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med competency
contraindications; side effects/adverse reactions; considerations; teachings
| Question | Answer |
|---|---|
| acetaminophen contraindications | - Hx of severe liver impairment/liver disease (hepatitis/cirrhosis) - Individuals with chronic EtOH abuse (3+ drinks daily) |
| acetaminophen side effects | diarrhea/constipation abdominal pain hepatotoxicity renal failure rash (rare SJS syndrome rash) |
| acetaminophen nursing considerations | - prolonged use of acetaminophen especially with other OTC drugs containing acetaminophen - skin assessment for rash - total daily dose 4g |
| acetaminophen patient teaching | - take drugs as directed - notify HCP if persistent fever >3 days - avoid EtOH and OTC medications with acetaminophen |
| acetylsalicylic acid contraindications | Hx of bleeding disorders Hx of severe liver and kidney disease (2) Chronic EtOH abuse |
| acetylsalicylic acid side effects | easy bruising/bleeding GI upset (heartburn/dyspepsia) tinnitus |
| acetylsalicylic acid nursing considerations | patients with asthma at increased risk of hypersensitivity reaction skin assessments for bruising assess liver function |
| acetylsalicylic acid patient teaching | remain upright 15-30 minutes post administration caution with EtOH avoid use with other NSAID |
| Gabapentin indications | epilepsy/partial seizure restless leg syndrome neuropathy |
| gabapentin side effects | weight gain drowsiness confusion ataxia |
| gabapentin adverse effects | suicidal ideation jaundice SJS syndrome rhabomyolosis respiratory depression |
| gabapentin nursing considerations | monitor for behavioral change/worsening depression monitor for use w/ CNS drugs or opioids for respiratory depression |
| gabapentin patient teachings | do not take within 2 hours of antacid driving precaution (drowsiness) for TID dose do not exceed 12 hours between doses |
| alprazolam (xanax) contraindications | Hx respiratory impairment/CNS depression cross sensitivity w/ other benzos use with ketoconazole |
| alprazolam side effects | dizziness drowsiness confusion constipation |
| alprazolam adverse effects | drug dependency/addiction paradoxical effects (anxiety/depression) excessive sedation |
| alprazolam nursing considerations | monitor CBC and CMP for liver/renal function in long term use flumazenil is antidote for toxicity/overdose monitor for oversedation or respiratory depression |
| amlodipine contraindications | - low systolic BP <90 - Caution w/ severe hepatic impairment - Caution w/ aortic stenosis - caution in pregnancy and lactation |
| amlodipine side effects | dizziness fatigue palpitations |
| amlodipine adverse reactions | peripheral edema hypotension angina |
| amlodipine patient teachings | change position slowly to avoid orthostatic hypotension continue taking nitrate/b-blocker and use of SL nitroglycerin for angina |
| amlodipine nursing considerations | - Monitor BP and pulse before/after admin - Monitor frequency of refills to determine adherence |
| atorvastatin contraindications | - do not use with paxlovid - active liver disease/unexplained elevated liver transaminases |
| atorvastatin side effects | - rash - constipation/diarrhea - dizziness |
| atorvastatin adverse effects | - elevated liver enzymes - rhabdomyolysist - angioedema - anaphylaxis |
| Atorvastatin nursing considerations | - assess patient dietary intake - monitor patient for signs of muscle ache - monitor metabolic panel for LFT/bilirubin/ALP |
| atorvastatin patient considerations | - avoid grapefruit juice - medication should be used with dietary restrictions like low cholesterol diet |
| Dextromethorphan contraindications | - not for use in chronic cough - EtOH intolerance (some forms) - do not take with MAOI/SSRI |
| dextromethorphan side effects | nausea |
| dextromethorphan adverse effects | - sedation/dizziness (high dose) - palpitations - hallucinations |
| Dextromethorphan nursing considerations | assess frequency/nature of cough, lung sound and sputum |
| dextromethorphan patient considerations | avoid smoking/fumes/dust (irritants) Humidify home air |
| diphenhydramine contraindications | caution with severe liver disease Respiratory issues (acute asthma/ Lactation |
