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NCLEX Med List

Based on the table found in the Kaplan study book

QuestionAnswer
What are the side effects of Norepinephrine (Levophed)? HA, palpitations, nervousness, epigastric distress, angina, HTN, tissue necrosis with extravasation
What are the nursing considerations of Norepinephrine (Levophed)? Vasoconstrictor to increase BP and CO; reflex bradycardia may occur w/ rise in BP; pt. should be attended at all times; monitor urinary output; infuse w/ dextrose sol.'n, NOT NaCl; monitor BP; protect from light
What are the side effects of Dopamine (Intropin)? Increased ocular pressure; ectopic beats; nausea; tachycardia; chest pain; dysrhythmias
What are the nursing considerations of Dopamine (Intropin)? lose dose: dilates renal and coronary arteries; high dose: vasoconstrictor, increases myocardial O2 consumption; HA is early symptom of drug excess; monitor BP, peripheral pulses, urinary output; use infusion pump
What are the side effects of Epinephrine (Adrenalin)? nervousness; restlessness; dizziness; local necrosis of skin
What are the nursing considerations of Epinephrine (Adrenalin)? stimulates A and B adrenergic receptors; monitor BP; carefully aspirate syringe before IM and SC doses; inadvertent IV administration can be harmful; always check strength: 1:100 only for inhalation, 1:1,000 for parenteral administration (SC/IM) hydration
What are the side effects of Isoproterenol (Isuprel)? HA, palpitations, tachycardia, changes in BP; angina; bronchial asthma
What are the nursing considerations of Isoproterenol (Isuprel)? stims B1 and B2 adrenergic receptors; used for heart block, ventricular arrhythmias, bradycardia; bronchodilator used for asthma and bronchospasms; don't give HS: interrupts sleep patterns; monitor BP, P
What are the side effects of Phenylephrine (Neo-Synephrine)? palpations; tachycardia; HTN; dysrhythmia; angina; tissue necrosis w/ extravasation
What are the nursing considerations of Phenylephrine (Neo-Synephrine)? Potent alpha-1 agonist; used to treat hypotension
What are the side effects of Dobutamine hydrochloride (Dobutrex)? HTN; PVCs; Asthmatic episodes; HA
What are the nursing considerations of Dobutamine HCl (Dobutrex)? stimulates beta 1 receptors; incompatible w/ alkaline sol'ns (NaCO3); admin through central venous catheter or lg peripheral vein using infusion pump; don't infuse thru line w/ other meds; monitor EKG, BP, I/Os, serum K+
What are the side effects of Milrinone (Primacor)? dysrhythmias, thrombocytopenia; jaundice
What are the nursing considerations of Milrinone (Primacor)? positive inotropic agent; smooth muslce relaxant used to treat severe heart failure
What are the side effects of Sodium nitroprusside (Nitropress)? hypotension
What are the nursing considerations of Sodium nitroprusside (Nitropress)? dilates cardiac veins and arteries; decreases preload and afterload; increases myocardial perfusion
What are the side effects of Diphenhydramine HCl (Benadryl)? drowsiness; confusion; insomnia; HA; vertigo; photosensitivity
What are the nursing considerations of Diphenhydramine HCl (Benadryl)? blocks effects of histamine on bronchioles, GI tract, and blood vessels
What are the side effects of agents used to treat shock, cardiac arrest, and anaphylaxis? serious rebound effect may occur; balance between underdosing and overdosing
What are the nursing considerations of agents used to treat shock, cardiac arrest, and anaphylaxis? monitor VS; measure urine output; assess for extravasation; observe extremities for color and perfusion
What are the indications of agents used to treat shock, cardiac arrest, and anaphylaxis? hypovolemic shock; cardiac arrest; anaphylaxis
What is the action of antianxiety agents? affects neurotransmitters
What are the indications of antianxiety agents? anxiety disorders; insomnia; petit mal seizures; panic attacks; acute manic episodes
What are the side effects of antianxiety agents? sedation; depression; confusion; anger; hostility; HA; dry mouth, constipation; bradycardia; elevations in LDH, AST (SGOT), ALT (SGPT); urinary retention
What are the nursing considerations of antianxiety agents? monitor liver function; monitor for therapeutic blood levels; avoid EtOH; caution when performing tasks requiring alertness; Benzos are also used as muscle relaxants, sedatives, hypnotics, and anticonvulsants
What are the side effects of Chlordiazepoxide (Librium) and Diazepam (Valium)? Lethargy, hangover; respiratory depression; hypotension
What are the nursing considerations of Chlordiazepoxide (Librium) and Diazepam (Valium)? CNS depressant; use: anxiety, sedation, EtOH withdrawl, seizures; long duration of action; may toxic buildup in elderly; potential for addiction/OD; can develop tolerance and cross-tolerance; smoking inc. clearance of drug; EtOH inc. CNS depression
What are the side effects of Alprazolam (Xanax), Clonazepam (Klonopin), Lorazepam (Ativan), and Oxazepam (Serax)?
Created by: abbeygator28
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