MedMaster by NURSING.com

Mycostatin

candidiasis, denture stomatitis

causes leakage of fungal cell contents

Antifungal

none

• may cause diarrhea, nausea, vomiting • can be used to soak dentures • assess mucus membrane

norepinephrine

Levophed

treatment of severe hypotension and shock

increase blood pressure and cardiac output by stimulating alpha-adrenergic receptors in the blood vessels, demonstrates minor beta activity

vasopressor

• monitor BP continuously if possible or every couple of minutes
• double check all concentrations with additional nurse
• may result in rebound hypotension due to tissue ischemia when discontinued
• monitor EKG and CVP
• if patient is awake instruct them to report headaches, dizziness, or chest pain

nitroprusside

Nitropress

hypertensive crisis, cardiogenic shock

peripheral vasodilation of arteries and veins decreasing preload and afterload

antihypertensive

vasodilator

• monitor HR, BP, and EKG continuously during therapy • may cause cyanide toxicity • sympathomimetics may decrease effectiveness • PAOP monitoring may help with MI and CHF patients

nifedipine

Procardia

hypertension, angina, migraines, CHF

blocks calcium transport resulting in inhibition of contraction causing systemic vasodilatation

antianginals, antihypertensives

Ca Channel Blocker

• use caution in heart block, decreased blood pressure • don't consume grapefruit juice while taking medication • may cause arrhythmias • may cause elevated liver function tests • may cause gingival hyperplasia, Steven's Johnson syndrome • monitor blood pressure and pulse • monitor calcium levels • instruct patient on taking heart rate and blood pressure

naproxen

Aleve

pain, dysmenorrhea, fever, inflammation

inhibits prostaglandin synthesis

nonsteroidal anti-inflammatory agents, nonopioid analgesics, antipyretics

none

• use caution with GI bleeding • may increase risk for stroke and MI • can cause GI bleeding, anaphylaxis, Steven's Johnson syndrome • aspirin can decrease blood levels and effectiveness • assess pain • patients should remain up-right for 30 minutes after administration

nalbuphine

Nubain

pain, analgesia during labor, sedation before surgery, supplement to balance anesthesia

alters perception and response to pain, causes CNS depression

Opioid Analgesic

opioid agonists/analgesics

• use caution with head trauma • can cause dizziness, headache, nausea, vomiting, respiratory depression • do not use with MAOIs • assess pain • may cause respiratory depression in newborn • asses hemodynamic parameters • may elevate pancreatic enzymes • Narcan (naloxone) is the antidote

morphine

MS Contin

pain, pulmonary edema, MI

Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS.

opioid analgesic

opioid agonist

• may cause alterations in mentation, hypotension, constipation, nausea, vomiting • assess BP, pulse, and respiratory rate prior to administration and frequently during administration • use caution if patient is receiving MAO Inhibitors • Narcan (naloxone) is the antidote for opioid agonists

UNTIL 12/1/22 you can get NURSING.com for over 50% Off . . . visit: https://nursing.com

Caveat: some people (nurses) might not agree AT ALL with what I say here . . . oh well!  I want to share how it really is to give confidence to those struggling.

We literally get hundreds of emails a day from nursing students.

Sadly, a good portion of them are from students that feel like they should quit nursing school altogether.

I started nursing school with high hopes, but after my fourth semester, I dropped out. I quit nursing school.

I knew nursing school was going to be hard . . . I mean the whole point is to learn how to competently take care of a human being suffering from complex heath issues.

I expected school to be hard.

montelukast

Singulair

prevent or treat asthma, manage seasonal allergies, prevent exercise-induced bronchoconstriction

disrupts the effects of leukotrienes which effect airway edema, smooth muscle constriction, and cellular activity

allergy, cold, and cough remedies, bronchodilators

Leukotriene Antagonist

• assess respiratory status • assess liver function tests • medication does not treat acute asthma attacks

midazolam

Versed

sedation, conscious sedation, anesthesia, status epilepticus

acts to produce CNS depression, may be mediated by GABA

antianxiety agent, sedative/hypnotics

Benzodiazepine

• assess level of sedation during and for 2-6 hours following • monitor blood pressure, pulse, respirations during IV administration • may lead to apnea, cardiac arrest, respiratory depression • antidote for overdose is Romazicon (flumazenil)