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N- drug list
| Question | Answer |
|---|---|
| ACETAMINOPHEN (Tylenol) - CLASSIFICATION | *Non opiod analgesic; * Antipyretic |
| ACETAMINOPHEN (Tylenol) - ACTION | analgesic pain reliver, fever reducer |
| ACETAMINOPHEN (Tylenol) - WHY PT IS TAKING THIS | mild to moderate pain/fever |
| ACETAMINOPHEN (Tylenol) - S/E | hepatoxicity, liver failure, jaundice, clay colored stools |
| ACETAMINOPHEN (Tylenol) - NI | assess how many mg pt consumes in 24 hrs. b) no more than 4000mg/24 hrs. c) many pain meds contain acetaminophen-hydrocodone. D) ANTIDOTE - acetlycysteine (MUCOMYST) |
| ASPIRIN (Bayer aspirin) - CLASSIFICATION | antiinflamatory, analgesic, blood thinner, antipyretic |
| ASPIRIN (Bayer aspirin) - ACTION | antipostaglandin activity, decreases platelet aggregation, NSAID, fever reducer |
| ASPIRIN (Bayer aspirin) - WHY PT IS TAKING THIS | fever, heart attack, pain relief |
| ASPIRIN (Bayer aspirin) - S/E | GI Irritation, occult bleeding, tinnitus, dizziness, confusion |
| ASPIRIN (Bayer aspirin) - NI | contraindicated for clients less than 21 yrs due to Reys syndrome. B) monitor for GI bleeding, gum bleeding, skin bruising |
| ATORVASTATIN (Lipitor) - CLASSIFICATION | antilipidemic |
| ATORVASTATIN (Lipitor) - ACTION | inhibits HMG-CoA enzyme which decreases cholesterol& triglyceride synthesis |
| ATORVASTATIN (Lipitor) - WHY PT IS TAKING THIS | hypercholesterolemia, elevated total & LDL cholesterol, reduce incidence of CV disease |
| ATORVASTATIN (Lipitor) - S/E | myopathy, increased liver enzymes |
| ATORVASTATIN (Lipitor) - NI | dec total cholesterol LDL, triglycerides, inc HDL. B) take w food, absorp dec by 30% on empty stomach. Avoid alcohol. C) notify MD stat for unexplained muscle pain, fever, malaise. D) monitor LFT's. E) take at night |
| CAPTOPRIL (Capoten) - CLASSIFICATION | ACE inhibitor, antihypertensive |
| CAPTOPRIL (Capoten) - ACTION | prevents conversion of angiotensin I to angiotensin II. Vasodilation. Dec NA & water retention. Dec B/p |
| CAPTOPRIL (Capoten) - WHY PT IS TAKING THIS | Tx of HTN & CHF |
| CAPTOPRIL (Capoten) - S/E | bronchospasm, facial swelling, orthostatic hypotension (FALL RISK), renal failure, inc K |
| CAPTOPRIL (Capoten) - NI | take on empty stomach, b) monitor b/p & pulse rate prior to admin. C) assess for persistent, dry, non productive cough. D) assess K & renal function (BUN & creatinine). E) daily wt, I&O, F) fall precautions |
| DIAZEPAM (Valium) - CLASSIFICATION | CNS depressant, muscle relaxer, anticonvulsant |
| DIAZEPAM (Valium) - ACTION | CNS depressant, antianxiety |
| DIAZEPAM (Valium) - WHY PT IS TAKING THIS | Tx: anxiety, acute alcohol withdrawal, seizure disorders, skeletal muscle relaxant |
| DIAZEPAM (Valium) - S/E | respiratory depression. Orthostatic hypotension (fall risk) |
| DIAZEPAM (Valium) - NI | monitor VS. b) high risk for abuse. C) fall precautions. D) do not drink alcohol or drive while on this med |
| DIGOXIN (Lanoxin) - CLASSIFICATION | cardiotonic, anti-arrhythmic |
| DIGOXIN (Lanoxin) - ACTION | inc force of myocardial contraction. Dec speed of electrical impulse conduction within in the heart. Dec heart rate |
| DIGOXIN (Lanoxin) - WHY PT IS TAKING THIS | Tx of CHF, atrial fibrillation, atrial flutter |
| DIGOXIN (Lanoxin) - S/E | bradycardia, confusion, nausea, anorexia, vomitting & fatigue, yellow halo's in visual field with toxicity |
| DIGOXIN (Lanoxin) - NI | monitor apical pulse for one full min. hold if pulse below 60bpm. B) monitor serum levels. C) therapeutic dig levels: 0.5-2.0 ng/dl. D) monitor renal function and lectrolytes |
