MedMaster by NURSING.com
Jon Haws, RN CCRN Alumnus
Brought to you by NURSING.com, based on their #1 Online Nursing Pharmacology Course . . . Visit nursing.com/50meds to get our list of the 50 most prescribed medications.
YouTube: https://www.youtube.com/c/Nrsng/
The 140 MUST KNOW medications for nurses and nursing students. Each episode will discuss a commonly used medication in hospitals and ICUs that we as nurses will use each day. The #1 medication and pharmacology podcast. This is the perfect podcast for nursing students preparing for the NCLEX or practicing nurses preparing for the CCRN or other exams who want to increase their knowledge of pharmacology and pathopharm. The podcast for nurses and nursing students! Are you ready to sky rocket your nursing career to the next level? We cover test preparation (NCLEX CCRN etc), work life balance, pharmacology, theory, and more. Nursing is hard . . . learning it doesn't have to be! Jon Haws RN, the host has worked as a critical care registered nurse in a Level I Trauma hospital in Dallas, TX. Jon is the creator of NURSING.com. Visit the site and check out the books on Amazon.com We discuss current trends in the ICU, anatomy, physiology, nursing care, and much more. For full disclaimer information visit: nursing.com/about. NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC
YouTube: https://www.youtube.com/c/Nrsng/
The 140 MUST KNOW medications for nurses and nursing students. Each episode will discuss a commonly used medication in hospitals and ICUs that we as nurses will use each day. The #1 medication and pharmacology podcast. This is the perfect podcast for nursing students preparing for the NCLEX or practicing nurses preparing for the CCRN or other exams who want to increase their knowledge of pharmacology and pathopharm. The podcast for nurses and nursing students! Are you ready to sky rocket your nursing career to the next level? We cover test preparation (NCLEX CCRN etc), work life balance, pharmacology, theory, and more. Nursing is hard . . . learning it doesn't have to be! Jon Haws RN, the host has worked as a critical care registered nurse in a Level I Trauma hospital in Dallas, TX. Jon is the creator of NURSING.com. Visit the site and check out the books on Amazon.com We discuss current trends in the ICU, anatomy, physiology, nursing care, and much more. For full disclaimer information visit: nursing.com/about. NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC
Episodes
Mentioned books
Aug 5, 2022 • 7min
Epoetin (Epogen) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/EpoetinEpogenNursingConsiderations Generic Name Epoetin Trade Name Epogen Indication Anemia Action Stimulates erythropoiesis (production of RBCs) Therapeutic Class Antianemic Pharmacologic Class Hormones Nursing Considerations Assess dialysis shunts Contraindicated in albumin hypersensitivity May cause Seizures CHF MI CVA Hypertension Do not shake vial Initiate seizure precautions Monitor Bleeding times Signs of anemia
Aug 3, 2022 • 5min
Epinephrine (EpiPen) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/EpinephrineEpiPenNursingConsiderations Generic Name Epinephrine Trade Name Adrenalin, EpiPen Indication Asthma and COPD exacerbations, allergic reactions, cardiac arrest, anesthesia adjunct Action Affects both beta1 and beta2 also has alpha agonist properties resulting in bron- chodilation and increases in HR and BP. Inhibits hypersensitivity reactions. Therapeutic Class Antiasthmatic, bronchodilator, vasopressor Pharmacologic Class Adrenergic agonist Nursing Considerations • Side effects include: angina, tachycardia, hypertension, restlessness, nervousness, hyperglycemia • Use with MAOI may lead to hypertensive crisis • Patients should not use stimulants (caffeine, guarana, etc) • Excessive use may cause bronchospasm • Assess lung sounds, pulse, BP, and other hemodynamic parameters • Monitor for chest pain • Instruct patient to use as directed • Patient should insure adequate fluid intake to liquefy secretions • Mouth should be rinsed after inhalation • Beta blockers may negate effects • May increase blood glucose levels
Aug 1, 2022 • 4min
Enoxaparin (Lovenox) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/EnoxaparinLovenoxNursingConsiderations Generic Name Enoxaparin Trade Name Lovenox Indication Prevention of VTE, DVT, and PE Action Prevents thrombus formation by potentiating the inhibitory effect of antithrom- bin on factor Xa and thrombin. Enoxaparin is a low molecular weight heparin. Therapeutic Class Anticoagulant Pharmacologic Class Antithrombotic Nursing Considerations • Contraindicated in pork hypersensitivity • Monitor for signs of bleeding • Administer in subcutaneous tissue • DO NOT eject air bubble prior to injection • DO NOT aspirate or massage site
Jul 29, 2022 • 4min
Enalapril (Vasotec) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/EnalaprilVasotecNursingConsiderations Generic Name Enalapril Trade Name Vasotec 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 • May cause hypersensitivity (allergic) reactions and angioedema (swelling of face, lips, tongue, throat) • Can cause neutropenia – check WBCs regularly • 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 CBC frequently • Dry cough
