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182 Cards in this Set

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MECLIZINE-B

FOR:

Motion sickness
MECLIZINE-B

FOR: ???
MECLIZINE-B

NO LIFE
MECLIZINE-B

Life: ???
MECLIZINE-B

COMMON:

Drowsiness
MECLIZINE-B

COMMON:???
MECLIZINE-B

ASSESSMENTS:

Potentiated by CNS DEPRESSANTS
MECLIZINE-B

ASSESSMENTS: ???
MECLIZINE-B

INTERVENTIONS:

Assist Ambulation
MECLIZINE-B

INTERVENTIONS: ???
HYDROCHLOROTHIAZIDE-B

FOR:

Edema & Hypertension
HYDROCHLOROTHIAZIDE-B

FOR:???
HYDROCHLOROTHIAZIDE-B

LIFE:

Agranulocytosis & Aplastic anemia
HYDROCHLOROTHIAZIDE-B

LIFE: ???
HYDROCHLOROTHIAZIDE-B

COMMON:

Hyperglycemia

Hyperuricemia

Hypokalemia
HYDROCHLOROTHIAZIDE - B

COMMON: ???
HYDROCHLOROTHIAZIDE-B

ASSESSMENTS:

Check BP before initiation of therapy and at regular intervals
HYDROCHLOROTHIAZIDE - B

ASSESSMENTS: ???
HYDROCHLOROTHIAZIDE-B

INTERVENTIONS:

Monitor I&O
Check for edema
Orthostatic Hypotension, Dizziness

***Increases risk of digoxin toxicity

May cause Hyperglycemia and loss of Glycemic control in diabetics
HYDROCHLOROTHIAZIDE-B

INTERVENTIONS: ???
HYDROCHLOROTHIAZIDE-B

TEACHING:

Consult physician before using OTC drugs

Monitor weight daily.

Change positions slowly

Avoid hot baths or showers

Extended exposure to sunlight

Sitting or standing still for long periods
HYDROCHLOROTHIAZIDE - B

TEACHING: ???
NALOXONE-NARCAN-B
NALOXONE-NARCAN-B
NALOXONE-NARCAN-B

FOR:

Reverses effects of opiates
Respiratory depression sedation, hypotension
NALOXONE-NARCAN-B

FOR:???
NALOXONE-NARCAN-B

NO LIFE !
NALOXONE-NARCAN-B

LIFE:???
NALOXONE-NARCAN-B

NO COMMON !!!
NALOXONE-NARCAN-B

COMMON:???
NALOXONE-NARCAN-B

ASSESSMENTS:

Suspected narcotic dependence
Cardiac irritability
NALOXONE-NARCAN-B

ASSESSMENTS:???
NALOXONE-NARCAN-B

INTERVENTIONS:

Naloxon-Narcan may not last as long as narcotic

Monitor for bleeding

Nausea, vomiting, sweating, Tachycardia resulting from reversal of narcortic effects
NALOXONE-NARCAN-B

INTERVENTIONS:???
NALOXONE HYDROCHLORIDE - B
NALOXONE HYDROCHLORIDE - B
PENTAZOCINE-TALWIN-C

FOR:

Moderate to Severe Pain
PENTAZOCINE-TALWIN-C

FOR:???
PENTAZOCINE-TALWIN-C

LIFE:

Allergic reactions
Shock
Respiratory depression
PENTAZOCINE-TALWIN-C

LIFE:???
PENTAZOCINE-TALWIN-C

COMMON:

Drowsiness & Dizziness

Light-headedness & Euphoria

Nausea, Vomiting, Sweating
PENTAZOCINE-TALWIN-C

COMMON:???
PENTAZOCINE-TALWIN-C

ASSESSMENTS:

Head injury
Increased intracranial pressure
Emotionally unstable
History of drug abuse
PENTAZOCINE-TALWIN-C

ASSESSMENTS:???
PENTAZOCINE-TALWIN-C

INTERVENTIONS:

Tolerance

Psychologic and physical dependence

Acute withdrawal
PENTAZOCINE-TALWIN-C

INTERVENTIONS:???
PENTAZOCINE-TALWIN-C

TEACHING:

Driving
Hazardous activities
DO NOT discontinue drug abruptly
Do NOT breast feed
PENTAZOCINE-TALWIN-C

TEACHING:???
ACETYLCYSTEINE-B

FOR:

Antidote for Acetaminophen Toxicity

Mucolytic

Lowers viscosity

Facilitates removal of secretions
ACETYLCYSTEINE-B

FOR:???
ACETYLCYSTEINE-B

LIFE:

Bronchospasm

Rhinorrhea

Burning sensation in upper respiratory passages

Epistaxis
ACETYLCYSTEINE-B

LIFE:???
ACETYLCYSTEINE-B

COMMON:

Dizziness & Drowsiness
Nausea & Vomiting
Stomatitis & Hepatotoxicity (urticaria)
ACETYLCYSTEINE-B

COMMON:???
ACETYLCYSTEINE-B

ASSESSMENTS:

Pt's @risk for gastric hemorrhage

Pt's w/asthma

Pt's w/severe respiratory insufficiency
ACETYLCYSTEINE-B

ASSESSMENTS:???
ACETYLCYSTEINE-B

INTERVENTIONS:

Monitor:
Fluid overload
Signs of hyponatremia

S&S aspiration of excess secretions
Bronchospasm
(withhold drug and notify physician immediately if either occurs)
ACETYLCYSTEINE-B

INTERVENTIONS: ???
BENZONATATE-Tessalon-C
BENZONATATE-Tessalon-C
BENZONATATE-TESSALON-C

FOR:

Cough
Antitussive

Decreases frequency and intensity of nonproductive cough

Bronchoscopy
Thoracentesis
& other procedures when coughing must be avoided.
BENZONATATE-TESSALON-C

FOR:???
BENZONATATE-TESSALON-C

NO LIFE
BENZONATATE-TESSALON-C

LIFE: ???
BENZONATATE-TESSALON-C

COMMON:

Drowsiness & Dizziness
Sedation & Headache
Constipation & Nausea
Rash & Pruritus.
BENZONATATE-TESSALON-C

COMMON:???
BENZONATATE-TESSALON-C

ASSESSMENTS:

Swallow whole!

Store in airtight containers Protect from light
BENZONATATE-TESSALON-C

ASSESSMENTS:???
BENZONATATE-TESSALON-C

INTERVENTIONS:

Schedule Auscultation of lungs & check @ intervals

Observe character & frequency of coughing

Check volume & quality of sputum

Keep physician informed
BENZONATATE-TESSALON-C

INTERVENTIONS:
BENZONATATE-TESSALON-C

TEACHING:

DO NOT breast feed
DO NOT chew
DO NOT allow perle to dissolve in mouth

Swallow whole.

***If perle dissolves in mouth, the mouth, tongue, & pharynx will be anesthetized !!!

Unpleasant to Taste !!!
BENZONATATE-TESSALON-C

TEACHING:???
CELECOXIB-CELEBREX-3rdtri

FOR:

Rheumatoid & Osteoarthritis Pain

Dysmenorrhea
CELECOXIB-CELEBREX-3rdtri

FOR:???
CELECOXIB-CELEBREX-3rdtri

NO LIFE:
CELECOXIB-CELEBREX-3rdtri

LIFE: ???
CELECOXIB-Celebrex-3rdTRI

COMMON:

Back pain
Peripheral edema Cardiovascular
Abdominal pain & diarrhea Dyspepsia & Flatulence Nausea & Dizziness
Headache & Insomnia Pharyngitis & Rhinitis Sinusitis, URI & Rash
CELECOXIB-Celebrex-3rdTRI

COMMON:???
CELECOXIB-CELEBREX-3rdTRI

ASSESSMENTS:

MONITOR:
Fluid retention
Edema
(especially in those with a history of hypertension or CHF)
CELECOXIB-CELEBREX-3rdRTRI


ASSESSMENTS:???
CELECOXIB-CELEBREX-3rdtri

INTERVENTIONS:

Monitor closely PT/INR when used concurrently with warfarin.
CELECOXIB-CELEBREX-3rdtri

INTERVENTIONS:???
FUROSEMIDE-LASIX-C

FOR:

Edema & Hypertension
FUROSEMIDE-LASIX-C

FOR:???
FUROSEMIDE-LASIX-C

LIFE:

Circulatory Collapse, Aplastic Anemia, Agranulocytosis (RARE!)
FUROSEMIDE-LASIX-C

LIFE:???
FUROSEMIDE-LASIX-C

COMMON:

Hypokalemia
FUROSEMIDE-LASIX-C

COMMON:???
FUROSEMIDE-LASIX-C

ASSESSMENTS:

Observe Pt's W/parenteral use carefully

Closely monitor BP & vitals

Sudden death from cardiac arrest has been reported.

Monitor for S&S of hypokalemia

Monitor BP during periods of diuresis

Monitor Pt through period of dosage adjustment

Closely Observe older adults during period of brisk diuresis

Sudden alteration in fluid & electrolyte balance may precipitate significant adverse reactions

Report symptoms to physician

Monitor I&O ratio & pattern

Report decrease or unusual increase in output

Excessive diuresis can result in dehydration and hypovolemia, circulatory collapse, and hypotension.

Weigh patient daily under standard conditions

Monitor urine & blood glucose & HbA1C closely in diabetics & pt's w/ decompensated hepatic cirrhosis

Drug may cause hyperglycemia

Note: Excessive dehydration is most likely to occur in older adults, those w/ chronic cardiac disease on prolonged salt restriction, or those receiving sympatholytic agents
FUROSEMIDE-LASIX-C

ASSESSMENTS:???
FUROSEMIDE-LASIX-C

LAB:

frequent blood count, serum & urine electrolytes
CO2, BUN, blood sugar, uric acid values during first few months of therapy & periodically thereafter

Monitor urine & blood glucose & HbA1C closely in diabetics & pt's w/ decompensated hepatic cirrhosis.

Drug may cause hyperglycemia
FUROSEMIDE-LASIX-C

LAB:???
FUROSEMIDE-LASIX-C

INTERVENTIONS:

DO NOT breast feed while taking this drug!

