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glucagon
Trade NameGlucaGen
Indicationsevere hypoglycemia, antidote for beta blockers and calcium channel blockers
Actionstimulates production of glucose from stores, relaxes GI tract
Therapeutic Classhormones
Pharmacologic Classpancreatics
Nursing Considerations• may cause anaphylaxis • may cause hypotension • assess for signs of hypoglycemia, neuro status • monitor serum glucose levels • teach patient signs of hypoglycemia
Download the app here: https://nursing.com/app/
Time management is perhaps the one element of nursing that all nurses, from novice to expert, struggle with more than anything else.
From the moment you enter nursing school you are given an unmanageable amount of tasks to complete. This does not change as you leave school and enter the workforce.
Part of succeeding in nursing school and scoring well on exams comes done to learning how to manage your time. Hence, we begin our “Test Taking” course with a module in Time Management.
I believe this is the foundation to success in school and throughout your career as a nurse. Mastering this one skill will make all the difference in your career.
Here I will present a few key strategies the nurse and nursing student can implement to improve their command on their time.
Glipizide
Trade NameGlucotrol
IndicationType 2 diabetes mellitus
ActionStimulates release of insulin from the beta cells in the pancreases and leads to increased sensitivity to insulin
Therapeutic ClassAnti-diabetic
Pharmacologic ClassSulfonylureas
Nursing Considerations• May cause aplastic anemias, hypoglycemia, photosensitivity, dizziness, drowsiness, headache, diarrhea • Monitor CBC, assess for allergy to sulfonamides • Beta blockers may increase signs of hypoglycemia • Instruct patient on how to check blood sugars and • Instruct patient on importance of carrying source of sugar in case of hypoglycemia
Gentamicin
Trade NameCidomycin
IndicationTreatment of gram negative infections when penicillin is ineffective
ActionInhibits bacterial protein synthesis
Therapeutic ClassAnti-infectives
Pharmacologic ClassAminoglycoside
Nursing Considerations• Causes tinnitus-hearing loss/do not administer with penicillin • Use caution in renal impairment • Assess for infection • Obtain cultures prior to therapy • Monitor liver function tests • Monitor blood levels of drug
Gabapentin
Trade NameNeurontin
IndicationSeizures, peripheral neuropathy, neuropathic pain, prevention of migraines
ActionExact method of action unknown, may play a role in stabilizing neural membranes
Therapeutic ClassAnalgesic adjuncts, anticonvulsants, mood stabilizers
Pharmacologic ClassNone
Nursing Considerations• May cause suicidal thoughts, confusion, depression, drowsiness, ataxia, facial edema, hypertension • Monitor pt closely for changes in behavior and depression • Assess seizure activity • Assess pain level • Patient should take medications exactly as prescribed
Download the new app here: https://nursing.com/app/
You will have few opportunities in life to feel as inundated as you will during nursing school. Sometimes it feels like the entire object of nursing school is to see how many students they can stress out of the program.
There is no situation where the old adage applies more realistically; “drinking from a firehose”
In all seriousness, nursing school is intense. You are learning how to care for a human being in the most complex of situations both physically and emotionally and there is so much to be learned.
On top of this you are only given a few months to cover the 1,875 pages of a MedSurg textbook before switching to an entirely new topic.
We all understand the problem . . . I’ll move on.
Furosemide
Trade NameLasix
IndicationEdema, hypertension
ActionPrevents reabsorption of sodium and chloride in the kidneys, increase excretion of water, sodium, chloride, magnesium, potassium
Therapeutic ClassDiuretics
Pharmacologic ClassLoop diuretics
Nursing Considerations• Use caution with liver disease • May cause hypotension, dry mouth, excessive urination, dehydration, electrolyte abnormalities, metabolic alkalosis • Hypokalemia may lead to increase risk of digoxin toxicity • Monitor renal panel • Use caution with other antihypertensives • Causes arthritic symptoms/do not administer with aminoglycosides due to ototoxicity
Fluticasone
Trade NameFlovent, Flonase
Indicationprophylactic asthma treatment
Actionlocally acting anti-inflammatory
Therapeutic Classantiasthmatics, anti-inflammatory (steroid)
Pharmacologic ClassCorticosteroids, Inhalation
Nursing Considerations• use cautiously with untreated infections and suppressed immune function • may cause headache, insomnia, bronchospasm, nasal congestion, adrenal suppression • monitor patient's respiratory status • may lead to decreased bone density • instruct patients using corticosteroids and bronchodilators that they need to use bronchodilators first. • instruct patient to stop smoking
Fluoxetine
Trade NameProzac
IndicationDepressive disorder, OCD, bulimia, panic disorder, bipolar, anorexia, ADHD, DM neuropathy, obesity
ActionInhibits reuptake of serotonin allowing it to persist longer in the synaptic cleft
Therapeutic ClassAntidepressant
Pharmacologic ClassSSRI
Nursing Considerations• Do not use while taking MAOIs • May cause suicidal thoughts, drowsiness, anxiety, sexual dysfunction, insomnia, palpitations • Monitor closely for serotonin syndrome • Concurrent use with certain medications may lead to QT prolongation • Monitor mood changes and assess for suicidal ideation • Monitor nutrition status • May cause elevated liver enzymes • Instruct pt to maintain good oral hygiene
To watch the lesson and access all the links, visit: https://nursing.com/lesson/01-05-study-tips-for-success/
To download the new app, visit: https://nursing.com/app/
Hey guys! I’m excited today to talk to you about a study tips that are for sure going to make you a successful nursing student and nurse!
So in this lesson I want to talk to you about where to start in regards to studying, a few of the do’s and don’ts of studying and different types of techniques or aids that may help you!
Ok guys so I just wanted to start off by saying our founder Jon Haws has an awesome blog entry called “How to slay nursing school: Forget study tips go for strategy” if you haven’t already read you definitely need to! He gives fantastic tips for any nursing student when it comes to studying and that link has actually been attached to this lesson so check it out! So actually here in this slide I have added a few of Jons tips to start us out! Jon says and it makes perfect sense….have a battle plan meaning nursing school is very much like a battle and it’s not meant to be easy….if it was everyone would do it! So right off the bat figure out how you are going to attack it by adopting study habits and a routine that will make you successful which we are going to talk about. Another thing Jon says is “cut the clutter” meaning not every single thing you learn in nursing school is extremely important or it doesn’t really apply to real life nursing. Jon suggests using the SSIP mnemonic for this – “Scan and sift” meaning find the most important new information and throw out the redudant material. “Import in intervals” meaning take your studying in small portions rather than huge chunks at a time which will help with retaining and comprehending. After you continue to scan, sift, and import in intervals you will “pin it” or retain it and it will stay with you. And remember whatever you are learning or studying we want to apply it to nursing because that in fact is your end goal. Not only will it help you during your studies but also will help you pass your boards and most importantly to be a great nurse!
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