NCLEX-PN Medications to Know
Terms in this set (53)
Anticoagulant;Monitor pt's lab work-PTT. Antidote is protamine sulfate
Lovenox (Enoxaparin sodium)
Anticoagulant, Given to patients with increase risk of DVT
Monitor the PLT count *Normal PLT count: 150,000-400,000
(Clopidogrel); This antiplatelet drug prolongs bleeding time, so it should be watched. Avoid aspirin
Analgesic; Antipyretic; liver toxicity with high doses; <4000mg/day; liver patient <2000mg/day
Antidote: acetylcysteine (Mucomyst)
Antimanic ; a primary drug in manic depression (bipolar);
0.8-1.2 mEq/L; monitor blood levels.
Antibiotic; Treats MRSA, C diff; Ototoxic, nephrotoxic; Infuse slowly (60 min) to avoid red man syndrome; CDC 12-step program
Aminoglycoside, Antibiotic; Neurotoxicity, nephrotoxicity, ototoxicity. Slow IV/IM Synergistic when combined with a B-lactam (Sepsis); carefully monitor client's taking furosemide (lasix).
Narcotic Analgesic; CNS Depressant
Assess for s/s of CNS depressant
(MS Contin); opioid; CNS depressant, constipation, confusion, hypotension, urinary retention, tolerance; monitor respiration, pain, teach fall precaution, constipation, bright room. Should be withheld if the respirations <10/12
(Diazepam); Benzodiazepine; Antianxiety; potentiates GABA, abuse potential, tolerance. SE: CNS effects (sedation, dizzy, confusion) Muscle relaxant.
(Lorazepam); Antianxiety; Antiseizure; Benzodiazepine; CNS depressant (sedation), blackout, respiratory depressant; assess fall, monitor respiration if on other CNS depressant.
(Atorvastatin); Antihyperlipidemic; MONITOR LIVER ENZYMES, ASSESS FOR MUSCLE PAIN AND TENDERNESS, REPORT TO DR IF PRESENT; Statin
(Deltasone); Antiinflammatory; Corticosteroid; Antileukemic drug; Administer before 9 AM to mimic normal peak corticosteroid blood levels; Increase dosage during stress; Taper doses; Do not give live virus vaccines
(Pantoprazole Sodium); PPI;
(ramipril); antihypertensive ACE Inhibitor
(Enalapril); ACE inhibitor; Antihypertensive
Acyclovir (Antiviral) treats growth and spread of herpes virus
(Lopressor); Selective beta blocker for Beta 1. Decrease rate and contractility. Doesn't affect respiration"
(Acetylsalicylic Acid); Do not give together with other anticoagulants. Stop taking Aspirin some days before surgery. Do not give to children with viral infection (Reye syndrome)
Take with food or milk; contraindicated for people with GI ulcers
(phenytoin); 10-20 mcg/dL; Causes gum hyperplasia. Advice client to visit dentist frequently
(Deltasone); Causes Cushing like symptoms. Common side effects are immunosupression(monitor client for infection), hyperglycemia
(warfarin);Monitor pt's lab work--PT, INR. Antidote is Vitamin K
(benztropine); Used to treat EPS
levodopa/carbidopa; Drug is effective when tremors are not observed
S/I for this drug: must get blood level drawn . Should be between 10-20. Used for sympatopmatic relief of, prevention of bronchial asthmas and bronchospasm. Side effects--Tachycardia
(Lanoxin): Signs of toxicity: Pt will complaint of visual change in colors. Side effects - most common is bradycardia. Monitor apical rate before giving. Less than 60 hold and call physician. Electrolytes - monitor potassium levels.
Antidote: digibind digoxine immune fab
Anticonvulsant Treatment for HTN, pre-ecclampsia, and hypomagnesium. SE incl. RR depression, arrhythmias, hypotension, hyporelfexemia. Monitor BP, for deep tendon reflex and respiratory depression Antidote: Ca gluconate
Magnesium sulfate antedote
Thiazides; Monitor potassium levels. Monitor pt wt
(Furosemide) Loop Diuretic; Monitor potassium levels. Watch for sulfa allergy. Onset of 5-10 min
(spironolactone); A potassium sparing diuretic; is used to decrease ascites and pleural effusion.
A chemical used to counteract mood swings of bipolar disorder; (0.8 to 1.5mEq). Adequate fluid and salt intake is important. Monitor blood levels.
Have dangerous food-drug interactions. Food with Tyramine should be avoided. For example: aged cheese, wine etc.
(Antabuse): Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction. Teach pt to avoid some over-the-counter cough preparations, mouthwash etc.
(Tenormin); Antihypertensive; Monitor BP
prochlorperazine; Antiemetic; extrapyramidal effects and agranulocytosis as side effects
(chlorpromazine) A major drug used to reduce the symptoms of schizophrenia
Proventil; An inhaler used to treat an asthma attack
fluticasone/salmeterol; long-acting bronchodilator
Methylprednisolone; treatment for allergic reactions, anaphylaxis, and asthma
(fluoroquinolone); treatment for prostatitis and UTI's,
(Gabapentin); Antiepileptic; Analgesic Adjunct; Anticonvulsant; mood stabilizer for chronic pain or bipolar
(Divalproex Sodium); Anticonvulsant
(restasis); Immune suppressant; Prevention of allograft rejection in organ
(Prednisolone); Glucocorticoid/Corticosteroid; treatment for dermatitis, arthritis
Antidote for CCB and Beta-blockers
potent vaso-dilator. Works within 3 min MUST check BP 3-5 min after administration.