JR SIDE MEDS #2
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| Generic name for Proventil, Ventolin | albuterol
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| Trade names for albuterol | Proventil
Ventolin
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| What is the actions and uses for albuterl / Proventil, Ventolin | Binds to Beta2 receptors, relaxation of airway smooth mucle
Bronchodilaton
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| What is basic doses for albuterol-Proventil, Ventolin | PO 2-4mg 3-4 times daily not to exceed 32mg/day
USE A SPACER
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| Side Effects of albuterl-Proventil, Ventolin | Increased Heart Rate, Nervousnes, Tremors, Headache, Insomnia
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| Crittical Nursing Implications of albuterl-Proventil, Ventolin | Assess lung sounds, Pulse and Blood pressure before administration
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| Patient Teaching for of albuterl-Proventil, Ventolin | 1) Propor Inhaler / Nebulizer use 2) Do not double dose or exceed recommended dose, this may cause adverse side effects
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| Contraindications for albuterl-Proventil, Ventolin | Hypersensitivity to adrenergic amines & flurolabons
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| Classification of albuterl-Proventil, Ventolin | Bronchodilators / adrenergics
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| Generic Name for Lovenox | Low maleculer heparins / enoxaparin
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| Classification of LW heparins / Lovenox | Anticoagulants
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| Action and Uses of LW heparins / Lovenox | 1] To potentiate the inhibitory effect of antithrombin on Xa factor and thrombin 2] Prevention of thrombus formation
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| Doses for LW heparins / Lovenox | Subcut 30mg q 12hrs, IV bolus 30mg plus 1mg/kg
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| Contraindications of LW heparins / Lovenox | Active Bleeding, Hypersensitivity to Pork products
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| Side Effects of LW heparins / Lovenox | BLEEDING, Anemia, Dizziness, Edema
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| Critical Nursing Implications of LW heparins / Lovenox | Assess for signs of bleeding and hemorrhage
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| Patient Teaching for LW heparins / Lovenox | 1] Rotate injection sites 2] Report signs of unusual bleeding, brusing, itching and swelling 3] Instruct PT not to take aspirin or NSAID's
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| Trade Name for LW heprain | Lovenox
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| Generic Name for Motrin | ibuprofen
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| Trade name for ibuprofen | Motrin
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| Clasification of ibuprofen / Motrin | Nonopiod Analgesics, Non steroidal anti-inflammatory
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| Action of ibuprofen / Motrin | Inhibits prostaglandin synthesis
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| Uses of ibuprofen / Motrin | Decreased pain and inflammation / Reduction of fever
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| Doses of ibuprofen / Motrin | PO 400-800mg 3-4x day (max 3600mg/day)
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| Contraindications of ibuprofen / Motrin | GI bleeding or ulcer disease. Cross sensitivity may exist with other NSAID's
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| Side effects of ibuprofen / Motrin | GI bleeding, Hepatitis, Nausea, Vomiting
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| Critical Nursing Implications of ibuprofen / Motrin | PTs with asthma, asprin-induced allergy at increased risk for hypersensitivity reactions. Asses for rhinitis, athma and urtcaria.
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| Patient Teaching of ibuprofen / Motrin | 1] Take with full glass of water and remain upright for 15-30 mins 2]Caution PT to avoid concurrent use of alcohol
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| Antagonist of Heparins | Protamein Sulfate
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| Trade Name for glipizide | Glucotrol
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| Generic name for Glucotrol | glipizide
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| Classification of glipizde / Glucotrol | Antidiabetics
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| Actions of glipizde / Glucotrol | Lower blood glucose by stimulating release of insulin from BetaCells in the Pancreas and increasing sensitivity of insulin reseptors
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| Uses of glipizde / Glucotrol | Lower blood glucose in Diabetic Patients
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| Doses for glipizde / Glucotrol | PO 5mg q day Max dose 40mg q day
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| Contraindications of glipizde / Glucotrol | Hypersensitivity with sulfonamides, Type 1 Diabetes, Diabetic Coma
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| Side Effects of glipizde / Glucotrol | Photosensitivity, Hypoglycemia, Dizziness, Constipation
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| Critical Nursing Implications for glipizde / Glucotrol | Observe for S&S of Hypoglycemic reactions (sweating, hunger,weakness, dizziness, tremors, tachycardia, anxiety), Monitor CBC and report low Blood counts`
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| Patient Teaching for glipizde / Glucotrol | 1] Take at same time each day 2] Explain meds cantrol hyperglycemia but doesn't cure diabetes 'long term therapy' 3] Teach S/S of Hypoglycemia to pt & Family
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| Genric name for Lasix | furosemide
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| Trade name for furosemide | Lasix
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| Casification of furosemide / Lasix | Loop Diuretics
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| Actions of furosemide / Lasix | Inhibits the reabsorption of sodium and chloride from the loop of henle. Increase Renal excretion of water
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| Uses for furosemide / Lasix | Decrease excess fluid in the body. Decrease blood pressure
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| Doses of furosemide / Lasix | PO 20-80mg/day may increase q 6-8hr for desired reponse IM, IV 20-40mg may repeat in 1-2hr
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| Contraindications for furosemide / Lasix | 1]Hypotension 2]Dehydration 3]Hypokolemia 4]Blurred vission
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| Critical Nursing Implications for furosemide / Lasix | Monitor daily weights, I/O's, Lung sounds, Skinturger, Mucous Membranes. VITAL SIGNS
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| Patient Teaching for furosemide / Lasix | Orthostatic hypotention, High potassium dieats are bad. Notify Doc of weight gains or Weight losses
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| Generic Name for Neurontin | gabapentin
