Metformin (Glucophage) and glipizide (Glucotrol) for diabete mellitus. Nurse check what lab:
HbA1c of below 7% for diabetics
Enalapril (Vasotec) and spironolactone (Aldactone) adverse effects:
Hyperkalemia because its a ACE-inhibitor and K-sparing diuretic.
Methotrexate (Rheumatrex) for Rheumatoid arthritis teaching:
Report sores in mouth, take once a week [oral or injection], 4-6 weeks to work.
Morphine Sulfate following thoracic procedure. What indicates client pain being managed:
Client able to breathe deeply and cough.
Patient on Insulin Lispro and prescribed Metoprolol (Lopressor) for HTN. Nurse should observe what signs for hypoglycemia:
Insulin glargine (Lantus) type 1 diabetes mellitus teaching plan:
DO NOT MIX in syringe, adminster at bedtime, clear, don't need to shake
Colesevelam (WelChol) teaching plan:
Other medication 1 hour or 4 hours after, taken with food or water, high fiber diet.
Fluoxetine (Prozac) teaching plan:
Don't take St. John's Wort, may get rash, Acetaminophen instead of Ibuprofen.
Digoxin (Lanoxin) patient experiences Dysrhythmias:
Furosemide (Lasix) lead to hyperkalemia causes dysrhythmias.
Risedronate (Actonel) for osteoporosis teaching plan:
Sit up 30 mins, don't take with milk, take in morning, take on empty stomach.
Pilocarpine (Pilocar) eye drops teaching:
Don't drive until vision clears, cause brow pain, take for rest of life, messes with the rest of the body
Naloxone (Nacar) Antidote:
Observe for bleeding, Assess client for nausea and vomiting, check pain frequently, tachycardia, repeat dose every 2-3 minutes.
Avoid during metronidazole (Flagyl):
Beer can cause disulfiram-reaction (Hypotension, vomiting, weakness)
Mannitol (Osmitrol) achieving therapeutic effect:
Decrease intraocular pressure for acute closure glaucoma.
Simvastatin (Zocor) teaching plan:
Report muscle pain, do not take med with grapefruit juice, minimize alcohol intake, life long therapy, take in the evening.
INR (International Normalized Ratio) value:
2.0-3.0. Target of 2.5. Higher the number bleeding disorder. Lower the number clotting disorder.
Oxytocin (Pitocin) by continuious IV, piggy backed into maintenance IV solution. FHR indicates late decelerations. The nurse first:
Discontinue client's IV to reduce contractions.
Risedronate (Actonel) to treat osteoporosis. Client teaching:
Take in the morning, sit up 30 mins after taking, take with food, swallow whole.
Epoetin Alfa (Procrit) to treat anemia. Nurse should monitor:
Increased blood pressure and seizures if hematocrit rises too quickly.
Tranylcpromine (Parnate) for depression. Client teaching:
Move slowly when changing position because orthrostatic hypotension can result as a side effect.
Exenatide (Byetta) for type 2 diabetes mellitus. Nurse needs to monitor immediately:
Abdominal pain due to pancreatitis.
Secondary symptom for hyperglycemia: Increased thirst
Prednisone (Deltasone) for chronic asthma. Nurse monitors:
Blood glucose because steroid increase blood sugar.
NHP insulin and Regular insulin in a single syringe: Clear before cloudy.
1. NPH (Cloudy) insert air
2. Regular (Clear) insert air
3. Draw up regular (Clear)
4. Draw up NPH (Cloudy)
Timolol (Timoptic) for glaucoma. Client history concern:
Its a Beta Blocker that can worsen bradycardia.
Hydroxyurea (Droxia) for sickle cell anemia. Nurse reports what to provider:
Hemoglobin, platelets, neutrophils.
Acetaminophen/oxycodone (Percocet) for breakthrough pain PRN and Acetaminophen every 4 hours. The nurse should:
Notify the provider due to possible overdose.
Client teaching for Warfain:
Limit green leafy veggies, get blood drawn regularly, notify doctor if you bleed of bruise easily, and do not take Aspirin or Tylenol.
Pregnant with Pneumonia contraindication:
Deoxycycline (Doxycin), Tetracycline due to adverse effects on bones.
Procainamide (Pronestyl) with acute MI and premature ventricular beats. The nurse should withhold if:
QRS (Contraction) widening of more then 50% and long QT intervals (Rest period) indicates cardiotoxictiy.
Tamoxifen (Nolvadex) for breast cancer adverse side effects:
Menstrual irregularity, hot flashes, vaginal discharge.
HX of HTN uses OTC oral decongestants for nasal congestion. The nurse advises patient that decongestants:
Constricts blood vessels (Sympathomimetics)
Trimethoprim/sulfamethoxazole (Bactrim DS) side effects:
Vesicular, crusty rash is a sign of Stevens-Johnson syndrome.
(Photosensitivity-Limited sun exposure)
Transdermal Nitroglycerin (Minitran) teaching plan:
Take patch off each evening for medication free time of 12-14 before each new patch.
Amoxicillin/calavulaic acid (Augmentin) allergy to penicillin. The nurse should first:
Hold the medication.
Ampotericin B (Fungizone) for histoplasmosis (Skin) adverse effects:
Fever and chills are signs of infusion reaction.
Methylphenidate (Ritalin) for ADHD intervention in adverse effects:
Maintain age-appropriate weight.
Sumatriptan (Imitrex) patient teaching:
Use medication upon first sign of headache. Should dissipate 30-50 mins.
*Up to 2 dose after 2 hours of initial dose.
Side effect: Tightness of chest
PCA of Morphine Sulfate, patient Resp. 10/min, unresponsive to touch. Nurse first:
Administer NarCan into patient IV.
Beginning Prednisone (Deltasone) therapy for acute bronchitis. Patient needs vaccine:
Wait until complete therapy due to glucocorticoids reducing antibody response of live vaccine. Increase risk on infection.
Ferrous Sulfate teaching plan:
Black stools are common, take on empty stomach for absorption, no bruising.
Phenytoin (Dilantin) teaching plan:
Tell dentist because drug can cause gingival hyperplasia, report eye movement.