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16 Cards in this Set
- Front
- Back
- 3rd side (hint)
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Demerol |
Trade Name |
Trade Name or Generic Name |
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meperidine |
Generic Name |
Trade Name or Generic Name |
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What's the indication of Demerol (meperidine)? |
Moderate to severe pain |
What does Demerol Treat? |
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What is the action of Demerol (meperidine)? |
It alters the perception of and response to painful stimuli, while producing generalized CNS depression. |
How does it work? |
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What are the contraindications of Demerol (meperidine)? |
Hypersensitivity, Hypersensitivity to bisulfites, Recent (within 14 days) MAO inhibitor therapy, Severe Respiratory Insufficiency, OB Patients (Possible Fetal Addiction), Lactating Mothers (Excreted in Breast Milk and Can Cause Respiratory Depression in Infants). |
It is 6. |
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What are the side effects for Demerol (meperidine)? |
Seizures, Sedation, Confusion, Dysphoria (unsatisfied with life), Euphoria (extremely happy), Floating Feeling, Hallucinations, Headache, Unusual Dreams, Blurred Vision, Diplopia (double vision), Miosis (excessive constructive of the eye), Respiratory Depression, Hypotension, Bradycardia, Constipation, Nausea, Vomiting, Urinary Retention, Flushing, Sweating, Anaphylaxis. |
It is 22. |
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What is the route and dosage for Demerol (meperidine)? |
PO, IM, Subcu, & IV 50mg q 3-4 hours (Do not exceed 600 mg/24 h) |
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What are the nursing measures for Demerol (meperidine)? |
1. Assess the type, location, and intensity of pain prior to and 1 h following PO, subcu, and IM doses and 5 min (peak) following IV administration. 2. Assess BP, pulse, and respirations (<10, assess level of sedation) before and periodically during administration. 3. Assess bowel function routinely. 4. Monitor patients on chronic or high-dose therapy for CNS stimulation (restlessness, irritability, seizures) due to accumulation of normeperidine metabolite. |
It is 4. |
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What is the client education for Demerol (meperidine)? |
1. Take meds as directed. 2. Caution patients to call for assistance when smoking, driving, walking, or other activities that requires alertness. Meds may cause dizziness or drowsiness. 3. Advise patients to change positions slowly to minimize orthostatic hypotension. 4. Avoid concurrent use of alcohol or other CNS depressants. 5. For ambulatory patients, nausea and vomiting can be decreased by lying down. 6. Encourage client to turn, cough, and deep breathe q 2 h to prevent atelectasis. |
It is 6. |
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Lovenox |
Trade Name |
Trade Name or Generic Name |
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enoxaparin |
Generic Name |
Trade Name or Generic Name |
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What is the action of Lovenox (enoxaparin)? |
It potentiates the inhibitory effects of antithrombin on factor Xa and thrombin |
How does it work? |
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What is the indication of Lovenox (enoxaparin)? |
Prevention of vein thromboembolism (VTE), deep vein thrombosis (DVR), and/or pulmonary embolism (PE). |
What is it used for? |
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What are the contraindications for Lovenox (enoxaparin)? |
Hypersensitivity; hypersensitivity to benzyl alcohol; active, major bleeding; and a positive result in the vitro test for antiplatelet antibody in the presence of enoxaparin. |
It is 4. |
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What are the side effects of Lovenox (enoxaparin)? |
Insomnia, dizziness, headache, edema, bleeding, anemia, erythema at injection site, nausea, vomiting, pruritus, hyperkalemia, alopecia, ecchymoses. |
It is 13. |
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What are the nursing measures for Lovenox (enoxaparin)? |
1. Assess for signs of bleeding, mainly at the surgical site and hemorrhaging (nosebleeds; gum bleeding; black, tarry stools; etc.). 2. Assess patients for evidence of additional or increased thrombosis. 3. Monitor patients for hypersensitivity reactions (chills, fever, urticaria). 4. Assess location, duration, intensity, and precipitating factors of anginal pain. 5. Observe subcu injection sites for hematomas, ecchymosis, or inflammation. 6. Monitor patients with epidural catheters frequently for s/s of neurologic impairment. |
It is 6. |
