MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Nov 7, 2022 • 3min

Metoclopramide (Reglan) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MetoclopramideReglanNursingConsiderations      Generic Name metoclopramide Trade Name Reglan Indication prevention of nausea, vomiting, hiccups, migraines, gastric stasis Action accelerates gastric emptying by stimulating motility Therapeutic Class antiemetic Pharmacologic Class Dopamine D2 receptor antagonist, prokinetic Nursing Considerations • do not use with GI obstruction • may cause extrapyramidal reaction, neurolyptic malignant syndrome, tardive dyskinesia, arrhythmias, blood pressure alterations, hematologic alterations, facial movements, sedation • can decrease effects of levodopa • assess nausea/vomiting • monitor liver function tests
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Nov 4, 2022 • 3min

Methylphenidate (Concerta) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MethylphenidateConcertaNursingConsiderations    Generic Name methylphenidate Trade Name Ritalin, Concerta Indication ADHD, narcolepsy Action improves attention span in ADHD by producing CNS stimulation Therapeutic Class central nervous system stimulant Pharmacologic Class none Nursing Considerations • can cause sudden death, hypertension, palpitations, anorexia, hyperactivity, insomnia • may decrease effects of Warfarin and Phenytoin • do not use with MAOIs • monitor cardiovascular system • monitor for behavioral changes • monitor for dependence • do not consume caffeinated beverages “Drug Holiday” used to assess dependence and status
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Nov 2, 2022 • 2min

Methylergonovine (Methergine) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MethylergonovineMethergineNursingConsiderations      Generic Name methylergonovine Trade Name Methergine Indication treatment of post-partum hemorrhage Action stimulates uterine muscles causing uterine contraction Therapeutic Class oxytocic Pharmacologic Class ergot alkaloids Nursing Considerations • can cause hypertension, cramps, nausea, vomiting, dyspnea • monitor BP, heart rate, uterine response • assess calcium levels – effectiveness ↓ with hypocalcemia • monitor uterine bleeding and notify physician of any changes
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Oct 31, 2022 • 3min

Methadone (Methadose) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MethadoneMethadoseNursingConsiderations    Generic Name methadone Trade Name Mathadose Indication withdrawal symptoms, pain Action Suppresses withdrawal symptoms. Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. This depression also causes a decrease in the cough reflex and GI motility. Therapeutic Class opioid analgesic Pharmacologic Class opioid agonist Nursing Considerations • use caution if patient is receiving MAO Inhibitors • may cause QT prolongation, hypotension, respiratory depression, dependence, confusion, sedation • assess pain, vital signs, bowel function • may increase pancreatic enzyme levels • assess withdrawal symptoms
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Oct 28, 2022 • 3min

Metformin (Glucophage) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MetforminGlucophageNursingConsiderations    Generic Name metformin Trade Name Glucophage Indication management of Type II DM, PCOS Action decreases glucose production in the liver, decreases absorption, increases cellular insulin sensitivity Therapeutic Class Antidiabetic Pharmacologic Class Biguanide Nursing Considerations • do not use with renal dysfunction, metabolic acidosis • may cause diarrhea, nausea, vomiting, lactic acidosis • monitor patient closely for ketoacidosis and lactic acidosis, discontinue medication immediately if acidotic • may cause metallic taste • instruct patient that medication does not cure diabetes
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Oct 26, 2022 • 3min

Meperidine (Demerol) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MeperidineDemerolNursingConsiderations    Generic Name meperidine Trade Name Demerol Indication moderate to severe pain, sedation 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 agonists 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 MAOIs • Narcan (naloxone) is the antidote for opioid agonists • can cause seizure • may increase pancreatic enzyme levels • assess bowel function
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Oct 24, 2022 • 2min

Mannitol (Osmitrol) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MannitolOsmitrolNursingConsiderations    Generic Name mannitol Trade Name Osmitrol Indication increased ICP, oliguric renal failure, edema, increased intraocular pressure Action inhibits reabsorption of water and electrolytes by increasing osmotic pressure, excreted by kidneys Therapeutic Class diuretic Pharmacologic Class osmotic diuretic Nursing Considerations • may cause phlebitis at IV site • may cause dehydration, fluid and electrolyte imbalances • monitor neuro status • administer via a filter
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Oct 21, 2022 • 3min

Magnesium Sulfate (MgSO4) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/MagnesiumSulfateNursingConsiderations    Generic Name magnesium sulfate Trade Name MgSO4 Indication treatment of hypomagnesaemia, hypertension, preterm labor, torsade de pointes, asthma, anticonvulsant with eclampsia Action magnesium plays a role in muscle excitability Therapeutic Class mineral and electrolyte replacements/supplements Pharmacologic Class minerals/electrolytes Nursing Considerations use caution with renal insufficiency may cause decreased respiratory rate, arrythmias, hypotension, muscle weakness monitor EKG and respiratory status monitor Mg levels ensure dosage with secondary practitioner Calcium gluconate is the antidote Magnesium toxicity results in respiratory depression and loss of deep tendon reflexes
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Oct 19, 2022 • 3min

Losartan (Cozaar) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LosartanCozaarNursingConsiderations      Generic Name losartan Trade Name Cozaar Indication hypertension, DM neuropathy, CHF Action inhibits vasoconstrictive properties of angiotensin II Therapeutic Class antihypertensives Pharmacologic Class angiotensin II receptor antagonist Nursing Considerations • may cause hypotension, tacycardia, angiodema, hyperkalemia • may increase digoxin levels • assess blood pressure and heart rate • assess fluid levels • monitor daily weights with CHF • monitor renal and liver • instruct patient on how to take blood pressure
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Oct 17, 2022 • 3min

Lorazepam (Ativan) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LorazepamAtivanNursingConsiderations      Generic Name lorazepam Trade Name Ativan Indication anxiety, sedation, seizures Action general CNS depression by potentiating inhibitory neurotransmitters Therapeutic Class anesthetic adjuncts, antianxiety agents, sedative hypnotics Pharmacologic Class Benzodiazepine Nursing Considerations • use caution with COPD and sleep apnea • avoid alcohol use • antidote is Flumazenil (Romazicon) • may cause apnea, cardiac arrest, bradycardia, hypotension • use caution with other CNS depressants • administer slowly and dilute to decrease complications

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