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Medication Quiz

Medication/ActionGeneric NameClassificationSide EffectsNursing Implications
Vicodin (decreases pain) hydrocodone/acetaminophen Opioid agonist/Nonopioid analgesic combination - Confusion - Sedation - Constipation - Hypotension - Assess for pain before and after - Measures to prevent constipation:increase bulk, increase activity, increase fluids. - Assess BP, P, R before and during administration
Tylenol (Reduces pain and fever) acetaminophen Anti-pyretic/Nonopioid analgesic - Rash - Urticaria - Administer with a glass full of water - Maybe be taken with food or an empty stomach
Lanoxin (Increases cardiac output and slows down the heart) digoxin Cardiac glycoside - Nausea - Vomiting - Anorexia - Bradycardia - Monitor apical pulse for a full minute before administration and withhold if less than 60 bpm - Monitor for therapeutic plasma level (0.5-2.0 mg/ml)
Xanax (Reduces and relieves anxiety) alprazolam Sedative/Hypnotic - Drowsiness - Light headedness - Dry mouth - Teach patient that abrupt withdrawal may result in pronounced restlessness, insomnia, tremors, and seizures. - If dizziness occurs, change positions slowly, and avoid tasks that require alertness.
Lasix (decreases BP and remove excess fluids) furosemide Diuretic Hypokalemia (muscle weakness, abdominal cramping); hypovolemia (weight loss,increased R & P, decreased BP, dry mucous membranes) - Weigh daily - I&O - Monitor electrolyte-(K) - Encourage patient to eat food high in potassium
Levaquin (It causes bacterial death) levofloxacin Anti-infective (fluroquinolones) - Diarrhea - Stomach cramps - Instruct pt. to continue taking medication around the clock until finished completely, even if feeling better. - Assess patient for infection (VS; appearance of wound, sputum, urine; WBC,)
Novolog (Controls hyperglycemia) insulin Hormone Anti-diabetic -Hypoglycemia -Lipodystrophy - Do not inject in the same site for at least a month - Encourage patient to follow prescribed diet, exercise and medication regimen
Proventil (Relaxation of the airway and bronchodilation) albuterol Bronchodilator - Nervousness - Restlessness - Tremor - Not to exceed prescribed dose, may cause adverse effect, broncho spasm, or loss of med effectiveness - Use 1st if using other med and allow 5 min. to before administering other med, unless otherwise - Advise patient to wash mouth after inhalation
K-dur (Replacement of electrolyte or prevention of the deficiency) potassium chloride Electrolyte - Cardiac arrhythmia - Tall peaked waves on EKG showing hyperkalemia - Assess patient for signs of hypokalemia such as weakness, fatigue, arrhythmias. - Monitor for hyperkalemia such as fatigue, muscle weakness, paresthesia and tall-peaked T wave.
Lopressor (Decreases BP, heart rate and instances of angina) metoprolol Anti-hypertensive - Fatigue - Weakness - Dizziness - Monitor for hypotension and bradycardia and hold if pulse is less than 50 bpm - Monitor blood pressure, ECG, and pulse frequently during dose adjustment and during therapy. - Administer with meals or directly after eating.
Glucophage (Maintenance of blood glucose) metformin Anti-diabetic - Hypoglycemia - Abdominal bloating - Diarrhea - Monitor serum glucose and glycosylated hemoglobin periodically. - Observe for signs and symptoms of hypoglycemic reaction.
Phenergan (Relief of N/V and symptoms found in allergic reactions) Promethazine Antihistamine/ Sedative/Hypnotic/ Anti-emetic - Confusion - Disorientation - Sedation - Assess patient for profound sedation and provide safety precautions. Supervise ambulation - Administer deep IM
Tegretol (Prevention of seizures) carbamazepine Anticonvulsant - Drowsiness - Dry mouth - Ataxia - Give with food - Implement seizure precautions
Kefzol/Ancef (It causes bacterial death) cefazolin Anti-infective Cephalosporin - Nausea - Vomiting - Diarrhea - Rash - Determine previous use of and sensitivity to penicillins or other cephalosporins. - Assess IV site for phlebitis
Clozaril (Used for schizophrenia patients) clozapine Atypical Antipsychotic - Agranulocytosis - Monitor weekly WBC - Monitor for S/S - Report WBC of <3000mm3 and withhold clozapine
Cardizem (Decreases BP and angina attacks) diltiazem Calcium channel blocker/ Anti-anginal Coronary Vasodilator - Hypotension - Dysrhytmia - Orthostatic BP monitoring - Monitor pulse before administering for bradycardia
Premarin (Restoration of the hormone) estrogens, conjugated Hormone - Edema - Thromboembolism - Monitor intake and output ratios and weekly weight. - Assess blood pressure prior to and periodically through therapy.
