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TOP 50 DRUGS-NURSING

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TOP 50 DRUGS-NURSING Albuterol Aerosol is - ANS-Class: Bronchodilator Beta 2 agonist Thera: Bronchodilation for asthma, COPD, acute bronchospasm SE: Nervousness, restlessness, tremor, chest pain, palpitations. -- Assess lung sound before & after TX. Observe for paradoxical bronchospasm (wheezing). Consider aerochamber. Monitor K+ and glucose. Rinse mouth with water to minimize dry mouth. (Ambien) zolpidem - ANS-Class: Sedative / hypnotic Thera: Sedation and induction of sleep SE: Amnesia, daytime drowsiness, drugged feeling, physical & psychological dependence, tolerance, GI effects -- Assess sleep, mental status, potential for dependence. Don't use more than 7- 10 days. Avoid ETOH & other CNS depressants (Ativan) lorazepam - ANS-Class: Antianxiety Sedative / hypnotic. Benzodiazepine. Thera:Management of anxiety, insomnia, Status Epilepticus. Preoperative sedation. Postoperative amnesia SE: Dizziness, drowsiness, lethargy, APNEA, CARDIAC ARREST with rapid IVP -- Assess anxiety, mental status,. Avoid ETOH & other CNS depressants (Avandia) rosiglitazone - ANS-Class: Antidiabetic. Thiazolidinediones Thera: Decrease insulin resistance SE: Edema, anemia, wt gain, increased cholesterol -- Monitor for fluid retention, hypoglycemia. Check PLFTs & CBC High Alert Medication! (Cardiazem ) diltiazem - ANS-Class: Antianginal antiarrhythimics (class IV) antihypertensive. CA++ channel blocker Thera: Decreased blood pressure. Coronary vasodilation. Antiarrhythimic SE: Arrhythmias. CHF. Peripheral edema, Postural hypotension -- Assess for signs of CHF. Monitor BP &P, notify < 50 bpm. May cause drowsiness of dizziness. Caution patient to avoid driving until response to medication is known. Gingival hyperplasia-teach good oral care (Celebrex ) celecoxib - ANS-Class:NSAIDs, COX-2 inhibitor Thera: Analgesic, anti- inflammatory, & anti- pyretic SE: GI BLEEDING, dermal rash, GI effects -- Assess pain, ROM and swelling. Do not give if allergic to sulfonamides, aspirin or NSAIDs. Watch for tarry stools. (Cozaar) losartan - ANS-Class: Angiotensin II receptor blocker Thera: Antihypertensive. Decreases risk of stroke. SE: Orthostatic hypotension, diarrhea. Dizziness, ANGIOEDEMA. Use cautiously in CHF -- Assess orthostatic blood pressures. Use care when changing positions to prevent orthostatic hypotension. Monitor BUN/Creatinine for possible early renal failure. (Coumadin) warfarin - ANS-Class:Anticoagulant. Interferes with hepative syntheses of Vitamin K- dependant clotting factors Thera: Prophylaxis/Treatment of venous &/or pulmonary embolism (PE) and atrial fibrillation w/ embolization. Antidote = Vitamin K SE: Bleeding. Numerous drugs and natural products affect the activity of warfarin! -- Asses for bleeding, or increased thrombosis. Check INR/PT before administration and regularly. PT may be 1.3-1.5 times greater than control. INR goal dependent on medical diagnosis. Maintain consistent vitamin K, Take in evening. Avoid ETOH & OTC medications. High Alert Medication (Deltasone) prednisone - ANS-Class:Anti-inflammatory. (intermediate acting) corticosteroid Thera: inflammation & modification of the normal immune response; replacement therapy in adrenal insufficiency. Management of cerebral edema. Potentiates anti-N/V action of Zofran. SE: PEPTIC ULCERATION, THROMBOEMBOLISM, mood changes, hypertension, anorexia, nausea, acne, decreased wound healing, ecchymosis, fragility, hirsutism, petechiae, adrenal suppression, muscle wasting, osteoporosis, cushingoid appearance, GI effects -- Monitor for fluid retention, hyperglycemia, infections, bleeding, steady weight gain, crackles, dyspnea. Do not D/C abruptly. Monitor serum electrolytes, cholesterol/lipids. avoid people w/contagious illnesses, TAKE WITH FOOD (Decadron) dexamethasone - ANS-Class: Anti-inflammatory (long acting) corticosteroid Thera: inflammation & modification of the normal immune response; replacement therapy in adrenal insufficiency. Management of cerebral edema. Potentiates anti-N/V action of Zofran. SE: PEPTIC ULCERATION, THROMBOEMBOLISM, mood changes, hypertension, anorexia, nausea, acne, decreased wound healing, ecchymosis, fragility, hirsutism, petechiae, adrenal suppression, muscle wasting, osteoporosis, cushingoid appearance, GI effects -- Monitor for fluid retention, hyperglycemia, infections, bleeding, steady weight gain, crackles, dyspnea. Do not D/C abruptly. Monitor serum electrolytes, cholesterol/lipids. avoid people w/contagious illnesses, TAKE WITH FOOD (Dilantin) phenytoin - ANS-Class: Antiarrhythmic, Anticonvulsant Thera: Decrease seizures, control arrhythmias; Decrease pain SE: Aganulocytosis, aplastic anemia, Stevens-Johnson syndrome. diplopia, nystagmus, hypotension, gingival hyperplasia, nausea, rashes -- Assess for hypersensitivity syndrome; monitor CBC, platelet count, avoid driving till MD ok; avoid ETOH & OTC meds; maintain oral hygiene; urine can be pink/red; diabetic-monitor glucose closely; avoid taking within 2-3hr of antacids/antidiarrheals; decrease contraceptive(hormonal), TAKE WITH FOOD (Flagyl) metronidazole - ANS-Class: Antiinfective, antiulcer, Antiprotozoal Thera: Treatment of anaerobic and parasitic infections SE: SEIZURES, dizziness, HA, anorexia, nausea, GI effects -- Monitor WBC, neurological status, and I/Os, TAKE WITH FOOD

