts at risk

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anthesclerotic

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AMOXICILLIN ACTIONS- Binds to bacterial cell wall causing cell dea+++

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cell death

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PLAVIX- CLOPIDOGREL- ACTION- Inhibits platelet aggreg____ by irreversibly inhibit the binding of ATP to platelet rece+++++

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aggregation
receptors

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PLAVIX- CLOPIDOGREL- Nursing Implications-Assess pt for symptoms of str____, peripheral va+++++ disease, or MI periodically during therapy.

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stroke
vascular

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PLAVIX- CLOPIDOGREL- Nursing implicatons- Monitor pt for signs of thrombocytic purpura thrombocytopenia microangiopathic hemolytic anem___, neuro++++ findings, renal dysfunction, fever

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anemia
neurological

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PLAVIX- CLOPIDOGREL- Nursing implicatons-Monitor ble++++ time during therapy. Prolonged bleeding time which is time and dose dependent is expec_____

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bleeding
expected

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PLAVIX- CLOPIDOGREL- Nursing implicatons-Monitor CBC with differential and platelet count periodically during therapy. Neutro)))))) and thrombocytopenia may rarely occur.

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neutropenia

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PLAVIX- CLOPIDOGREL- Interactions: NSAIDS, Heparin, and eptifibatid+++

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eptifibatide

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DIGOXIN- CLASSIFICATION: Antiarrhythmic; inotropic, digitalis glyco))))))- .5 to 1 mg IV adults; PO adults .75 to 1.5 mg 50% of initial dose

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digitalis glycosides

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DIGOXIN- INDICATIONS: Heart failure; atrial fibrillation; and atrial flutter; slows ven_____ rate Paroxysmal and tachycardia

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ventricular

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DIGOXIN- ACTION- Increases the force of heart contrac____; Prolongs refractory period of AV node; decreases conduction thru SA and AV node.

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contraction

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DIGOXIN-Theraputic Effects; Increased cardiac output, and slowing of the heart ra++++

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rate

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DIGOXIN-Nursing Implications- Monitor apical pulse for 1 full min____ before administering. Withhold dose if less than 60 minutes.

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minute

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DIGOXIN-Nursing Implications- Monitor BP in pts receiving ___ Digoxin

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IV

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DIGOXIN-Nursing Implications- Monitor ECG througout IV administration and 6 hours after do))))). Notify of bradycardia or new arryth++++

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dose; arrythmia

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DIGOXIN-Nursing Implications- Observe IV site for red____ or infiltration. Extravasation can lead to irritation and slou++++

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redness
sloughing

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CARDIZEM- Diltiazem= CLASSIFICATION: antianginal; antiarrythmic; antihy______PO 30-120 mg daily or SR 180-240 daily or XR 360 mg daily

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antihypertensive

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CARDIZEM- Diltiazem- INDICATIONS- Hypertension; angina pectoris; vasoplastic angina; Supraventricular tachyarrythmias and rapid ventricular rates in atrial fib_______

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atrial fibrillation

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CARDIZEM- THERAPUTIC EFFECTS- SYSTEMIC VASODILATION RESULTING IN DECREASED ))))). Coronary vasodilation resulting in decreased freq+++++ and severity of attacks of angina. Reduction of ventricular rate in atrial f______ or flutter.

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BP
frequency
fibrillation

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CARDIZEM- -Nursing Implications- Diltiazem- Monitor BP, p____, and EC____

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pulse, ECG

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CARDIZEM- -Nursing Implications- Monitor intake and out____ ratios and daily w+++++

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output
weight

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CARDIZEM- -Nursing Implications-assess for peripheral edema, crackles, weight g)))))), and jugular vein d+++++

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weight gain
distention

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CARDIZEM-Nursing Implications= Monitor frequency of prescription refills to determine ad_______

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adherence

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CARDIZEM-Nursing Implications= receiving digoxin concurrently should have routine serum digoxin levels checked and be monitored for signs and symptoms of digoxin tox++++

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toxicity

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CARDIZEM-Nursing Implications=assess for rash. Steven Johnson syndrome. discontinue if with fever or fatigue muscle pa((((( or blis)))))

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pain blisters

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CARDIZEM-Nursing Implications=if angina assess location, intensity, and precip++++ factors

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precipitating

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CARDIZEM-Nursing Implications=monitor ECG; report bradycardia or prolonged low ____. Monitor BP and P++++ before administration. Monitor renal and hep____ functions during therapy.

