ACC-LVN-1423-LEVEL 1- Weekly Drugs
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| What is the generic name for (spironolactone) | show 🗑
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| show | Inhibits sodium reabsorption in the kidney while saving potassium and hydrogen ions(done by antagonizing aldosterone receptors)
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| What is the classification of Aldactone | show 🗑
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| What are contraindications of Aldactone | show 🗑
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| What is the nursing implications for Aldactone | show 🗑
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| show | 1.Hyperkalemia 2.Dizziness 3.Erectile Dysfunction 5.Breast tenderness 6.Gynecomastia 6.Agranulosytosis
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| show | NTG
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| show | Nitrate
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| What is the MOA for NTG | show 🗑
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| show | 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.
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| show | 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
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| How do you instuct pt on how to take NTG | show 🗑
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| What are the side effects for NTG | show 🗑
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| What is the drug name for KCL | show 🗑
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| show | 1.Maintain acid-base balance, 2.Maintain sotonicity, 3.mantain electrophsiologic balance of the cell
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| show | 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
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| show | Potassium suppliment
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| What are the side effects for KCL | show 🗑
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| show | (Deltasone)
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| show | Intermediate acting corticosteroid
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| show | Supression ot the infalmmatory and normal immune responses.
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| What are 3 nursing implimentations for Prednisone | show 🗑
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| What are 2 more nursing implimentations for Prednisone | show 🗑
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| What are the side effects for Prednisone | show 🗑
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| show | (metoprolol tartrate)
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| What is the classification of Lopressor | show 🗑
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| What is the MOA for Lopressor | show 🗑
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| What are 3 nursing implimentations for Lopressor | show 🗑
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| What are the side effects for Lopressor | show 🗑
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| show | contraindicated in pt with= 1.uncompensated CHF, 2.Pulmonary edema, 3.cardiogenic shock, 6.Bradycardia, 7.and Heart block
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| show | (carvedilol)
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| What is the classification of Coreg | show 🗑
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| show | 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.
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| show | 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.
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| What are the side effects for Coreg | show 🗑
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| What are the contraindications for Coreg | show 🗑
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| What is the drug name for Lisinopril | show 🗑
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| show | ACE Inhibitor
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| What is the MOA for Lisinopril | show 🗑
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| What are nursing implimentations for Lisinopril | show 🗑
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| What are the side effects for Lisinopril | show 🗑
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| What is the drug name for Altace | show 🗑
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| show | ACE Inhibitor
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| What is the MOA for Altace | show 🗑
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| show | 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.
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| What are the side effects for Altace | show 🗑
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| show | (Furosemide)
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| What is the classification of Lasix | show 🗑
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| show | 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.
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| show | 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)
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| show | Dehydration, hypokalemia, hyponatremia, dizziness, hypotension, constipation, muscle cramps. K+ level 3.5-5.0 mEq/
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| show | (enoxaparin)
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| What is the classification of Lovenox | show 🗑
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| What is the MOA for Lovenox | show 🗑
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| show | 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
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| show | Dizziness, headache, anemia, thrombocytopenia, ecchymoses, pruritis, rash, bleeding.
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| What is the drug name for Norco | show 🗑
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| show | Schedule III Narcotic
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| show | 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.
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| show | Assess bp, pulse, respirations, pain scale prior to administration. Assess bowel function (slows gastric motility). NTE 4000mg of acetaminophen in 24 hours!!
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| What are the side effects for Norco | show 🗑
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| show | (Lanoxin, Digitalis, Digitek)
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| show | Cardiac glycoside
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| What is the MOA for Digoxin | show 🗑
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| show | 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.
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| show | Fatigue, headache, weakness, blurred vision, yellow or green vision, bradycardia, anorexia, nausea, vomiting, hyperkalemia with acute toxicity. Digoxin level 0.5-2 ng/ml
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| show | (Aspirin) Acetylsalicylic acid
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| What is the classification of ASA | show 🗑
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| What is the MOA for ASA | show 🗑
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| What are 3 nursing implimentations for ASA | show 🗑
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| What are the side effects for ASA | show 🗑
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| 1 gtt = ? minims | show 🗑
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| show | 15-16 minims
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| show | 1t or 1dram
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| 240mL = ?cups or ml | show 🗑
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| show | 1000grams
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| What is the drug name for Coumadin | show 🗑
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| What is the classification of Coumadin | show 🗑
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| What is the MOA for Coumadin | show 🗑
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| What are 3 nursing implimentations for Coumadin | show 🗑
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| What are the side effects for Coumadin | show 🗑
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| show | Beta-Blockers, Ace-inhibitors, Diuretics, and Cardiac glycosides
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| what are some important things about Cardiac Glycosides | show 🗑
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| show | 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
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| what are some important things about Diuretics | show 🗑
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| What are some important things about Cardiac Glycosides | show 🗑
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