Final Drug Cards

Front 1

PROTONIX(pantoprazole) MAY ALTER THESE Laboratory Values

Back 1

SGPT, creatinine increased, hypercholesterolemia, and hyperuricemia. transaminase elevations

Front 2

PROTONIX (pantoprazole), DRUG INTERACTIONS

Back 2

theophylline, cisapride, antipyrine, caffeine, carbamazepine, diazepam (and its active metabolite, desmethyldiazepam), diclofenac, naproxen, piroxicam, digoxin, ethanol, glyburide, an oral contraceptive (levonorgestrel/ethinyl estradiol), metoprolol, nifedipine, phenytoin, warfarin (see below), midazolam, clarithromycin, metronidazole, or amoxicillin

Front 3

PROTONIX (pantoprazole),

Back 3

Patients treated with proton pump inhibitors and warfarin concomitantly should be monitored for increases in INR and prothrombin time.

Front 4

PROTONIX (pantoprazole),
Serious Adverse Events

Back 4

include retinal detachment, iatrogenic traumatic cataract and endophthalmitis

Front 5

PROTONIX (pantoprazole),
Common Adverse Events

Back 5

Bronchitis, diarrhea, headache, dizziness, nausea

Front 6

PROTONIX (pantoprazole),
Common Adverse Events 6-10%

Back 6

6-10% Bronchitis, diarrhea, headache, dizziness, nausea

Front 7

PROTONIX (pantoprazole),
Common Adverse Events 1-5%

Back 7

Arthritis, chest pain, dyspepsia, hearing loss, vertigo, vomiting, contact dermatitis

Front 8

WHAT IS pantoprazole (Protonix) AND WHAT DOES IT DO?

Back 8

Proton Pump Inhibitor,
Total inhibition of gastric acid secretion

Front 9

Proton Pump InhibitorS WHAT ARE SOME?

Back 9

lansoprazole Prevacid),omeprazole (Prilosec),rabeprazole (Aciphex),pantoprazole (Protonix),esomeprazole (Nexium)

Front 10

Proton Pump Inhibitors:
Therapeutic Uses ?

Back 10

GERD maintenance therapy
Erosive esophagitis
Short-term treatment of active duodenal and benign gastric ulcers
Zollinger-Ellison syndrome
Treatment of H. pylori-induced ulcers

Front 11

Proton Pump Inhibitors:
Nursing Implications ?

Back 11

Assess for allergies and history of liver disease, May increase serum levels of diazepam, phenytoin, and cause increased chance for bleeding with warfarin

Front 12

Angiotensin-Converting Enzyme Inhibitors
(ACE Inhibitors)?

Back 12

Large group of safe and effective drugs
Often used as first-line agents for CHF
and hypertension
May be combined with a thiazide diuretic
or calcium channel blocker

Front 13

ACE Inhibitors, Side Effects

Back 13

Fatigue Dizziness
Headache Mood changes
Impaired NOTE: first-dose hypotensive effect may occurtaste

Front 14

Name some ACE inhibitors

Back 14

Capoten/Captopril, Vasotec/Enalapril, Lotensin/Benzapril

Front 15

What does an ACE inhibitor do?

Back 15

Lowers periperal vascular resistance without increasing cardiac output, cardiac rate and cardiac contractility

Front 16

Name some Beta Blockers

Back 16

Inderal/Propranolol, Tenormin/Atenolol, Lopressor/Metroprolol

Front 17

Opioid Analgesics (ei:MORPHINE): Side Effects

Back 17

Euphoria
Nausea and vomiting
Respiratory depression
Urinary retention
Diaphoresis and flushing
Pupil constriction (miosis)
Constipation

Front 18

Opioid Analgesics:
Nursing Implications

Back 18

Oral forms should be taken with food to minimize gastric upset.
Ensure safety measures, such as keeping side rails up, to prevent injury.
Withhold dose and contact physician if there is a decline in the patient’s condition or if VS are abnormal—especially if respiratory rate is below 12 breaths/minute.

Front 19

Opioid Analgesics:
Nursing Implications

Back 19

Constipation is a common side effect and
may be prevented with adequate fluid and
fiber intake.
orthostatic hypotension.

Front 20

Opioid Analgesics:
Nursing Implications

Back 20

Should VS change, patient’s condition decline,
or pain continue, contact physician immediately.
Respiratory depression may be manifested by respiratory rate of less than 12/min, dyspnea, diminished breath sounds, or shallow breathing.

Front 21

Heparin Route and Dosage

Back 21

Bolus dose: 5000units I.V., then 20-40 thousand units continuously
Prophylaxis of embolism: 5000 units s.q. every 12 hrs.
Contraindicated in persons with active bleeding

Front 22

Heparin: adverse reactions

Back 22

Spontaneous bleeding
Injection site reactions
Hypersensitivity reactions

Front 23

Heparin: Nursing Implications

Back 23

Must be given on time.
S.Q. route: 25 guage needle, apply pressure, no massage
Patient has to be weaned off continuous infusion
Oral anticoagulant started 3-5 days before I.V. infusion discontinued.