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BP
pulse

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CARDIZEM-Nursing Implications=- laxative stool so_____

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softener

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DOCUSATE or COLACE- CLASSIFICATION- laxative; stool sof____50-400 mg in 1-4 divided doses

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softener

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DOCUSATE or COLACE-THERAPUTIC EFFECTS: Softening and pass)))))) of stools

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passage

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DOCUSATE or COLACE-Indications- PO- Prevention of constipation in pts who should avoid straining as in MI or rectal s_____. RECT- used as an enema to avoid fecal im______

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surgery
impaction

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DOCUSATE or COLACE-ACTION- Promotes incorporation of water into st_____ resulting in softer fecal mass. May also promote electrolyte and water secretion into the col++++

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stool
colon

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DOCUSATE or COLACE-NURSING IMPLICATIONS- Assess for abdominal dis_____ and presence of bowel sou++++and usual pattern of bowel function. Assess color, consistency, and am)))))) of stool produced.

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distention; sounds
amount

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FUROSEMIDE OR LASIX- CLASSIFICATION- diuret+++ loop diuretic- 20 -80 mg daily dose or may repeat in 6-8 hrs.

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diuretic

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FUROSEMIDE OR LASIX- INDICATIONS- Edema due to heart f_____, hepatic impairment or renal d++++; hypertension

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failure; disease

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FUROSEMIDE OR LASIX- ACTION- Inhibits the reabsorption of sodium and chl+++++ from the loop of Henle and distal renal t_______

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chloride
tubule

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FUROSEMIDE OR LASIX-ACTION- Increases renal excretion of wa_____, sod______, chloride, magnesium, potassium, and ca.

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water; sodium

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FUROSEMIDE OR LASIX-Theraputic Effects- diuresis and subsequent mobilization of ex_____ fluids

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excess

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Furosemide or LASIX- Nursing Implications- Assess fluid status. Monitor daily weight, intake and output ra))))))). Amount and location of ed_____. Lung sounds, skin turgor, mucous membranes. Notify Dr if thirst, dry mouth, lethargy, weakness, hypotension, or oliguria occur.

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ratios
edema

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Furosemide or LASIX-Monitor BP and p____ before during and after administration. Monitor frequency of prescription refills to determine compliance in pts treated for h++++++

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pulse
hypertension

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Furosemide or LASIX-Assess falls risk in older adults. Digoxin with Furosemide increased risk of digoxin toxiciity. Potassium supplements needed. Assess for tinnitis and hearing _____

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loss

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Heparin- Classification- anticoagulant anti++++++10, 000 units followed by 5000-10000 units every 6-8 hrs: Subcut 5000units followed by 10-20000 units followed by 8-10000 units

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thrombotic

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Heparin Indications Prevention and treatment of thromboembolic disorders; Pulmonary emboli, atrial fibrillation. Used in very low doses to maintain patency of IV

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catheters

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Heparin- Action- Potentiates the inhibitory effect of antithrombin on factor Xa and thrombin. In low doses decreases effect of thrombin or neutralizes

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it

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Heparin- Theraputic Effect: Helps blood to flow ; blood thi____

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thinner

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Heparin- Nursing Implications: Assess for signs of bleeding and hemmorage; brusing, black stools, hematocrit; Monitor for chills and fev))))); Monitor platlet count every 2 to ____ days.

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fever
3

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Heparin- More at risk if previous course of hep)))))

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heparin

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Lactulose- laxative; osmot____30-45 mL 3-4 times per day
300 ml as enema every 4-6 hrs

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osmotic

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Lactulose- treatment of chronic con______

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constipation

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Lactulose- action increases water content and softens the. Reduces blood ammonia levels.

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stool

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Lactulose Theraputic Effects- Relief from constipation. Reduces blood amm_____ levels.

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ammonia

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Lacutulose Nursing Implications_ Assess for abdominal distention, bowel sounds, and normal pattern of bL____ function. Assess color consistency and am++++ of stool produced.

