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
Jul 13, 2022 • 4min
Diazepam (Valium) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DiazepamValiumNursingConsiderations Generic Name Diazepam Trade Name Valium Indication Anxiety, pre-op sedation, conscious sedation, treatment of seizures, insomnia, management of alcohol withdrawal Action Decreases the effects of voltage gated sodium channels to depresses the CNS Therapeutic Class Antianxiety agents, anticonvulsants, sedative/hypnotics, skeletal muscle relax- ants (centrally acting) Pharmacologic Class Benzodiazepine Nursing Considerations • Contraindicated in hepatic dysfunction • Use caution with renal impairment • Can cause dizziness, drowsiness, lethargy, hypotension, physical depen- dence, tolerance • Instruct patient to take as directed • Caution to avoid alcohol use • Flumazenil (Romazicon) is the reversal agent
Jul 11, 2022 • 4min
Dexamethasone (Decadron) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DexamethasoneDecadronNursingConsiderations Generic Name Dexamethasone Trade Name Decadron Indication Manage cerebral edema, assess for Cushing’s Disease Action Suppress inflammation and normal immune response. Used in inflammatory states to decrease inflammation. Therapeutic Class Antiasthmatics, corticosteroids Pharmacologic Class Corticosteroids Nursing Considerations • Excreted by the liver – monitor liver profile • Avoid in active untreated infections • May cause CNS alterations • May cause peptic ulcers • May cause Cushingoid appearance (buffalo hump, moon face) • Weight gain • Osteoporosis • Decrease wound healing • May elevate blood sugars • May increase cholesterol and lipid values
Jul 8, 2022 • 4min
Cyclosporine (Sandimmune) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CyclosporineSandimmuneNursingConsiderations Generic Name Cyclosporine Trade Name Sandimmune Indication Prevention of rejection in transplantation, treatment of severe RA, management of ulcerative colitis Action Inhibits normal immune response primarily by decreasing the activity of T cells Therapeutic Class Immunosuppressant, antirheumatics (DMARD) Pharmacologic Class Polypeptides (cyclic) Nursing Considerations • May cause seizures, tremors, hypertension, hepatotoxicity, diarrhea, N/V, gingival hyperplasia • Increases immune suppression with corticosteroids • Avoid grapefruit juice while taking this medications • Assess for signs of organ rejection • Monitor renal panel, liver enzymes • Take medication as directed • Lifelong therapy required for transplant patients • Instruct pt on how to take blood pressure
Jul 6, 2022 • 4min
Cortisone (Cortone) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CortisoneCortoneNursingConsiderations Generic Name Cortisone Trade Name Cortone Indication Management of adrenocortical insufficiency (Addison’s Disease). Replace cortisol in states of deficiency, suppress inflammation and normal immune response. Action The adrenal glands sit on top of the kidneys. The adrenal glands excrete steroid hormones, including cortisol that play a role in increasing blood sugars, immune suppression, and metabolism of fat, protein, and carbohydrates, as well as decreasing bone formation. Therapeutic Class Antiasthmatics, corticosteroids Pharmacologic Class Corticosteroids Nursing Considerations • Excreted by the liver – monitor liver profile • Avoid in active untreated infections • May cause CNS alterations • May cause peptic ulcers • May cause Cushingoid appearance (buffalo hump, moon face) • Weight gain • Osteoporosis • Decrease wound healing • May elevate blood sugars • May increase cholesterol and lipid values
Jul 4, 2022 • 4min
Codeine (Paveral) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CodeinePaveralNursingConsiderations Generic Name Codeine Trade Name Paveral Indication Management of pain, diarrhea, cough suppressant Action 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 Allergy, cold, cough remedy, antitussive, opioid analgesic Pharmacologic Class Opioid agonist 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 MAO Inhibitors • Narcan (naloxone) is the antidote for opioid agonists
Jul 1, 2022 • 4min
Clopidogrel (Plavix) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/ClopidogrelPlavixNursingConsiderations Generic Name Clopidogrel Trade Name Plavix Indication Atherosclerotic events, MI, CVA, PVD, acute coronary syndrome Action Inhibits platelet aggregation Therapeutic Class Antiplatelet agent Pharmacologic Class Platelet aggregation inhibitors Nursing Considerations • May cause GI bleeding, neutropenia, hypercholesterolemia • May increase risk for bleeding in warfarin, aspirin, heparin • Can increase risk for bleeding with garlic, ginkgo, ginger • Monitor for signs of bleeding • Monitor bleeding times • Monitor CBC and platelet count • Discontinue use 5-7 days before surgery
Jun 29, 2022 • 3min
Clindamycin (Cleocin) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/ClindamycinCleocinNursingConsiderations Generic Name Clindamycin Trade Name Cleocin Indication Skin infections, respiratory tract infections, septicemia, intra-abdominal infections, osteomyelitis Action Bacteriostatic: inhibits protein synthesis Therapeutic Class Anti-infectives Pharmacologic Class Lincosamide Nursing Considerations • Arrhythmias, pseudomembranous colitis, diarrhea, phlebitis • Monitor bowel function • Assess for infection, obtain cultures prior to therapy • Monitor liver function tests • Monitor CBC
Jun 27, 2022 • 3min
Ciprofloxacin (Cipro) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CiprofloxacinCiproNursingConsiderations Generic Name Ciprofloxacin Trade Name Cipro Indication Urinary tract infections, gonorrhea, respiratory tract infections, bronchitis, pneumonia, skin and bone infections, infectious diarrhea, abdominal infections Action Inhibits bacterial DNA synthesis Therapeutic Class Anti-infectives 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 • May decrease effects of phenytoin • Monitor renal panel • Assess for infection, obtain cultures prior to therapy • Monitor liver function tests
Jun 24, 2022 • 4min
Cimetidine (Tagamet) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CimetidineTagametNursingConsiderations Generic Name Cimetidine Trade Name Tagamet Indication Treatment of duodenal ulcers, GERD, heartburn, Zollinger Ellison syndrome, prevention of GI bleeding in critical patients. Action Inhibits action of histamine leading to inhibition of gastric acid secretion Therapeutic Class Antiulcer agent Pharmacologic Class Histamine H2 antagonist Nursing Considerations • Increases serum level of warfarin • Can lead to respiratory infection (green sputum) • Monitor for arrhythmias • May cause agranulocytosis, aplastic anemia • Monitor CBC during therapy • Take medication as directed • Instruct patient to increase fluid and fiber intake to decrease constipation
Jun 22, 2022 • 4min
Chlorpromazine (Thorazine) Nursing Considerations
Download the cheat: https://bit.ly/50-meds View the lesson: Generic Name Chlorpromazine Trade Name Thorazine Indication Second line treatment of schizophrenia and psychosis, nausea/vomiting, pre-op sedation, acute intermittent porphyria, headache, bipolar Action Exhibits anticholinergic activity, alters effects of dopamine in CNS Therapeutic Class Antipsychotic, antiemetic Pharmacologic Class Phenothiazines (dopamine D2 receptor antagonist) Nursing Considerations • May cause neuroleptic malignant syndrome, sedation, tardive dyskinesia, hypotension, agranulocytosis • Assess mental status prior to and during treatment • Monitor blood pressure • Ensure patient is taking medication • Monitor CBC and liver function tests • Instruct patient not to skip doses or double dose.
