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27 Cards in this Set

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DDAVP (Desmopressin Acetate)
Use: control enuresis in children (8-10yrs), SIADH, diabetic insipidus
S/E: water intoxication, fluid I&O ratio and pattern (intervals), monitor lung sounds.
Dexadrine
Class: CNS Stimulant
Use: ADHD
S/E: Liver damage, hyperactivity , insomnia , restlessness, tremor, Hypertension, palpitations, tachycardia, anorexia, blurred vision, dry mouth, head ache, cramps, diarrhea, nausea, vomiting, suppression of weight gain/growth
Nursing Considerations: Give meds in A.M. if multiple dosing, last med before 4 p.m. Monitor blood pressure, pulse, and respiration Monitor growth, both height and weight. ADHD: Assess children for attention span, impulse control, and interactions with others
Reglan
Class: Antiemetic, GI motility increaser
Use: GERD
S/E: EXTRA PYRAMIDAL SYMPTOMS, drowsiness, restlessness, diarrhea, cramping
Nursing Considerations: Assess for EPS, diarrhea. Give 30 minutes before meals.
Prevacid
Class: Proton pump inhibitor
Use: GERD
S/E: GI bleed, diarrhea, abdominal pain, fatigue, dizziness, headache
Nursing Considerations: Give one time per day. Assess patient routinely for epigastric or abdominal pain and for frank or occult blood in stool, emesis, or gastric aspirate.
Zofran
Class: Antiemetic
Use: N/V (1st line N/V medication)
S/E: Constipation, diarrhea, tachycardia
Nursing Considerations: Monitor for constipation/diarrhea. Give I.V. or PO for prevention of N/V due to chemo, radiation or post surgery. Assess patient for nausea, vomiting, abdominal distention, and bowel sounds prior to and following administration.
Tegratol
Class: Anticonvulsive
Use: Seizures, pain
S/E: AGRANULOCYTOSIS, APLASTIC ANEMIA, THROMBOCYTOPENIA, SAIDH, hepatotoxic, ataxia, drowsiness, blurred vision
Nursing Considerations: Monitor for agranulocytosis, Aplastic anemia, thrombocytopenia, CBC, WBC/differentials. Monitor liver enzymes. Seizure precautions. Provide safe environment. To discontinue, taper off the drug. May allow Pt. to outgrow the dose to wean from the drug.
Phenobarb
Class: Anticonvulsant/sedative
Use: Seizures, sedation
S/E: Liver toxicity. Liver toxicity, ANGIOEDEMA and SERUM SICKNESS Respiratory depression, laryngospasm, delirium, vertigo hangover
Nursing Considerations: Monitor liver enzymes, respiratory status, pulse, and blood pressure. Equipment for resuscitation and artificial ventilation should be readily available. Keep a safe environment. Must taper with discontinuation of the drug.
Prednisone
Class: Corticosteroid
Use: any inflammatory condition, kidney problems
S/E: PEPTIC ULCER, weight gain, cushing’s symptoms, hunger HTN, immunosuppression, slow healing, muscle wasting, hyperglycemia.
Nursing Considerations: Monitor weight, I&O, fluids, BP, blood in the stool or emesis. Pt. must stay away from sick people.
Solu-medrol
Class: Corticosteroid. IV version of prednisone
Use: any inflammatory condition, kidney problems
S/E: PEPTIC ULCER, weight gain, cushing’s symptoms, hunger HTN, immunosuppression, slow healing, muscle wasting, hyperglycemia.
Nursing Considerations: Monitor weight, I&O, fluids, BP, blood in the stool or emesis. Pt. must stay away from sick people.
Tylenol
Class: Analgesic, antipyretic
Use: Mild pain, Headache
S/E: LIVER TOXICITY
Nursing Considerations: Monitor for elevated liver enzymes. Infant Tylenol drops are very concentrated, careful not to confuse pediatric Tylenol with infant drops when administering to children. Be aware of the form of Tylenol to be given.
Aspirin
Class: Antipyretic/analgesic/antiplatelet, blood thinner
Use: Don’t use in children
S/E: Reyes syndrome
Nursing Considerations: Just don’t give aspirin
Desferal
Class: Antidote
Use: Iron toxicity/overdose due to multiple blood transfusions, supplements
S/E: Red Urine, ototoxicity, flushing, anaphylaxis
Nursing Considerations: Monitor vital signs closely, especially during IV administration. Give IV or long term SQ
Digoxin
Class: Antiarrhythmic
Use: CHF
S/E: digoxin toxicity (ecg changes, bradycardia, decreased urine output, signs of CHF, visual changes).
Nursing Considerations: Monitor ecg, pulse ox, apnea monitor. Know heart rate before administration. If <90 infant; <70 child; < 60 adult; then hold med.
Lasix
Class: Loop diuretic
Use: Edema due to: CHF Hepatic or renal disease Hypertension.
Unlabelled Uses: Hypercalcemia of malignancy.
S/E: Dehydration, nephrotoxicity, constipation, hypokalemia
Nursing Considerations: Monitor I&O, daily weights, lung sounds, skin turgor, potassium-other electrolytes.
Procardia
Class: Anti-hypertensive
Use: HTN
S/E: CHF, hypotension, tachycardia, arrhythmias, edema, dizziness.
Nursing Considerations: Monitor for hypotension, BP, edema, HR, provide safe environ, BP. Can use fluid in capsule for sublingual administration.
Pancrease
Class: Digestive enzyme
Use: Cystic fibrosis, pancreatitis, mal-absorption syndrome
S/E: Diarrhea, cramps Anorexia, nausea, vomiting.
