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ACC-LVN-Skills 1423

ACC-LVN-1423-LEVEL 1- Weekly Drugs

QuestionAnswer
What is the generic name for (spironolactone) Aldactone
What is the MOA for Aldactone Inhibits sodium reabsorption in the kidney while saving potassium and hydrogen ions(done by antagonizing aldosterone receptors)
What is the classification of Aldactone Potassium-sparing diuretic
What are contraindications of Aldactone Impaired renal function (could further increase potassium levels)
What is the nursing implications for Aldactone 1.Monitor blood pressure and pulse prior to admistrating medication. 2.Monitor intake,output, 3.weight. 4.Monitor potassium levels. 5.Monitor Bun/Creatine levels periodically during therapy **BOB WEIGHS POTATOES**
What are atleast 3 side effects of Aldactone 1.Hyperkalemia 2.Dizziness 3.Erectile Dysfunction 5.Breast tenderness 6.Gynecomastia 6.Agranulosytosis
What is the generic name for (nitroglycerine) NTG
What is the classification of NTG Nitrate
What is the MOA for NTG It increases coronary blood flow, by dilatin coronary arteries & improving collateral flow to ischemic regions (venous greater than arterial. It reduces myocardial oxygen consumption.
What are 3 nursing implimentations for NTG 1.Monitor BP & Pulse prior to and after administration of NTG. 2.Assess location, duratin, intensity & preception factors of pt's angina pain. 3.If applying NTG ointment do not allow it to come into contact with the hands as can cause vasodilation.
what are more nursing implimentations for NTG 4.Inform pt to repostion slowly to avoid orthostatic BP. 5.inform that headaches may be present but will go away in time 1 tab at onset of pain, wait 5min, if pain still there take another tab wait 5min
How do you instuct pt on how to take NTG At onset of pain take 1 tab , wait 5min, if pain still there take another tab & wait another 5min, if still there take only 1 more tab. If pain is still there after 5 more min, call 911
What are the side effects for NTG 1.Hypotension 2.Tachycardia 3.Dizziness 4.Headache
What is the drug name for KCL (potassium chloride)
What is the MOA for KCL 1.Maintain acid-base balance, 2.Maintain sotonicity, 3.mantain electrophsiologic balance of the cell
What are 3 nursing implimentations for KCL 1.NEVER ADMINISTER POTASSIUM IV PUSH OR BLOUS!! 2.Administer with meals or after meals to minimize GI irritation, 3.Assess for hypokalemia, 4.monitor BP,Pulse & ECG 5.Monitor serum potassium before & during therapy
What is the classification of KCL Potassium suppliment
What are the side effects for KCL 1.Abdominal pain, 2.Diarrhea, 3.Flatulence, 4.N/V 5.weakness, 6.restlessness, 7.GI ulceration, 8.Irritaion at IV site
What is the drug name for Prednisone (Deltasone)
What is the classification of Prednisone Intermediate acting corticosteroid
What is the MOA for Prednisone Supression ot the infalmmatory and normal immune responses.
What are 3 nursing implimentations for Prednisone 1.Assess client for edema, steady weight gain, rales/crackles, & dyspnea, 2.assess mental changes during the course of treatment, 3.Assess for adrenal insufficiency efore & durning therapy(wtloss,hypotension,nausea,confusion,lethargy)
What are 2 more nursing implimentations for Prednisone 4.Check serum electrolytes like potassium, 5.check blood glucose levels as hyperglycemia may occur
What are the side effects for Prednisone 1.Depression 2.Euphoria, 3.Hypertension, 4.Anorexia 5.Nausea 6.Acne 7.Decreased wound healing 8.Ecchymosis, 9.Muscle wasting, 10.Ostioporosis
What is the drug name for Lopressor (metoprolol tartrate)
What is the classification of Lopressor Beta Blocker
What is the MOA for Lopressor 1.Blocks the stimulation of beta-1 adrenergic receptors(myocardial), BUT doesn't affect beta-2 adrenergic receptors(pulmonary,uterine,vascular)
What are 3 nursing implimentations for Lopressor 1.Monitor BP & pulse prior to administering med. 2.Monitor intake & daily wt. 3.It may increase BUN levels, 4.administer with meals or directly after.