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Exam 1 Pharmacology for
Nurses (CHAPTER 1-5)

What is the difference between therapeutic and pharmacologic classifications?
Identify the following classifications as therapeutic or pharmacologic:
betaadrenergic blocker, oral contraceptive, laxative, folic acid antagonist, and
antianginal drug. - ANS-The therapeutic classification is a method of organizing
drugs based on their therapeutic usefulness in treating particular diseases. The
pharmacologic classification refers to how a drug works at the molecular, tissue,
and body system levels. A beta-adrenergic blocker is a pharmacologic class; an
oral contraceptive is a therapeutic class; laxative is a therapeutic class; folic acid
antagonist is a pharmacologic class; antianginal is a therapeutic class.
Chapter 1

How does the FDA ensure the safety and effectiveness of drugs? What types of
drugs does the FDA regulate or control? - ANS-The FDA, through its Center for
Drug Evaluation and Research (CDER), exercises control over whether prescription
drugs and OTC drugs may be used for therapy. The mission of the CDER is to
facilitate the availability of safe, effective drugs; keep unsafe or ineffective drugs
off the market; improve the health of Americans; and provide clear, easily
understandable drug information for safe and effective use. The FDA's Center for
Biologics Evaluation and Research (CBER) regulates the use of biologics including
serums, vaccines, and blood products.
Chapter 2

Why are certain drugs placed in schedules? What does the nurse need to know
when a scheduled drug is ordered? - ANS-Schedules refer to the potential for
abuse. These schedules help the nurse identify the potential for abuse and

, require the nurse to maintain complete records for all quantities prescribed. The
higher the abuse potential, the more restrictions are placed on the prescriber and
the filling of refills. When educating the patient about a prescription, the nurse
should also include this information on any prescription or refills as part of the
education.
Chapter 2

A nurse is preparing to give a patient a medication and notes that a drug to be
given is marked as a Schedule III drug. What does this information tell the nurse
about this medication? - ANS-This Schedule III drug is a controlled substance
restricted by the Controlled Substance Act of 1970 and regulated by the DEA. A
Schedule III drug has a moderate abuse potential, moderate potential for physical
dependency, and high potential for psychologic dependency.
Chapter 2

What is the role of the nurse in medication administration? (Select all that apply.)
1. Ensure that medications are administered and delivered in a safe manner.
2. Be certain that healthcare provider orders are accurate.
3. Inform the patient that prescribed medications need to be taken only if the
patient agrees with the treatment plan.
4. Ensure that the patient understands the use and administration technique for
all prescribed medications.
5. Prevent adverse drug reactions by properly administering all medications. -
ANS-1. Ensure that medications are administered and delivered in a safe manner.
4. Ensure that the patient understands the use and administration technique for
all prescribed medications.
Chapter 3

Before administering drugs by the enteral route, the nurse should evaluate which
of the following?
1. Ability of the patient to lie supine
2. Compatibility of the drug with intravenous fluid
3. Ability of the patient to swallow
4. Patency of the injection port - ANS-3. Ability of the patient to swallow
Chapter 3
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