| DIPHENHYDRAMINE (Benadryl) - CLASSIFICATION | Antihistamine |
| DIPHENHYDRAMINE (Benadryl) - ACTION | dec allergic response by blocking histamine. CNS depressant |
| DIPHENHYDRAMINE (Benadryl) - WHY PT IS TAKING THIS | anaphylaxis, allergy symptoms |
| DIPHENHYDRAMINE (Benadryl) - S/E | dizziness, drowsiness, hypotension |
| DIPHENHYDRAMINE (Benadryl) - NI | be alert for urinary retention. Do not drive, drink alcohol, or operate heavy machinery while taking |
| EPINEPHRINE (Adrenalin) - CLASSIFICATION | Bronchodilator, vasopressor |
| EPINEPHRINE (Adrenalin) - ACTION | bronchodilation to open airway. Vasoconstriction of blood vessel = dec edema and swelling |
| EPINEPHRINE (Adrenalin) - WHY PT IS TAKING THIS | acute asthma, bronchospasm. Anaphylaxis-allergic reaction |
| EPINEPHRINE (Adrenalin) - S/E | tremors, anxiety, palpitations. Inc bp, pulse and resp |
| EPINEPHRINE (Adrenalin) - NI | monitor vs frequently. B) SQ injections sting like a bee sting. C) read label carefully for concentration of the epineprhine. 1:100-inhilation,1:1000-SQ. d) can induce angina in pt with CAD |
| FUROSEMIDE (Lasix) - CLASSIFICATION | Loop diuretic, rapid onset |
| FUROSEMIDE (Lasix) - ACTION | increases renal excretion of water, K, NA & CA |
| FUROSEMIDE (Lasix) - WHY PT IS TAKING THIS | tx of CHF - pulmonary edema - LT heart failure. Tx of CHF - peripheral edema - RT heart failure. Tx of HTN - hepatic and renal disease |
| FUROSEMIDE (Lasix) - S/E | HYPOKALEMIA (nml K- 3.45-5). Orthostatic hypotension (FALL RISK), dehydration, dec sodium (nml NA 135-145). Confusion |
| FUROSEMIDE (Lasix) - NI | daily wt I&O. b) monitor VS. C) check chemistry panel & electrolytes. D) monitor site of edema for improvement. E) fall precautions. F) check MAR for potassium supplement Rx |
| HEPARIN - CLASSIFICATION | anticoagulant, rapid onset |
| HEPARIN - ACTION | inhibits formation of thrombin fibers |
| HEPARIN - WHY PT IS TAKING THIS | prevention of DVT, PE. Tx of MI. atrial fibrillation and flutter |
| HEPARIN - S/E | BLEEDING. Thrombocytopenia. s/s of bleeding: bleeding from gums, epistaxis, hematuria or tea colored urine, black stools, abnormal skin bruising. Change in VS |
| HEPARIN - NI | monitor aPTT (shld be 1.5-2.5 x control) b) monitor CBC for drop in HGB/HCT. C) Monitor VS. d) give SQ. do not aspirate, rotate sites. E) pt education re bleeding and drugs to avoid (ASA-NSAID's). F) antidote: PROTAMINE SULFATE |
| HYDROCHLOROTHIAZIDE (HCTZl) - CLASSIFICATION | thiazide diuretic. Anti HTN, slow onset |
| HYDROCHLOROTHIAZIDE (HCTZl) - ACTION | inc renal excretion of water, NA, CL & K. lowers BP by diuresis |
| HYDROCHLOROTHIAZIDE (HCTZl) - WHY PT IS TAKING THIS | Tx of mild to moderate HTN, edema assoc with CHF, renal dysfunction, cirrhosis |
| HYDROCHLOROTHIAZIDE (HCTZl) - S/E | HYPONATREMIA: NA dec 135 = confusion. HYPOKALEMIA: K dec 3.5 = arrhythmias. Orthostatic hypotension (fall risk). Dehydratiojn |
| HYDROCHLOROTHIAZIDE (HCTZl) - NI | daily wt I&O. b) monitor VS. c) check chemistry panel & electrolytes. D) monitor site of edema for improvement. E) fall precautions. |
| HYDROCODONE/ACETAMINOPHEN (Vicodin) - CLASSIFICATION | opiod analgesic + non opiod analgesic. CNS depressant |
| HYDROCODONE/ACETAMINOPHEN (Vicodin) - ACTION | alters perception & response to pain while depressing the CNS |
| HYDROCODONE/ACETAMINOPHEN (Vicodin) - WHY PT IS TAKING THIS | mgmt of moderate to severe pain |
| HYDROCODONE/ACETAMINOPHEN (Vicodin) - S/E | confusion, sedation, hypotension, CONSTIPATION |