Jul 27, 2022 • 3min
Dopamine (Inotropin) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DopamineInotropinNursingConsiderations Generic Name dopamine Trade Name Inotropin What is the indication for Dopamine? used to improve blood pressure, cardiac output, and urine output Action Smaller doses result in renal vasodilation Doses 2-10mcg/kg/min result in cardiac stimulation by acting on beta1 receptors Doses >10mcg/kg/min stimulate alpha receptors leading to vasoconstriction (↑SVR) What is the therapeutic class for Dopamine? inotropic, vasopressor Pharmacologic Class adrenergic Nursing Considerations for Dopamine (Inotropin) • Monitor hemodynamics closely: BP, HR, EKG, CVP, and PAOP if available • Obtain parameters for hemodynamic values • Titrate to obtain appropriate BP (more potent vasoconstrictors may be required) • Irritation may occur at IV site • Beta blockers may counteract therapeutic effects
Jul 25, 2022 • 3min
Dobutamine (Dobutrex) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DobutamineDobutrexNursingConsiderations Generic Name Dobutamine Trade Name Dobutrex Indication Short term management of heart failure Action Dobutamine has a positive inotropic effect (increases cardiac output) with very little effect on heart rate. Stimulates Beta1 receptors in the heart. Therapeutic Class Inotropic Pharmacologic Class Beta-adrenergic agonist Nursing Considerations • Monitor hemodynamics: hypertension, ↑HR, PVCs • Skin reactions may occur with hypersensitivity • Beta blockers may negate therapeutic effects of dobutamine • Monitor cardiac output • Monitor peripheral pulses before, during, and after therapy • DO NOT confuse dobutamine with dopamine
Jul 22, 2022 • 4min
Divalproex (Depakote) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DivalproexDepakoteNursingConsiderations Generic Name Divalproex Trade Name Depakote Indication Seizures, manic episodes, prevention of headache Action Increases the level of GABA (inhibitory neurotransmitter) in CNS Therapeutic Class Anticonvulsant, vascular headache suppressants Pharmacologic Class None Nursing Considerations • May cause suicidal thoughts, agitation, dizziness, insomnia, hepatotoxicity, pancreatitis • Increases risk for bleeding with Warfarin • Use caution with MAOIs • Monitor liver function tests
Jul 20, 2022 • 4min
Diphenhydramine (Benadryl) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DiphenhydramineBenadrylNursingConsiderations Generic Name Diphenhydramine Trade Name Benadryl Indication Allergy, anaphylaxis, sedation, motion sickness, antitussive Action Antagonizes effects of histamine, CNS depression Therapeutic Class Allergy, cold and cough remedy, antihistamine, antitussive Pharmacologic Class Antihistamine Nursing Considerations • May cause drowsiness, anorexia, dry mouth, nausea, chest tightness, thick secretions, hypotension, blurred vision, headache • Anticholinergic effects (dry mouth, blurred vision, constipation, sedation) • Assess purpose of medication prior to giving it • Assess allergies, sleep patterns, cough and lung sounds • Patient should avoid other over-the-counter cough and cold remedies
Jul 18, 2022 • 3min
Diltiazem (Cardizem) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DiltiazemCardizemNursingConsiderations Generic Name Diltiazem Trade Name Cardizem Indication Hypertension, angina, SVT, AFib, aflutter Action Inhibits calcium transport resulting in inhibition of excitation and contraction, leads to depression of AV and SA node leading to decreased HR, leads to vasodi- latation and decreased blood pressure. Therapeutic Class Antianginals, antiarrhythmics, antihypertensive Pharmacologic Class Ca Channel Blocker (Benzothiazepine) Nursing Considerations • Contraindicated in 2nd and 3rd AV block • May cause arrhythmias, CHF, bradycardia, peripheral edema, gingival hyperplasia • Increases digoxin levels • Don’t drink grapefruit juice • Assess for signs of CHF • Monitor EKG continuously • Tell patient to change positions slowly • Monitor serum potassium • Instruct pt on how to take blood pressure
Jul 15, 2022 • 4min
Digoxin (Lanoxin) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DigoxinLanoxinNursingConsiderations Generic Name Digoxin Trade Name Lanoxin Indication CHF, AFib, A-flutter Action Positive inotropic effect (increases force of myocardial contraction), prolongs refractory period, ↓ conduction through SA and AV nodes. Essentially digoxin is given to increase cardiac output and slow the rate. Therapeutic Class Antiarrhythmic, inotropics Pharmacologic Class Digitalis glycosides Nursing Considerations • Excreted by kidneys • Assess patient for hypersensitivity • Contraindicated with uncontrolled ventricular arrhythmias • Hypokalemia increase risk for toxicity • Hypercalcemia ↑ risk for toxicity • Use caution with diuretic use as they may cause electrolyte abnormalities that can lead to toxicity • Assess patient for cardiac arrhythmias including bradycardia • Signs of toxicity include vision changes (blurred vision, yellow, green vision disturbances) • Monitor pulse rate for 1 full minute prior to dosing patient (hold for pulse