| diphenhydramine side effects | anorexia Dry mouth Drowsiness |
| diphenhydramine adverse effects | hypotension Palpitations Blurred vision |
| Diphenhydramine nursing considerations | airway assessment in anaphylaxis Assess for anticholinergic effects like - confusion, delirium |
| diphenhydramine patient teaching | avoid driving d/t drowsiness Avoid EtOH Avoid use with other OTC products containing diphenhydramine (even topical) |
| Docusate contraindications | acute abdominal symptoms (Nausea/vomiting/diarrhea) hypersensitivity reaction |
| docusate side effects | throat irritation abdominal cramps |
| docusate adverse effects | diarrhea electrolyte imbalance rash |
| docusate nursing considerations | assess for abdominal distension, bowel sounds, and bowel movements assess stool characteristics monitor for signs of ileus/hematochezia |
| docusate patient teachings | advise dietary modification and increase bulk forming fiber in diet advise increased fluid intake advise increased cardiovascular exercise |
| famotidine contraindications | PKU (chewables) caution in renal impairment lactation |
| famotidine side effects | confusion constipation |
| famotidine adverse effects | arrythmias aplastic anemia agranulocytosis anemia/thrombocytopenia |
| famotidine nursing considerations | assess epigastric/abdominal pain and blood in stool assess CBC periodically especially in long term therapy |
| famotidine patient teaching | avoid smoking as it can interfere with drug action may cause drowsiness/dizziness avoid EtOH |
| ferrous sulfate contraindications | Hx of hemochroatosis Caution in severe liver impairment caution in alcoholism treatment of anemia not due to iron deficiency |
| ferrous sulfate side effects | constipation dark stool nausea/vomiting |
| ferrous sulfate adverse effect | epigastric pain GI bleeding (can cause GI tract irritation -> ulcers) syncope (in iron OD) |
| ferrous sulfate nursing consideration | assess for constipation/diarrhea monitor H/H, iron panel guaiac false positives may occur |
| ferrous sulfate patient teaching | instruct patient to follow high iron diet (leafy greens, red meats) advise patients stool color may change |
| furosemide contraindications | cross sensitivity with thiazides and sulfonamides electrolyte imbalance anuria caution in severe renal/hepatic impairment |
| furosemide side effects | dehydration hypotension tinnitus |
| furosemide adverse effects | hypokalemia/hyponatremia metabolic alkalosis aplastic anemia SJS |
| furosemide nursing consideration | monitor BP/HR assess fluid status - monitor daily weight intake and output assess for rash, muscle weakness/cramp, nausea/dizziness, numbness/paresthesia of extremities |
| furosemide patient consideration | advise slow positional change to avoid orthostatic hypotension avoid EtOH encourage high potassium diet |
| guaifenesin contraindications | DM children <4 y/o EtOH intolerance PKU |
| guaifenesin side effects | dizziness headache dyspepsia |
| guaifenesin adverse effects | rash urticaria |
| guaifenesin nursing considerations | assess lung sounds/frequency and type of cough assess character of bronchial secretions |
| guaifenesin patient teaching | advise avoidance of irritants like smoking and home humidifier avoid driving if experiencing dizziness contact HCP if cough is persistent past 1 week or accompanied by fever/rash/HA/sore throat |
| hydrochlorothiazide contraindications | cross sensitivity with other thiazides/sulfonamides caution w/ renal or hepatic impairment anuria hypernatremia in older adults |
| hydrochlorothiazide side effects | dehydration hypotension hypokalemia muscle cramping confusion |
| hydrochlorothiazide adverse effects | pancreatitis nonmelanoma skin cancer SJS syndrome arrhythmias |
| hydrochlorothiazide nursing considerations | monitor BP monitor intake/output and daily weight assess peripherals for edema |
| hydrochlorothiazide patient considerations | advise slow postural change to avoid orthostatic hypotension encourage low sodium diet, weight loss and cardiovascular exercise (HTN management) monitor electrolytes and BUN/Cr |
