Drug Cards
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| Brand name for Doxycycline | Monodox, oracea, periostat, vibramycin
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| Dosage for Vibramycin | 100mg q 12 hours on the first day, then 100-200mg once daily or 50-100mg q 12 hours
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| Periostat is what kind of medication? | anti-infective
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| What is the action of Oracea | an antibiotic used in the treatment of many types of infections caused by bacteria and protozoa
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| What are some possible adverse reactions to Doxycycline? | diarrhea, nausea, vomiting
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| Nursing implications for monodox? | Report sudden onset of painful or difficult swallowing promptly to physician
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| Brand name for Ketorolac | Sprix, toradol
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| Dosage for Sprix | 20mg initially, followed by 10mg q 4-6 hours, NO MORE than 40mg daily
pts with renal impairment- 10mg q 4-6 hours NO MORE than 40mg daily
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| Toradol is what kind of medication? | nonsteroidal anti-inflammatory agent, non-opiod analgesics
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| What is the action of Ketorolac | works by blocking prostaglandins which signals the body to respond to injury/illness
Decreases pain
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| What are some possible adverse reactions to Sprix | drowsiness, dizziness, sense of euphoria, dry mouth, sweating, anaphylaxis
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| Nursing implications for Toradol | Assess pain prior to and 1-2 hours following administration
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| Brand name for Phenytoin | Dilantin, phenytek
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| Dosage for Dilantin | Loading dose of 15-20mg/kg as extended caps in 3 divided doses given 2-4 hrs; maintenance dose 5-6mg/kg/day given in 1-3 divided doses
usual dosing range 200-1200mg
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| Phenytek is what kind of medication? | antiarrhythmic, anticonvulsant
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| What is the action of Phenytoin | slows down impulses in the brain that causes seizures, termination of ventricular arrhythmias
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| What are some possible adverse reactions to Dilantin | suicidal thoughts, impaired balance or coordination (ataxia), hypotension, nausea
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| Nursing implications for Phenytek | Monitor closely for changes in behavior that could indicate the emergence or worsening of suicidal thoughts, behavior or depression. Assess pt for rash usually occurs within 2 weeks
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| Brand name for Amoxicillin | Amoxil, Moxatag, trimox, novamoxin
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| Dosage for Amoxil | 250-500mg q 8hr, or 500-875mg q 12 hr
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| What kind of medication is Moxatag? | anti-infectives, antiulcer agent
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| What is the action of Trimox? | binds to bacterial cell wall causing cell death
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| What are possible reactions to Novamoxin? | seizures (high dose), diarrhea, nausea, rash, anaphylaxis
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| Nursing implications for Amoxicillin | Assess for infection at beginning of and throughout therapy, observe for signs and sysptoms of anaphylaxis, monitor bowel function
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| Brand names for promethazine | Histantil, Phenergan, promethacon
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| What is the dosage for Histantil | As a histamine: 6.25-12.5 mg 3 times a day and 25mg at bedtime
As antivertigo: 25mg 30-60 min before departure
As sedation: 25-50mg, may repeat every 4-6 hours
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| What type of medication is phenergan | antiemetics, antihistamines, sedative/hypnotics
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| What is the action of promethacon | relief of symptoms of histamine excess usually seen in allergic conditions, diminished nausea or vomiting, sedation
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| Possible adverse reactions of promethazine | confusion, disorientation, sedation, dizziness, fatigue
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| Nursing implications for histantil | Assess level of sedation after administration, Geriatric pt: assess for adverse anticholinergic effects such as delirium, acute confusion, dizziness, dry mouth, blurred vision, urinary retention
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| Brand name for Docusate | Colace, correctol, phillips liquid gels
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| Dosage for colace | 240mg once daily
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| What type of medication is Correctol | stool softner
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| What is the action of Phillips Liquid Gels | increases the amount of water in the stool, making stool softer
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| Possible adverse reactions of Docusate | throat irritation, mild cramps, diarrhea, rashes
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| Nursing implications for Colace | Administer with a full glass of water or juice. Do not administer within 2 hours of other laxatives
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| Brand name for Influenza Vaccine | Flu vaccine
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| Dosage for flu vaccine | 0.5ml single dose IM vaccine
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| What type of medication is the Influenza vaccine | vaccine/immunizing agents
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| What is the action of the flu vaccine | Causes antibodies to develop in the body, usually takes 2 weeks after vaccination
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| Possible adverse reaction to Influenza vaccine | Headache, malaise, pain, swelling, soreness or tenderness of injection site