Consult physician regarding allowable salt and fluid intake

Ingest potassium-rich foods daily (e.g., bananas, oranges, peaches, dried dates) to reduce or prevent potassium depletion

Learn S&S of hypokalemia(see Appendix F)

Report muscle cramps or weakness to physician.

Make position changes slowly because high doses of antihypertensive drugs taken concurrently may produce episodes of dizziness or imbalance

Avoid replacing fluid losses w/large amounts of water.

Avoid prolonged exposure to direct sun.
FUROSEMIDE-LASIX-C

INTERVENTIONS:???
SPIRONOLACTONE-ALDACTONE-D

FOR:

Edema
Hypertension
Primary Aldosteronism
SPIRONOLACTONE-ALDACTONE-D

FOR:???
SPIRONOLACTONE-ALDACTONE-D

NO LIFE:
SPIRONOLACTONE-ALDACTONE-D

LIFE:???
SPIRONOLACTONE-ALDACTONE-D

NO COMMON:
SPIRONOLACTONE-ALDACTONE-D

COMMON:???
SPIRONOLACTONE-ALDACTONE-D

ASSESSMENTS:

Check blood pressure before initiation of therapy

Assess for signs of fluid & electrolyte imbalance

Assess for signs of digoxin toxicity

Monitor daily I&O

Monitor for edema

Report lack of diuretic response or development of edema
( both may indicate tolerance to drug)

Weigh patient under standard conditions before therapy begins & daily throughout therapy

Weight is a useful index of need for dosage adjustment.

For patients with ascites, physician may want measurements of abdominal girth

Observe for & report immediately the onset of mental changes, lethargy, or stupor in patients w/liver disease

Adverse reactions are generally reversible with discontinuation of drug

Gynecomastia appears to be related to dosage level & duration of therapy & may persist in some after drug is stopped
SPIRONOLACTONE-ALDACTONE-D

ASSESSMENTS:???
SPIRONOLACTONE-ALDACTONE-D

TEACHING:

Maximal diuretic effect may not occur until 3rd day

Diuresis may continue for 2–3 days after drug is withdrawn

Report signs of hyponatremia or hyperkalemia (see Appendix F), most likely to occur in pt's w/ severe cirrhosis

Avoid replacing fluid losses w/lrg amounts of free water (can result in dilutional hyponatremia)
SPIRONOLACTONE-ALDACTONE-D

TEACHING:???
A TEST CARD
A TEST CARD
Drug polymorphism is?


A client’s variation in response to a drug is influenced by age, gender, size, and body composition
A client’s variation in response to a drug is influenced by age, gender, size, and body composition is called?
Drug dependence is?


The inability to keep the intake of a drug or substance under control.
The inability to keep the intake of a drug or substance under control is called?
Drug tolerance is?

A condition in which successive increase in the dosage of a drug are to maintain a given therapeutic effect
A condition in which successive increase in the dosage of a drug are to maintain a given therapeutic effect is called?
Idiosyncratic effect?

A different, unexpected or individual effect from the normal one usually expected from a medication: the occurrence of unpredictable and unexplainable symptoms
A different, unexpected or individual effect from the normal one usually expected from a medication: the occurrence of unpredictable and unexplainable symptoms is called/
Drug plateau is ?

A maintained concentration of a drug in the plasma during a series of scheduled doses.
A maintained concentration of a drug in the plasma during a series of scheduled doses is called?
Adverse (drug reaction) effect?

More severe side effects that may justify the discontinuation of a drug.
More severe side effects that may justify the discontinuation of a drug is called?
Duration of action?

The length of time that a drug continues to produce its effect.
The length of time that a drug continues to produce its effect is called?
Sublingual means?

under the tongue.
Under the tongue is termed?
Pharmacopoeia is?

A book containing a list of drug products used in medicine, including their descriptions and formulas
A book containing a list of drug products used in medicine, including their descriptions and formulas is called?
Drug interaction?

The beneficial or harmful interaction of one drug with another drug.
The beneficial or harmful interaction of one drug with another drug is called?
Inhibiting effect is?


The decreased effect of one or both drugs.
The decreased effect of one or both drugs is called?
STAT means?


immediately.
STAT means?
Unit-dose system is?

When a drug is packaged individually and labeled with the drug name, dose, and expiration date.
When a drug is packaged individually and labeled with the drug name, dose, and expiration date it is called a?
Telephone order?

When physicians order a therapy (e.g.,a medication) for a patient over the phone.
When physicians order a therapy (e.g.,a medication) for a patient over the phone it is a ?
Verbal order?

When physician must cosign the order written by the nurse within 24-48 hours.
When physician must cosign the order written by the nurse within 24-48 hours it is called a?
Latrogenic (disease) effect is?

Caused unintentionally by medical therapy, can be due to drug therapy.
A term used when an affect is caused unintentionally by medical therapy, can be due to drug therapy is?
6 rights are?

right medication

right dose

right time

right route

right patient

right documentation!
The 6 rights are?
Schedule drugs are?

Drugs that are narcotics
Drugs that are narcotics are called/
Digoxin-Lanoxicaps-Linoxin

FOR:

CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia.