What are the side effects for Lopressor 1.Hypotension, 2.Bradycardia, 3.Fatigue, 4.Weakness, 5.Anxiety, 6.CHF, 7.Pulmonary edema 8.Erectile dysfuction.
What are the contraindications for Lopressor contraindicated in pt with= 1.uncompensated CHF, 2.Pulmonary edema, 3.cardiogenic shock, 6.Bradycardia, 7.and Heart block
What is the drug name for Coreg (carvedilol)
What is the classification of Coreg Beta Blocker (antihypertensive, CHF, left ventricular dysfunction after MI
What is the MOA for Coreg 1.Blocks the stimulation of beta-1 (myocardial) adrenergic receptors. 2.Does not affect beta-2 (pulmonary, uterine, vascular) adrenergic receptors. 3.Also has alpha-1 blocking activity which may result in orthostatic hypotension.
What are 3 nursing implimentations for Coreg 1.Monitor blood pressure and pulse prior to administration of medication. 2.Monitor intake & output 3.monitor daily weights. 4.monitor Bun levels because it may increase BUN levels.
What are the side effects for Coreg 1.Hypotension, 2.dizziness, 3.bradycardia, 5.fatigue, 6.weakness, 7.anxiety, 8.CHF, 9.pulmonary edema, 10.hyperglycemia, 11.erectile dysfunction.
What are the contraindications for Coreg Contraindicated in uncompensated CHF, pulmonary edema, Cardiogenic shock, severe hepatic impairment , asthma or bronchospastic disorders, bradycardia and heart block. Do not crush extended release tablets. Must be taken whole!
What is the drug name for Lisinopril (Zestril, Prinivil)
What is the classification of Lisinopril ACE Inhibitor
What is the MOA for Lisinopril 1.Blocks the conversion of Angiotensin I to Angiotensin II. 2.Inactivates bradykinin & other vasodilatory prostaglandins. 3.Also increased renin plasma levels & 4.reduce Aldosterone levels.
What are nursing implimentations for Lisinopril Obtain blood pressure & pulse prior to administration. Monitor weight & output in clients with CHF. Monitor serum BUN & creatinine levels as may increase, serum K may be elevated. Serum Na may be decreased
What are the side effects for Lisinopril Dizziness, fatigue, cough, hypotension, taste disturbance, and proteinuria.
What is the drug name for Altace (ramipril)
What is the classification of Altace ACE Inhibitor
What is the MOA for Altace Blocks the conversion of Angiotensin I to Angiotensin II. Also prevent the degredation of bradykinin and other vasodilatory prostaglandins. Also increases the plasma renin levels & reduce aldosterone levels.
What are nursing implimentations for Altace Monitor blood pressure and pulse prior to the administration of medication. Assess for signs of angioedema (facial swelling and dyspnea). Monitor BUN and creatinine levels.
What are the side effects for Altace Cough, hypotension, taste disturbances, angioedema, and agranulocytosis.
What is the drug name for Lasix (Furosemide)
What is the classification of Lasix Loop diuretic
What is the MOA for Lasix Inhibits the reabsorption of sodium and chloride from the loop of Henle and distal renal tubule. Increases renal excretion of sodium, chloride, magnesium, hydrogen, & calcium. May have renal & peripheral vasodilatory effects.
What are 3 nursing implimentations for Lasix Assess fluid status (i/o, daily weight, edema, lung sounds, skin turgor). Monitor blood pressure and pulse. MONITOR K+ levels (may decrease levels) & monitor BUN, creatinine, glucose, & uric acid levels (may increase these)
What are the side effects for Lasix Dehydration, hypokalemia, hyponatremia, dizziness, hypotension, constipation, muscle cramps. K+ level 3.5-5.0 mEq/
What is the drug name for Lovenox (enoxaparin)
What is the classification of Lovenox Low molecular weight heparins
What is the MOA for Lovenox Potentiate the inhibitory effect of antithrombin on factor Xa and thrombin.
What are nursing implimentations for Lovenox Assess for bleeding & hemorrhage (bleeding gums,nosebleed,unusual bruising,black,tarry stools,hematuria,fall in hematocrit or BP, positive Guiac).Monitor neurological status frequently,monitor for hypersensitivity, & assess site of injection
What are the side effects for Lovenox Dizziness, headache, anemia, thrombocytopenia, ecchymoses, pruritis, rash, bleeding.
