MedMaster by NURSING.com

Insulin detemir, Insulin glargine

Levemir, Lantus

hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis

stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver, prevents breakdown of fat and protein

antidiabetics, hormones

pancreatics

• assess for symptoms of hypoglycemia or hyperglycemia • monitor body weight over time • may cause decreased inorganic phosphates, potassium, and magnesium • monitor blood sugars every 6 hours, monitor A1C every 3-6 months

View the lesson: https://bit.ly/CalciumAcetatePhosLoNursingConsiderations

calcium acetate

PhosLo

treatment of hypocalcemia, prevention of post-menopausal osteoporosis, treatment of hyperkalemia and hypermagnesaemia, adjunct in cardiac arrest, control of hyperphosphatemia with ESRD. Binds to phosphate in food and prevents absorption.

calcium is essential for nervous muscular and skeletal systems, helps maintain cell membranes, aids in transmission of nerve impulses and muscle contraction, aids in blood formation and coagulation

mineral and electrolyte replacements/supplements

antacids

• may cause cardiac arrest and arrhythmias • phlebitis at site of insertion • monitor hemodynamics • may cause hypotension, bradycardia, and arrhythmias • hypercalcemia can increase risk for digoxin toxicity • administer slowly • instruct pt on foods that contain Vitamin D and encourage adequate intake. • monitor parathyroid hormone

View the lesson: https://bit.ly/AcyclovirZoviraxNursingConsiderations

Acyclovir

Zovirax

Genital herpes, herpes zoster, chicken pox

Interferes with viral DNA synthesis

Antiviral

Purine analogues

• May cause seizures, renal failure, Stevens-Johnson syndrome, thrombotic thrombocytopenic purpura syndrome, diarrhea, dizziness, nausea
• Monitor renal panel during administration
• Assess lesions
• Instruct patient to use proper protection during sexual intercourse

Acetaminophen

Tylenol

Pain, fever

Inhibit the synthesis of prostaglandins which play a role in transmission of pain signals and fever response

Antipyretic, non-opioid analgesic

• Do not exceed 4g of acetaminophen per day to limit risk for liver, renal, and cardiac damage • Overdose will lead to hepatotoxicity • Acetadote is the antidote for overdose • May increase risk for bleed with warfarin therapy • May alter blood glucose measurements