Increases the contractility of the heart muscle (positive inotropic effect)
Digoxin-Lanoxicaps-Linoxin

FOR:???
Digoxin-Lanoxicaps-Linoxin

LIFE:

AV block
Digoxin-Lanoxicaps-Linoxin

LIFE:???
Digoxin-Lanoxicaps-Linoxin

ASSESSMENTS:

when tablet is replaced by elixir potential for toxicity increases

know Pt's baseline
quality of peripheral pulses, blood pressure
clinical symptoms
serum electrolytes
creatinine clearance

digoxin therapy, which can precipitate toxicity because of altered intestinal flora
Digoxin-Lanoxicaps-Linoxin

ASSESSMENTS:???
Digoxin-Lanoxicaps-Linoxin

INTERVENTIONS:

Give without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole.

Take apical pulse for 1 full min noting rate, rhythm, and quality before administering

Withhold medication and notify physician if apical pulse falls below ordered parameters

Monitor for S&S of drug toxicity

Monitor I&O ratio

Monitor serum digoxin levels closely during concurrent antibiotic–digoxin therapy
Digoxin-Lanoxicaps-Linoxin

INTERVENTIONS:
Digoxin-Lanoxicaps-Linoxin

TEACHING:

Can take without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole.
Digoxin-Lanoxicaps-Linoxin

TEACHING:
TEMAZEPAM-RESTORIL-X Schedule IV

FOR:

Insomnia
TEMAZEPAM-RESTORIL-X Schedule IV

FOR:???
TEMAZEPAM-RESTORIL-X Schedule IV

LIFE:

CNS DEPRESSANTS
TEMAZEPAM-RESTORIL-X Schedule IV

LIFE:???
TEMAZEPAM-RESTORIL-X Schedule IV

COMMON:

: Drowsiness
TEMAZEPAM-RESTORIL-X Schedule IV

COMMON:???
TEMAZEPAM-RESTORIL-X Schedule IV

ASSESSMENTS:

Kava-kava valerian potentiates affects

smoking decreases sedative effects

paradoxical reaction
TEMAZEPAM-RESTORIL-X Schedule IV

ASSESSMENTS:???
TEMAZEPAM-RESTORIL-X Schedule IV

TEACHING:

that improvement in sleep will not occur until after 2–3 doses
TEMAZEPAM-RESTORIL-X Schedule IV

TEACHING:???
Digoxin-Lanoxicaps-Linoxin

FOR:

CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia.

Increases the contractility of the heart muscle (positive inotropic effect)
Digoxin-Lanoxicaps-Linoxin

FOR:???
Digoxin-Lanoxicaps-Linoxin

LIFE:

AV block
Digoxin-Lanoxicaps-Linoxin

LIFE:???
Digoxin-Lanoxicaps-Linoxin

ASSESSMENTS:

when tablet is replaced by elixir potential for toxicity increases

know Pt's baseline
quality of peripheral pulses, blood pressure
clinical symptoms
serum electrolytes
creatinine clearance

digoxin therapy, which can precipitate toxicity because of altered intestinal flora
Digoxin-Lanoxicaps-Linoxin

ASSESSMENTS:???
Digoxin-Lanoxicaps-Linoxin

INTERVENTIONS:

Give without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole.

Take apical pulse for 1 full min noting rate, rhythm, and quality before administering

Withhold medication and notify physician if apical pulse falls below ordered parameters

Monitor for S&S of drug toxicity

Monitor I&O ratio

Monitor serum digoxin levels closely during concurrent antibiotic–digoxin therapy
Digoxin-Lanoxicaps-Linoxin

INTERVENTIONS:
Digoxin-Lanoxicaps-Linoxin

TEACHING:

Can take without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole.
Digoxin-Lanoxicaps-Linoxin

TEACHING:
TEMAZEPAM-RESTORIL-X Schedule IV

FOR:

Insomnia
TEMAZEPAM-RESTORIL-X Schedule IV

FOR:???
TEMAZEPAM-RESTORIL-X Schedule IV

LIFE:

CNS DEPRESSANTS
TEMAZEPAM-RESTORIL-X Schedule IV

LIFE:???
TEMAZEPAM-RESTORIL-X Schedule IV

COMMON:

: Drowsiness
TEMAZEPAM-RESTORIL-X Schedule IV

COMMON:???
TEMAZEPAM-RESTORIL-X Schedule IV

ASSESSMENTS:

Kava-kava valerian potentiates affects

smoking decreases sedative effects

paradoxical reaction
TEMAZEPAM-RESTORIL-X Schedule IV

ASSESSMENTS:???
TEMAZEPAM-RESTORIL-X Schedule IV

TEACHING:

that improvement in sleep will not occur until after 2–3 doses
TEMAZEPAM-RESTORIL-X Schedule IV

TEACHING:???
ZOLPIDEM-Ambien-B Schedule IV

FOR:

Short-term treatment of insomnia
ZOLPIDEM-Ambien-B Schedule IV

FOR:???
ZOLPIDEM-Ambien-B Schedule IV

NO LIFE:
ZOLPIDEM-Ambien-B Schedule IV

LIFE:???
ZOLPIDEM-Ambien-B Schedule IV

COMMON:

Headache on awakening
ZOLPIDEM-Ambien-B Schedule IV

COMMON:???
ZOLPIDEM-Ambien-B Schedule IV

ASSESSMENTS:
DO NOT give with or immediately after a meal.

