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hydromorphone
Trade NameDilaudid
Indicationmoderate to severe pain
Actionalters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex
Therapeutic ClassOpioid Analgesic, allergy, cold and cough remedies, antitussive
Pharmacologic Classopioid agonist
Nursing Considerations• Assess BP, respirations, and pulse before and during administration – medication causes general CNS depression • Narcan (nalaxone) is the antidote for overdose • use caution with concurrent use of MAOI – avoid use within 14 days of each other • may be used as an antitussive • advised to dilute with NS prior to administration and to administer slowly to decrease CNS depression
Hi NURSING.com family. Are you getting ready for the NCLEX?? This show is the perfect NCLEX review, and as ALWAYS, we have pulled out the MOST important info that you need to become an Amazing nurse!
Listen in each week while we review 77 critical topics you need to pass the NCLEX-RN Exam. Each episode will cover these MUST-know nursing topics with a perfect overview.
Our new show is NCLEX Flash Notes. You can search that in Apple podcasts or Spotify and pull up the SHOW. NCLEX Flash Notes
NCLEX Flash Notes is your go-to last-minute refresher for the NCLEX exam. Cut through the fluff and get straight to the essential information with this free resource.
Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds"
Generic Namehydrocodone/acetaminophen
Trade NameVicodin, Lortab, Norco
Indicationmanagement of moderate to severe pain
Actionalters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex
Therapeutic Classopioid Analgesic, allergy, cold and cough remedies, antitussive
Pharmacologic Classopioid agonists, nonopioid analgesic combinations
Nursing Considerations• use caution with concurrent use of MAOI – avoid use within 14 days of each other • hypotension – monitor hemodynamics and respirations after administering • may increase ICP use caution with head trauma • Narcan (nalaxone) is the antidote for overdose • DO NOT exceed 4g of acetaminophen per day
Hi NURSING.com family. Are you getting ready for the NCLEX?? This show is the perfect NCLEX review, and as ALWAYS, we have pulled out the MOST important info that you need to become an Amazing nurse!
Listen in each week while we review 77 critical topics you need to pass the NCLEX-RN Exam. Each episode will cover these MUST-know nursing topics with a perfect overview.
Our new show is NCLEX Flash Notes. You can search that in apple podcasts or spotify and pull up the SHOW. NCLEX Flash Notes
NCLEX Flash Notes is your go-to last-minute refresher for the NCLEX exam. Cut through the fluff and get straight to the essential information with this free resource.
Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds"
Generic Namehydralazine
Trade NameApresoline
Indicationhypertension
Actionarterial vasodilation by unclarified mechanism
Therapeutic Classanti-hypertensive
Pharmacologic Classvasodilator
Nursing Considerations• may cause tachycardia, sodium retention, arrhythmias, angina • use caution with MAOIs • monitor blood pressure • instruct patient on how to take blood pressure
Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds"
Generic Namehaloperidol
Trade NameHaldol
IndicationSchizophrenia, mania, aggressive and agitated patient
ActionAlters the effect of dopamine
Therapeutic ClassAntipsychotic
Pharmacologic Classbutyrophenones
Nursing Considerations• extrapyramidal symptoms, tardive dyskinesia • use caution in QT prolongation • may cause seizures, constipation, dry mouth, agranulosytosis • assess for hallucinations • monitor hemodynamics • monitor for neuroleptic malignant syndrome (fever, muscular rigidity, altered mental status, and autonomic dysfunction) • monitor CBC with differential
guaifenesin
Trade NameMucinex
IndicationCough suppression, expectorant
ActionDecreases viscosity of and mobilizes secretions
Therapeutic Classallergy, cold and cough remedies, expectorant
Pharmacologic Classnone
Nursing Considerations• patient should avoid over the counter cold medications • assess lung sounds • maintain adequate fluid intake
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
Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds"
Generic NameGentamicin
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
Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds"
Generic NameGabapentin
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
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