| ibuprofen contraindications | active GI bleed/ulceration recent MI/HF CABG renal impairment |
| ibuprofen side effects | dyspepsia headache constipation |
| ibuprofen adverse effects | MI HF SJS GI bleed/ulceration/perforation |
| ibuprofen nursing considerations | monitor for signs of GI bleeding (melena/dizziness/hypotension) monitor for renal impairment (BUN/Cr) assess skin |
| ibuprofen patient recommendation | take after meals avoid EtOH notify HCP of rash |
| levothyroxine contraindications | recent stroke hyperthyroidism caution in severe renal impairment |
| levothyroxine side effect | diarrhea sweating heat intolerance |
| levothyroxine adverse effect | arrhythmias/angina hyperthyroidism weight loss |
| levothyroxine nursing consideration | monitor BP/HR assess for tachyarrhythmias and chest pain monitor lab for thyroid function and hyperthyroidism symptoms |
| levothyroxine patient teaching | to be taken on empty stomach at least 30 min before foods to be taken 4 hr apart from iron/calcium/antacids notify HCP of symptoms of hyperthyroidism (weight loss/irregular HR/sweating/fatigue) |
| lisinopril contraindications | use with entresto history of angioedema caution with renal impairment |
| lisinopril side effects | cough dizziness fatigue |
| lisinopril adverse effecs | hypotension angioedema hyperkalemia |
| lisinopril nursing consideration | monitor BP/HR during initial treatment assessment for signs of angioedema monitor CBC/CMP for hyperkalemia, LFTs and renal function |
| lisinopril patient teaching | avoid high potassium diet advise low sodium, weight loss, smoking/EtOH cessation and cardiovascular exercise contact HCP if experiencing persistent cough |
| loratadine contraindication | hypersensitivity caution in severe renal impairment caution in hepatic impairment use with MAOIs/CNS depressants |
| loratadine side effect/adverse reactions | photosensitivity rash weight gain confusion drowsiness |
| loratadine nursing considerations | assess allergy symptoms periodically assess lung sounds/bronchial secretions may cause false negative in skin allergy tests |
| loratadine patient teaching | avoid EtOH or CNS depressants may cause drowsiness/dizziness - avoid driving if experiencing symptoms |
| losartan contraindications | B/L renal artery stenosis caution in renal/liver impairment caution with concurrent diuretic use |
| losartan side effects | diarrhea dizziness headache |
| losartan adverse effects | hypotension angioedema hypoglycemia hyperkalemia |
| losartan nursing considerations | monitor BP/HR periodically assessment for angioedema monitor renal function/liver function monitor K |
| losartan patient teaching | avoid high potassium diet advise slow positional change to avoid orthostatic hypotension medication compliance - drug does not cure HTN but manages BP |
| metformin contraindications | severe renal impairment in individuals with CKD stage 4 and up Hx heart failure liver disease/impairment lactation |
| metformin side effects | abdominal upset - diarrhea/nausea/vomiting B12 malabsorption |
| metformin adverse effects | hypoglycemia lactic acidosis |
| metformin nursing considerations | to hold metformin for 24 hr prior to IV contrast for imaging monitor renal function regularly d/t risk of renal impairment monitor for signs of hypoglycemia |
| metformin patient considerations | advise to follow DM diet to avoid hyperglycemic/hypoglycemic episodes take glass of OJ/2-3 tsp sugar/honey in cases of hypoglycemia |
| metoprolol contraindications | uncompensated HF pulmonary edema bradycardia SSS w/o pacemaker caution in renal/liver impairment |
| metoprolol side effects | bradycardia fatigue weakness dizziness |
| metoprolol adverse effects | pulmonary edema heart failure hypotension erectile dysfunction |
| metoprolol nursing considerations | monitor BP/HR and ECG during dose adjustment assess frequency/characteristics of anginal attacks during therapy monitor for signs of heart failure/pulmonary edema (JVD, dyspnea, rale/crackle, peripheral edema) monitor liver function |
| metoprolol patient teaching | advise patient to closely monitor HR/BP advise patient change positions slowly to reduce risk of orthostatic hypotension urge medication compliance as abrupt withdrawal increase risk of arrhythmia, HTN and MI |
