MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Dec 21, 2022 • 4min

Phenytoin (Dilantin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name phenytoin Trade Name Dilantin Indication tonic clonic seizures, arrhythmias, neuropathic pain Action interferes with ion transport, shortens action potentials and decreases automaticity blocks sustained high frequency repetitive firing of action potentials. Therapeutic Class antiarrhythmics, anticonvulsants Pharmacologic Class hydantoins Nursing Considerations • monitor serum phenytoin levels • therapeutic levels 10-20 mcg/mL • use cautiously in all patients • can cause suicidal thoughts, ataxia, extrapyramidal symptoms, hypotension, tachycardia, arrhythmias, gingival hyperplasia, nausea, rash, drug induced hepatitis, agranulocytosis, Steven’s Johnson syndrome • concurrent administration of enteral feedings may decrease absorption • monitor for hypersensitivity • assess seizures • assess hemodynamics
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Dec 19, 2022 • 2min

Phenazopyridine (Pyridium) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name phenazopyridine Trade Name Pyridium Indication urological pain Action provides analgesia to the urinary tract mucosa Therapeutic Class nonopioid analgesics Pharmacologic Class urinary tract analgesics Nursing Considerations • will turn urine red or orange • may cause headache, vertigo, hepatic toxicity • monitor renal function
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Dec 16, 2022 • 2min

Paroxetine (Paxil) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name paroxetine Trade Name Paxil Indication major depressive disorder, OCD, anxiety, PTSD Action block reuptake of serotonin in CNS Therapeutic Class antianxiety agent, antidepressant Pharmacologic Class SSRI Nursing Considerations • do not use with MAOIs • can cause neurolyptic malignant syndrome, suicidal thoughts, serotonin syndrome, constipation, diarrhea, insomnia • decrease effectiveness of digoxin • increase bleeding with warfarin • assess for suicidal thoughts
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Dec 14, 2022 • 3min

Pantoprazole (Protonix) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name pantoprazole Trade Name Protonix Indication GERD, heartburn, reduce the risk of GI bleed in critically ill patients Action prevents the transport of H ions into the gastric lumen by binding to gastric parietal cells, ↓ gastric acid production Therapeutic Class antiulcer agents Pharmacologic Class proton-pump inhibitors Nursing Considerations • can cause hyperglycemia, abdominal pain • decreases absorption of certain drugs • may increase bleeding with warfarin • assess for occult blood • assess liver enzymes • assess symptoms of heart burn • administer slowly via IV push
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Dec 12, 2022 • 3min

Pancrelipase (Pancreaze) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name Pancrelipase Trade Name Creon Indication pancreatic insufficiency, ductal obstruction Action replacement of pancreatic enzymes: lipase, amylase, protease Therapeutic Class digestive agent Pharmacologic Class pancreatic enzyme Nursing Considerations • contraindicated with pig products allergy • can cause shortness of breath, nausea, diarrhea, rash • assess nutritional status • monitor for steatorrhea • may increase uric acid levels • instruct patient to follow diet • take with meals and snacks
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Dec 9, 2022 • 2min

Oxytocin (Pitocin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name oxytocin Trade Name Pitocin Indication labor induction, postpartum bleeding Action stimulates uterine smooth muscle Therapeutic Class hormones Pharmacologic Class oxytocics Nursing Considerations • can cause ICH in fetus • can cause asphyxia in fetus • may cause coma and seizures in mother • may cause painful contractions • assess fetus • assess contractions • monitor blood pressure • assess maternal electrolytes • may cause uterine tetany
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Dec 7, 2022 • 2min

Oxycodone (OxyContin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name oxycodone Trade Name Oxycontin Indication pain Action binds to opiate receptors in CNS altering the perception and sensation of pain Therapeutic Class Opioid Analgesic Pharmacologic Class opioid agonists, opioid agonists/nonopioid, analgesic combinations Nursing Considerations • may cause respiratory depression, constipation, confusion , sedation, hallucinations, urinary retention • use caution with increased intracranial pressure • don’t use with MAOIs • assess hemodynamics • assess pain • may elevate pancreatic enzymes • can cause physical dependence • assess bowel function
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Dec 5, 2022 • 2min

Ondansetron (Zofran) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name ondansetron Trade Name Zofran Indication nausea/vomiting Action blocks effects of serotonin on vagal nerve and CNS Therapeutic Class antiemetic Pharmacologic Class 5-HT3 antagonist Nursing Considerations • administer slowly over 2-5 minutes – fatal QT prolongation and VTach, respiratory arrest • may cause headache, constipation, diarrhea, dry mouth • asses nausea and vomiting • assess for extrapyramidal symptoms • monitor liver function tests
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Dec 2, 2022 • 3min

Omeprazole (Prilosec) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name omeprazole Trade Name Prilosec Indication GERD, ulcers, Zollinger-Ellison syndrome, reduce the risk of GI bleed in critically ill patients, heart burn Action prevents the transport of H ions into the gastric lumen by binding to gastric parietal cells, ↓ gastric acid production Therapeutic Class antiulcer agent Pharmacologic Class proton-pump inhibitor Nursing Considerations • take 30-60 minutes prior to eating • capsules should be swallowed whole • instruct patient to report black tarry stool
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Nov 30, 2022 • 2min

Olanzapine (Zyprexa) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:   Generic Name olanzapine Trade Name Zyprexa Indication schizophrenia, mania, depression, anorexia nervosa, nausea/vomiting related to chemotherapy Action antagonizes dopamine and serotonin Therapeutic Class antipsychotic, mood stabilizers Pharmacologic Class thienobenzodiazepines Nursing Considerations • do not use while breastfeeding • can cause neurolyptic malignant syndrome, seizures, suicidal thoughts, insomnia, tardive dyskinesia, agranulocytosis, constipation, tremors • assess mental status • monitor hemodynamics • assess blood sugars • assess intake and output • monitor liver function tests

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