MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Nov 28, 2022 • 2min

Nystatin (Mycostatin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name nystatin Trade Name Mycostatin Indication candidiasis, denture stomatitis Action causes leakage of fungal cell contents Therapeutic Class Antifungal Pharmacologic Class none Nursing Considerations • may cause diarrhea, nausea, vomiting • can be used to soak dentures • assess mucus membrane
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Nov 25, 2022 • 3min

Norepinephrine (Levophed) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/NorepinephrineLevophedNursingConsiderations    Generic Name norepinephrine Trade Name Levophed Indication treatment of severe hypotension and shock Action increase blood pressure and cardiac output by stimulating alpha-adrenergic receptors in the blood vessels, demonstrates minor beta activity Therapeutic Class vasopressor Nursing Considerations monitor BP continuously if possible or every couple of minutes double check all concentrations with additional nurse may result in rebound hypotension due to tissue ischemia when discontinued monitor EKG and CVP if patient is awake instruct them to report headaches, dizziness, or chest pain
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Nov 23, 2022 • 3min

Nitroprusside (Nitropress) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/NitroprussideNitropressNursingConsiderations    Generic Name nitroprusside Trade Name Nitropress Indication hypertensive crisis, cardiogenic shock Action peripheral vasodilation of arteries and veins decreasing preload and afterload Therapeutic Class antihypertensive Pharmacologic Class vasodilator Nursing Considerations • monitor HR, BP, and EKG continuously during therapy • may cause cyanide toxicity • sympathomimetics may decrease effectiveness • PAOP monitoring may help with MI and CHF patients
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Nov 22, 2022 • 3min

Nifedipine (Procardia) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/NifedipineProcardiaNursingConsiderations    Generic Name nifedipine Trade Name Procardia Indication hypertension, angina, migraines, CHF Action blocks calcium transport resulting in inhibition of contraction causing systemic vasodilatation Therapeutic Class antianginals, antihypertensives Pharmacologic Class Ca Channel Blocker Nursing Considerations • use caution in heart block, decreased blood pressure • don’t consume grapefruit juice while taking medication • may cause arrhythmias • may cause elevated liver function tests • may cause gingival hyperplasia, Steven’s Johnson syndrome • monitor blood pressure and pulse • monitor calcium levels • instruct patient on taking heart rate and blood pressure
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Nov 21, 2022 • 3min

Naproxen (Aleve) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/NaproxenAleveNursingConsiderations    Generic Name naproxen Trade Name Aleve Indication pain, dysmenorrhea, fever, inflammation Action inhibits prostaglandin synthesis Therapeutic Class nonsteroidal anti-inflammatory agents, nonopioid analgesics, antipyretics Pharmacologic Class none Nursing Considerations • use caution with GI bleeding • may increase risk for stroke and MI • can cause GI bleeding, anaphylaxis, Steven’s Johnson syndrome • aspirin can decrease blood levels and effectiveness • assess pain • patients should remain up-right for 30 minutes after administration
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Nov 18, 2022 • 3min

Nalbuphine (Nubain) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/NalbuphineNubainNursingConsiderations    Generic Name nalbuphine Trade Name Nubain Indication pain, analgesia during labor, sedation before surgery, supplement to balance anesthesia Action alters perception and response to pain, causes CNS depression Therapeutic Class Opioid Analgesic Pharmacologic Class opioid agonists/analgesics Nursing Considerations • use caution with head trauma • can cause dizziness, headache, nausea, vomiting, respiratory depression • do not use with MAOIs • assess pain • may cause respiratory depression in newborn • asses hemodynamic parameters • may elevate pancreatic enzymes • Narcan (naloxone) is the antidote
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Nov 16, 2022 • 2min

Morphine (MS Contin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MorphineMSContinNursingConsiderations    Generic Name morphine Trade Name MS Contin Indication pain, pulmonary edema, MI Action Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. Therapeutic Class opioid analgesic Pharmacologic Class opioid agonist Nursing Considerations • may cause alterations in mentation, hypotension, constipation, nausea, vomiting • assess BP, pulse, and respiratory rate prior to administration and frequently during administration • use caution if patient is receiving MAO Inhibitors • Narcan (naloxone) is the antidote for opioid agonists
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Nov 14, 2022 • 2min

Montelukast (Singulair) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MontelukastSingulairNursingConsiderations    Generic Name montelukast Trade Name Singulair Indication prevent or treat asthma, manage seasonal allergies, prevent exercise-induced bronchoconstriction Action disrupts the effects of leukotrienes which effect airway edema, smooth muscle constriction, and cellular activity Therapeutic Class allergy, cold, and cough remedies, bronchodilators Pharmacologic Class Leukotriene Antagonist Nursing Considerations • assess respiratory status • assess liver function tests • medication does not treat acute asthma attacks
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Nov 11, 2022 • 2min

Midazolam (Versed) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MidazolamVersedNursingConsiderations      Generic Name midazolam Trade Name Versed Indication sedation, conscious sedation, anesthesia, status epilepticus Action acts to produce CNS depression, may be mediated by GABA Therapeutic Class antianxiety agent, sedative/hypnotics Pharmacologic Class Benzodiazepine Nursing Considerations • assess level of sedation during and for 2-6 hours following • monitor blood pressure, pulse, respirations during IV administration • may lead to apnea, cardiac arrest, respiratory depression • antidote for overdose is Romazicon (flumazenil)
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Nov 9, 2022 • 3min

Metronidazole (Flagyl) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MetronidazoleFlagylNursingConsiderations    Generic Name metronidazole Trade Name Flagyl Indication intra-abdominal infections, gynecoligical infections, skin infections, bone and joint infections, CNS infections, septicemia, endocarditis, amebic liver abscess, peptic ulcer disease Action Inhibits DNA and protein synthesis in bacteria, bactericidal Therapeutic Class anti-infectives, antiprotozoals, antiulcer agents Pharmacologic Class none Nursing Considerations • do not take with alcohol-disulfiram reaction • assess for infection before and during treatment • obtain cultures before therapy • monitor neurologic status: parasthesia, weakness, ataxia, or seizures • monitor intake and output, daily weights • may alter liver enzyme tests

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