MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Aug 29, 2022 • 3min

Glipizide (Glucotrol) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/GlipizideGlucotrolNursingConsiderations    Generic Name Glipizide Trade Name Glucotrol Indication Type 2 diabetes mellitus Action Stimulates release of insulin from the beta cells in the pancreases and leads to increased sensitivity to insulin Therapeutic Class Anti-diabetic Pharmacologic Class Sulfonylureas Nursing Considerations • May cause aplastic anemias, hypoglycemia, photosensitivity, dizziness, drowsiness, headache, diarrhea • Monitor CBC, assess for allergy to sulfonamides • Beta blockers may increase signs of hypoglycemia • Instruct patient on how to check blood sugars and • Instruct patient on importance of carrying source of sugar in case of hypoglycemia
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Aug 26, 2022 • 4min

Gentamicin (Garamycin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/GentamicinGaramycinNursingConsiderations    Generic Name Gentamicin Trade Name Cidomycin Indication Treatment of gram negative infections when penicillin is ineffective Action Inhibits bacterial protein synthesis Therapeutic Class Anti-infectives Pharmacologic Class Aminoglycoside Nursing Considerations • Causes tinnitus-hearing loss/do not administer with penicillin • Use caution in renal impairment • Assess for infection • Obtain cultures prior to therapy • Monitor liver function tests • Monitor blood levels of drug
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Aug 24, 2022 • 5min

Gabapentin (Neurontin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/GabapentinNeurontinNursingConsiderations    Generic Name Gabapentin Trade Name Neurontin Indication Seizures, peripheral neuropathy, neuropathic pain, prevention of migraines Action Exact method of action unknown, may play a role in stabilizing neural membranes Therapeutic Class Analgesic adjuncts, anticonvulsants, mood stabilizers Pharmacologic Class None Nursing Considerations • May cause suicidal thoughts, confusion, depression, drowsiness, ataxia, facial edema, hypertension • Monitor pt closely for changes in behavior and depression • Assess seizure activity • Assess pain level • Patient should take medications exactly as prescribed
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Aug 22, 2022 • 4min

Furosemide (Lasix) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/FurosemideLasixNursingConsiderations    Generic Name Furosemide Trade Name Lasix Indication Edema, hypertension Action Prevents reabsorption of sodium and chloride in the kidneys, increase excretion of water, sodium, chloride, magnesium, potassium Therapeutic Class Diuretics Pharmacologic Class Loop diuretics Nursing Considerations • Use caution with liver disease • May cause hypotension, dry mouth, excessive urination, dehydration, electrolyte abnormalities, metabolic alkalosis • Hypokalemia may lead to increase risk of digoxin toxicity • Monitor renal panel • Use caution with other antihypertensives • Causes arthritic symptoms/do not administer with aminoglycosides due to ototoxicity
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Aug 19, 2022 • 5min

Fluticasone (Flonase) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/FluticasoneFlonaseNursingConsiderations    Generic Name Fluticasone Trade Name Flovent, Flonase Indication prophylactic asthma treatment Action locally acting anti-inflammatory Therapeutic Class antiasthmatics, anti-inflammatory (steroid) Pharmacologic Class Corticosteroids, Inhalation Nursing Considerations • use cautiously with untreated infections and suppressed immune function • may cause headache, insomnia, bronchospasm, nasal congestion, adrenal suppression • monitor patient’s respiratory status • may lead to decreased bone density • instruct patients using corticosteroids and bronchodilators that they need to use bronchodilators first. • instruct patient to stop smoking
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Aug 17, 2022 • 4min

Fluoxetine (Prozac) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/FluoxetineProzacNursingConsiderations    Generic Name Fluoxetine Trade Name Prozac Indication Depressive disorder, OCD, bulimia, panic disorder, bipolar, anorexia, ADHD, DM neuropathy, obesity Action Inhibits reuptake of serotonin allowing it to persist longer in the synaptic cleft Therapeutic Class Antidepressant Pharmacologic Class SSRI Nursing Considerations • Do not use while taking MAOIs • May cause suicidal thoughts, drowsiness, anxiety, sexual dysfunction, insomnia, palpitations • Monitor closely for serotonin syndrome • Concurrent use with certain medications may lead to QT prolongation • Monitor mood changes and assess for suicidal ideation • Monitor nutrition status • May cause elevated liver enzymes • Instruct pt to maintain good oral hygiene
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Aug 15, 2022 • 4min

Fentanyl (Duragesic) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/FentanylDuragesicNursingConsiderations    Generic Name Fentanyl Trade Name Sublimaze Indication Supplement to general anesthesia, continuous IV infusion for purpose of analgesia Action Binds to opiate receptors in CNS altering perception of pain, producing CNS depression Therapeutic Class Opioid Analgesic Pharmacologic Class Opioid agonists Nursing Considerations • Use caution with increased ICP, head trauma, adrenal insufficiency • Avoid use with MAOIs • May cause apnea, laryngospasm, decreased respirations, bradycardia, hypotension • Do not consume grapefruit while taking this medication • Monitor hemodynamics during administration • Assess patient pain scale frequently
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Aug 12, 2022 • 3min

Famotidine (Pepcid) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/FamotidinePepcidNursingConsiderations    Generic Name Famotidine Trade Name Pepcid Indication Short term treatment of active ulcer, GERD, treatment of heartburn, indigestion, management of Zollinger Ellison syndrome, prevention of GI bleeding in critically ill patients, management of symptoms associated with overuse of NSAIDs Action Blocks action of histamine located in gastric parietal cells, inhibits gastric acid secretion Therapeutic Class Antiulcer agent Pharmacologic Class Histamine H2 antagonist Nursing Considerations • May cause arrhythmias, agranulocytosis, aplastic anemias • Assess for abdominal pain and occult blood • Monitor CBC • Instruct pt to increase fluid and fiber intake to prevent constipation
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Aug 10, 2022 • 4min

Escitalopram (Lexapro) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/EscitalopramLexaproNursingConsiderations    Generic Name Escitalopram Trade Name Lexapro Indication Major depressive disorder, anxiety disorder, PCD, PTSD, social phobia Action Increases the extracellular levels of serotonin in the synaptic cleft by selectively inhibiting its reuptake Therapeutic Class Antidepressant Pharmacologic Class SSRI Nursing Considerations • Contraindicated with MAOI • May cause suicidal thoughts, insomnia, drowsiness, diarrhea, nausea, serotonin syndrome • May cause QT prolongation with certain medications • Assess for sexual dysfunction • May take 4-6 weeks for full affect to take place • Monitor for serotonin syndrome (mental changes, NV, tachycardia, hyperthermia)
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Aug 8, 2022 • 3min

Erythromycin (Erythrocin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:  https://bit.ly/ErythromycinErythrocinNursingConsiderations    Generic Name Erythromycin Trade Name E-Mycin Indication Useful in place of penicillin when patient cannot take penicillin, upper and lower respiratory tract infections, otitis media, skin infections, pertussis, syphilis, rheumatic fever Action Bacteriostatic: suppresses bacterial protein synthesis Therapeutic Class Anti-infective Pharmacologic Class Macrolide Nursing Considerations • Causes QT prolongation, ventricular arrhythmias • Diarrhea • Asses infection • Monitor liver function tests • Instruct patient to finish medication dosage even if they are feeling better • Medication should not be shared

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