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Unit 3

Med surge 2 meds

QuestionAnswer
Albuterol, Terbutaline, Levalbuterol Short acting bronchodilators. Nervousness, Tremor, Chest pain ,Palpitations, Arrhythmias. Notify if no change, monitor airway, use then wait five minutes then use steroid.
Aminophylline, Theophylline long acting bronchodilator IV, Tachycardia, Anxiety, Insomnia, Restlessness.Increase dose for smokers, limit caffeine, assess ECG. Therapeutic level 10-19mcg/mL, toxicity>20 mcg/mL.
Ipratropium Anticholinergic Bronchodilator INH, Dry mouth, Urinary retention, Constipation, Blurred vision. Use first then steroid. can be combined with nebulizer.
Beclomethasone, Prednisone, Dexamethasone, Budesonide Decreases inflammation. Cough, Rhinitis, Dry mouth, Oral fungal infections.Taper slowly, monitor weight and electrolytes, FSBS, should wear medic alert, suppresses immunity, rinse mouth to prevent thrush.
Diphenhydramine, Chlorpheniramine, Fexofenadine, Loratadine Anti histamines, rhinitis, sneezing, cough.Anticholinergic effects=dry mouth, urinary retention, constipation, Drowsiness (not 2nd gen), Hypotension. Increase fluid intake
Guaifenesin Creates secretions to excrete. NVD, Headache, Drowsiness.Increase fluid intake, Give with full glass of water, Avoid smoking and alcohol
Dextromethorphan Non- opioid. For cough.NV, Mild drowsiness.Increase fluids Avoid smoking and alcohol
Codeine opioid, For cough.NV, Drowsiness, Constipation, Respiratory depression.Increase fluids, Avoid smoking and alcohol, Opioids may produce dependence, Monitor respirations with opioids
Isoniazid (INH) Management of active TB, Hepatotoxicity, NV, Jaundice, Constipation, Peripheral neuropathy, Monitor LFT, No alcohol, Vitamin B supplements to help prevent neuropathy
Rifampin (RIF) Management of active TB,. Reddish orange fluids- urine, tears, feces, perspiration, Monitor LFT, No alcohol, Administer on empty stomach if possible
Ethambutol (EMB) Management of active TB PO • Blurred vision • Fever • Joint pain • Skin rash Monitor LFT No alcohol Administer on empty stomach if possible Management of active TB • Blurred vision, Fever, Joint pain, Skin rash, Monitor LFT, No alcohol, Administer on empty stomach if possible
Streptomycin Management of active TB• Rash, Vertigo, Urticaria, Nephrotoxicity, Ototoxicity (tinnitus), Monitor renal function, Monitor peak and trough (peak occurs 1 hr after IM dose and assess trough right before next dose)Administer in large muscle
Created by: ngcochran
 



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