Medications Chart Master list- NR 101 - $15.49   Add to cart

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Medications Chart Master list- NR 101

Medications Chart Master list- NR 101/Medications Chart Master list- NR 101 NUR 101 Medications Chart Master List Clinical Research of Medications Reference: Mosby’s 2013 Nursing Drug reference Drug Name Generic and Trade Classification and Indication for Use Route, Dose Frequency Both ordered and recommended Drug Action Side Effects Nursing Implications Assessment to be done Morphine Page 822-824 Opioid analgesic Recommended Subcut/IM- 5-10mg q4hr PO- 10-30mg q4hr prn Depresses pain impulse transmission at the spinal cord level by interacting with opioid receptors Drowsiness Dizziness Confusion Head aches Seizures Bradycardia Nausea Vomiting Respiratory depression Respiratory arrest Apnea Pain- location, type, character, give dose before pain becomes severe Bowel status- constipation commonly use laxative if needed Safety: side rails up, night- light, call bell in reach Gradual withdrawal after long-term use Teach patient and family to report change in CNS and allergic reactions Tylenol #3 Looked at as the three separate components Codeine- Page 324-326 Acetaminophen- Page 62-64 Caffeine Acetaminophen: Nonopiod analgesic Use: mild to moderate pain or fever Codeine: opiate analgesic Use: Moderate to severe pain Caffeine: used to counteract the sedative of the codeine. Recommended Codeine- 30mg Acetaminophen- 325mg Caffeine – 8 mg PO/IM/SUBCUT Acetaminophen: may block pain impulses peripherally. Does not possess anti-inflammatory properties Codeine: depresses pain impulses at the spinal cord. Decreases cough reflex and GI motility Acetaminophen: Drowsiness Nausea Vomiting GI bleeding Renal Failure Leukopenia Neutropenia Hemolytic Anemia Thrombocytopenia Rash Hypersensitivity Cyanosis Anemia Jaundice CNS Stimulation Delirium Vascular collapse Seizures Coma Death Codeine: Sedation Lethargy Restlessness Hallucinations Bradycardia Hypotension Tachycardia Circulatory collapse Dry mouth Urine retention Respiratory depression Respiratory paralysis Dyspnea Acetaminophen: Assess: Renal studies (BUN, urine creatinine, occult blood, albumin, presence of blood) Blood studies (CBC) Teach patient not to exceed recommended dosages Teach Patient not to use with alcohol Codeine: Assess: Pain (intensity and location) Cough: type, duration, and ability to raise secretion Teach Patient to report any changes in CNS Teach patient and family that physical dependency may result after extended periods of use Assist with ambulation Safety: top bed rails, night light, call bell Heparin Page 606-609 Anticoagulant, Antithrombtic Recommended 18 international units/kg/hour- IV infusion Enhances the effects of antithombin III by preventing the formation of fibrin from fibrinogen and thombin from prothombin Fever, chills, head ache, Hematuria, Hemorrhage, Thromboyctopenia, anemia, Rash, Anaphylaxis Platelet count q2-3 days Teach Pt to use soft bristle tooth brush to avoid bleeding of the gums Evaluate therapeutic response Teach Pt to report any side effects. Colace Page 427 Laxative, emollient, stool softener Use: Prevent hard dry stools Recommended 50-300mg/day PO (sodium) 240mg prn (calcium) 4ml Enema Increases water and fat movement through the intestines, allows for an easier passage of stool. Bitter taste Throat irritation Nausea Anorexia Cramps Diarrhea Rash Assess cause of constipation: identify whether fluids, bulk or exercise are missing from life style. Evaluate for decrease in constipation Teach patient about normal bowel movements Teach patient and family not to use in the event of abdominal pain, nausea and/ or vomiting ASA Page 145-148 Nonopidiod analgesic Use: Mild to moderate pain and fevers Recommended 81 mg PO- anticologulation 325-650mg q4hr prn Pain and fever Blocks pain impulses in the CNS reduces inflammation by exhibition of prostaglandin synthesis, antipyretic action result from vasodilation of peripheral vessels, decreases platelet aggregation CNS: Seizures, coma CV: rapid pulse, pulmonary edema GI: GI Bleeding Integ: Rash Resp: Wheezing, Hyperpnea Assess pain: character, location, intensity, ROM before and 1 hr after administering Assess Fever: temp. before and 1 hr after administering Hepatotoxicity: Dark urine, clay coloured stools, yellowing skin, itching , abdominal pain, fever, diarrhea if patient is receiving long term therapy Teach patient to not exceed recommended dosages (acute poisoning may result) Teach patient to report any symptoms of hepatotoxicity, renal toxicity, visual changes, allergic reactions, bleeding Alendronate Page83-84 Bone reabsorption inhibitor Recommended 10 mg/day-PO Decreases rate of bone reabsorption Head aches Nausea Vomiting Bone pain Bone density test Teach patient to remain up right for 30 minutes to prevent esophageal irritation Calcium Carbonate Page 223 Calcium supplement Recommended 1000-1500 mg/day-PO Calcium Supplement Constipation Nausea Vomiting Assess Calcium levels Teach patient to increase fluids to 2 L unless contraindicated Leuothyroxine Page 713 Thyroid Hormone Use Hypothyroidism Recommended 25- 50 mcg/ day titrate q6-8 weeks PO Acts on Thyroid hormone receptors Anxiety Hypertension Nausea Vomiting Assess BP and pulse during treatment Teach patient to report anxiety Ramipril Page 1023 Antihypertensive Use Hypertension Recommended 2.5- 20 mg/ day divided BID or daily PO lowers BP by dilating arteries Head ache Hypotension Nausea Constipation Vomiting Teach patient not to discontinue medication abruptly Assess BP Pantoprazole Page 924 Proton pump inhibitor Recommended 40 mg/ day x 8 weeks PO Blocks final step of acid production Headache Diarrhea Abdominal pain Tech patient to report severe diarrhea Assess bowel sounds q 8h

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