MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Feb 6, 2023 • 3min

Vasopressin (Pitressin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name vasopressin Trade Name Pitressin Indication management of diabetes insipidus, VT/VF unresponsive to initial shock, GI hemorrhage Action increases water permeability of the kidney’s collecting duct and distal convoluted tubule leading to water retention, also increases peripheral vascular resistance leading to increased BP Therapeutic Class hormone Pharmacologic Class antidiuretic hormone Nursing Considerations • use caution with HF and CV disease • contraindicated in renal failure and hypersensitivity to pork • monitor BP, HR, and EKG during therapy • monitor urine specific gravity and osmolality • weigh patient and assess for edema • monitor electrolyte panel • do not use with alcohol
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Feb 3, 2023 • 3min

Vancomycin (Vancocin) Nursing Considerations

Generic Name vancomycin Trade Name Vancocin Indication life threatening infections, sepsis Action bactericidal, inhibits cell wall synthesis Therapeutic Class anti-infectives Pharmacologic Class glycopeptides Nursing Considerations • can cause ototoxicity, nausea, vomiting, nephrotoxicity, anaphylaxis, red-man syndrome • assess for infection • obtain culture prior to initiating therapy • monitor blood pressure • dose dependent draw serum trough levels frequently • administer over at least 60 minutes to avoid skin irritation
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Feb 1, 2023 • 3min

Metoprolol (Toprol XL) Nursing Considerations

Generic Name metoprolol Trade Name Lopressor, Toprol XL Indication tachyarrhythmias, HTN, angina, prevention of MI, heart failure management, may be used for migraine prophylaxis Action blocks the stimulation of beta1 receptors in the SNS, does not usually effect on beta2 receptors (cardioselective) Therapeutic Class antianginal, antihypertensive Pharmacologic Class beta blocker Nursing Considerations • monitor hemodynamics • may lead to bradycardia, pulmonary edema • use caution with MAOIs • assess I&Os and monitor for signs of CHF
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Jan 30, 2023 • 2min

Tetracycline (Panmycin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name tetracycline Trade Name Doxycycline Indication treatment of infection, gonorrhea and syphilis with penicillin allergy, chronic bronchitis Action bacteriostatic by inhibiting protein synthesis Therapeutic Class anti-infectives Pharmacologic Class Tetracyclines Nursing Considerations • use caution with liver impairment • may cause pseudomembranous colitis, diarrhea, nausea, vomiting, photosensitivity, rash • may increase effects of warfarin • assess for infection • obtain culture prior to initiating therapy • monitor renal and liver labs • instruct patient to complete entire dose
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Jan 27, 2023 • 2min

Terbutaline (Brethine) Nursing Considerations

Generic Name terbutaline Trade Name Brethine, Brethaire Indication asthma, COPD, preterm labor Action produces smooth muscle relaxation, bronchodilator, and inhibits hypersensitivity reactions Therapeutic Class bronchodilators Pharmacologic Class adrenergics tocolytics Nursing Considerations • may cause nervousness, restlessness, tremors • beta blockers can reduce effect • assess respiratory status • monitor maternal/fetal vital signs if using for preterm labor • monitor for hypoglycemia • may cause decreased potassium level
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Jan 25, 2023 • 3min

Ferrous Sulfate (Iron) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     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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Jan 23, 2023 • 3min

Trimethoprim-Sulfamethoxazole (Bactrim) Nursing Considerations

Generic Name trimethoprim/sulfamethoxazole Trade Name Bactrim/TMP-SMZ Indication bronchitis, UTI, diarrhea, pneumonia, multiple types of infection Action bacteriacidal by preventing metabolism of folic acid Therapeutic Class anti-infectives, antiprotozoals Pharmacologic Class folate antagonists, sulfonamides Nursing Considerations • may cause renal damage, Steven Johnsons Syndrome – rash, pseudomembranous colitis, nausea, vomiting, diarrhea, rash, agranulocytosis, aplastic anemia, phlebitis • contraindicated with sulfa allergies • monitor CBC • obtain cultures prior to initiating therapy • monitor intake and output • instruct patient to complete dose • drink 8-10 glasses of water
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Jan 20, 2023 • 2min

Sucralfate (Carafate) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name sucralfate Trade Name Carafate Indication management of GI ulcers, GI injury prevention from high dose aspirin and NSAID treatment Action reacts with gastric acid to form a paste that adheres to ulcer Therapeutic Class antiulcer agent Pharmacologic Class GI protectant Nursing Considerations • use caution in renal failure patients • concurrent use of antacids may decrease the effect of sucralfate – administer 30 min before or after • administer on empty stomach 1 hour before meals
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Jan 18, 2023 • 3min

Streptokinase (Streptase) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name streptokinase Trade Name Streptase Indication pulmonary embolism, DVT, occluded lines, arterial thrombus Action converts plasminogen to plasmin which degrades fibrin clots Therapeutic Class Thrombolytic Pharmacologic Class plasminogen activators Nursing Considerations • contraindicated with active bleeding, hypersensitivity, bronchospasm, intracranial hemorrhage, hypotension • begin therapy as soon as possible • monitor vital signs continuously • monitor closely for bleeding • monitor hemodynamics • avoid invasive procedures
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Jan 16, 2023 • 2min

Spironolactone (Aldactone) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name spironolactone Trade Name Aldactone Indication potassium loss, hypertension, edema, CHF Action inhibits sodium reabsorption while sparing potassium and hydrogen Therapeutic Class Diuretics Pharmacologic Class potassium sparing diuretics Nursing Considerations • contraindicated with hyperkalemia • monitor intake and output • monitor blood pressure • monitor potassium levels and renal panel

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