Prozac (Decrease mood alterations) fluoxetine Antidepressant - Headache - Nervousness - Insomnia - Supervise suicidal-risk patient closely during early therapy for increased suicide potential. - Assess speech pattern, mood; assist with ambulation if dizziness occurs.
Lithobid (Prevent or decreases incidences of acute manic episodes) lithium Mood stabilizer - Weight gain - fine hand tremor - Polyuria - Increased thirst - Nausea - Monitor blood level - Eat diet normally and take with food - Take with food
Roxanol (Decreases the severity of pain) morphine sulfate Opioid-Analgesic - Confusion - Constipation - Assess VS for decreased BP, P and R. - Assess type, location and intensity of pain prior to and 30-60 min. following administration. - Implement measures to prevent constipation – increase bulk, increase activity and increase fluids
Bactrim, Septra (For the use of infection) trimethoprimsulfamethoxazole-TMP-SMZ Anti-infective Sulfonamide - Rashes that has to be reported STAT - Full glass of fluid - Fluid intake should be sufficient to maintain a urine output of 1200-1500 ml to prevent stone formation
Coumadin (Prevent of thrombus formation) warfarin Anticoagulant - Bleeding - Check prothrombin time (therapeutic time is 1.5 to 2 X control, or INR – therapeutic level is 2-3). - Check patient for signs of bleeding, (bleeding gums, bruising, tarry stools, hematuria).
N/A aminophylline Bronchodilator - Nausea - Vomiting - Monitor therapeutic plasma range routinely - The normal levels are 10-20
Benadryl diphenhydramine HCL Antihistamine and Antitussive - Drowsiness - Dry mouth - Anorexia - Inform pt. drowsiness will happen - Avoid drinking or alertness - Avoid alcohol or CNS depressant
Vasotec enalapril ACE inhibitor (anti-hypertensive) - Hypotension - Tachycardia - Impaired taste (8-12 weeks) - Monitor BP and pulse (decreased BP and increased pulse) - Change patient position slowly - Advise the patient about the impaired taste
Adrenaline epinephrine Bronchodilator and cardiac stimulant - Restlessness - Tremors - Dysrhytmia - Dosage is decreased if BP is high - Assess lung sounds, BP and pulse
Synthroid levothyroxine Thyroid (hormone) - Tachycardia - Arythmias - Assess BP and pulse before each dose - Report tachycardia and chest pain
Prinivil lisinopril ACE inhibitor (anti-hypertensive) - Cough - Dizziness - Hypotension - Monitor BP and pulse - Assess I&O, lung sounds, daily weight - Change patient position slowly
Nitro-Bid nitroglycerine Nitrate - Headache - Flushing of the face - Postural hypotension - Record the description of pain - Monitor BP and hypotension - Avoid alcohol
Pepcid famotidine Histamine H2 Antagonist - Hypotension - Agranulocytosis - Arrythmias - Monitor CBC periodically - Assess patient for abdominal or epigastric pain - Assess elderly and debilitated patients for confusion
Prednisone N/A Glucocorticoids Hypertension - Administer PO preparation with food or milk - Assess for signs of adrenal insufficiency such as N/V and weakness
Vancocin vancomycin Anti-infective (miscellaneous) - Ototoxicity - Nephrotoxicity - IV- phlebitis - Assess for hearing loss, tinnitus, vertigo - Assess IV and administer over 60 minutes - Pt should not receive aminoglycosides - Monitor I&O and serum creatinine
Acetylsalicyclic acid (reduces imflammation and fever) aspirin Nonopioid analgesic/ NSAID/ anti-pyretic - GI bleeding - GI distress like cramping, nausea, heartburn - Tinnitus - Administer after meals or with food or antacid to decrease gastric irritation. - Advise patient to report the tinnitus, bruising or unusual bleeding
Colace (prevention of constipation) docusate sodium Stool Softener - Mild cramps - Give with a full glass of water
Motrin (decreases pain, inflammation, and fever) ibuprofen NSAID - Headache - GI bleeding - Constipation - Drowsiness - Administer with food - Advise patient to take medication with glass of water and remain upright for 15-30 min - Caution patient to avoid use of alcohol, aspirin, or over the countment meds with consultation of physician
Created by: nonelily