Depression
hepatic/renal impairment
pregnancy (category B)
respiratory status
ZOLPIDEM-Ambien-B Schedule IV

ASSESSMENTS:???
ZOLPIDEM-Ambien-B Schedule IV

TEACHING:

DO NOT take immediately after a meal.

Report vision changes to physician

Onset of drug is more rapid when taken on an empty stomach.

DO NOT not breast
ZOLPIDEM-Ambien-B Schedule IV

TEACHING:???
Digoxin-Lanoxicaps-Linoxin

FOR:

CHF, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia.

Increases the contractility of the heart muscle (positive inotropic effect)
Digoxin-Lanoxicaps-Linoxin

FOR:???
Digoxin-Lanoxicaps-Linoxin

LIFE:

AV block
Digoxin-Lanoxicaps-Linoxin

LIFE:???
Digoxin-Lanoxicaps-Linoxin

ASSESSMENTS:

when tablet is replaced by elixir potential for toxicity increases

know Pt's baseline
quality of peripheral pulses, blood pressure
clinical symptoms
serum electrolytes
creatinine clearance

digoxin therapy, which can precipitate toxicity because of altered intestinal flora
Digoxin-Lanoxicaps-Linoxin

ASSESSMENTS:???
Digoxin-Lanoxicaps-Linoxin

INTERVENTIONS:

Give without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole.

Take apical pulse for 1 full min noting rate, rhythm, and quality before administering

Withhold medication and notify physician if apical pulse falls below ordered parameters

Monitor for S&S of drug toxicity

Monitor I&O ratio

Monitor serum digoxin levels closely during concurrent antibiotic–digoxin therapy
Digoxin-Lanoxicaps-Linoxin

INTERVENTIONS:
Digoxin-Lanoxicaps-Linoxin

TEACHING:

Can take without regard to food
Crush and mix with fluid or food if patient cannot swallow it whole.
Digoxin-Lanoxicaps-Linoxin

TEACHING:
TEMAZEPAM-RESTORIL-X Schedule IV

FOR:

Insomnia
TEMAZEPAM-RESTORIL-X Schedule IV

FOR:???
TEMAZEPAM-RESTORIL-X Schedule IV

LIFE:

CNS DEPRESSANTS
TEMAZEPAM-RESTORIL-X Schedule IV

LIFE:???
TEMAZEPAM-RESTORIL-X Schedule IV

COMMON:

: Drowsiness
TEMAZEPAM-RESTORIL-X Schedule IV

COMMON:???
TEMAZEPAM-RESTORIL-X Schedule IV

ASSESSMENTS:

Kava-kava valerian potentiates affects

smoking decreases sedative effects

paradoxical reaction
TEMAZEPAM-RESTORIL-X Schedule IV

ASSESSMENTS:???
TEMAZEPAM-RESTORIL-X Schedule IV

TEACHING:

that improvement in sleep will not occur until after 2–3 doses
TEMAZEPAM-RESTORIL-X Schedule IV

TEACHING:???
ZOLPIDEM-Ambien-B Schedule IV

FOR:

Short-term treatment of insomnia
ZOLPIDEM-Ambien-B Schedule IV

FOR:???
ZOLPIDEM-Ambien-B Schedule IV

NO LIFE:
ZOLPIDEM-Ambien-B Schedule IV

LIFE:???
ZOLPIDEM-Ambien-B Schedule IV

COMMON:

Headache on awakening
ZOLPIDEM-Ambien-B Schedule IV

COMMON:???
ZOLPIDEM-Ambien-B Schedule IV

ASSESSMENTS:
DO NOT give with or immediately after a meal.

Depression
hepatic/renal impairment
pregnancy (category B)
respiratory status
ZOLPIDEM-Ambien-B Schedule IV

ASSESSMENTS:???
ZOLPIDEM-Ambien-B Schedule IV

TEACHING:

DO NOT take immediately after a meal.

Report vision changes to physician

Onset of drug is more rapid when taken on an empty stomach.

DO NOT not breast
ZOLPIDEM-Ambien-B Schedule IV

TEACHING:???
SALSALATE-Salicylate-C

FOR:

rheumatoid arthritis, osteoarthritis

Analgesic

Antipyretic

Antiinflammatory

Antirheumatic
SALSALATE-Salicylate-C

FOR:???
SALSALATE-Salicylate-C

LIFE:

Liver function impairment

Pregnancy

Lactation
SALSALATE-Salicylate-C

LIFE:???
SALSALATE-Salicylate-C

COMMON:

Nausea & dyspepsia
Heartburn & vomiting
Diarrhea & Tinnitus
Hearing loss (reversible)
Vertigo, flushing, headache
confusion
hyperventilation & sweating CNS: Drowsiness
SALSALATE-Salicylate-C

