MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus

Episodes

Mentioned books

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Mar 17, 2023 • 4min

Amlodipine (Norvasc)

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 15, 2023 • 4min

Ampicillin (Omnipen)

Visit https://nursing.com/140meds to request your free copy of "140 Must Know Meds" 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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Mar 15, 2023 • 4min

Amitriptyline (Elavil)

visit https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Outline Generic Name Amitriptyline Trade Name Elavil Indication Depression, anxiety, insomnia, parkinson’s Action Increases effect of serotonin and norepinephrine in the CNS, exhibits anticholinergic effects Therapeutic Class Antidepressant Pharmacologic Class Tricyclic antidepressant Nursing Considerations • Contraindicated in MI, heart failure, QT prolongation, glaucoma • May increase risk for suicidal ideation • May cause arrhythmias, hypotension, EKG changes • May cause alterations in blood glucose levels • May lead to general sedation and lethargy • Do not use within 2 weeks of MAOIs • Instruct pt to take medication exactly as instructed • Monitor for orthostatic hypotension • May lead to photosensitivity, instruct patient to use sunscreen • May turn urine blue/green color.
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Mar 13, 2023 • 4min

Amiodarone (Pacerone)

Visit https://nursing.com/140meds to request your free copy of "140 Must Know Meds"   Outline 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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Mar 9, 2023 • 5min

Alprazolam

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Outline 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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Mar 9, 2023 • 2min

Alendronate

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Outline 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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Mar 9, 2023 • 5min

Albuterol

Outline 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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Mar 8, 2023 • 5min

Acetaminophen (Tylenol) Drug Guide

Visit: https://nursing.com/140meds for your free+shipping 140 Meds book 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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Feb 10, 2023 • 4min

Warfarin (Coumadin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:   Generic Name warfarin Trade Name Coumadin Indication venous thrombosis, pulmonary embolism, A-fib, myocardial infarction Action disrupts liver synthesis of Vitamin K dependent clotting factors Therapeutic Class Anticoagulant Pharmacologic Class coumarins Nursing Considerations • contraindicated with bleeding, severe hypertension • can cause bleeding • aspirin and NSAIDs can increase risk of bleeding • azole antifungals increase effects of warfarin • cimetadine(Tagamet) increases warfarin levels • obtain full history of supplements and herbs • large amounts of vitamin K may antagonize effects of warfarin • assess for signs of bleeding • therapeutic levels: PT 1.3-1.5, INR 2.5-3.5 • instruct patient to report any signs of bleeding • patient should not drink alcohol • bleeding times need to be monitored frequently • vitamin K is antidote
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Feb 8, 2023 • 3min

Verapamil (Calan) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name verapamil Trade Name Isoptin Indication hypertension, angina, SVT, migraine Action prevents transport of calcium, leading to decreased contraction, decreases SA and AV node conduction Therapeutic Class antianginals, antiarrhythmic, antihypertensive, vascular headache suppressants Pharmacologic Class Ca Channel Blocker Nursing Considerations • don’t use with 2nd and 3rd degree heartblock • don’t use with systolic BP < 90 • may cause anxiety, confusion, cough, dyspnea, arrhythmias, CHF, bradycardia, hypotension, elevated liver enzymes, Steven’s Johnson syndrome, hyperglycemia, gingival hyperplasia • grapefruit juice can increase effects • can increase levels of digoxin • monitor heart rhythm, intake and output, blood pressure • assess angina

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