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Terms in this set (15)
Classification: Cationic exchange resins (Hypokalemic, electrolyte modifiers)
Indications: mild to moderate hyperkalemia
Action: Exchanges sodium ions for potassium Ions in the intestine. Reduce serum potassium levels
Contraindications: Life-Threatening Hyperkalemia, abnormal bowel function
Side Effects: F&E - Hypocalcemia, hypokalemia, sodium retention, hypomagnesemia. GI - intestinal necrosis, constipation, fecal impaction
Nursing Implications: Monitor for symptoms of hyperkalemia (fatigue, muscle weakness), Monitor for intestinal necrosis, Monitor serum potassium, Administer PO by 3 hrs before or 3 hrs after other medications
Indications: mild to moderate hyperkalemia
Action: Exchanges sodium ions for potassium Ions in the intestine. Reduce serum potassium levels
Contraindications: Life-Threatening Hyperkalemia, abnormal bowel function
Side Effects: F&E - Hypocalcemia, hypokalemia, sodium retention, hypomagnesemia. GI - intestinal necrosis, constipation, fecal impaction
Nursing Implications: Monitor for symptoms of hyperkalemia (fatigue, muscle weakness), Monitor for intestinal necrosis, Monitor serum potassium, Administer PO by 3 hrs before or 3 hrs after other medications
Classification: Heavy metal antagonists (antidotes)
Indications: Iron toxicity
Action: Removal of excess iron through the kidneys
Contraindications: Severe Renal disease,
Side Effects: Red urine, ototoxicity, hypotension, tachycardia, anaphylactic shock
Nursing Implications: monitor signs of iron toxicity, may cause oculotoxicity or ototoxicity, monitor serum iron, ferritin levels, liver function, crash cart
Indications: Iron toxicity
Action: Removal of excess iron through the kidneys
Contraindications: Severe Renal disease,
Side Effects: Red urine, ototoxicity, hypotension, tachycardia, anaphylactic shock
Nursing Implications: monitor signs of iron toxicity, may cause oculotoxicity or ototoxicity, monitor serum iron, ferritin levels, liver function, crash cart
Classification: Chelating agents (antidotes)
Indications: Lead poisoning in children with blood lead levels >45 mcg/dL
Action: Decreased blood lead levels and decreased target organ damage in lead poisoning. Water soluble compound with lead to excrete through urine.
Contraindications: Lactation, renal failure, Lower doses in adults
Side Effects: nausea, vomiting, hypersensitivity reactions - Angioedema and urticaria
Nursing Implications:Assess family members for evidence of lead poisoning, Monitor neuro status, if patient Is unable to swallow the capsule, open capsule and sprinkle medicated beads on a small amount of soft food, or on a spoon followed my fruit juice
Indications: Lead poisoning in children with blood lead levels >45 mcg/dL
Action: Decreased blood lead levels and decreased target organ damage in lead poisoning. Water soluble compound with lead to excrete through urine.
Contraindications: Lactation, renal failure, Lower doses in adults
Side Effects: nausea, vomiting, hypersensitivity reactions - Angioedema and urticaria
Nursing Implications:Assess family members for evidence of lead poisoning, Monitor neuro status, if patient Is unable to swallow the capsule, open capsule and sprinkle medicated beads on a small amount of soft food, or on a spoon followed my fruit juice
Classification: loop diuretic
Indications: Edema due to heart failure, hepatic impairment, or renal disease, hypertension
Action: Inhibits the reabsorption of sodium and chloride, increases renal excretion of water, sodium, chloride, magnesium, potassium and calcium
Contraindications: avoid in patients with alcohol intolerance
Side Effects: erythema multiforme, stevens-johnson syndrome, toxic epidermal necrolysis, aplastic anemia, agranulocytosis, dehydration, hypocalcemiam hypokalemia,hypomagnesemia, hyponatremiam hypovolemia, metabolic alkalosis
Nursing Implications: Assess fluid status. Daily Weight. Assess for tinnitus and hearing loss. Take with food or milk. daily weight
Indications: Edema due to heart failure, hepatic impairment, or renal disease, hypertension
Action: Inhibits the reabsorption of sodium and chloride, increases renal excretion of water, sodium, chloride, magnesium, potassium and calcium
Contraindications: avoid in patients with alcohol intolerance
Side Effects: erythema multiforme, stevens-johnson syndrome, toxic epidermal necrolysis, aplastic anemia, agranulocytosis, dehydration, hypocalcemiam hypokalemia,hypomagnesemia, hyponatremiam hypovolemia, metabolic alkalosis
Nursing Implications: Assess fluid status. Daily Weight. Assess for tinnitus and hearing loss. Take with food or milk. daily weight
Classification: antianemics, vitamins
Indications: Vitamin B12 deficiency , pernicious anemia
Action: Corrects manifestations for pernicious anemia and vitamin B12 deficiency
Contraindications: hypersensitivity
Side Effects: anaphylaxis, heart failure, headache, hypokalemia
Nursing Implications: Monitor folic acid, vitaminB12, iron, Hgb and Hct, administer with other vitamins, administer with meals,