COMMON:???
SALSALATE-Salicylate-C

ASSESSMENTS:

relief is gradual

Monitor for adverse GI
history of peptic ulcer
SALSALATE-Salicylate-C

ASSESSMENTS:???
SALSALATE-Salicylate-C

INTERVENTIONS:

Take with full glass water, food. milk

Do not to take another salicylate (e.g., aspirin)

Report tinnitus, hearing loss, vertigo, rash, or nausea.
Do not breast feed while taking this drug without consulting physician
SALSALATE-Salicylate-C

INTERVENTIONS:???
SALSALATE-Salicylate-C

TEACHING:

Take with full glass water, food. milk

Do not to take another salicylate (e.g., aspirin)

Report tinnitus, hearing loss, vertigo, rash, or nausea.
Do not breast feed while taking this drug without consulting physician
SALSALATE-Salicylate-C

TEACHING:???
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

FOR:

Rheumatoid Arthritis
Psoriasis
Trophoblastic Neoplasm

Leukemia

Lymphoma
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

FOR:???
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

LIFE:

Hepatotoxicity
Hepatic cirrhosis
Myelosuppression
Aplastic bone marrow
Sudden death
Pneumonitis
Pulmonary fibrosis
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

LIFE:???
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

COMMON:

Headache
Ulcerative stomatitis
Glossitis & Gingivitis
Leukopenia
Thrombocytopenia
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

COMMON:???
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

ASSESSMENTS:


Infections
Peptic ulcer
Ulcerative colitis
Poor nutrition
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

ASSESSMENTS:???
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

INTERVENTIONS:

Give 1 h before or 2 h after meals

Avoid skin exposure

Avoid inhalation of drug
particles

Keep patient well hydrated
(Monitor I&O ratio and pattern)

Alert for & report symptoms of thrombocytopenia (e.g., ecchymoses, petechiae, epistaxis, melena, hematuria,
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

INTERVENTIONS:???
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

TEACHING:

Report bloody diarrhea

Alcohol increases incidence & severity of methotrexate hepatotoxicity

mouth care to prevent infection

maintain adequate nutritional status

Report joint pains to physician

drug may precipitate gouty arthritis

Do not self-medicate with vitamins re: OTC's may include folic acid or derivatives that alter methotrexate response
Use contraceptive measures during and for at least 8 wk following therapy.
Avoid exposure to sunlight and ultraviolet light. Wear sunglasses and sunscreen.
Do not breast feed while using this drug
METHOTREXATE
Amethopterin-Mexate-MTX-Rheumatrex-D

TEACHING:???
MISOPROSTOL-Cytotec-X

FOR:

Prevention of NSAID-induced Ulcers
MISOPROSTOL-Cytotec-X

FOR:???
MISOPROSTOL-Cytotec-X

NO LIFE:

has abortofectant preoperties!!!
MISOPROSTOL-Cytotec-X

NO LIFE:???

has abortofectant preoperties!!!
MISOPROSTOL-Cytotec-X

COMMON:


Diarrhea & abdominal pain
MISOPROSTOL-Cytotec-X

COMMON:???
MISOPROSTOL-Cytotec-X

ASSESSMENTS:


diarrhea minimized by giving drug after meals & at bedtime

Give w/ food to minimize GI adverse effects
MISOPROSTOL-Cytotec-X

ASSESSMENTS:???
MISOPROSTOL-Cytotec-X

INTERVENTIONS:

this drug has abortifacient property
MISOPROSTOL-Cytotec-X

INTERVENTIONS:???
MISOPROSTOL-Cytotec-X

TEACHING:


Avoid magnesium-containing antacids because of increased incidence of diarrhea.

Report postmenopausal bleeding to physician

Avoid pregnancy during misoprostol therapy

abortifacient property

Contact physician and immediately discontinue drug if you becomes pregnant.

Do not breast feed while taking this drug.
MISOPROSTOL-Cytotec-X

TEACHING:???
MISOPROSTOL-Cytotec-X

FOR:

Prevention of NSAID-induced Ulcers
MISOPROSTOL-Cytotec-X

FOR:???
MISOPROSTOL-Cytotec-X

NO LIFE:

has abortofectant preoperties!!!
MISOPROSTOL-Cytotec-X

NO LIFE:???

has abortofectant preoperties!!!
MISOPROSTOL-Cytotec-X

COMMON:


Diarrhea & abdominal pain
MISOPROSTOL-Cytotec-X

COMMON:???
MISOPROSTOL-Cytotec-X

ASSESSMENTS:


diarrhea minimized by giving drug after meals & at bedtime

Give w/ food to minimize GI adverse effects
MISOPROSTOL-Cytotec-X

ASSESSMENTS:???
MISOPROSTOL-Cytotec-X

INTERVENTIONS:

this drug has abortifacient property
MISOPROSTOL-Cytotec-X

INTERVENTIONS:???
MISOPROSTOL-Cytotec-X

TEACHING:


Avoid magnesium-containing antacids because of increased incidence of diarrhea.

Report postmenopausal bleeding to physician

Avoid pregnancy during misoprostol therapy

abortifacient property

Contact physician and immediately discontinue drug if you becomes pregnant.

