MedMaster by NURSING.com

Jon Haws, RN CCRN Alumnus
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Jan 13, 2023 • 2min

Sertraline (Zoloft) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name sertraline Trade Name Zoloft Indication major depressive disorder, OCD, anxiety Action inhibits uptake of serotonin allowing for higher quantities available within synaptic cleft Therapeutic Class Antidepressant Pharmacologic Class SSRI Nursing Considerations • do not use with MAOIs • can cause neurolyptic malignant syndrome, suicidal thoughts, drowsiness, insomnia, diarrhea, dry mouth, tremors, serotonin syndrome, sexual dysfunction • monitor mood changes in patient • takes 1-4 weeks for therapy to be effective.
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Jan 11, 2023 • 3min

Salmeterol (Serevent) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name salmeterol Trade Name Serevent Indication reversible airway obstruction, exercise induced asthma Action bronchodilation through stimulation of beta 2 adrenergic receptors Therapeutic Class bronchodilators Pharmacologic Class adrenergics Nursing Considerations • instruct patient to avoid excessive use • can cause headache palpitations tachycardia, abdominal pain, paradoxical bronchospasm • beta blockers and decrease effectiveness • assess respiratory status • may increase glucose levels • always take bronchodialtor first
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Jan 9, 2023 • 2min

Rifampin (Rifadin) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name rifampin Trade Name Rimactane Indication tuberculosis Action inhibits RNA synthesis Therapeutic Class Antitubercular Pharmacologic Class rifamycins Nursing Considerations • can turn body fluids red • may cause diarrhea, nausea, vomiting, confusion • assess lung sounds and sputum characteristics • evaluate renal and liver function tests • instruct patient not to skip or double dose • must complete entire dose (6-12 month therapy)
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Jan 6, 2023 • 2min

Ranitidine (Zantac) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name ranitidine Trade Name Zantac Indication duodenal ulcers, GERD, heartburn, esophagitis, GI bleed Action inhibits action of histamine in gastric parietal cells, decreases gastric acid secretion Therapeutic Class antiulcer agents Pharmacologic Class histamine H2 antagonists Nursing Considerations • may cause arrhythmias, agranulocytosis, aplastic anemia, confusion • assess abdominal pain • monitor for blood in stool • monitor CBC
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Jan 4, 2023 • 3min

Quetiapine (Seroquel) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name quetiapine Trade Name Seroquel Indication schizophrenia, depressive disorder, mania Action dopamine and serotonin antagonist Therapeutic Class antipsychotic, mood stabilizers Pharmacologic Class none Nursing Considerations • may cause neurolyptic malignant syndrome, seizures, dizziness, palpitations, weight gain, anorexia • QT interval prolongation • don’t use with CNS depressants • assess weight frequently • monitor liver function test and CBC • may increase cholesterol
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Jan 2, 2023 • 2min

Propylthiouracil (PTU) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name propylthiouracil Trade Name PTU Indication hyperthyroidism Action inhibits thyroid hormones Therapeutic Class Antithyroid Agent Pharmacologic Class none Nursing Considerations • hepatotoxicity, nausea, vomiting, agranulocytosis • monitor symptoms of hyperthyroidism • monitor for hypothyroidism • monitor WBC and liver function tests • weight patient frequently • may cause leukopenia, thrombocytopenia, jaundice • take with meals
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Dec 30, 2022 • 4min

Propranolol (Inderal) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name propranolol Trade Name Inderal Indication hypertension, angina, arrhythmias, cardiomyopathy, alcohol withdrawal, anxiety Action blocks Beta 1 and 2 adrenergic receptors Therapeutic Class antianginal, antiarrhythimic (class II beta blockers), antihypertensive, headache suppressant Pharmacologic Class beta blocker Nursing Considerations • contraindicated in CHF, pulmonary edema, cardiogenic shock, bradycardia, heart block • monitor hemodynamic parameters (HR, BP) • may cause bradycardia, CHF, pulmonary edema • masks symptoms of hypoglycemia associated with diabetes mellitus • advise to change positions slowly to prevent orthostatic hypotension • instruct patient on how to take blood pressure • stopping abruptly may result in life threatening arrhythmias • monitor daily intake and output • advise patient to notify physician for difficulty breathing
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Dec 28, 2022 • 3min

Propofol (Diprivan) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name propofol Trade Name Diprivan Indication anesthesia, induction, sedation, Action hypnotic, produces amnesia with no analgesic properties Therapeutic Class general anesthetic Pharmacologic Class none Nursing Considerations • use cautiously with CVD, lipid disorder, increased ICP • can cause apnea, bradycardia, hypotension • burning and pain at insertion site • can turn urine green • assess respiratory status and hemodynamics • maintain patent airway • assess level of sedation
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Dec 26, 2022 • 3min

Promethazine (Phenergan) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name Promethazine Trade Name Phenergan Indication allergic reactions, nausea and vomiting, sedation Action Blocks the effects of histamine, histamine plays a role in the immune response.  Plays an inhibitory role on the chemoreceptor trigger zone in the medulla leading to an antiemetic effect.  Possess anticholinergic properties producing CNS depression. Therapeutic Class antiemetic, antihistamine, sedative/hypnotic Pharmacologic Class phenothiazine Nursing Considerations • IV administration may cause damage to tissue, hypertension, impaired liver function • monitor for neuroleptic malignant syndrome, confusion, sedation • may cause CNS depression • assess sedation level and anticholinergic effects
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Dec 23, 2022 • 3min

Procainamide (Pronestyl) Nursing Considerations

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name procainamide Indication wide variety ventricular and atrial arrhythmias, PAC, PVC, VTach, post cardioversion Action decreases excitability and slows conduction velocity through the heart Therapeutic Class antiarrhythmic (Class IA Na Channel Blocker) Nursing Considerations • may cause ventricular arrhythmias, seizure, asystole, heart block • monitor EKG continuously may cause widening of QRS complex • may cause hypotension keep patient supine • monitor for signs of agranulocytosis monitor CBC frequently • can cause drug induced lupus syndrome

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