Indications: Vitamin B12 deficiency , pernicious anemia
Action: Corrects manifestations for pernicious anemia and vitamin B12 deficiency
Contraindications: hypersensitivity
Side Effects: anaphylaxis, heart failure, headache, hypokalemia
Nursing Implications: Monitor folic acid, vitaminB12, iron, Hgb and Hct, administer with other vitamins, administer with meals,
Classification: Anti-anemic
Indications: Iron deficiency in patients who cannot tolerate or receive oral iron
Action: Resolution of iron deficiency anemia
Contraindications: Anemia not due to iron deficiency
Side Effects: Seizures, hypersensitivity reactions
Nursing Implications: assess for signs and symptoms of anaphylaxis, toxicity and overdose
Indications: Iron deficiency in patients who cannot tolerate or receive oral iron
Action: Resolution of iron deficiency anemia
Contraindications: Anemia not due to iron deficiency
Side Effects: Seizures, hypersensitivity reactions
Nursing Implications: assess for signs and symptoms of anaphylaxis, toxicity and overdose
Classification: Biphosphonates
Indications: Treatment for osteoporosis
Action: Inhibits resorption of bone by inhibiting osteoclast activity
Contraindications: abnormalities of the esophagus which delay esophageal emptying, inability to stand/sit upright for at least 30 min
Side Effects: musculoskeletal pain, esophageal burn
Nursing Implications: administer in the morning 30 min before other medications, drinks and food
Indications: Treatment for osteoporosis
Action: Inhibits resorption of bone by inhibiting osteoclast activity
Contraindications: abnormalities of the esophagus which delay esophageal emptying, inability to stand/sit upright for at least 30 min
Side Effects: musculoskeletal pain, esophageal burn
Nursing Implications: administer in the morning 30 min before other medications, drinks and food
Classification: Fat-soluble
Indications: Treatment or prevention of vitamin D deficiency
Action: Requires activation in the liver and kidneys to create the active form of vitamin D3. Promotes absorption of calcium. Treatment of bone manifestations.
Contraindications: Hypercalcemia, Vitamin D toxicity
Side Effects: manifestations of hypercalcemia, pancreatitis, kidney stones
Nursing Implications: May be administered without regards to meals.
Indications: Treatment or prevention of vitamin D deficiency
Action: Requires activation in the liver and kidneys to create the active form of vitamin D3. Promotes absorption of calcium. Treatment of bone manifestations.
Contraindications: Hypercalcemia, Vitamin D toxicity
Side Effects: manifestations of hypercalcemia, pancreatitis, kidney stones
Nursing Implications: May be administered without regards to meals.
Classification: Appetite suppressants, anorexiant
Indications: Used to produce and maintain weight loss
Action: Inhibits the reuptake of both serotonin and norepinephrine.
Contraindications: mod to severe HTN, cardio disease, hyperthyroidism, glaucoma, history of drug abuse
Side Effects: HTN, Impotence, insomnia, and unpleasant taste may also occur.
Nursing Implications: People with diabetes may require an increased dose of insulin
Administer 30 min before meals or as a single dose before breakfast
Contact HCP if you feel chest pain, decreased exercise tolerance, fainting, or swelling of the legs
Monitor BP
Indications: Used to produce and maintain weight loss
Action: Inhibits the reuptake of both serotonin and norepinephrine.
Contraindications: mod to severe HTN, cardio disease, hyperthyroidism, glaucoma, history of drug abuse
Side Effects: HTN, Impotence, insomnia, and unpleasant taste may also occur.
Nursing Implications: People with diabetes may require an increased dose of insulin
Administer 30 min before meals or as a single dose before breakfast
Contact HCP if you feel chest pain, decreased exercise tolerance, fainting, or swelling of the legs
Monitor BP
Classification: Lipase Inhibitor
Indications: Obesity weight loss and maintenance when used with calorie deficit
Action: Decreases absorption of dietary fat by reversibly inhibiting lipase
Contraindications: malabsorption syndrome or cholestasis
Side Effects: abdominal pain, oily spotting, fecal urgency and incontinence, flatulence with discharge, fatty stools, and increased defecation.
Nursing Implications: take 4hrs apart from levothyroxine (decrease serum concentration)
Foods high in potassium
Supplemental vitamin ADEK 2hrs before or after dose
Indications: Obesity weight loss and maintenance when used with calorie deficit
Action: Decreases absorption of dietary fat by reversibly inhibiting lipase
Contraindications: malabsorption syndrome or cholestasis
Side Effects: abdominal pain, oily spotting, fecal urgency and incontinence, flatulence with discharge, fatty stools, and increased defecation.
Nursing Implications: take 4hrs apart from levothyroxine (decrease serum concentration)
Foods high in potassium
Supplemental vitamin ADEK 2hrs before or after dose
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