MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus

Episodes

Mentioned books

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Jun 14, 2023 • 3min

Enoxaparin (Lovenox)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Enoxaparin Trade Name Lovenox Indication Prevention of VTE, DVT, and PE Action Prevents thrombus formation by potentiating the inhibitory effect of antithrom- bin on factor Xa and thrombin. Enoxaparin is a low molecular weight heparin. Therapeutic Class Anticoagulant Pharmacologic Class Antithrombotic Nursing Considerations • Contraindicated in pork hypersensitivity • Monitor for signs of bleeding • Administer in subcutaneous tissue • DO NOT eject air bubble prior to injection • DO NOT aspirate or massage site
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Jun 12, 2023 • 4min

Enalapril (Vasotec)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Enalapril Trade Name Vasotec Indication hypertension, management of CHF 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 • May cause hypersensitivity (allergic) reactions and angioedema (swelling of face, lips, tongue, throat) • 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 • Dry cough
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Jun 9, 2023 • 3min

Dopamine (Inotropin)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name dopamine Trade Name Inotropin What is the indication for Dopamine? used to improve blood pressure, cardiac output, and urine output Action Smaller doses result in renal vasodilation Doses 2-10mcg/kg/min result in cardiac stimulation by acting on beta1 receptors Doses >10mcg/kg/min stimulate alpha receptors leading to vasoconstriction (↑SVR) What is the therapeutic class for Dopamine? inotropic, vasopressor Pharmacologic Class adrenergic Nursing Considerations for Dopamine (Inotropin) • Monitor hemodynamics closely: BP, HR, EKG, CVP, and PAOP if available • Obtain parameters for hemodynamic values • Titrate to obtain appropriate BP (more potent vasoconstrictors may be required) • Irritation may occur at IV site • Beta blockers may counteract therapeutic effects Dopamine Audio Lecture
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Jun 7, 2023 • 3min

Dobutamine (Dobutrex)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Dobutamine Trade Name Dobutrex Indication Short term management of heart failure Action Dobutamine has a positive inotropic effect (increases cardiac output) with very little effect on heart rate. Stimulates Beta1 receptors in the heart. Therapeutic Class Inotropic Pharmacologic Class Beta-adrenergic agonist Nursing Considerations • Monitor hemodynamics: hypertension, ↑HR, PVCs • Skin reactions may occur with hypersensitivity • Beta blockers may negate therapeutic effects of dobutamine • Monitor cardiac output • Monitor peripheral pulses before, during, and after therapy • DO NOT confuse dobutamine with dopamine
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Jun 5, 2023 • 4min

Divalproex (Depakote)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Divalproex Trade Name Depakote Indication Seizures, manic episodes, prevention of headache Action Increases the level of GABA (inhibitory neurotransmitter) in CNS Therapeutic Class Anticonvulsant, vascular headache suppressants Pharmacologic Class None Nursing Considerations • May cause suicidal thoughts, agitation, dizziness, insomnia, hepatotoxicity, pancreatitis • Increases risk for bleeding with Warfarin • Use caution with MAOIs • Monitor liver function tests
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Jun 2, 2023 • 3min

Diphenoxylate-Atropine (Lomotil)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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 31, 2023 • 3min

Diphenhydramine (Benadryl)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Diphenhydramine Trade Name Benadryl Indication Allergy, anaphylaxis, sedation, motion sickness, antitussive Action Antagonizes effects of histamine, CNS depression Therapeutic Class Allergy, cold and cough remedy, antihistamine, antitussive Pharmacologic Class Antihistamine Nursing Considerations • May cause drowsiness, anorexia, dry mouth, nausea, chest tightness, thick secretions, hypotension, blurred vision, headache • Anticholinergic effects (dry mouth, blurred vision, constipation, sedation) • Assess purpose of medication prior to giving it • Assess allergies, sleep patterns, cough and lung sounds • Patient should avoid other over-the-counter cough and cold remedies
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May 29, 2023 • 3min

Diltiazem (Cardizem)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Diltiazem Trade Name Cardizem Indication Hypertension, angina, SVT, AFib, aflutter Action Inhibits calcium transport resulting in inhibition of excitation and contraction, leads to depression of AV and SA node leading to decreased HR, leads to vasodi- latation and decreased blood pressure. Therapeutic Class Antianginals, antiarrhythmics, antihypertensive Pharmacologic Class Ca Channel Blocker (Benzothiazepine) Nursing Considerations • Contraindicated in 2nd and 3rd AV block • May cause arrhythmias, CHF, bradycardia, peripheral edema, gingival hyperplasia • Increases digoxin levels • Don’t drink grapefruit juice • Assess for signs of CHF • Monitor EKG continuously • Tell patient to change positions slowly • Monitor serum potassium • Instruct pt on how to take blood pressure
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May 26, 2023 • 3min

Digoxin (Lanoxin)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Digoxin Trade Name Lanoxin Indication CHF, AFib, A-flutter Action Positive inotropic effect (increases force of myocardial contraction), prolongs refractory period, ↓ conduction through SA and AV nodes. Essentially digoxin is given to increase cardiac output and slow the rate. Therapeutic Class Antiarrhythmic, inotropics Pharmacologic Class Digitalis glycosides Nursing Considerations • Excreted by kidneys • Assess patient for hypersensitivity • Contraindicated with uncontrolled ventricular arrhythmias • Hypokalemia increase risk for toxicity • Hypercalcemia ↑ risk for toxicity • Use caution with diuretic use as they may cause electrolyte abnormalities that can lead to toxicity • Assess patient for cardiac arrhythmias including bradycardia • Signs of toxicity include vision changes (blurred vision, yellow, green vision disturbances) • Monitor pulse rate for 1 full minute prior to dosing patient (hold for pulse
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May 24, 2023 • 4min

Diazepam (Valium)

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

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