| ondansetron contraindications | congenital long QT syndrome caution in liver impairment caution in pregnancy/lactation |
| ondansetron side effects | constipation diarrhea headache dizziness |
| ondansetron adverse effects | torsade de pointes QT interval prolongation -> stroke elevated LFTs serotonin syndrome rash/SJS |
| ondansetron nursing considerations | assess nausea/vomiting symptoms and exam for distension/bowel sounds prior to admin monitor ECG in patients with HF/arrhythmias or concurrent medications that prolong QT interval monitor for rash |
| ondansetron patient teaching | notify HCP if experiencing irregular heartbeat, unilateral numbness in the arms, muscle paralysis or spasms notify HCP if experiencing sudden mood/mental shifts such as confusion/delirium/agitation/tachycardia/muscle rigidity (serotonin syndrome) |
| oxycodone contraindications | respiratory depression paralytic ileus acute or severe asthma history of substance abuse severe liver/renal impairment concurrent use with MAOIs/EtOH/benzos (CNS depressants) |
| oxycodone side effects | opioid induced constipation confusion sedation |
| oxycodone adverse effects | respiratory depression physical dependence/addiction GI obstruction orthostatic hypotension |
| oxycodone nursing considerations | assess BP/HR/RR during use - especially signs of respiratory depression monitor for bowel function |
| oxycodone patient teachings | patient education on recognizing respiratory depression and calling 911 in emergencies having naloxone on hand for possible overdose avoid use of EtOH or other CNS depressants turn/cough/breathe deeply to avoid atelectasis |
| KCl contraindications | hyperkalemia severe renal impairment caution in Hx of cardiac disease |
| KCl side effects | abdominal pain diarrhea fatigue weakness |
| KCl adverse effects | arrhythmia hyperkalemia dyspnea chest pain GI ulcers |
| KCl nursing considerations | assess for signs of hyperkalemia - irregular HR/diarrhea/nausea/chest pain assess for signs of hypokalemia - fatigue/palpitations/dyspnea monitor HR/BP and ECG periodically during therapy assess fluid for intake/output and daily weight monitor serum electrolytes routinely during administration |
| KCl patient teaching | advise patient to take missed doses within 2 hours or skip and continue regular schedule to avoid double dosing follow potassium diet as recommended by MD |
| prednisone contraindications | active untreated infections caution in chronic treatment - steroid induced diabetes + adrenal suppression (cushing syndrome) caution in use with diabetic patients |
| prednisone side effects | increased weight slowed healing |
| prednisone adverse effects | steroid induced diabetes cushing syndrome/adrenal suppression (steroid induced cushing syndrome) osteoporosis cataracts peptic ulcers immunosuppression |
| prednisone nursing considerations | monitor for signs of cushing (moon face/buffalo hump/obesity/hyperglycemia) assess sign of infection monitor weight and daily intake/output monitor w/ stool guaiac |
| prednisone patient teaching | medication compliance and risk of adrenal insufficiency in cases of abrupt discontinuation w/o taper avoid grapefruit juice alert HCP for signs of black tarry stool signs of worsening infection due to immunosuppression effect |
| bacitracin contraindication | renal impairment hypersensitivity |
| bacitracin adverse reaction | rash nephrotoxicity |
| bacitracin nursing consideration | assess lesions prior and during theray |
| bacitracin patient teaching | avoid use on bites/puncture wounds/deep burns or cuts avoid prolonged use |
| fentanyl patch contraindication | respiratory depression or severe asthma paralytic ileus caution in renal/liver impairment Hx cardiac disease like bradyarrhythmias concurrent use with CNS depressants |
| fentanyl patch side effcts | opioid induced constipation rash confusion weakness |
| fentanyl patch adverse effects | apnea respiratory depression physical dependance |
| fentanyl patch nursing considerations | monitor for signs of CNS/respiratory depression assess BP/HR/RR assess bowel function |