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| Nursing implications for flu vaccine | Monitor patient for signs of allergic reaction (rash, laryngeal edema, wheezing). Make sure patient is not allergic to eggs or has had Gillian-Barre Syndrome
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| Brand name of Digoxin | Lanoxin, toloxin
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| Dosage for Lanoxin | 0.75-1.5mg given as 50% of the dose initially and one quarter of the initial dose in each of 2 subsequent doses at 6-12hr intervals
Maintenance: 0.125-0.5mg/day depending on pt lean body weight, renal function and serum level
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| What type of medication is Toloxin | antiarrhythmic
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| What is the action of Digoxin | Increases the force of heart contraction
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| Possible adverse reaction to Lanoxin | fatigue, headache, weakness
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| Nursing implications for Toloxin | Pt's Apical pulse must be above 60 before administering
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| Brand name of Acetaminophen | Tylenol, Mapap, Feverall, Ofirmev
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| Dosage for Tylenol | 325-650mg every 4-6 hours, 1300 mg every 8 hours
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| What type of medication is Mapap | antipyretic, non-opiod analgesic
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| What is the action of Feverall | Blocks the production of prostaglandins, which causes pain, swelling or inflammation
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| Possible adverse reaction to Ofirmev | Hepatotoxicity or renal failure in high doses
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| Nursing implications for Acetaminophen | Assess level of pain before and after administration
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| Brand name for Heparin | Hepalean, Hep-lock
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| Dosage for Hepalean | 5,000 units every 8-12 hours SQ
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| What type of medication is Hep-lock | antithrombotic, anticoagulant
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| What is the action of Heparin | Reduces blood clots from forming
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| Possible adverse reactions to Hepalean | loss of hair (alopecia), pain at injection site
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| Nursing implications for Hep-lock | Assess for signs of bleeding and hemorrhage such as bleeding gums, nose bleeds, black tarry stools. Monitor platelet count every 2-3 days throughout therapy
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| Brand name for Furosemide | Lasix
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| Dosage for Lasix | 20-80mg/day as single dose initially, may repeat in 6-8 hours, may increase dose by 20-40mg every 6-8 hours until desired response
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| What type of medication is Furosemide | diuretic
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| What is the action of Lasix | Removes excess fluid from the body by blocking the absorption of sodium, choloride and water from kidneys
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| Possible adverse reaction of Furosemide | hypotension, dizziness, headache, vertigo
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| Nursing implications for Lasix | Assess fluid status, Monitor intake and output, monitor edema, lung sounds, discontinue at first sign of rash
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| Brand name of Ibuprofen | Advil, Excedrin, genpril, motrin IB
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| Dosage of Advil | Anti-inflammatory: 400-800mg 3-4 times daily do not exceed 3200mg/day
Analgesic/antipyretic 200-400mg q 4-6 hours do not exceed 1200mg/day
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| What type of medication is Excedrin | Antipyretic, non-opiod analgesics, anti-inflammatory
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| What is the action of Genpril | Blocks production of prostaglandins which cause pain, swelling, inflammation, and fever
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| Possible adverse reaction to Motrib Ib | headache, constipation, nausea, vomiting, anaphylaxis
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| Nursing implication for Advil | Assess pt pain/fever level before and after administration, monitor for GI distress
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| Brand name for Potassium Chloride | K-Dur, Klor-Con, Klotrix
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| Dosage of K-Dur | 40-80mEq/day
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| What type of medication is Klor-Con | mineral and electrolyte supplement
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| What is the action of Klotrix | mineral supplement used to treat or prevent low amounts of potassium in blood, Prevents deficiency
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| Possible adverse reaction to Potassium Chloride | arrhythmia, abdominal pain, diarrhea, flatulence, nausea, vomitting
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| Nurse implication for K-Dur | Assess for signs and symptoms of hypokalemia (weakness, fatigue, arrhythmias) or hyperkalemia (slow irregular heart beat, muscle weakness, confusion)
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| Brand name for Hydromorphone Hcl | Dilaudid, exalgo
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| Dosage for Dilaudid | Immediate- release 4-8mg q 3-4 hours initially,
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| What type of medication is exalgo | Opiod analgesics
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| What is the action of Hydromorphone Hcl | Works on the brain to increase the ability to tolerate pain
Decrease in moderate to severe pain, suppression of cough
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| Possible adverse reaction of Dilaudid | confusion, sedation, dizziness, hypotension, constipation
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| Nursing implication for exalgo | Assess vitals periodically before and after administration. Check respiratory rate before and after administration. Assess geriatric patients more frequently due to sensitivity
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