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| Trade name for gabapentin | Neurontin
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| Classification of gabapentin / Neurontin | Analgesic Adjuncts, Anticonvolsants, Mood Stabilizers
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| Actions of gabapentin / Neurontin | Mechanism of action is not known
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| Uses of gabapentin / Neurontin | Decreased incidence of seizures / post-herpatic pain / neuropathic pain
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| Doses for gabapentin / Neurontin | PO 100-300mg 3x day Titrate up 900-1800mg 3xday
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| Side Effects of gabapentin / Neurontin | CNS - Confusion, Depression, Drowsiness
Neuro - Ataxia (loss of volintary muscle control)
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| Contraindications for gabapentin / Neurontin | Caution w/ renal insufficincy, Under 3yrs old, Pregnant
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| Critical Nursing Implications for gabapentin / Neurontin | Assess location, duration and characteristics of seizure activity
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| Patient teaching for gabapentin / Neurontin | 1] Don't take within 2hrs of antacids
2] Avoid activities requiring alertness
3] Notify Doc if planning pregnancy or suspected it
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| Trade name for warfarin | Coumadin
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| Generic name for Coumadin | warfarin
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| Classification of warfrin / Coumadin | Anticoagulants
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| Actions of warfrin / Coumadin | Interfears w/ vitamin K-dependent clotting factors
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| Uses for warfrin / Coumadin | Prevention of thromboemblolic events, Stop a clot from forming
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| Doses of warfrin / Coumadin | PO, IV 2.5-10mg q day for 2-4 days then adjust from there
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| Side Effects of warfrin / Coumadin | Bleeding, Cramping, Nausea
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| Contraindications for warfrin / Coumadin | Uncontrolled Bleeding, Open Wounds, Active ulcers, Recent Brain eye or spinal cord injury or surgery
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| Critical Nursing Implications for warfrin / Coumadin | 1] Assess for signs of Bleeding
2] Double check everything with another nurse before administration
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| Patient Teaching w/ warfrin / Coumadin | 1] No double dosing on missed doses
2] Keep consistant diet to keep Vit K levels equal
3]Report signs of unusual Bleeding
4] AVOID ALCOHOL AND NSAID's
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| Trade Name for prednisone | Sterapred
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| Generic Name for Sterapred | prednisone
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| Classification of prednisone / Sterapred | Antiasthmatics
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| Actions of prednisone / Sterapred | Suppress inflamation and the normal immune response in asthmatics
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| Uses for prednisone / Sterapred | Suppress inflamation and the normal immune response in asthmatics
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| Doses of prednisone / Sterapred | PO 5-60mg q day as single or individual doses
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| Side Effects of prednisone / Sterapred | 1] Decreased wound healing
2] Hyperglycemia
3] Increased risk of infections
4] Cushingoid apperance (moon face)
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| Critical Nursing Implications for prednisone / Sterapred | Assess vital signs before and during therapy
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| Containdications for prednisone / Sterapred | Active untreated infections
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| Patient Teaching w/ prednisone / Sterapred | 1] When D/Cing wean off dosing
2] May cause immunosuppression
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| Trade Name for metoprolol | Lopressor, Toprol-XL
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| Generic Name for Lopressor, Toprol-XL | metoprolol
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| Classification of metoprolol / Lopressor, Toprol-XL | Antianginals, Anti-hypertensives
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| Actions of metoprolol / Lopressor, Toprol-XL | Beta1 Blocker (myocardial)
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| Uses for metoprolol / Lopressor, Toprol-XL | Decreased blood pressure, heart rate and frequency of angina attacks
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| Doses for metoprolol / Lopressor, Toprol-XL | PO 25-100mg q day up to 450mg q day
IV 5mg q 2 mins for 3 doses
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| Side Effects of metoprolol / Lopressor, Toprol-XL | Hypotension, Fatigue, Weakness, E.D. in males
Bradycardia, Pulmonary Edema
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| Critical Nursing Implications for metoprolol / Lopressor, Toprol-XL | Monitor Vital Signs and ECG every 5-15 mins during and after admin.
Monitor I&Os and daily wieghts for S&S of CHF
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| Contratindications for metoprolol / Lopressor, Toprol-XL | Uncompensated CHF, Pulmanary edema, Bradycardia
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| Patient Teaching w/ metoprolol / Lopressor, Toprol-XL | 1] Do not Take/Give if SBP below 100 or HR below 60
2] Apical Pulse most be taken before administering
3] take same time everyday and No double dosing
4] May cause drowsiness
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| Generic name for Percocet | oxycodone
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| Trade Name for oxycodone | Percocet
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| Classification of oxycodone / Percocet | Opiod Analgesics
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| Actions for oxycodone / Percocet | Alters the the perception of and response to painful stimuli
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| Uses for oxycodone / Percocet | Decrease Pain
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| Doses for oxycodone / Percocet | PO 5-10mg q 3-4 hr
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| Contraindications for oxycodone / Percocet | Head Trauma, Pregnancy or lactation
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| Side Effects of oxycodone / Percocet | Hypotention, Respitory Depression, Confusion, Constipation
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| Critical Nursing Implications for oxycodone / Percocet | Assess Vital Signs and Resp Rate Before and After administering
Resp less than 10/min do not administer
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| Patient Teaching w/ oxycodone / Percocet | Instruct PT when to ask for pain meds (before pain is really bad)
Can cause drowsiness or dizziness call assistance when ambulating
Orthostatic Hypotention
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