Nursing Considerations: Monitor stool. Give just before, with, or just after a meal. Capsule can be opened and mixed in baby food, apple sauce, etc, for feeding. Monitor I&O and weight. Note appetite and quality of stools, weight loss, abdominal bloating
Ditropan
Class: Anti-spasmodic
Use: Enuresis (bed wetting). To relieve symptoms associated with voiding in patients with uninhibited neurogenic bladder and reflex neurogenic bladder.
S/E: Urinary retention, increased risk for UTI. Urticaria, skin rashes, suppression of lactation, decreased sweating, fever. dizziness, insomnia, restlessness, Palpitations, tachycardia, flushing. Dry mouth, nausea, vomiting, and constipation.
Nursing Considerations: Monitor I&O
Rocephin
Class: Anti-infective
Use: Treats bone and joint infections, intra-abdominal infections, meningitis and lower respiratory tract infections, otitis media
S/E: Pruritus, fever, chills, pain, indurations at IM injection site; phlebitis (IV site). Diarrhea, abdominal cramps, pseudo membranous colitis, pruritus; moniliasis.
Nursing Considerations: Can give 1 dose for 24 hours ( IM injection, IV)
Zosyn
Class: Anti-infective
Use: Treatment of moderate to severe appendicitis, uncomplicated and complicated skin and skin structure infections, endometritis, pelvic inflammatory disease, or nosocomial or community-acquired pneumonia
S/E: Diarrhea, constipation, nausea, vomiting, dyspepsia, pseudomembranous colitis
Nursing Considerations: Assess allergy to penicillin and seizures.
Rifampin
Class: Anti-infective
Use: T.B. prophylactic if exposed to meningococcal meningitis. Wide range of gram-negative and gram-positive organisms.
S/E: Red secretions from all bodily fluid secretions. Heartburn, epigastric distress, nausea, vomiting, anorexia, flatulence, cramps, diarrhea, acute renal failure.
Nursing Considerations: Periodic liver function tests are advised
Vancomycin
Class: Anti-infectives
Use: Severe infections Used orally only in Clostridium difficile colitis. Gram positive bacteria
S/E: Ototoxicity, nephrotoxicity, (hypotension accompanied by flushing and erythematous rash on face and upper body ("red-neck syndrome") following rapid IV infusion), Super flush
Nursing Considerations: Monitor urinalysis, kidney & liver functions, and hematologic studies periodically. Serum levels of 60–80 mcg/mL are associated with ototoxicity. Report changes in I&O ratio and pattern. Oliguria or cloudy or pink urine may be a sign of nephrotoxicity
Gentamicin
Class: anti-infective
Use: Gram negative bacteria (MRSA) GI, respiratory, and urinary tracts, CNS, bone, skin, and soft tissue (including burns) infections
S/E: ototoxicity, nephrotoxicity
Nursing Considerations: Monitor I&O. Keep patient well hydrated to prevent chemical irritation of renal tubules. Report oliguria, unusual appearance of urine, change in I&O ratio or pattern, and presence of edema (prolongs elimination time).
Acyclovir
Class: Antiviral
Use: Shorten the duration and decrease herpes outbreaks. Treatment of chicken pox, shingles.
S/E: Headache, Nausea, vomiting, diarrhea, acute renal failure. Nursing Considerations: Observe infusion site during infusion and for a few days following infusion for signs of tissue damage. Monitor I&O and hydration status. Keep patient adequately hydrated during first 2 h after infusion to maintain sufficient urinary flow and thus prevent precipitation of drug in renal tubules. Consult physician about amount and length of time oral fluids need to be pushed after IV drug treatment.
EMLA Cream
Class: Topical anesthetic (lidocaine/prilocaine)
Use: Topical anesthetic on normal intact skin for local anesthesia
S/E: itching, heat sensation. Edema, soreness, aching, numbness
Nursing Considerations: Do not apply to broken skin. Monitor for local skin reactions including erythema, edema, itching, abnormal temperature sensations, and rash. These reactions are very common and usually disappear in 1–2 h.
Chloral Hydrate
Class: Sedative, PO, rectal
Use: Chloral hydrate is a sedative-hypnotic which does not affect sleep physiology (e.g., REM sleep) in low doses. Has little or no analgesic action. Short-term management of insomnia, for general sedation (especially in the young and the older adult), for sedation before and after surgery, to reduce anxiety.
S/E: Angioedema, ketonuria, renal and hepatic damage, sudden death. Arrhythmias, cardiac arrest, Nausea, vomiting, diarrhea. Nursing Considerations: Not intended for relief of pain, it may cause excitement and delirium. Do not discontinue abruptly following prolonged use. Sudden withdrawal from dependent patients may produce delirium, mania, or convulsions.
Ventolin/Albuterol
Class: Bronchodilator
Use: Asthma, bronchiolitis, bronchitis
S/E: palpitations, hyperactivity, anxiety, insomnia.
Nursing Considerations: Inhalers, puffers, aerosol, ventolin syrup. Assess lung sounds, pulse, and blood pressure before administration and during peak of medication. Note amount, color, and character of sputum produced. Monitor pulmonary function tests before initiating therapy and periodically during therapy.
Albumin
Class: Volume Expander
Use: Vascular protein loss (kidney failure), trauma, chronic kidney failure
S/E: Hypervolemia
Nursing Considerations: Treat like a blood product (students cannot administer), monitor for hypervolemia; adverse reactions.