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med dosages meed to be decreased...
if in liver failure or
concurrent use of meds metabolized by the same pathway
first dose of penicillin, client says rash developed last time they took it....
withhold and notify MD
when administering antihypertensives, teach the client,,,
change positions slowly (orthostatic hypotension)
fewer protein-binding sites (infant)...
medication effects will be increase w/greater potential of toxicity
breastfeeding mom does not want to take antimicrobial medication because it may harm her baby. Teach...
taking the medication immediately after breastfeeding will mimize effects on the baby
a client taking Buspar for 3 days calls and says not helping to sleep or w anxiety. Nurse response...
initial response to Buspar takes 1 week. Several weeks to reach therapeutic peak
client taking Paxil complains of teeth grinding (Bruxism). Nurse response...
use a mouthguard
any SSRI caused bruxism, so change class
client taking Nardil for depression should be monitored for...
orthostatic hypotension (all MAOIs can cause orthostatic hypotension)
teaching client to avoid lithium toxicity...
avoid activities that could cause sodium/water depletion
clients taking SSRI (Prozac) should be monitored for....
fever, hyperreflexia, agitation, hallucinations with in the first 2-72 hours (Seratonin Syndrome)
after instilling eye drops press...
nasolacrimal duct w/a gloved hand and clean tissue for 30 to 60 seconds
client diagnosed with malignant hyperthermia caused by (Anectine) succinylcholine should be given...
Dantrium, to slow the metabolic activity of the muscles
prophylactic treatment of asthma
for long term control
take on a fixed dose schedule
not used to abort an asthma attack
QVAR (glucocorticoid) tx: asthma
use a spacer
rinse mouth to avoid thrush
engage in weight bearing exercise and ensure adequate calcium and vitamin D to prevent bone loss
capoten (ace inhibitor) and spironocatone (potassium sparing diuretic) should not be given concurrently...
ACE inhibitors can lead to hyperkalemia, K+ sparing diuretics additive effect
thrombolytic therapy complication
Avoid IM or sub Q injections, apply pressure at puncture sites, administer Amicar (reverses thrombolytic effects)
coffee ground emesis
black tarry stools
glucocorticoid side effects
risk for infection
(Colgout) treats: gouty arthritis
notify MD of bleeding, bruising, sore throat
Avoid aspirin (Salicylates)
decreases medication resistence
attacks cancer cells at different stages of cell growth
reduces the dosage of each chemotherapy agent
HAART (treats HIV) 3 or 4 meds in combination to:
decrease medication resistance
reduce adverse medication effects
reduce the medication dosages
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