Like this study set? Create a free account to save it.

Sign up for an account

Already have a Quizlet account? .

Create an account


Synthroid (Levothyroxine)

monitor pulse before each dose during dosage adjustment

notify MD > 100

monitor weight

teach / report signs of toxicity

Ampicillin (Omnipen)

Anti-infective of the penicillin type

- gastritis
- diarrhea, n/v
- rash
- anaphylaxis
- hematological abnorms
- glossitis
- stomatitis
- black hairy tongue

Ampicillin (Omnipen)

Nursing Implications

- obtain C&S before first dose
- take careful Hx of penicillin reaction
- check for HTN to other drugs, esp. cephalosporins

- give 1-2 hours BEFORE meals
- or give 2-3 hours AFTER meals
- to reduce gastric acid destruction of the drug

- observe for 30 min. post-iM injection
- monitor for loose, foul smelling stool and chance in tongue
- teach to continue medication for entire time prescribed, even if Sx
resolve and take it act

Atorvastatin calcium (Lipitor)

HMG-CoA inhibitor

used o lower serum cholesterol LDLs
and to increase serum HDLs
and to lower triglyceride levels

- HA
- abdominal pain
- rash
- myalgia
- rhabdomyolysis

Atorvastatin calcium (Lipitor)
Nursing Considerations

- monitor for muscle pain, tenderness or weakness
- advice patient to take medication at the same time each day
- monitor LFT

Salicylate Poisoning

- any of several widely prescribe drugs derived from salicylic acid, having analgesic, anti-pyretic and anti-inflamm actions
ASA is most important

Indications of poisoning of salicylate into may be acute or chronic and include

- tinnitus
- sense of fullness in ears
- decreased or muffled hearing
- hyperventilation
- hypoglycemia
- respiratory failure

In children
- hyperventilation
- confusion
- agitation
- behavioral changes
- lethargy
- drowsiness
- sweating
- constipation

Salicylate Poisoning Interventions

- remove salicylate from GI tract and prevent further absorption
- correct acid/base and fluid + electrolyte imbalances
- induce vomiting, gastric lavage, activated charcoal, IV sodium bicarbonate

Nifepipine (Procardia)


- dizziness
- HA
- hypotension
- nervousness
- couhg
- arrhythmias

Nursing Considerations
- monitor BP during dosage adjustments
- advice the change positions slowly

Haloperiodel (Haldol)


- extrapyamidial reactions (muscle rigidity, tremors, tongue protrusion, slowing of voluntary movement, abnormal posture)

- tardice dyskinesia
- blurred vision
- dry mouth


- Anti-coag used for short term therapy

- give iV or SQ

- inactivated thrombin and prevents conversion of fibrinogen to fibrin
- leave needle in place for 10 seconds
- don't massage after SQ
- dosage adjusted according to aPTT
- therapeutic range is 1.5 - 2 times normal value

- hemorrhage with excessive dose
- thrombocytopenia
- hypersensitivity reactions

- antagonist = PROTAMINE SULFATE

Naproxen (Naprosyn)


inhibits prostaglandins

- HA
- dizziness
- epigastric distress

Nursing Considerations
- administer with food
- cautious use in pts with hx of aspirin allergy
- optimal there. response seen after 2 week of Tx

Spironolactone (Aldactone)

K+ sparring
- often used with other diuretics and Anti-HTN agents

- hyperkalemia
- hyponatremia
- rash, dizziness, HA
- deepening of voice
- hirsutiusm

Nurse Considerations
- monitor elec. imbal
- give with meals at bedtime
- avoid salt substitutes containing K+
- limit intake of high K+ foods
- monitor I&O
- weigh patient daily

Please allow access to your computer’s microphone to use Voice Recording.

Having trouble? Click here for help.

We can’t access your microphone!

Click the icon above to update your browser permissions and try again


Reload the page to try again!


Press Cmd-0 to reset your zoom

Press Ctrl-0 to reset your zoom

It looks like your browser might be zoomed in or out. Your browser needs to be zoomed to a normal size to record audio.

Please upgrade Flash or install Chrome
to use Voice Recording.

For more help, see our troubleshooting page.

Your microphone is muted

For help fixing this issue, see this FAQ.

Star this term

You can study starred terms together

Voice Recording