MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Jun 20, 2022 • 3min

Cephalexin (Keflex) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/CephalexinKeflexNursingConsiderations    Generic Name Cephalexin Trade Name Keflex Indication Skin infections, pneumonia, UTI, otitis media Action Bactericidal: binds to bacterial cell wall leading to cell death Therapeutic Class Anti-infectives Pharmacologic Class Cephalosporin 1st generation Nursing Considerations • Contraindicated with cephalosporin and serious penicillin allergies. • May need lead to seizures, pseudomembranous colitis, diarrhea, phlebitis at IV site, anaphylaxis • Assess infection and allergies • Obtain cultures prior to therapy • Monitor bowel function • May lead to superinfection • May cause elevated liver enzymes
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Jun 17, 2022 • 4min

Celecoxib (Celebrex) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/CelecoxibCelebrexNursingConsiderations    Generic Name Celecoxib Trade Name Celebrex Indication Osteoarthritis, rheumatoid arthritis, acute pain Action Decreases pain and inflammation by inhibiting synthesis of prostaglandins Therapeutic Class Antirheumatics/NSAID Pharmacologic Class Cox 2 inhibitor Nursing Considerations • Use caution with cardiovascular disease • Increases risk for MI, CVA, thrombosis • May cause GI bleeding, Stevens-Johnson syndrome, dermatitis • Notify provider for new-onset abdominal pain or black stool
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Jun 15, 2022 • 3min

Cefdinir (Omnicef) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/CefdinirOmnicefNursingConsiderations    Generic Name Cefdinir Trade Name Omnicef Indication Treatment of skin infections, otitis media Action Bactericidal, binds to bacterial cell wall causing cell death Therapeutic Class Anti-infectives Pharmacologic Class Cephalosporin 3rd generations Nursing Considerations • Contraindicated in cephalosporin and possibly penicillin allergies • May need lead to seizures, pseudomembranous colitis, diarrhea, phlebitis at IV site, anaphylaxis • Assess infection and allergies • Obtain cultures prior to therapy • Monitor bowel function • Monitor for bleeding • May lead to superinfection
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Jun 13, 2022 • 4min

Cefaclor (Ceclor) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/CefaclorCeclorNursingConsiderations    Generic Name Cefaclor Trade Name Ceclor Indication Treatment of respiratory tract infections, skin infections, otitis media Action Bactericidal, binds to bacterial cell wall causing cell death Therapeutic Class Anti-infectives Pharmacologic Class Cephalosporin 2nd generations Nursing Considerations • Contraindicated in cephalosporin and possibly penicillin allergies • May need lead to seizures, pseudomembranous colitis, diarrhea, phlebitis at IV site, anaphylaxis • Assess infection and allergies • Obtain cultures prior to therapy • Monitor bowel function • May lead to superinfection
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Jun 10, 2022 • 4min

Calcium Carbonate (Tums) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/CalciumCarbonateTumsNursingConsiderations    Generic Name Calcium carbonate Trade Name Tums/Rolaids Indication Treatment of hypocalcemia, prevention of postmenopausal osteoporosis, treat- ment of hyperkalemia and hypermagnesemia, used as antacid Action Calcium is essential for nervous, muscular, and skeletal systems, helps maintain cell membranes, aids in transmission of nerve impulses and muscle contraction, aids in blood formation and coagulation Therapeutic Class Mineral and electrolyte replacements/supplements Pharmacologic Class Antacids Nursing Considerations • May cause cardiac arrest and arrhythmias • Monitor hemodynamics • May causes hypotension, bradycardia, and arrhythmias • Hypercalcemia can increase risk for digoxin toxicity • Instruct pt on foods that contain Vitamin D and encourage adequate intake • Monitor parathyroid hormone
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Jun 8, 2022 • 6min

Captopril (Capoten) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/CaptoprilCapotenNursingConsiderations    Generic Name Captopril Trade Name Capoten Indication Hypertension, management of CHF, decrease progression of DM neuropathy 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 • 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 • May lead to Rhabdomyolysis • Dry cough
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Jun 6, 2022 • 3min

Butorphanol (Stadol) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/ButorphanolStadolNursingConsiderations    Generic Name butorphanol Trade Name Stadol Indication moderate to severe pain, labor pain, sedation Action alters perception and response to pain by binding to opiate receptors in CNS Therapeutic Class Opioid Analgesic Pharmacologic Class opioid agonists/antagonists Nursing Considerations • use caution with concurrent use of MAOIs • may cause confusion, hallucinations, sedation • monitor for CNS depression • assess blood pressure pulse and respirations during administration • administer slowly through an IV line
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Jun 3, 2022 • 3min

Buspirone (Buspar) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/BuspironeBusparNursingConsiderations    Generic Name Buspirone Trade Name Buspar Indication Management of anxiety Action Relieves anxiety by binding to dopamine and serotonin receptors Therapeutic Class Antianxiety Pharmacologic Class Azapirone Nursing Considerations • Do not administer concurrently with MAOI or grapefruit juice • May lead to dizziness, drowsiness, fatigue, and weakness • Patient may experience chest pain, palpitations, tachycardia • Instruct patient to take as directed • Instruct patient to avoid alcohol and other CNS depressantss
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Jun 1, 2022 • 3min

Bupropion (Wellbutrin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/BupropionWellbutrinNursingConsiderations    Name Bupropion Trade Name Wellbutrin Indication Depression, smoking cessation, treat ADHD in adults Action Not well understood, ↑ dopaminergic and noradrenergic transmission via reuptake Therapeutic Class Antidepressants, smoking deterrents Pharmacologic Class Aminoketones Nursing Considerations • May lead to seizures, suicidal thoughts • Do not administer if patient is taking MAOI • Use caution with renal and liver impairment • Assess mental status • Instruct patient to avoid alcohol (may lead to hallucinations, seizures, anxiety)
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May 30, 2022 • 3min

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/BismuthSubsalicylatePepto-BismolNursingConsiderations    Generic Name Bismuth subsalicylate Trade Name Kaopectate, Pepto-Bismol Indication Diarrhea, heartburn, indigestion, H. pylori associated ulcer Action Stimulates the absorption of fluids and electrolytes in the intestinal wall, reduction in hypermotility of the stomach, and binds to toxins. Therapeutic Class Antidiarrheal, antiulcer, antacid Pharmacologic Class Absorbent Nursing Considerations • Contraindicated in aspirin hypersensitivity • Increase risk for impaction with geriatric and pediatric patients • Monitor liver profile • Bismuth may interfere with radiologic exams

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