MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Oct 14, 2022 • 2min

Loperamide (Imodium) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LoperamideImodiumNursingConsiderations      Generic Name loperamide Trade Name Imodium Indication acute diarrhea, decrease drainage post ileostomy Action inhibits peristalsis, reduces the volume of feces while increasing the bulk and viscosity Therapeutic Class antidiarrheal Nursing Considerations • may lead to constipation – insure proper use • assess bowel function • assess fluid and electrolyte levels
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Oct 12, 2022 • 2min

Lithium (Lithonate) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LithiumLithonateNursingConsiderations      Generic Name lithium Trade Name Lithizine Indication mania Action alters cation transport and neurotransmitter reuptake Therapeutic Class Mood Stabilizer Pharmacologic Class none Nursing Considerations • do not administer with NSAIDs • monitor drug blood levels frequently • may cause seizures, arrhythmias, fatigue, confusion, nausea, anorexia, hypothyroidism, tremors • Ace Inhibitors may increase serum levels • instruct patient to maintain adequate fluid intake • therapeutic level: 0.5-1.5 mEq/L
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Oct 10, 2022 • 3min

Lisinopril (Prinivil) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LisinoprilPrinivilNursingConsiderations      Generic Name lisinopril Trade Name Prinivil Indication hypertension, management of CHF Action block conversion of angiotensin I to angiotensin II, increases renin levels and decreases aldosterone leading to vasodilation Therapeutic Class antihypertensives Pharmacologic Class ACE Inhibitor Nursing Considerations • dry cough • first dose hypotension • use cautiously with potassium supplements and potassium sparing diuretics • use cautiously with diuretic therapy • administer 1 hour before meals • monitor blood pressure often • monitor weight and fluid status • monitor renal profile • monitor liver function tests • may cause angioedema
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Oct 7, 2022 • 3min

Levofloxacin (Levaquin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name levofloxacin Trade Name Levaquin Indication urinary tract infections, gonorrhea, respiratory tract infections, bronchitis, pneumonia, skin and bone infections Action inhibits DNA synthesis in bacteria Therapeutic Class Anti-infective Pharmacologic Class fluoroquinolone Nursing Considerations • contraindicated in allergies • may cause QT prolongation, avoid use with other drugs that can cause QT prolongation • can cause seizures, arrhythmias, pseudomembranous colitis, anaphylaxis, Stevens Johnson syndrome • increases the risk for tendinitis or tendon rupture • may decrease plasma concentration of phenytoin • monitor renal panel • assess for infection, obtain cultures prior to therapy • monitor liver function tests
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Oct 5, 2022 • 4min

Carbidopa-Levodopa (Sinemet) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LevodopaSinemetNursingConsiderations      Generic Name Carbidopa/levodopa Trade Name Sinemet Indication Parkinson’s disease Action Levodopa is converted to dopamine and works as a neurotransmitter, carbidopa prevents the destruction of levodopa allowing it to cross the blood brain barrier Therapeutic Class Antiparkinson agent Pharmacologic Class Dopamine Agonist Nursing Considerations • May cause orthostatic hypotension • May cause dark urine • Weeks to months to take effect • Do not use with MAOIs • Do not use with glaucoma, melanoma • Assess for parkinsonian symptoms • Instruct patient to take as directed
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Oct 3, 2022 • 2min

Levetiracetam (Keppra) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LevetiracetamKeppraNursingConsiderations      Generic Name levetiracetam Trade Name Keppra Indication Seizures Action decreases severity and incidence of seizures by inhibiting presynaptic calcium channels and reducing neurotransmitter realease Therapeutic Class anticonvulsants Pharmacologic Class pyrrolidines Nursing Considerations • May cause suicidal thoughts, dizziness, weakness • May alter RBC, WBC, and liver function • May cause somnolence • Should be infused over 15 minutes
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Sep 30, 2022 • 2min

Iodine Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/IodineNursingConsiderations      Generic Name radioactive iodine Trade Name none Indication thyroidectomy pretreatment, thyrotoxic crisis, radiation exposure Action inhibits the release of thyroid hormones Therapeutic Class Antithyroid Agent, control of hyperthyroidism Pharmacologic Class none Nursing Considerations • may cause GI bleeding, diarrhea, hypothyroidism, goiter • monitor for hypersensitivity
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Sep 28, 2022 • 5min

Heparin (Hep-Lock) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/HeparinHep-LockNursingConsiderations      Generic Name heparin Trade Name Hep-Lock Indication Venous thromboembolism prophylaxis and treatment, low dose used to ensure patency of IV catheters Action increases the inhibitory effect of antithrombin on factor Xa Therapeutic Class anticoagulant Pharmacologic Class antithrombotic Nursing Considerations • monitor for signs of bleeding • monitor platelet count • may cause hyperkalemia • have patient report any signs of bleeding
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Sep 26, 2022 • 3min

Lamotrigine (Lamictal) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LamotrigineLamictalNursingConsiderations      Generic Name lamotrigine Trade Name Lamictal Indication seizures r/t epilepsy, bipolar Action Inhibits sodium transport in neurons Therapeutic Class anticonvulsant Nursing Considerations • may cause suicidal thoughts, dizziness, behavior changes, nausea, vomiting, photosensitivity, rash, Stevens-Johnson Syndrome • use caution with oral contraceptive use • assess mental status • assess for seizures • do not discontinue use abruptly
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Sep 23, 2022 • 4min

Lactulose (Generlac) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/LactuloseGenerlacNursingConsiderations      Generic Name lactulose Trade Name Kristalose Indication Constipation, portal-systemic encephalopathy Action draws water into the stool and softens stool, inhibits ammonia passing into the colon Therapeutic Class laxative Pharmacologic Class osmotic Nursing Considerations • use caution with DM • may cause cramps, abdominal distention, hyperglycemia • assess mental status, ammonia levels, abdominal distention • patient should average 2-3 bowel movements per day

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