Do not breast feed while taking this drug.
MISOPROSTOL-Cytotec-X

TEACHING:???
Non-steroidal anti-inflammatory drugs (NSAID’s)are?

Drugs that relieve pain by acting on the peripheral nerve endings to inhibit the formation of the prostaglandins that trend to sensitize nerves to painful stimuli; have analgesic, antipyretic, and anti-inflammatory effects; included aspirin and ibuprofen.
Drugs that relieve pain by acting on the peripheral nerve endings to inhibit the formation of the prostaglandins that trend to sensitize nerves to painful stimuli; have analgesic, antipyretic, and anti-inflammatory effects; included aspirin and ibuprofen are?
Diuretics are?

Agents that increase urine secretion.
Agents that increase urine secretion are?
Opioids are?

Any synthetic narcotic not derived from opium.
Any synthetic narcotic not derived from opium is a?
Salicylates are?

Any salt of salicylic acid.
Any salt of salicylic acid is?
Methotrexate is ?

An inhibitor of dihydrofolate reductase that is used to treat rheumatoid arthritis
An inhibitor of dihydrofolate reductase that is used to treat rheumatoid arthritis is?
Nitrates are?

A salt of nitric acid. Agents in this class include isosorbide dinitrate or mononitrate and nitroglycerin.
A salt of nitric acid. Agents in this class include isosorbide dinitrate or mononitrate and nitroglycerin are?
Antiarrhythmics are?

A drug or physical force that acts to control or prevent cardiac arrhythmias.
A drug or physical force that acts to control or prevent cardiac arrhythmias is?
Antihypertensives are?

Used to prevent or control high blood pressure. An agent that prevents or controls high blood pressure.
A drug used to prevent or control high blood pressure or an agent that prevents or controls high blood pressure is?
Hydrogel (agents)are?

Colloids containing hydrophilic polymers. Hydrogels are used in soft contact lenses and the treatment of burns.
Colloids containing hydrophilic polymers. Hydrogels are used in soft contact lenses and the treatment of burns are?
Hydrocolloids are?

A colloidal suspension in which water is the liquid.
A colloidal suspension in which water is the liquid is?
Antipyretics are?

reduce fever
Drugs that reduce fever are?
Antiemetics are?

Used to prevent or relieve nausea and vomiting.
Drugs used to prevent or relieve nausea and vomiting are?
Antidiarrheal's are?

Substance used to prevent or treat diarrhea.
Substances used to prevent or treat diarrhea are?
For Safe Medication Administration the RN must?

Know why the patient is getting a medication

Accurately deliver the medication

Accurately document the medication administration

Observe the patient for the expected effect of the medication administered
For Safe Medication Administration the RN must?
The Institute of Medicine (IOM) estimates that at least _____ million preventable adverse drug events occur in the United States each year.

1.5 million
The Institute of Medicine (IOM) estimates that at least _____ million preventable adverse drug events occur in the United States each year.
One study revealed that approximately ___ dose out of of every ____ administered in a hospital is administered in error.

1 dose in every 5
One study revealed that approximately ___ dose out of of every ____ administered in a hospital is administered in error.
Reports estimate about _____ medication error deaths occur each year in hospitals

7,000
Reports estimate about _____ medication error deaths occur each year in hospitals
It is estimated that the annual cost of drug-related morbidity and mortality is nearly _____ in the United States.

$177 billion
It is estimated that the annual cost of drug-related morbidity and mortality is nearly _____ in the United States.
For each adverse drug event that takes place in a hospital, it adds an average of ________ to the cost of that hospital stay.

$8,750
For each adverse drug event that takes place in a hospital, it adds an average of ________ to the cost of that hospital stay.
The Hospital drug delivery process is:

Someone prescribes the drug

Physician, advanced practice nurse, physician’s assistant

Prescription order may be
Written
Oral
Telephone

Someone “notes” the prescription order

Someone or something (computer) sends the prescription order to the pharmacy and notifies the nurse an prescription order has been received

Medication record is generated or modified to reflect the prescribed medication

Medication is administered according to times scheduled
The Hospital drug delivery process is:
System of checks and balances
in the drug delivery process is?

Prescriber should be sure of correct drug and dosage for patient

Pharmacist should double check the order’s correctness as far as appropriateness for patient’s illness, dosage, times administered

Nurse triple checks all of the above prior to administering the medication

Final responsibility is the nurse’s
System of checks and balances
in the drug delivery process is?
Drug distribution systems are?

Drug cart or drawer
(ea pt has a specified area (drawer, cabinet, etc) in which the medications ordered are kept

Generally see 24 hour’s worth of medication stocked at a specific time each day

Allows for pharmacist check

Does not allow well for order changes or new orders within the 24 hour period
Drug distribution systems are?
Stock medications are?

bulk amounts of medications are kept in a specific area of each nursing unit (drug room)

available for use on a dose by dose basis

Appropriate for medications that are routinely prescribed or prescribed on a prn basis
(i.e. laxatives, antacids, ASA, tylenol)

Disadvantage is that this system circumvents the pharmacist check of the medication
Stock medications are?
The disadvantage of 'Stock Medications" is?

