MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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May 27, 2022 • 3min

Bisacodyl (Dulcolax) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/BisacodylDulcolaxNursingConsiderations    Generic Name Bisacodyl Trade Name Dulcolax Indication Treatment of constipation, bowel regimen Action Stimulates enteric nerves to cause peristalsis which leads to fluid accumulation in the colon Therapeutic Class Laxatives Pharmacologic Class Stimulant laxatives Nursing Considerations • May lead to hypokalemia • May cause abdominal pain and cramps • Not for use within 1 hour of taking milk product • Assess for abdominal distention and bowel function • Instruct patient to drink 1500-2000 mL/day during therapy • Monitor fluid and electrolyte levels • Instruct patient to take as ordered
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May 25, 2022 • 3min

Benztropine (Cogentin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/BenztropineCogentinNursingConsiderations    Generic Name Benztropine Trade Name Cogentin Indication Treatment for Parkinson’s disease Action Exhibits anticholinergic properties (blocks acetylcholine) in the CNS to reduce rigidity and tremors Therapeutic Class Antiparkinson agent Pharmacologic Class Anticholinergic Nursing Considerations • May lead to arrhythmias, hypotension, palpitations, and tachycardia • Anticholinergic effects like constipation, dry mouth • Assess for extrapyramidal symptoms • Instruct patient to take as directed • Instruct patient to maintain good oral hygiene
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May 23, 2022 • 4min

Azithromycin (Zithromax) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AzithromycinZithromaxNursingConsiderations    Generic Name Azithromycin Trade Name Zithromax Indication URI, chronic bronchitis, lower respiratory infections, otitis media, skin infections, various STIs, prevention of bacterial endocarditis, treatment of cystic fibrosis Action Inhibits bacterial protein synthesis Therapeutic Class Agents for atypical mycobacterium, anti-infectives Pharmacologic Class Macrolide Nursing Considerations • May lead to pseudomembranous colitis, pain, diarrhea, nausea, Stevens-Johnson syndrome, angioedema • May increase risks for warfarin toxicity • Monitor patient for signs of anaphylaxis • Instruct patient to notify physician for diarrhea, or blood or pus in stool • Instruct patient to take medication exactly as prescribed
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May 20, 2022 • 3min

Diphenoxylate-Atropine (Lomotil) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/Diphenoxylate-AtropineLomotilNursingConsiderations    Generic Name Diphenoxylate/atropine Trade Name Lomotil Indication Treatment for diarrhea Action Inhibits GI motility via anticholinergic effects Therapeutic Class Antidiarrheal Pharmacologic Class Anticholinergic Nursing Considerations • Contraindicated with angle-closure glaucoma, dehydration • Structurally related to opioids so use caution with patients that have allergies to opioids • May cause constipation, tachycardia, dizziness, ileus • Monitor liver function as the medication is excreted by the liver • Ensure that client is taking medication as prescribed and not double dosing
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May 18, 2022 • 6min

Atropine (Atropen) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AtorvastatinLipitorNursingConsiderations    Generic Name Atropine Trade Name Atropen Indication Decreases oral and respiratory secretions, treats sinus bradycardia and heart block, treatment of bronchospasm Action Atropine is an anticholinergic which means that it inhibits the effects of the parasympathetic nervous system, specifically acetylcholine. This inhibition causes increase in HR, bronchodilation, decreased GI and respiratory secretions. Therapeutic Class Antiarrhythmic Pharmacologic Class Anticholinergic, antimuscarinic Nursing Considerations • Avoid in acute hemorrhage, tachycardia, and angle closure glaucoma • Monitor patient for tachycardia and palpitations • May cause urinary retention in elderly patients • Patients may experience constipation due to slowed GI motility
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May 16, 2022 • 5min

Atenolol (Tenormin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AtenololTenorminNursingConsiderations    Generic Name Atenolol Trade Name Tenormin Indication Hypertension, angina, prevention of MI Action Blocks the stimulation of beta1 receptors in the SNS with minimal effect on beta2 receptors Therapeutic Class Antianginal, antihypertensive Pharmacologic Class Beta blocker Nursing Considerations • Contraindicated in CHF, pulmonary edema, cardiogenic shock, bradycardia, heart block • Monitor hemodynamic parameters (HR, BP) • May cause bradycardia, CHF, pulmonary edema • Masks symptoms associated with diabetes mellitus • Advise to change positions slowly to prevent orthostatic hypotension • Instruct patient on how to take blood pressure
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May 13, 2022 • 5min

ASA (Aspirin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/ASAAspirinNursingConsiderations    Generic Name Acetylsalicylic Acid Trade Name Aspirin Indication Rheumatoid arthritis, osteoarthritis, ischemic stroke, and MI prophylaxis Action Inhibits the production of prostaglandins which leads to a reduction of fever and inflammation, decreases platelet aggregation leading to a decrease in ischemic diseases Therapeutic Class Antipyretics, non-opioid analgesics Pharmacologic Class Salicylates Nursing Considerations • Use caution in bleeding disorders, chronic alcohol use • May lead to Stevens-Johnson syndrome, laryngeal edema, and anaphylaxis • Increases risk for bleeding with warfarin, heparin, and clopidogrel • Increased risk for GI bleeding with NSAID use • Monitor liver function tests • Concurrent use with alcohol may increase risk for GI bleeding • Aspirin with viral infections can cause Reye’s syndrome
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May 11, 2022 • 4min

Ampicillin (Omnipen) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AmpicillinOmnipenNursingConsiderations    Generic Name Ampicillin Trade Name Principen Indication Skin infections, soft tissue infections, otitis media, sinusitis, respiratory infections, GU infections, meningitis, septicemia Action Bactericidal, broader spectrum than penicillin, binds to cell wall leading to bacterial cell death Therapeutic Class Anti-infective Pharmacologic Class Aminopenicillin Nursing Considerations • Contraindicated in penicillin allergy, use caution in renal insufficiency • May lead to seizures, diarrhea, anaphylaxis, superinfection • Assess for infection • Monitor liver function tests • Instruct patient on signs of superinfection: furry overgrowth on tongue, vaginal itching, loose and foul smelling stool • Pt should not use with oral contraceptive use.
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May 9, 2022 • 4min

Amoxicillin (Amoxil) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AmoxicillinAmoxilNursingConsiderations    Generic Name amoxicillin Trade Name Moxatag Indication skin infections, respiratory infections, sinusitis, endocarditis prophylaxis, lyme disease Action Inhibits synthesis of bacterial cell wall leading to cell death. Therapeutic Class anti-infectives, antiulcer agent Pharmacologic Class aminopenicillins Nursing Considerations • contraindicated with penicillin allergy • may cause seizures • assess for rash, anaphylaxis • excreted by kidneys – monitor renal labs • monitor patient for diarrhea – bloody stool should be reported immediately
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May 6, 2022 • 4min

Amlodipine (Norvasc) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AmlodipineNorvascNursingConsiderations    Generic Name Amlodipine Trade Name Norvasc Indication Hypertension, angina Action Blocks transport of calcium into muscle cells inhibiting excitation and contraction Therapeutic Class Antihypertensive Pharmacologic Class Ca channel blocker Nursing Considerations • May cause gingival hyperplasia • Grapefruit juice may increase drug level • Monitor blood pressure and pulse prior to and during therapy • Monitor intake and output • Assess for signs of CHF • Assess characteristics of angina • Instruct patient of interventions for hypertension and how to take blood pressure

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