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12 Cards in this Set
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- Back
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Oral Contraceptives -education regarding adverse effects
Ovcon 35; Necon 1/35; ortho-novum |
Insturct client to report warmth, edema, tenderness and/or pain in lower legs
Breakthrough bleeding, Hypertension, Cervical cancer |
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Chemotherapy Agents- formulating a nursing diagnosis
tamoxifen(Nolvadex) |
Provide frequent oral hygiene using soft toothbrushes and avoid alchohol mouthwashes
**Hot flashes** decrease breast cancer spread |
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Anticoagulants/Parenteral: medication administration
Heparin; enoxaparin(Lovenox)- Prevent formation of clots |
Apply pressure for 1 to 2 mins after the injection. Rotate & recorder injection site
Obtain baseline vitals: Get CBC, platelet & hematocrite(periodically) STOP: <100,000 platelet count aPTT 60-80 secs ANTIDOTE: protamine sulfate administer no faster 20mg./min or 50mg/10mins: |
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Anticoagulants/Parenteral
warfarin (Coumadin)- prevention of clots |
Avoid: dark, leafy veg, cabbage, cauliflower, soybean
INR 2-3 side: hemorrhage Antidote: Vitamin K - iv slowly in diluted solution(if cannot control fresh frozen plasma, whole blood) flushing, hypotension, utricaria, cardiovascular |
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Antiplatelets- regarding adverse reactions
aspirin (Ecorin); clopidogrel (Plavix)-prevention aute MI, reinfarcation MI, stroke |
Hemorrhagic stroke (weakness, dizziness, headache)
GI bleeding -with meal, or prilosec 81mg - prevention 325mg - attack |
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Hematopoietic Growth Factor: recognizing side effects of erythropoeitin
epoetin alfa (Epogen, Procrit) |
Need adequate levels of iron, folic acid, & vitamin b12 - less effective if not
HBG 10-12 g/dl Hematocrit 40% **do not mix with other meds*** baseline BP and monitor(administer hypertensive meds if increase) |
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Nonsteroidal Anti-Inflammatory Drugs -recognizing adverse effects
NSAIDs (aspirin), clecoxib(Celebrex) ; IB, Naprosyn;ketorolac (Toradol) |
tinnitus, sweating, headache, dizziness, Respiratory alkalosis
Reye syndrome in kids (fever, viral illness, flu) --bleeding, black/dark colorded stools (nausea, vomiting, ab pain) Do not chew or crush enteric-coated or sustained release aspirin. Toradol used for short-term treatment -postoperative ketorolac-enhances the use of opioids without adverse effects |
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Thrombolytic Medications: minimizing adverse effects
streptokinase (Streptase); alteplase (Activase, tPA) - dissolving clots alreaded formed) treatment |
Limit venipuctures and injections
GET: baseline INR Apply pressure dreassing to recent wounds Base vital signs(platelet, Hgb, Hct, aPTT, PT, INR and monitor for change(level of consciousness, weakness & signs of bleeding, |
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Anti-Parkinson's Medication - reporting adverse effects
levodopa(Dopar, Larodopa) |
Dyskinesias(head bobbing, tics, grimacing, tremors) - decrease dose
Cardiovascular effects (tach, palpitations, irregular heartbeat) - ECG /vital signs visual hallucinations, nightmares-admin clozaril Do not use with skin lesions |
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Antithyroid Medications: documenting adverse effects
propylthiouracil (PTU), methimazole (Tapazole) -graves disease, throid |
Agranulocytosis: sore throat, fever - Notify, Monitor blood count --treat angranulocytosis with Neupogen
Overmedication (hypothroidism) drowsiness, depression, weight gain, edeman, brady, anorexia, cold intolerance, dry skin, menorrhagia Weight gain, Normal vital signs, t4 levels |
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Cardiac Glycosides: recognizing side effects
digoxin (lanoxin, lanoxicaps, & digitek) - heart |
dysrhythmias - hypokalemia (comsume foods high in patassium);
serum levels K 3.0-5.0 , digoxin level 0.5-2.0, monitor pluse rate <60 Notify Avoid OTC |
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Antidepressant-Tricyclic (TSA) - adverse/side/contraindication
amitriptyline (Elavil), imipramine (Tofranil) - depression, bipolar |
Orthostatic hypotension (1min from lying to standing) - if big change DO not administer
Cardiac toxicity (excess dosing) SEDATION: usally diminishes over time - admin at bedtime Toxicity: dysrhythmias, mental confusion, agitation, followed by seizures & coma Anticholinergic effects (dry mouth (chew sugarless gum), blurred vission, photophobia, urinary retension (increase water), constipation (eat foods high in fiber), tachy (monitor HR) |