This system circumvents the pharmacist check of the medication
The disadvantage of 'Stock Medications" is?
Computer-controlled medication distribution systems are?

Each nurse is issued a code for access to medications.

These systems are becoming very sophisticated, some now have each patient issued a bar code and the medications being checked by bar code prior to administration.

Effort to control medication administration errors as well as diversion.
Computer-controlled medication distribution systems are?
Computer-controlled medication distribution systems are used in an effort to?

Ccontrol medication administration errors as well as diversion.
Computer-controlled medication distribution systems are used in an effort to?
Five (or six) rights of medication administration are?

1. Right drug
2. Right dose
3. Right patient
4. Right route
5. Right time
6. Right documentation !!!!!
Five (or six) rights of medication administration are?
With medications, the patient has the right to?

medication’s name, purpose, action, potential, undesired effects

Refuse a medication regardless of consequences

Have qualified nurses or physicians assess a medication history, including allergies

Be properly advised of the experimental nature of medication therapy and to give written consent for its use

Receive labeled medications safely without discomfort in accordance with the five rights of medication administration

Receive appropriate supportive therapy in relation to medication therapy

Not receive unnecessary medications
With medications, the patient has the right to?
Assessment of patient for medication administration should include?

History

History of allergies

Medication data

Diet history

Patient’s perceptual or coordination problems

Patient’s current condition

Patient’s attitude about medication use

Patient’s knowledge and understanding of medication therapy

Patient’s learning needs
Assessment of patient for medication administration should include?
In assessment for medication administration, be certain to include questioning regarding the patient’s use of?

herbal remedies and other OTC products.

There may be strong adverse reactions between some widely available products and prescription drugs.
In assessment for medication administration, be certain to include questioning regarding the patient’s use of?
In assessment for medication administration, it is important to include questioning regarding the patient’s use of herbals and OTC products because?

There may be strong adverse reactions between some widely available products and prescription drugs.
In assessment for medication administration, it is important to include questioning regarding the patient’s use of herbals and OTC products because?
Ginkgo biloba can cause?


Bleeding
Ginkgo biloba can cause?
St John’s wort can cause?


GI disturbances

Allergic reactions

Fatigue & dizziness

confusion

dry mouth & photosensitivity
St John’s wort can cause?
Ephedra can cause?

Hypertension & Onsominia

Arrhythmia & Nervousness

Tremor, Headache, Seizure

CVA, MI

Kidney stones
Ephedra can cause?
Kava can cause?

Sedation

Oral & Lingual Dyskinesia

Torticollis & Oculogyric
crisis

Exacerbation of Parkinson’s

Painful twisting movements of the trunk

Rash
Kava can cause?
Ginkgo interacts with?

ASA Coumadin

Plavix

Persantine

Ticlid
Ginkgo interacts with?
St Johns Wort interacts with?


Antidepressants
St Johns Wort interacts with?
Ephedra interacts with?

caffeine

decongestants

stimulants
Ephedra interacts with?
Kava interacts with?

sedatives

sleeping pills

antipsychotics

alcohol
Kava interacts with?
Ginseng interacts with?


Warfarin
Ginseng interacts with?
Three key goals or expected outcomes with medication administration are?


Drug’s therapeutic effect is achieved

No complications related to the medication and/or method of administration

Patient and family will demonstrate understanding of self-administration of drug if appropriate
Three key goals or expected outcomes with medication administration are?
Before the implementation of administering medication, consider these things?

Pre-administration

Is order current and legal?

Is dosage calculated accurately?

Do you understand why you are giving the drug?

Does it make sense?

Are any pre-administration assessments required? (If so, do them and chart them.)

Use aseptic technique to prepare drugs

Prepare drugs for one patient at a time

Do not prepare medications from unlabeled containers, give meds that don’t look correct, give meds that are expired
Before the implementation of administering medication, consider these things?
With administration of drugs be sure to?

6 rights

Educate patient as meds are given

Keep unit dose meds in their containers until opened at the bedside

Remain with patient until meds are taken

Don’t leave meds at beside unless specifically directed to do so.
With administration of drugs be sure to?
In the nurses evaluation of medication administration, she should?

Monitor physical response to medication

Monitor behavioral response to medication

Observe injection sites for bruises, inflammation, infection

Determine patient’s understanding of drug therapy

Determine patient’s ability to self-administer medications safely and accurately
In the nurses evaluation of medication administration, she should?
In Pediatrics, many facilities require all pediatric dosage calculations to be?

double checked by another RN
In Pediatrics, many facilities require all pediatric dosage calculations to be?
In pediatrics, Parents are valuable resources in?

getting the pediatric patient to take their medications

What works at home??

Also need to explain o the child why and what of medication

Don’t be untruthful with children about meds
In pediatrics, Parents are valuable resources in?
Concerns about medications with Older adults are?

Polypharmacy:
patient is taking many medications, prescribed or OTC, in an attempt to treat many disorders at once

High risk for drug interactions and/or food interactions

Self-prescribing medications

OTC meds

Misuse of meds

Noncompliance
Concerns about medications with Older adults are?