| fentanyl patch patient consideration | teaching regarding proper application and disposal of transdermal patches avoid grapefruit juice teaching regarding recognition of CNS/respiratory depression and use of nalaxone avoid introduction of excessive warming to patch due to increased release avoid use with other CNS depressants (EtOH/benzos etc) |
| hydrocortisone cream contraindication | untreated infection liver impairment diabetes chronic use |
| hydrocortisone cream side effects | allergic contact dermatitis skin dryness |
| hydrocortisone cream adverse effects | adrenal suppression maceration edema |
| hydrocortisone nursing consideration | assess skin for inflammation or pruritis and signs of infection |
| hydrocortisone cream patient teaching | avoid use on open wounds/cuts and face/underarms/groin unless directed avoid long term use unless directed |
| lidocaine patch contraindication | heart block caution in liver disease caution in heart/lung disease caution in respiratory depression |
| lidocaine patch side effects | confusion drowsiness dizziness contact dermatitis (burning, stinging) |
| lidocaine patch adverse effects | anaphylaxis cardiac arrest arrhythmia seizure |
| lidocaine patch nursing considerations | monitor ECG and BP/RR monitor for seizure activity assess pain in affected area during therapy |
| lidocaine patch patient teaching | may cause dizziness/drowsiness - avoid driving avoid contact with water proper administration and disposal |
| nitroglycerin patch contraindication | caution in liver impairment severe anemia hypovolemia concurrent use with |
| nitroglycerin patch side effect | dizziness headache |
| nitroglycerin patch adverse effect | hypotension tachycardia syncope |
| nitroglycerin patch nursing considerations | assessment of anginal pain (duration and characteristics) monitor BP/HR |
| nitroglycerin patch patient teaching | sit down and use medication immediately when experiencing signs of anginal attacks change position slowly to reduce orthostatic hypotension avoid EtOH headache is common side effect that decreases with continued use |
| enoxaparin contraindication | Hx of heparin induced thrombocytopenia active/major bleeds caution in severe renal/liver impairment |
| enoxaparin side effecs | dizziness headache rash |
| enoxaparin adverse effects | anemia bleeding/easy bruising thrombocytopenia elevated LFT |
| enoxaparin nursing considerations | assess sign of bleeding/bruising (melena, hematuria, gum bleed, surgical site bleeding) monitor labs for CBC/PLT |
| enoxaparin patient teaching | inform HCP prior to surgical treatment avoid use of NSAID without HCP consultation monitor for signs of unusual bleeding or easy bruising |
| heparin contraindication | Hx of heparin induced thrombocytopenia uncontrolled bleeding/active major bleed severe thrombocytopenia caution in renal/liver impairment |
| heparin side effects | rash elevated LFTs |
| heparin adverse effect | anemia bleeding/easy bruising HIT osteoporosis |
| heparin nursing considerations | assess skin for signs of bleeding/easy bruising monitor signs of HIT/HITT -> labs with CBC and PLT monitor liver labs |
| heparin patient teaching | avoid concurrent use with NSAIDs w/o HCP consult monitor for signs of bleeding/easy bruising avoid any tools that may cause cuts or bleeding (ie toothbrush/IM injections) |
| insulin lispro vs lantus | lispro = short acting lantus = long acting |
| insulin lispro contraindications | hypoglycemia caution in liver/renal impairment hypersensitivity (anaphylaxis) pregnancy/lactation considerations |
| insulin lispro side effecs | pruritis swelling |
| insulin lispro adverse effects | hypoglyemia dizziness diaphoresis anaphylaxis hypokalemia |
| insulin lispro nursing considerations | monitor finger stick and A1c as indicated assessment for signs of hypoglycemia monitor weight |
| insulin lispro patient teaching | advise proper administration technique such as rotation of injection site avoid sharing needles alert patient on symptoms of hypoglycemia and carry some sweets for emergencies follow diabetic diet |
| insulin lantus contraindications | hypoglycemia anaphylaxis caution in liver/renal impairment pregnancy/lactation considerations |
| insulin lantus side effects | pruritis swelling |
