MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus

Episodes

Mentioned books

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Jul 7, 2023 • 4min

Furosemide (Lasix)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Jul 5, 2023 • 4min

Fluticasone (Flonase)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Jul 3, 2023 • 3min

Fluoxetine (Prozac)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Jun 30, 2023 • 2min

Ferrous Sulfate (Iron)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Ferrous sulfate Trade Name Feosol Indication Prevention and treatment of iron-deficiency anemia Action Iron is essential for hemoglobin, myoglobin and enzymes, it is transported to organs where it becomes part of iron stores Therapeutic Class Antianemics Pharmacologic Class Iron supplements Nursing Considerations • May cause seizures, hypotension, constipation, epigastric pain, diarrhea, skin staining, anaphylaxis • Assess nutritional status, bowel function • Monitor hemoglobin, hematocrit, iron levels • May cause elevated liver enzymes • Take on an empty stomach to increase absorption/vitamin c helps with absorption • Use z-track for IM injections
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Jun 28, 2023 • 4min

Fentanyl (Duragesic)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Jun 26, 2023 • 3min

Famotidine (Pepcid)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Jun 23, 2023 • 3min

Escitalopram (Lexapro)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Jun 21, 2023 • 3min

Erythromycin (Erythrocin)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Jun 19, 2023 • 6min

Epoetin (Epogen)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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
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Jun 16, 2023 • 5min

Epinephrine (EpiPen)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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

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