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Medications
L&D, Surgery
Question | Answer |
---|---|
Classification and use of Docusate Sodium | Stool Softener: retain fluid in the bowel to soften stool |
Classification and use of Oxytocin | Hormone: stimulates uterine contractions before birth and after to control pospartum hemorrhage. |
Classification and use of Vancomycin | Antibiotic: for severe infection r/t methicillin-resistant staph. |
Classification and use of Metronidazole | Antiamebic/Antibacterial: prevention of post op infection, as well as tx for trichomoniasis |
Classification and use of Dimenhydrinate | Antihistamine: to prevent/tx N/V, and dizziness |
Adverse effects of Docusate Sodium | stomach pain, cramps, irritated throat; allergic rxn: rash, pruritis, severe dizziness, difficulty breathing |
Adverse effects of Dimenhydrinate | drowsiness, headache, ringing in ears, dry mouth nose and throat, fainting, tachycardia |
Adverse effects of Metronidazole | seizures,erythematous rash, congestion, N/VD, cramps, dysuria |
Adverse effects of Vancomycin | rash, toxic epidermal necrolysis, hearing loss, nephrotoxicity (renal failure), thrombocytopenia |
Adverse effects of Oxytocin | seizure, intracranial hemorrhage in fetus, hypochloremia, hyponatremia, painful contractions, abruptio placentae, decreased uterine blood flow |
Oxytocin monitoring | fetal maturity&position; BP&pulse q15min; fetal hr, intrauterine pressure |
Vancomycin monitoring | VS, *temperature* |
Metronidazole contraindications | first trimester of pregnancy |
Classification and use of Dalteparin | Anticoagulant: prevent VTE and PE in those with cancer or in those with unstable angina |
Adverse effects of Dalteparin | bleeding, thrombocytopenia |
Classification and use of Cefazolin | Antibiotic: tx resp, bone, skin, joint, infections, UTIs, ear infections. NOT ACTIVE AGAINST MRSA |
Adverse effects of Cefazolin | seizure, rash, pruritis, pain at IM site, allergic rxn, superinfection |
Cefazolin monitoring | VS, *temperature*, renal status, CVC, s&s of superinfection (diarrhea, URI, coated tongue) |
Classification and use of Fentanyl | Opioid analgesic: relief of moderate-severe pain; preop sedation |
Adverse effects of Fentanyl | respiratory depression |
Fentanyl monitoring | do not give if <12 rpm; VS, *bp, respirations* |
Signs of opioid overdose (fentanyl) | coma, pinpoint pupils, respiratory depression |
Classification and use of Furosemide | Loop diuretic: tx of edema r/t renal dysfunction; tx of hypertensions |
Adverse effects of Furosemide | dizziness, orthostatic hypotensions, pancreatitis, thrombocytopenia, thrombocytopenia |
Furosemide monitoring | potassium levels (3.5-5 mEq/L); VS, *bp, pulse*, |
Classification and use of Acetaminophen | Nonopioid analgesic: analgesic for mild/moderate pain; antipyretic |
Adverse effects of Acetaminophen | pancytopenia |
Acetaminophen monitoring | hepatic, renal status in long term therapy |
Classification and use of Hydromorphone | opioid analgesic: mild/severe pain |
Adverse effects of Hydromorphone | respiratory depression |
Hydromorphone monitoring | respirations (don't give if <12rpm); bp; s&s of over dose |
Classification and use of Metoclopramide | Antiemetic: prevent antineoplastic related emesis; management of GERD; tx/prevention of postop N/V |
Adverse effects of Metoclopramide | neuroleptic malinant syndrome, bronchospasm |
Metoclopramide monitoring | VS, daily weight, I&O |
Classification and use of Morphine | Opium alkaloid: relief of moderate/severe pain; preanesthetic sedation; postop/obstetric analgesia |
Adverse effects of Morphine | sedation, respiratory depression |
Morphine monitoring | respirations (don't give if <12rpm); bp; s&s of OD |
Classification and use of Clindamycin | antibiotic: used to fight bacterial infections |
Adverse effects of Clindamycin | N/V, joint pain, pain with swallowing, heartburn, white patches in mouth, thick vaginal discharge |
Classification and use of Rabeprazole | Proton pump inhibitor: used to tx GERD, stomach and duodenal ulcers |
Adverse effects of Rabeprazole | diarrhea, N/V, constipation, rash, headaches, dizziness |