| insulin lispro adverse effects | hypoglyemia dizziness diaphoresis anaphylaxis hypokalemia |
| insulin lispro nursing considerations | monitor finger stick and A1c as indicated assessment for signs of hypoglycemia monitor weight |
| insulin lispro patient teaching | advise proper administration technique such as rotation of injection site avoid sharing needles alert patient on symptoms of hypoglycemia and carry some sweets for emergencies follow diabetic diet |
| cyanocobalamin contraindications | hypersensitivity caution in concurrent infection caution in iron deficiency |
| cyanocobalamin side effects | itching headache pain at IM site |
| cyanocobalamin adverse effects | thrombocytosis heart failure pulmonary edema hypokalemia |
| cyanocobalamin nursing considerations | asses for b12/folate deficiency signs (neuropathy, red/inflamed tongue, anemia, fatigue) monitor for signs of hypersensitivity reaction monitor CBC, B12/folate and iron panels prior to admin and routinely after |
| latanoprost contraindication | - Hypersensitivity - Caution in diabetics d/t retinal complications |
| latanoprost side effects | - Stinging, burning, redness - Itchiness - eye sensitivity to light |
| latanoprost adverse effects | - Blurred vision - Change iris pigment - Vision changes |
| latanoprost nursing consideration | "- Monitor eyes for infection - Remove contact lenses if any - Do not apply directly to eye, d/t contamination" |
| cyanocobalamin patient teaching | avoid EtOH individuals with pernicious anemia may need lifetime therapy follow dietary recommendations for B12 (meats/seafood/yolk) |
| latanoprost patient teaching | - Take as directed - Report to HCP for s/s of infection - Proper technique, do not apply directly on eye |
| timolol contraindication | hypotension uncompensated heart failure |
| timolol side effects | - Fatigue, Weakness - Dizziness, Drowsiness - Erectile Dysfunction |
| timolol adverse effects | pulmonary edema heart failure hypotension erectile dysfunction |
| timolol nursing considerations | monitor BP/HR assess eye for any worsening symptoms |
| timolol patient teaching | - Change positions slowly - May cause dizziness, drowsiness - Do not stop abruptly |
| albuterol contraindication | hypersensitivity caution in HTN/DM excessive inhaler use (tolerance/paradoxical bronchospasm) |
| albuterol side effects | nervousness restlessness tremor |
| albuterol adverse effects | paradoxical bronchospasm (d/t excessive use) chest pain palpitations hypokalemia |
| albuterol nursing consideration | assess lung for sounds/pulse and BP lung function testing (PFTs) |
| albuterol patient teaching | proper use of inhaler (inhale and hold 10s) inform HCP if current dose not improving SOB symptoms for reeval of asthma tx contact HCP for worsening asthma symptoms (diaphoresis/SOB/palpitations) |
| fluticasone contraindications | hypersensitivity acute asthma attacks caution in active untreated infection caution in liver impairment caution in immunosuppression |
| fluticasone side effects | headache dizziness |
| fluticasone adverse effects | cushing syndrome (adrenal insufficiency) anaphylaxis oropharyngeal fungal infections sinusitis |
| fluticasone nursing considerations | concurrent use of corticosteroids (systemic/inhalation) for adrenal insufficiency monitor lung sound/respiratory status skin assessments for hypersensitivity reaction |
| fluticasone patient teaching | notify HCP for hypersensitivity reactions avoid smoking/allergens/respiratory irritants proper medication use |
| ipratropium contraindications | hypersensitivity acute bronchospasm caution with older adults |
| ipratropium side effects | rash dizziness headache epistaxis nasal dryness/irritation |
| ipratropium adverse effects | bronchospasm anaphylaxis hypotension palpitations |
| ipratropium nursing considerations | assess rhinorrhea symptoms assess respiratory status (RR/breath sounds/SOB) and bronchospasms |
| ipratropium patient teachings | proper medication use seek immediate medical attention in hypersensitivity reactions |
| ceftriaxone contraindications | cephalosporin or penicillin hypersensitivity severe liver/renal impairment |