| HYDROCODONE/ACETAMINOPHEN (Vicodin) - NI | assess: type, level, loc of pain. B) monitor VS. c) inc fluids & fiber to prevent constipation. D) check MAR for stool softener Rx. E) calc pt's acetaminophen intake (shld not exceed 4000mg/24 hrs) |
| HYDROCORTISONE (Solu-Cortef) - CLASSIFICATION | corticosteroid |
| HYDROCORTISONE (Solu-Cortef) - ACTION | dec inflammation, dec capillary permeability |
| HYDROCORTISONE (Solu-Cortef) - WHY PT IS TAKING THIS | tx of severe inflammation, septic shock, adrenal insufficiency. |
| HYDROCORTISONE (Solu-Cortef) - S/E | mood swings, wt gain, GI hemorrhage |
| HYDROCORTISONE (Solu-Cortef) - NI | daily wt I&O. monitor VS. check chem panel & electrolyte. Monitor site for inflammation for improvement |
| IBUPROFEN (Motrin) - CLASSIFICATION | NSAID, antipyretic, nonopiod analgesic |
| IBUPROFEN (Motrin) - ACTION | dec prostaglandin synthesis = dec inflammation. Analgesic = dec pain. Antipyretic = dec fever |
| IBUPROFEN (Motrin) - WHY PT IS TAKING THIS | Tx of pain, fever and inflammation |
| IBUPROFEN (Motrin) - S/E | inc bleeding risk, inc drug - drug interations. Gastritis, renal and hepatotoxicity |
| IBUPROFEN (Motrin) - NI | admin with food. B) monitor VS. assess pain level. C) check chemistry panel (BUN/CR & LFT's). D) instruct pt not to take with aspirin or blood thinners, not to drink alcohol while taking, and s/s of bleeding |
| INSULIN LISPRO (Humalog) - CLASSIFICATION | antidiabetic agent, pancreatic hormone, short acting/rapid onset |
| INSULIN LISPRO (Humalog) - ACTION | dec blood sugar by moving it into cells. ONSET: 15 MINS |
| INSULIN LISPRO (Humalog) - WHY PT IS TAKING THIS | tx of type 1 & 2 DM not responding to PO meds to lower blood glucose. |
| INSULIN LISPRO (Humalog) - S/E | hypoglycemia s/s |
| INSULIN LISPRO (Humalog) - NI | monitor blood glucose levels. B) monitor for s/s hypoglycemia. C) rotate SQ injection sites. Do not aspirate |
| NIFEDIPINE (Procardia) - CLASSIFICATION | calcium channel blocker. Antianginal. Anti HTN |
| NIFEDIPINE (Procardia) - ACTION | limits amt of action available for muscle contraction = relaxes muscle = vasodilation |
| NIFEDIPINE (Procardia) - WHY PT IS TAKING THIS | tx of HTN, and chronic angina |
| NIFEDIPINE (Procardia) - S/E | orthostatic hypotension = fall Risk. CHF. Renal failure. Arrythmias |
| NIFEDIPINE (Procardia) - NI | monitor VS. b) monitor for s/s CHF. C) daily wt & I&O. d) listen to crackles in lung sounds. E) antidote: CALCIUM |
| NITROGLYCERIN (Nitrostat) - CLASSIFICATION | universal vasodilator. Antianginal. Rapid onset. |
| NITROGLYCERIN (Nitrostat) - ACTION | dilates ALL arteries. Inc blood flow to coronary arteries = dec angina. Dec workload of the heart |
| NITROGLYCERIN (Nitrostat) - WHY PT IS TAKING THIS | tx of angina, MI, CHF |
| NITROGLYCERIN (Nitrostat) - S/E | orthostatic hypotension = fall Risk. CHF. Headache - throbbing |
| NITROGLYCERIN (Nitrostat) - NI | monitor vs & drug response. B) admin up to 3 doses SL. 3-5 min intervals depending on level of angina. When pain is relieved: MD will order Nitropaste - long acting. DO NOT ADMIN IF PT IS ON ERECTILE DYSFUNCTION MEDS. Light sensitive, renew supply q3m |
| PHENYTOIN (Dilantin) **This drug interacts w many others - CLASSIFICATION | anticonvulsant, CNS depressant |
| PHENYTOIN (Dilantin) **This drug interacts w many others - ACTION | inhibits seizure activity in the motor cortex of the brain. |
| PHENYTOIN (Dilantin) **This drug interacts w many others - WHY PT IS TAKING THIS | generalized tonic-clonic seizures |
| PHENYTOIN (Dilantin) **This drug interacts w many others - S/E | orthostatic hypotension = fall risk. Drowsiness, dizziness |
