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5 Cards in this Set
- Front
- Back
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Drug Classification Route Action of Drug Uses Nursing Implication How will I monitor to see if it is working? |
Side Effects
Teaching Needs Drug Names |
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Mannitol Osmotic Diuretic PO, IV
Action: Maintain urine flow in patients with renal failure or during prolonged surgery because not reabsorbed so flow of filtrate steady; Uses: Intraocular and intracranial (cerebral edma) pressure relief Nursing Implications: Watch for edema in patients with pre-existing heart failure or pulmonary edema. Administer Mannitol IV 100 g infused over 2-6 hr. Use a filter needle to no crystals form in needle. Side effects: Hyponatremia, edema, convulsions, tachycardia
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Teaching Needs: Monitor your potassium and sodium levels to ensure no hypokalemia or hyponatremia Drug Names: mannitol glycerin urea (ureaphil) |
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Fentanyl Opioid Agonist Transdermal Patch, PO, Nasal Spray, Buccal transmucosal
Action: Bind to opioid recepetors Mu and Kappa to relieve pain. Uses: First line drug for moderate to severe pain that are unable to be controlled by other classes of analgesics. Nursing Implications: Obtain health history, allergies, vital signs and weight. Evaluate CBC, hepatic and renal function studies. Effectiveness? Pain lessened stated by patient will decrease. Side Effects: respiratory depression, sedation, physical dependence and analgesia.
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Teaching Needs: Patient must understand possible addiction and respiratory depression. Drug Names: fentanyl (Duragesic, Fentora, Lazanda) hydromorphon (Dilaudid, Exalgo) levorphanol (Levo-Dromoran) meperidine (Demerol) methadone (Dolophine) morphine (astramorph PF) oxymorphine (Opana)
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Opioid (moderate) codeine
Action: Binds to receptors and blocks pain Uses: To relieve moderate pain levels Nursing Implications: Effectiveness:
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oxycodone (Oxycontin, Oxeta) oxycodone terephthalate (Perocet-5, Roxicet)
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naloxone Opioid Antangonists IV, PO
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