| ceftriaxone side effects | diarrhea lower abdominal pain IM/IV site phlebitis rash |
| ceftriaxone adverse effects | anaphylaxis seizures C. diff associated diarrhea |
| ceftriaxone nursing considerations | assess signs of infection prior/throughout treatment obtain culture/sensitivity prior to administration monitor bowel function (possible C. Diff diarrhea) |
| ceftriaxone patient teachings | monitor for signs of fever/diarrhea -> possible C. Diff diarrhea |
| ciprofloxacin contraindications | cross sensitivity myasthenia gravis Hx of tendonitis/tendon rupture caution with renal impairment |
| ciprofloxacin side effects | drowsiness/dizziness diarrhea lower abdominal discomfort/pain |
| ciprofloxacin adverse effects | hepatotoxicity/hepatitis C diff diarrhea anaphylaxis tendonitis serious CNS effects (seizure, agitation, insomnia, anxiety, confusion) |
| ciprofloxacin nursing considerations | monitor liver function monitor bowel movement monitor symptoms of anaphylaxis monitor symptoms of CNS dysfunction |
| ciprofloxacin patient teaching | notify HCP in case of fever or diarrhea (possible C. Diff diarrhea) may cause drowsiness/dizziness - avoid driving |
| doxycycline contraindications | hypersensitivity caution in use with pregnancy and children (teeth staining) Hx of intracranial HTN |
| doxycycline side effects | diarrhea nausea vomiting photosensitivity phlebitis |
| doxycycline adverse effects | SJS rash hepatotoxicity pancreatitis C diff diarrhea |
| doxycycline nursing considerations | monitor bowel function assess skin for rash assess infection symptoms obtain culture/sensitivity prior to administration monitor liver functions |
| doxycycline patient considerations | inform HCP of worsening fever/diarrhea/bloody stool (C. diff diarrhea) wear sunscreen/sun protection for photosensitivity avoid antacids/iron/HCO3 supplement immediately prior to intake |
| piperacillin/tazobactam contraindications | cross sensitivity (penicillin/beta-lactam/cephalosporin/tazobactam allergy) renal impairment seizure |
| piperacillin/tazobactam side effects | diarrhea constipation lower abdominal pain phlebitis rash |
| piperacillin/tazobactam adverse effects | rash rhabdomyolysis anaphylaxis renal failure/hepatitis |
| piperacillin/tazobactam nursing considerations | skin/respiratory assessment for hypersensitivity/allergy for rash/anaphylaxis assessment of infection C/S prior to administration monitor bowel movement for c diff symptoms monitor for signs of rhabdomyolysis |
| piperacillin/tazobactam patient considerations | monitor for signs of c diff (fever/diarrhea/bloody stool) monitor for signs of anaphylaxis |
| pantoprazole contraindications | hypersensitivity caution in prolonged use d/t increase risk of - fundic gland polyps, osteoporosis, B12 deficiency, C diff infections |
| pantoprazole side effects | hypokalemia hypocalcemia fundic gland polyps B12 deficiency |
| pantoprazole adverse effects | angioedema/anaphylaxis osteoporosis C. diff diarrhea SJS/TEN |
| pantoprazole nursing considerations | assess abdomen for epigastric/abdominal pain and stool for frank/occult blood monitor bowel function for possible C diff diarrhea assess skin/respiratory for hypersensitivity reactions |
| pantoprazole patient teaching | eat GI healthy diet with avoidance of EtOH, spicy foods, NSAIDs monitor for abnormal GI symptoms like black stool, abdominal pain or signs of infection like fever/diarrhea |
| vancomycin contraindications | hypersensitivity renal impairment hearing impairment intestinal obstruction -> increased systemic absorption |
| vancomycin side effects | nausea vomiting phlebitis |
| vancomycin adverse effects | rash (SJS/TEN) anaphylaxis ototoxicity nephrotoxicity C. diff diarrhea |
| vancomycin nursing considerations | monitor for signs of hypersensitivity and assess skin/respiratory for anaphylaxis or rash monitor infection signs monitor for signs of C diff diarrhea monitor renal function/urinalysis for AKI and nephrotoxicity |
| vancomycin patient teaching | notify HCP for signs of hypersensitivity, hearing disorder notify HCP for persistent infection notify HCP for fever/diarrhea -> C diff infection |
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sleepingbear