| PHENYTOIN (Dilantin) **This drug interacts w many others - NI | monitor VS & drug response. B) FALL PRECAUTIONS - padded siderails. C) do not drive, operate heavy machinery or drink alcohol with this med |
| POTASSIUM CHLORIDE (Slow K) - CLASSIFICATION | electrolyte |
| POTASSIUM CHLORIDE (Slow K) - ACTION | req for electrical impulse conduction |
| POTASSIUM CHLORIDE (Slow K) - WHY PT IS TAKING THIS | Tx of hypokalemia and prevention of dec K if pt is taking furosemide |
| POTASSIUM CHLORIDE (Slow K) - S/E | confustion, arrythmias, inc K |
| POTASSIUM CHLORIDE (Slow K) - NI | monitor VS. assess K & renal function (BUN & creatinine). Daily wt, I&O. DO NOT GIVE TO PT IN RENAL FAILURE. |
| SPIRONOLACTONE (Aldactone) - CLASSIFICATION | Potassium sparing diuretic |
| SPIRONOLACTONE (Aldactone) - ACTION | competes with aldosterone in distal tubule; results in excretion of sodium chloride & H2O. Retains K |
| SPIRONOLACTONE (Aldactone) - WHY PT IS TAKING THIS | Tx of edema of CHF, HTN, diuretic induced hypokalemia |
| SPIRONOLACTONE (Aldactone) - S/E | confustion, inc K, dehydration |
| SPIRONOLACTONE (Aldactone) - NI | daily wt I&O. monitor VS. check chem panel & electrolyte. Monitor site for edema for improvement. Fall precautions |
| LEVOTHYROXINE (Synthroid) - CLASSIFICATION | thyroid agent |
| LEVOTHYROXINE (Synthroid) - ACTION | inc metabolic rate of body tissues |
| LEVOTHYROXINE (Synthroid) - WHY PT IS TAKING THIS | replacement therapy in diminished or absent thyroid function |
| LEVOTHYROXINE (Synthroid) - S/E | arrhythmias, tachycardia, irritability, nervousness, insomnia |
| LEVOTHYROXINE (Synthroid) - NI | assess for adverse reactions and hyperthyroidism, monitor thyroid labs : TSH, T3 & T4. give in AM |
| METOPROLOL (Lopressor) - CLASSIFICATION | beta blocker |
| METOPROLOL (Lopressor) - ACTION | lowers bp by blocking beta receptors so norepinephrine cannot be activated |
| METOPROLOL (Lopressor) - WHY PT IS TAKING THIS | tx of HTN, acute MI |
| METOPROLOL (Lopressor) - S/E | orthostatic hypotension (FALL RISK) bronchospasm, CHF, arrhythmias |
| METOPROLOL (Lopressor) - NI | monitor VS, monitor s/s of CHF. Daily wt & I&O. listen to crackles in lung sounds |
| VERAPAMIL (Calan) - CLASSIFICATION | calcium channel blocker. Antiarrhythmic, anti HTN |
| VERAPAMIL (Calan) - ACTION | limits amt of calcium available for muscle contraction = relaxes muscle = vasodilation. Dec bp and pulse |
| VERAPAMIL (Calan) - WHY PT IS TAKING THIS | tx of HTN, angina, arrhythmias |
| VERAPAMIL (Calan) - S/E | orthostatic hypotension (FALL RISK), CHF, renal failure, arrhythmias |
| VERAPAMIL (Calan) - NI | monitor VS, monitor s/s of CHF. Daily wt & I&O. listen to crackles in lung sounds. ANTIDOTE: CALCIUM |
| WARFARIN (Coumadin) ** this drug interacts with many other - CLASSIFICATION | anticoagulant, administered orally |
| WARFARIN (Coumadin) ** this drug interacts with many other - ACTION | interferes w hepatic synthesis of vit K and formation of clotting factors. SLOW onset 2-5 days |
| WARFARIN (Coumadin) ** this drug interacts with many other - WHY PT IS TAKING THIS | tx of prevention and tx of venous thrombosis (DVT) . Chronic atrial fibrillation |
| WARFARIN (Coumadin) ** this drug interacts with many other - S/E | BLEEDING. s/s of bleeding: bleeding from gums, epistaxis, hematuria or tea colored urine, black stools, abnorma skin bruising, change in VS |
| WARFARIN (Coumadin) ** this drug interacts with many other - NI | monitor PT/INR. Monitor CBC for drop in HGB/HCT. Monitor VS. PT education re bleeding and drugs to avoid - ASA & NDAIDs. Antidote: Vit K |
Created by:
jekjes
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