MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Sep 21, 2022 • 3min

Ketorolac (Toradol) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/KetorolacToradolNursingConsiderations      Generic Name ketorolac Trade Name Toradol Indication pain Action pain relief due to prostaglandin inhibition by blocking of the enzyme cyclooxygenase (COX) Therapeutic Class nonsteroidal anti-inflammatory agents, nonopioid analgesics Pharmacologic Class pyrroziline carboxylic acid Nursing Considerations • may cause GI bleeding, Stevens-Johnson Syndrome, anaphylaxis, drowsiness • should not exceed 5 days of therapy • bleeding risk increased with garlic, ginger, and ginkgo • may decrease effectiveness of hypertensive medications and diuretics
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Sep 19, 2022 • 5min

Isoniazid (Niazid) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/IsoniazidNiazidNursingConsiderations    Generic Name isoniazide Trade Name INH Indication tuberculosis Action Inhibits synthesis of mycobacterial cell wall Therapeutic Class Antitubercular Pharmacologic Class none Nursing Considerations • can cause jaundice • may cause peripheral neuropathy, seizures, hepatitis • patient should avoid high amounts of tyramine (pickled meats, aged/smoked meats, alcohol, exotic/aged cheese) • monitor liver function tests • complete full course of therapy (6-12 months) • often used in combination with Rifampin
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Sep 16, 2022 • 2min

Indomethacin (Indocin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/IndomethacinIndocinNursingConsiderations    Generic Name indomethacin Trade Name Indocin Indication Inflammatory disorders when patients do not respond to other medications Action Decreases pain and inflammation by inhibiting prostaglandin synthesis Therapeutic Class antirheumatics, ductus arteriosus patency adjuncts (IV only), nonsteroidal anti-inflammatory agents Pharmacologic Class none Nursing Considerations • monitor for hepatitis and GI bleeding • monitor for dizziness, drowsiness, and headache • assess for anaphylactic reaction • aspirin may decrease effectiveness • monitor renal labs • shake suspension before administration • patient should wear sunscreen and protective clothing to protect against photosensitivity
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Sep 14, 2022 • 4min

Ibuprofen (Motrin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/IbuprofenMotrinNursingConsiderations    Generic Name ibuprofen Trade Name Advil / Motrin Indication Mild to moderate pain, inflammatory states Action Decreases pain and inflammation by inhibiting prostaglandins Therapeutic Class antipyretics, antirheumatics, nonopioid analgesics, nonsteroidal anti-inflammatory agents Pharmacologic Class nonopioid analgesics Nursing Considerations • may cause GI bleeding, hepatitis, Stevens-Johnson Syndrome • may cause anaphylaxis • monitor for headache, nausea, vomiting, constipation • therapy should be discontinued after first sign of rash • monitor renal and liver labs • patient should avoid using alcohol
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Sep 12, 2022 • 3min

Hydromorphone (Dilaudid) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/HydromorphoneDilaudidNursingConsiderations    Generic Name hydromorphone Trade Name Dilaudid Indication moderate to severe pain Action alters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex Therapeutic Class Opioid Analgesic, allergy, cold and cough remedies, antitussive Pharmacologic Class opioid agonist Nursing Considerations • Assess BP, respirations, and pulse before and during administration – medication causes general CNS depression • Narcan (nalaxone) is the antidote for overdose • use caution with concurrent use of MAOI – avoid use within 14 days of each other • may be used as an antitussive • advised to dilute with NS prior to administration and to administer slowly to decrease CNS depression
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Sep 9, 2022 • 3min

Hydrochlorothiazide (Hydrodiuril) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/HydrochlorothiazideHydrodiurilNursingConsiderations    Generic Name hydrochlorothiazide Trade Name HydroDiuril Indication Hypertension, CHF, renal dysfunction, cirrhosis, glucocorticoid therapy Action Increases sodium and water excretion and produces arterial vasodilation Therapeutic Class antihypertensives, diuretics Pharmacologic Class thiazide diuretics Nursing Considerations • May cause dizziness, hypokalemia, hyponatremia, hypophosphatemia, hypomagnesemia, dehydration • Hypokalemia can increase risk for digoxin toxicity • Monitor blood pressure and intake and output • Monitor electrolyte levels • Patient should take medication at the same time each day even if feeling better • Instruct patient on how to take blood pressure
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Sep 7, 2022 • 3min

Hydralazine (Apresoline) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/HydralazineApresolineNursingConsiderations    Generic Name hydralazine Trade Name Apresoline Indication hypertension Action arterial vasodilation by unclarified mechanism Therapeutic Class anti-hypertensive Pharmacologic Class vasodilator Nursing Considerations • may cause tachycardia, sodium retention, arrhythmias, angina • use caution with MAOIs • monitor blood pressure • instruct patient on how to take blood pressure
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Sep 5, 2022 • 4min

Haloperidol (Haldol) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:  https://bit.ly/HaloperidolHaldolNursingConsiderations    Generic Name haloperidol Trade Name Haldol Indication Schizophrenia, mania, aggressive and agitated patient Action Alters the effect of dopamine Therapeutic Class Antipsychotic Pharmacologic Class butyrophenones Nursing Considerations • extrapyramidal symptoms, tardive dyskinesia • use caution in QT prolongation • may cause seizures, constipation, dry mouth, agranulosytosis • assess for hallucinations • monitor hemodynamics • monitor for neuroleptic malignant syndrome (fever, muscular rigidity, altered mental status, and autonomic dysfunction) • monitor CBC with differential
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Sep 5, 2022 • 3min

Guaifenesin (Mucinex) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/GuaifenesinMucinexNursingConsiderations    Generic Name guaifenesin Trade Name Mucinex Indication Cough suppression, expectorant Action Decreases viscosity of and mobilizes secretions Therapeutic Class allergy, cold and cough remedies, expectorant Pharmacologic Class none Nursing Considerations • patient should avoid over the counter cold medications • assess lung sounds • maintain adequate fluid intake
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Aug 31, 2022 • 3min

Glucagon (GlucaGen) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/GlucagonGlucagenNursingConsiderations    Generic Name glucagon Trade Name GlucaGen Indication severe hypoglycemia, antidote for beta blockers and calcium channel blockers Action stimulates production of glucose from stores, relaxes GI tract Therapeutic Class hormones Pharmacologic Class pancreatics Nursing Considerations • may cause anaphylaxis • may cause hypotension • assess for signs of hypoglycemia, neuro status • monitor serum glucose levels • teach patient signs of hypoglycemia

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