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blood
amount

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Lacutulose Nursing Implications- may cause increased blood glucose levels in diab++++ Monitor serum elect_____ when used chronically

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diabetics
electrolytes

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Prevacid- lansoprazole- CL:ASSIFICATION anti-ulcer agent proton pump in_____15 mg PO daily for14 weeks for ulcer; May be repeated every 4 mos

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inhibitor

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Prevacid- lansoprazole= Indications: Errosive esophagitis; duodenal ul_____; Short term tx of GERD; Heartburn

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ulcers

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Prevacid- lansoprazole- ACTION- binds to enzyme in the presence of acidic gastric pH preventing the final transport of H ions into gastric l_____

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lumen

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Prevacid- lansoprazole= Theraputic effects: Diminished accumulation of acid in gastric Lum____ with less acid reflu____

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lumen
reflux

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Prevacid- lansoprazole= Nursing Implications- assess for abodominal pain and blood in stool; May increase serum creatine or liver function tests; May alter RBC, w___ and pla_____ . May reduce Mg level and inc or dec cholesterol level

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WBC
Platelets

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Ativan or Lorazepam- Classification; antianxiety; sedative/hypn; benzodiazepine 1-3 mg PO 2-3 times daily Insomnia 2-4 mg at bedtime

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sedative/hypnotic

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Ativan or Lorazepam- Indications- Anxiety disorder; preoperative sedation; Offlabel insomnia chemotherapy

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chemo

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Ativan or Lorazepam-Theraputic effect; decreased anxiety; sedation; decreased s_______

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seizures

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Ativan or Lorazepam-Nursing implications- assessment of continued need for tx; assess mental status; prolonged dosage may lead to dep_____High dose routine eval of renal, hepatic, and hematologic function

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dependence

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Metaformin- Glucophage- Classification- Theraputic Antidiabetic; biguanides 500 mg twice daily

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anti-diabetic

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Metaformin- Glucophage- Indications: Type II Diabetes used with diet, ins++++

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insulin

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Metaformin- Glucophage- Action- Decreases hepatic glu____ production; Decreases intestinal glucose absorp++++; Increases sensitivity to ins+++++

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glucose
absorption
insulin

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Metaformin- Glucophage-Maintains blood glucose l++++

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levels

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Metaformin- Glucophage-Nursing Implications- If develop illness assess for ketoacidosis; serum electrolytes; ketones, glucose, and blood pH, lactate, pyruvate. Monitor Blood glucose. Assess renal function prior and annually during therapy. Monitor serum folic acid and B-=== every 1-2 years. May interfere with absorption.

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12

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Lopressor= Metoprolol= Classification; antianginal; antihy++++ 25-100 mg daily single dose or divided 2

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antihypertensive

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Lopressor= Metoprolol= For hypertension and prevention of MI. Management of heart failure

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Heart failure

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Lopressor= Action: Blocks Beta receptors in He+++

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heart

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Lopressor= Metoprolol= Theraputic Effects: Decreased BP and Heart r++++

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rate

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Lopressor= Metoprolol=Nursing Implications: Monitor BP, ECG, dose adjustment and periodically during therapy. Monitor vitals and and ECG every 5-15 min during parenteral adm HR less than 40, administer atropine; Monitor input and out++++ ratios and daily weights. Assess for signs and symptoms of Heart failure: dyspnea, crackles, weight gain, peripheral ed____ and jugular venous distention.

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output
edema

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lopressor may inc blood glucose

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levels

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Augmentin: amoxcillin and clavulanate potassium- Theraputic effects antibiotic used to fight bact____ infections; pneumonia, ear and sinus infections 500 mg every 12 hrs 250 mg every 8 hrs

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bacterial

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Augmentin: amoxcillin and clavulanate potassium- CLASSIFICATION: enzyme inhi)))))

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inhibitor

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Augmentin: amoxcillin and clavulanate potassium- for treatment of multiple bacteria resistant infect____

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infection

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Augmentin Nursing Implications; Determine previous hyper________ reactions to penicillins, cephalosporins, and other allergens prior to therapy.
Lab tests: Baseline C&S tests prior to initiation of therapy; start drug pending results.
Monitor for S&S of an urticarial rash (usually occurring within a few days after start of drug) suggestive of a hypersensitivity reaction. If it occurs, look for other signs of hypersensitivity (fever, wheezing, generalized itching, dyspnea), and report to physician immediately.
Note: Generalized, erythematous, maculopapular rash (ampicillin rash) is not due to hypersensitivity. It is usually mild, but can be severe. Report onset of rash to physician, since hypersensitivity should be ruled out.

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hypersensitivity

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Augmentin: Action: Bactericidal; penicillins interfere with bacterial cell wa____ peptidoglycan synthesis.
Moderate spectrum penicillins like amoxicillin are active primarily against gram positive organisms.
The addition of clavulanic acid to amoxicillin extends spectrum of activity to cover many beta-lactamse producing gram positive (S. aureus) and gram negative organisms (Moraxella Catarrhalis, H. Influenzae, Proteus spp., E. coli, Klebsiella spp.), including gram negative anaerobes.

