MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus

Episodes

Mentioned books

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Apr 7, 2023 • 3min

Bupropion (Wellbutrin)

Discover the uses and risks of Bupropion (Wellbutrin) - from treating depression and ADHD to its impact on dopamine and noradrenaline. Learn nursing considerations like seizure risk, mental status monitoring, and the importance of avoiding alcohol while taking bupropion.
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Apr 5, 2023 • 3min

Bismuth Subsalicylate (Pepto-Bismol)

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

Bisacodyl (Dulcolax)

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

Benztropine (Cogentin)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Mar 29, 2023 • 3min

Azithromycin (Zithromax)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Mar 27, 2023 • 4min

Atorvastatin (Lipitor)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name Atorvastatin Trade Name Lipitor Indication Management of high cholesterol (hypercholesterolemia), primary prevention of cardiovascular disease Action Lowers total cholesterol as well as LDL while slightly increasing HDL. Inhibits HMG-CoA reductase which plays a role in the liver in cholesterol formation Therapeutic Class Lipid-lowering agent Pharmacologic Class HMG-CoA reductase inhibitor Similar Medications Simvastatin (Zocor), rosuvastatin (Crestor) Nursing Considerations • Contraindicated in active liver disease • May cause rhabdomyolysis • Monitor renal function • Monitor serum cholesterol before, about 4 weeks after starting, and fre- quently during drug therapy • Monitor liver function tests • Instruct patient to report muscle weakness (sign of rhabdomyolysis)
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Mar 24, 2023 • 6min

Atropine (Atropen)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Mar 22, 2023 • 4min

Atenolol (Tenormin)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Mar 20, 2023 • 4min

Amoxicillin (Amoxil)

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Mar 17, 2023 • 5min

ASA (Aspirin)

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