MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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May 4, 2022 • 4min

Amiodarone (Pacerone) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AmiodaronePaceroneNursingConsiderations    Generic Name Amiodarone Trade Name Cordarone Indication a-fib, ventricular arrhythmias, SVT, ACLS protocol for v-fib and v-tach Action Prolongs phase 3 of the action potential, makes the heart more tolerant to arrhythmias, inhibits adrenergic stimulation, slows rate, decreases peripheral vascular resistance causing vasodilation Therapeutic Class Antiarrhythmic class III, potassium channel blocker Pharmacologic Class None Nursing Considerations • May lead to ARDS, pulmonary toxicity, CHF, bradycardia, hypotension • Increases risk for QT prolongation • Increases digoxin levels • Increases activity of warfarin • Monitor EKG continuously while on therapy • Assess for signs and symptoms of ARDS • Monitor liver function test • Check dosage with another RN • Teach pt to monitor pulse daily and report abnormalities • Avoid drinking grapefruit juice
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May 2, 2022 • 5min

Alprazolam (Xanax) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AlprazolamXanaxNursingConsiderations    Generic Name Alprazolam Trade Name Xanax Indication Anxiety, panic disorder, manage symptoms of PMS, insomnia, mania, psychosis Action Works in CNS to produce anxiolytic effect causing CNS depression. Therapeutic Class Antianxiety agent Pharmacologic Class Benzodiazepine Nursing Considerations • Use caution with existing CNS depression, sleep apnea, renal dysfunction, hepatic dysfunction. • May cause CNS depression, drowsiness, lethargy • May lead to physical dependence, may experience tolerance effect • Assess anxiety and mental status • Romazicon (flumazenil) is the antidote for overdose • Grapefruit juice may increase blood levels
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Apr 29, 2022 • 3min

Alendronate (Fosamax) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AlendronatefosamaxNursingConsiderations  Generic Name Alendronate Trade Name Fosamax Indication Osteoporosis (aging, menopause, corticosteroid induced) Action Inhibits osteoclast activity leading to inhibition of resorption of bone Therapeutic Class Bone resorption inhibitor Pharmacologic Class Bisphosphonates Nursing Considerations • Take first thing in the morning with full glass of water 30 min prior to eating • Assess serum calcium and vitamin D • May lead to muscle pain
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Apr 27, 2022 • 5min

Albuterol (Ventolin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AlbuterolVentolinNursingConsiderations  Generic Name Albuterol Trade Name Proventil Indication Bronchodilator used to prevent airway obstruction in asthma and COPD Action Binds to Beta2 adrenergic receptors in the airway leading to relaxation of the smooth muscles in the airways Therapeutic Class Bronchodilator Pharmacologic Class Adrenergic Nursing Considerations • May decrease the effectiveness of Beta Blockers • Use caution with ○ Heart disease ○ Diabetes ○ Glaucoma ○ Seizure disorder • Overuse of inhalers can lead to bronchospasm • Monitor for chest pain and palpitations • Can decrease digoxin levels
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Apr 25, 2022 • 5min

Acting (Regular) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/Insulin–ShortActingRegularNursingConsiderations  Generic Name Insulin Regular Trade Name Humulin R/Novolin R Indication hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis Action stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver, prevents breakdown of fat and protein Route Onset Peak Duration Subcutaneous 30-45 min 1-5 4.5-6h   Therapeutic Class antidiabetics, hormones Pharmacologic Class pancreatics Nursing Considerations • assess for symptoms of hypoglycemia or hyperglycemia • monitor body weight over time • may cause decreased inorganic phosphates, potassium, and magnesium • monitor blood sugars every 6 hours, monitor A1C every 3-6 months
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Apr 22, 2022 • 4min

Insulin – Intermediate Acting (NPH) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/Insulin–IntermediateActingNPHNursingConsiderations  Generic Name Insulin NPH Trade Name Humulin N, Novolin N Indication hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis Action stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver, prevents breakdown of fat and protein Route Onset Peak Duration Subcutaneous 1-2 hr 4-12hr 18-24hr   Therapeutic Class antidiabetics, hormones Pharmacologic Class pancreatics Nursing Considerations • assess for symptoms of hypoglycemia or hyperglycemia • monitor body weight over time • may cause decreased inorganic phosphates, potassium, and magnesium • monitor blood sugars every 6 hours, monitor A1C every 3-6 months
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Apr 20, 2022 • 4min

Acting (Lantus) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/Insulin–LongActingLantusNursingConsiderations  Generic Name Insulin detemir, Insulin glargine Trade Name Levemir, Lantus Indication hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis Action stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver, prevents breakdown of fat and protein Route Onset Peak Duration Detemir 3-4 hr 3-14 hr 24 hr Glargine 3-4 hr none 24 hr   Therapeutic Class antidiabetics, hormones Pharmacologic Class pancreatics Nursing Considerations • assess for symptoms of hypoglycemia or hyperglycemia • monitor body weight over time • may cause decreased inorganic phosphates, potassium, and magnesium • monitor blood sugars every 6 hours, monitor A1C every 3-6 months
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Apr 18, 2022 • 4min

Acetate (Phoslo) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/CalciumAcetatePhosLoNursingConsiderations  Generic Name calcium acetate Trade Name PhosLo Indication treatment of hypocalcemia, prevention of post-menopausal osteoporosis, treatment of hyperkalemia and hypermagnesaemia, adjunct in cardiac arrest, control of hyperphosphatemia with ESRD. Binds to phosphate in food and prevents absorption. 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 • phlebitis at site of insertion • monitor hemodynamics • may cause hypotension, bradycardia, and arrhythmias • hypercalcemia can increase risk for digoxin toxicity • administer slowly • instruct pt on foods that contain Vitamin D and encourage adequate intake. • monitor parathyroid hormone
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Feb 25, 2022 • 3min

Acyclovir (Zovirax) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson: https://bit.ly/AcyclovirZoviraxNursingConsiderations  What is the Generic Name Acyclovir What is the Trade Name for Acyclovir Zovirax What is the Indication for Acyclovir Genital herpes, herpes zoster, chicken pox What is the Action of Acyclovir Interferes with viral DNA synthesis What is the Therapeutic Class of Acyclovir Antiviral What is the Pharmacologic Class of Acyclovir Purine analogues What are the Nursing Considerations for Acyclovir   May cause seizures, renal failure, Stevens-Johnson syndrome, thrombotic thrombocytopenic purpura syndrome, diarrhea, dizziness, nausea Monitor renal panel during administration Assess lesions Instruct patient to use proper protection during sexual intercourse
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Feb 23, 2022 • 5min

Acetaminophen (Tylenol) Nursing Considerations

50 Meds Download: https://bit.ly/50-meds What is the Generic Name Acetaminophen What is the Trade Name for Acetaminophen Tylenol What is the Indication for Acetaminophen Pain, fever What is the Action of Acetaminophen Inhibit the synthesis of prostaglandins which play a role in transmission of pain signals and fever response What is the Therapeutic Class of Acetaminophen Antipyretic, non-opioid analgesic What are the Nursing Considerations for Acetaminophen • Do not exceed 4g of acetaminophen per day to limit risk for liver, renal, and cardiac damage • Overdose will lead to hepatotoxicity • Acetadote is the antidote for overdose • May increase risk for bleed with warfarin therapy • May alter blood glucose measurements

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