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wall

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Ferrous sulfate or iron supplements: Classification: antian____ iron supplements

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antianemics

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Ferrous sulfate or iron supplements: Indications: Prevention and/or treatment of iron def_____ anemia

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deficiency

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Ferrous sulfate or iron supplements: Theraputic Effects: Prevention/treatment of iron def))))))

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deficiency

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Ferrous sulfate or iron supplements: Action: an essential mineral found in hemoglobin, myoglobin, and many enzymes. Becomes part of iron store of b____

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body

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Ferrous sulfate or iron supplements: Nursing Implications: Assess nutritional status and dietary history to assess cause of ane++++ and need for pt teaching. Assess bowel function for cons_____ or diarrhea.

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anemia
constipation

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Nitroglycerin Transdermal Patch sublingual- Classification: Anti-anginal nitrates

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anti-anginal

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Nitroglycerin Transdermal Patch-sublingual- Indications: management of angina pectoris:

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angina pectoris

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Nitroglycerin Transdermal Patch-sublingual-Action: Dilates heart arteries to increase blood flow and decreases preload on Hea____

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heart

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Nitroglycerin Transdermal Patch-sublingual-= Theraputic effects: Increased heart output and decreased att))))) due to insufficient supply of blood

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attacks

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Nitroglycerin Transdermal Patch-sublingual-= Nursing Implications: Assess location, duration, intensity and precipitating factors anginal pain; Monitor BP and p____ before and after administration. May cause false high chol____

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pulse
cholesterol

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Dilantin or Phenytonin- Classification: antiarrythmic and anticonvulsant; hyantoins

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anticonvulsant

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Dilantin or Phenytonin-Treatment prevention of tonic-clonic and complex )))))) seizures

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partial

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Dilantin or Phenytonin-Theraputic Effects: Reduced seizures and reduced ventricular arrhy_____

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arrhythmia

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Dilantin or Phenytonin-Action: Limits seizure propagation by limiting ion tr______Antiarrhymic properties by shortening action potential

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ion transport

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Dilantin or Phenytonin: monitor for depression and suicidal behav____; assess hygiene for gums: assess for hypersensitvity rash; assess mental status;

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behavior

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KCL- classification: mineral and electrolyte suppl_____

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supplement

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KCL: Indications: treatment and prevention of potassium depletion

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K depletion

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KCL: Action:

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w

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KCL: Nursing IMplicatons: Assess for signs and symptoms of low calcium such as fatigue, weakness, polyuria, polydipsia, Determine Mg level;

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Mg

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Mylanta or Psyllium: Classification: laxative; bulk- forming ag)))))

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agent

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Mylanta or Psyllium: Indications: Management of simple or chronic const____particularly if associated with low fiber diet. Useful when straining should be avoided.MI rectal sur____diarrhea

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constipation
surgery

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Mylanta or Psyllium: Action: Combines with water to form an emollient gel that promotes peristalis diges_____

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digestion

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Mylanta or Psyllium: Theraputic effects: Relief and prevention of const_____

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constipation

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Mylanta or Psyllium: Nursing Imp:Assess pt for abdominal dist++++ bowel sounds and usual pattern of bowel function; . Assess color, consistency and _____ stools produced.

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distention
amount

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Restoril Temazepam: Classification: Sedative/hypnotic: benzo_____

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benzodiazepine

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Restoril Temazepam: Indications: Short-term management of insom____

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insomnia

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Restoril Temazepam: Action: Acts at many levels in the CNS producing generalized depression. Effects may be mediated by GABA inhibitory neurotrans____

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neurotransmitter

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Restoril Temazepam: Theraputic effects: Relief of in_____

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insomnia

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Restoril Temazepam: Nursing Implications: Assess mental status: mood orientation and behavior; Assess sleep patterns before and during therapy; may lead to dep

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dependence

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Coumadin or Warfarin: Classification: Anticoagulant; coumarins

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coumarins

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Coumadin or Warfarin: Indications: Treatment of clotting of the blood in veins. Atrial fibrillation and MI.