What is the drug name for Norco (hydrocodone /acetaminophen)
What is the classification of Norco Schedule III Narcotic
What is the MOA for Norco Binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli while producing generalized CNS depression. Suppresses the cough reflex via a direct central action.
What are 3 nursing implimentations for Norco Assess bp, pulse, respirations, pain scale prior to administration. Assess bowel function (slows gastric motility). NTE 4000mg of acetaminophen in 24 hours!!
What are the side effects for Norco Headache, abdominal pain, diarrhea, flatulence, hyperglycemia.
What is the drug name for Digoxin (Lanoxin, Digitalis, Digitek)
What is the classification of Digoxin Cardiac glycoside
What is the MOA for Digoxin Increases the force of myocardial contraction. Prolongs the refractory period of the AV node. Decreases conduction through the SA and AV node.
What are 3 nursing implimentations for Digoxin MUST OBTAIN APICAL HEARTRATE FOR ONE FULL MINUTE BEFORE ADMINISTRATION. HOLD FOR HR<60bpm. Slows heart rate and increases cardiac output. Monitor electrolytes (potassium, magnesium, and calcium) as hypo states may increase risk of toxicity.
What are the side effects for Digoxin Fatigue, headache, weakness, blurred vision, yellow or green vision, bradycardia, anorexia, nausea, vomiting, hyperkalemia with acute toxicity. Digoxin level 0.5-2 ng/ml
What is the drug name for ASA (Aspirin) Acetylsalicylic acid
What is the classification of ASA Salicylate
What is the MOA for ASA Produces analgesic effects and reduces inflammation and fever by inhibiting production of prostaglandins. ASPIRIN ONLY DECREASES platelet aggregation.
What are 3 nursing implimentations for ASA Assess for allergies to aspirin or to tartrazine (at increased risk for developing hypersensitivity).Assess clients who have a history of nasal polyps,asthma,& allergies. Monitor for bleeding (HH),monitor for s/s of toxicity/overdose.
What are the side effects for ASA Tinnitus, dyspepsia, gastric distress, nausea, anemia.
1 gtt = ? minims 1 minim
1ml = ? minims 15-16 minims
4-5 ml = ? t or drams 1t or 1dram
240mL = ?cups or ml 1 cup Or 250mL
1mg = ? grams 1000grams
What is the drug name for Coumadin (warfarin)
What is the classification of Coumadin Anticoagulant
What is the MOA for Coumadin Potentiates the effects of vitamin K dependent clotting factors (II, IV, IX and X)
What are 3 nursing implimentations for Coumadin Assess for bleeding & hemorrhage(bleeding gums,nosebleed,unusual bruising,black,tarry stools,hematuria,fall in hematocrit or blood pressure,positive Guiac).Monitor neurological status frequently,monitor for hypersensitivity,and assess site of injection
What are the side effects for Coumadin Dizziness, headache, anemia, thrombocytopenia, ecchymoses, pruritis, rash, alopecia, and bleeding.
Name the 4 types of cardia drugs Beta-Blockers, Ace-inhibitors, Diuretics, and Cardiac glycosides
what are some important things about Cardiac Glycosides They can also affect Beta-2 receptors(primarily found in the lungs) & cause bronchoconstriction. **This is why there are selective & nonselective beta blockers** Non-selective beta-blockers are contraindicated in patients with COPD & asthma.
what are some important things about ACE Inhibitors ACE (Angiotensin Converting Enzyme) Inhibitors prevent the conversion of Angiotensin I to Angiotensin II. nurse will want to monitor BP & pulse prior to administration & check BUN/creatinine levels & the potassium level especially for hyperkalemia
what are some important things about Diuretics they rid the body of fluid.The action is enhanced by the selective excretion of various electrolytes & water by affecting renal mechanisms for tubular secretion & reabsorption.This class of med also affect electrolytes (especially potassium-K+).
What are some important things about Cardiac Glycosides 1.Increases the force of myocardial contraction. 2.Increase cardiac output (positive inotropic effect) & slowing of HR (negative chronotropic effect). 3.Must check apical HR before giving for 1 full minute! Hold for HR<60bpm.
Created by: monica_acc