Oral Meds
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| Trade: salicylate | Generic: Aspirin
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| Trade: docusate sodium | Generic: Colace
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| Trade: furosemide | Generic: Lasix
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| Trade: levofloxacin | Generic: Levaquin
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| Trade: diltiazem | Generic: Cardizem
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| Trade: potassium | Generic: Micro K or K-Dur (HIGH ALERT)
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| Trade: digoxin | Generic: Lanoxin (HIGH ALERT)
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| Classification for Aspirin | Antipyretic
Analgesic
Anti-coagulant
Anti-inflammation
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| Classification of Colace | Stool softener
Does not stimulate intestinal peristalsis
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| Classification of Lasix | Loop Diuretic
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| Classification of Levaquin | Anti-infective
Commonly used for:
Urinary Tract Infection
Skin Infection
Bone&Joint Infection
Respiratory Infection
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| Classification of Cardizem | Antihypertensive
Anti-anginal
Reduces heart rate in flutter or fibrillation
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| Classification of Micro K / K-Dur | Mineral & Electrolyte supplement
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| Classification of Lanoxin | Anti-Arrhythmic:
Treats the arrhythmias:
~atrial fibrillation
~atrial flutter
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| Action of Aspirin | 325-1000 mg/day common for relieving pain
81-325 mg daily prevent platelet aggregation
"Relieves pain"
"Thins the blood so it flows more easily"
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| Action of Colace | Promotes incorporation of water into stool resulting in softer fecal mass and easier passage of stool
"Helps to soften stool"
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| Action of Lasix | Diuretic
"Helps the body get rid of excess fluid"
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| Action of Levaquin | Kills susceptible bacteria
"Kills bacteria that cause infections"
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| Action of Cardizem | Vasodilation - resulting in decreased BP and slow pulse
Decreases attack of angina
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| Action of Micro K/ K-Dur | Essential to transmission of nerve impulses (esp. the heart)
Given to clients taking Lasix
"helps the nerves send signals throughout the body."
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| Action of Lanoxin | Increases the force of myocardial contraction and slows rate which increases Cardiac output (CO)
"Helps the hear treat stronger and slower"
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| Contraindications of Aspirin | History of GI bleed or gastric ulcers
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| Contraindications of Colace | Abdominal pain N/V
Prolonged or excess use can lead to dependence
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| Contraindications of Lasix | Use cautiously in patients with low BP and liver disease
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| Contraindications of Levaquin | Liver or renal impairment
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| Contraindications of Cardizem | Systolic BP less than 90 or a pulse less than 60
Use cautiously if liver impaired
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| Contraindications of Micro K/ K-Dur | Severe renal impairment
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| Contraindications of Lanoxin | Causes an arrhythmia, for example: bradycardia
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| Side Effects of Aspirin | Tinnitus
Epigastric distress/nausea
GI bleed
Unusual bleeding of gums
Prolongs blood thinning for 4-7 days
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| Side Effects of Colace | Mid abdominal cramps
Diarrhea
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| Side Effects of Lasix | Dehydration; dry mouth
Hypovolemia
Loss of electrolytes particularly Potassium
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| Side Effects of Levaquin | CNS symptoms:
dizziness, seizures, headache, insomnia
Arrhythmias
Diarrhea
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| Side Effects of Cardizem | Hypotension
Peripheral edema
Crackles in lungs
Weight gain
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| Side Effects of Micro K/ K-Dur | Abdominal pain, flatulence
Nausea/vomit/diarrhea (NVD)
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| Side Effects of Lanoxin | Fatigue, anorexia N/V
bradycardia
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| RN Implication & Pt Education for Aspirin | Ppl w/ asthma @ risk for developing allergic reaction Do not crush or chew enteric coated tables
Administer w/ meals/food/antacids to reduce gastric irritation
Take with full glass of water Remain upright for 15-30min
LAB LOOKOUT: Bleeding time 1-3 min
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| RN Implication & Pt Education for Colace | Assess client for abdominal distention and presence of bowel sounds
Assess color, consistency and amount of stool produced
Administer w/ a full glass of water or juice. May be taken on an empty stomach for more rapid results
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| RN Implication & Pt Education for Lasix | Assess fluid status daily: Weight, I&O, lung sounds, skin turgor
LAB LOOKOUT:
Potassium: 3.5-5.5 mEq/L
Sodium: 135-145mEq/L
Calcium: 4.5-5.5mEq/L
Magnesium: 1.5-2.5mEq/L
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| RN Implication & Pt Education for Levaquin | Assess pt's infection status BEFORE beginning med to identify if the med is effective in treating the infection
Collect any specimen ordered by doctor before starting antibiotic. Specimens come form the area of infection
LAB LOOKOUT: 5,000-10,000 WBC
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| RN Implication & Pt Education for Cardizem | Take BP & apical pulse prior to giving med
Hold med if systolic BP <90 and pulse <60
LAB LOOKOUT: Hypokalemia increase risk or arrhythmias
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| RN Implication & Pt Education for Micro K/ K-Dur | Tablets and capsules should be taken with meal and full glass of water. DO NOT CHEW OR CRUSH ENTERIC COATED OR EXTENDED-RELASE TABLET OR CAPSULE
LAB LOOKOUT: abnormal K+ levels (high or low) can cause arrhythmias
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| RN Implication & Pt Education for Lanoxin | Take apical pulse for 1min before giving med. Hold if pulse <60 and notify doctor
LAB LOOKOUT: use cautiously in hypokalemia or hypercalcemia b/c of ↑ risk of toxicity. Toxicity S/S= abdominal pain, anorexia, nausea/vomit,visual disturbances,bradycardia
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| Name two meds that need to check pulse/BP before administration | 1) Cardizem
2) Lanoxin
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| Name two meds that are HIGH ALERT | 1) Micro K/ K-Dur
2) Lanoxin
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