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MI Atrial Fib and clotting of blood in veins

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Coumadin or Warfarin: Action: Interferes with liver synthesis of vitamen K dependent clot))))) factors

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clotting

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Coumadin or Warfarin: Theraputic Effects: Helps prevents strokes

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strokes

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Coumadin or Warfarin: Assess for signs of bleeding and hemmorage; bleeding gums; nosebleed; bruising, black st_____; fall in hematocrit or BP; thrombosis; liver function; monitor stool and urine for bl_____

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stools
blood

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Ambien or Zolpidem: Classification: Sedative/Hyp

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sedative/hypnotic

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Ambien or Zolpidem: indications: insomnia

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insomnia

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Ambien or Zolpidem: Action: Produces CNS depression to GABA receptors. has no ana)))))) properties

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analgesics

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Ambien or Zolpidem: Nursing Implications: Assess sleep pattern, mental status, and potential for abuse. More than 10 days may lead to dep. Assess alertness at the time of peak. Increased pain decreases sedative effects.

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effect

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Persantine or Dipyridamole: Classification: antiplatelet agents: coronary vasodilators;

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antiplatelet

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Persantine or Dipyridamole: Prevention of clotting in pts with prostetic heart valves; cardiac stress t+++++

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testing

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Persantine or Dipyridamole: Use cautiously in low blood pressure +++++

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pts

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Percocet oxycodone and acetaminophen classification: narcotic ana______

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narcotic analgesic

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Percocet oxycodone and acetaminophen Indications: mild to severe pain depend on dose of oxycodone

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mild to severe pain

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Percocet : Action: Binds to opiate receptors in CN++++Alters response to painful stimuli

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CNS

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Percocet: Nursing Implications: use cautiously in head trauma; intracranial pressure; hypothyroidism, alcoholism

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head trauma

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Lipitor : Atorvastatin :Classification: lipid lowering agents; HMG-CoA reductase inhib++++

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inhibitors

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Lipitor: Atorvastatin: Indications: Management of primary hypercholesteremia: Prevention of heart disease in pts with multiple risk f______

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hypercholesteremia; factors

Front 141

Lipitor: Atorvastatin: ACTION: Inhbits an enzyme responsible for an early step in synthesizing choles)))))

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cholesterol

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Lipitor: Atorvastatin: Nursing Implications: Monitor BP and p____ during dosage adjustment. Symptomatic low bp may occur with small doses.

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pulse

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INSULIN: Classification: antidiabetic; hormones; pancreatics

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antidiabetics

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INSULIN: control of blood sugar level in pts with type 1 or type ))))) diabetes

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2

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INSULIN: Action: lower blood sugar by stimulating blood sugar uptake in muscle and fat; inhibiting liver production of sugar.

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lower blood sugar by stimulating uptake and stopping liver production of sugar

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INSULIN: Nursing Implications: Assess for symptoms of low blood sugar: restlessness and tingling; difficulty concentrating; high blood sugar by nausea; weakness; trouble sleeping; Monitor body +++++ and blood sugar

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weight

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Famotidine or Pepcid: Classification: antiulcer agents and antihistamine ag++++

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antihistamine agents

Front 148

Famotidine or Pepcid: Indications; short tx of duodenal ulcers and gastric uicers. Maintenance therapy and management of G_____; Treatment of heartburn and acid indigestion

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GERD

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Famotidine or Pepcid:theraputic effects: healing and prevention of ulcers; Decreased GERD and a_____

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acid

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Famotidine or Pepcid: Action: Stops the action of histamine at the histamine receptor resulting in reducing gastric a++++

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acid

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Famotidine or Pepcid: Nursing Implications: Assess abodominal pain and blood in st____. Monitor CBC,

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stool

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TORODOL- Ketorolac; nonsteroidal antiinflammatory agent; nonopiod analgesic; pyroziline carboxylic acid

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antiinflammatory and analgesic

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TORODOL- Ketorolac; Indications: Short-term managment of P------

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pain

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TORODOL- Ketorolac; Action: Inhibits inflammation and relieves p++++

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pain

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TORODOL- Ketorolac; Nursing implications: Pts with asthma and aspirin allergy are increased risk allergy. Assess for rhinitis and asthma. Assess for rash and P++++. May prolong bleeding.

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pain

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Morphine : Depodur Classification: opiod analgesic and opiod agonist

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opiod analgesic

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Morphine : Depodur: Indications: severe pain; pain associated with MI; pulmonary ed____

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edema

Front 158

Morphine : Depodur: Action: Binds to opiate receptors in CNS and changes perception to painful stim___

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stimuli