Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name

hydromorphone

Trade Name

Dilaudid

Indication

moderate to severe pain

Action

alters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex

Therapeutic Class

Opioid Analgesic, allergy, cold and cough remedies, antitussive

Pharmacologic Class

opioid 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

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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.  

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Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds"

Generic Name

hydrocodone/acetaminophen

Trade Name

Vicodin, Lortab, Norco

Indication

management of moderate to severe pain

Action

alters the perception and reaction to pain by binding to opiate receptors in the CNS, also suppresses the cough reflex

Therapeutic Class

opioid Analgesic, allergy, cold and cough remedies, antitussive

Pharmacologic Class

opioid 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 Name

hydralazine

Trade Name

Apresoline

Indication

hypertension

Action

arterial vasodilation by unclarified mechanism

Therapeutic Class

anti-hypertensive

Pharmacologic Class

vasodilator

Nursing Considerations

• may cause tachycardia, sodium retention, arrhythmias, angina • use caution with MAOIs • monitor blood pressure • instruct patient on how to take blood pressure

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Generic Name

haloperidol

Trade Name

Haldol

Indication

Schizophrenia, mania, aggressive and agitated patient

Action

Alters the effect of dopamine

Therapeutic Class

Antipsychotic

Pharmacologic Class

butyrophenones

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

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name

guaifenesin

Trade Name

Mucinex

Indication

Cough suppression, expectorant

Action

Decreases viscosity of and mobilizes secretions

Therapeutic Class

allergy, cold and cough remedies, expectorant

Pharmacologic Class

none

Nursing Considerations

• patient should avoid over the counter cold medications • assess lung sounds • maintain adequate fluid intake

Visit: https://nursing.com/140meds to request your free copy of "140 Must Know Meds" Generic Name

Glipizide

Trade Name

Glucotrol

Indication

Type 2 diabetes mellitus

Action

Stimulates release of insulin from the beta cells in the pancreases and leads to increased sensitivity to insulin

Therapeutic Class

Anti-diabetic

Pharmacologic Class

Sulfonylureas

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

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Generic Name

Gentamicin

Trade Name

Cidomycin

Indication

Treatment of gram negative infections when penicillin is ineffective

Action

Inhibits bacterial protein synthesis

Therapeutic Class

Anti-infectives

Pharmacologic Class

Aminoglycoside

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

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Generic Name

Gabapentin

Trade Name

Neurontin

Indication

Seizures, peripheral neuropathy, neuropathic pain, prevention of migraines

Action

Exact method of action unknown, may play a role in stabilizing neural membranes

Therapeutic Class

Analgesic adjuncts, anticonvulsants, mood stabilizers

Pharmacologic Class

None

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