MedMaster by NURSING.com

MedMaster by NURSING.com

By Jon Haws, RN CCRN AlumnusMedicineHealth & FitnessEducation
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MedMaster by NURSING.com episodes

  • MED: Clindamycin
    Clindamycin
    Generic Name
    clindamycin
    Trade Name
    Cleocin
    Indication
    skin infections, respiratory tract infections, septicemia, intra-abdominal infections, osteomyelitis
    Action
    inhibits protein synthesis
    Therapeutic Class
    Anti-infectives
    Pharmacologic Class
    none
    Nursing Considerations
    arrythmias, pseudomembranous colitis, diarrhea, phlebitis
    monitor bowel function
    assess for infection, obtain cultures prior to therapy
    monitor liver function tests.
    monitor CBC
    5 min
  • MED: Ciprofloxacin
    Ciprofloxacin
    Generic Name
    ciprofloxacin
    Trade Name
    Cipro
    Indication
    urinary tract infections, gonorrhea, respiratory tract infections, bronchitis, pneumonia, skin and bone infections, infectious diarrhea, abdominal infections
    Action
    inhibits bacterial DNA synthesis
    Therapeutic Class
    anti-infectives
    Pharmacologic Class
    Fluoroquinolone
    Nursing Considerations
    contraindicated in allergies
    may cause QT prolongation, avoid use with other drugs that can cause QT prolongation
    can cause seizures, arrythmias, pseudomembranous colitis, anaphalaxis, Stevens Johnson syndrome
    may decreased of phenytoin
    monitor renal panel
    assess for infection, obtain cultures prior to therapy
    monitor liver function tests
    9 min
  • Ep19: Prioritization #1: Patient Safety
    Over the last several weeks many of you have reached out to me regarding how to best prioritize your work as a nurse and have expressed frustrations with prioritization. No worries . . . this is a common issue for many … Continued
    19 min
  • Cimetidine
    Cimetidine
    Generic Name
    cimetidine
    Trade Name
    Tagamet
    Indication
    treatment of duodenal ulcers, GERD, heartburn, Zollinger Ellison syndrome, prevention of GI bleeding in critical patients.
    Action
    inhibits action of  histamine leading to inhibition of gastric acid secretion
    Therapeutic Class
    antiulcer agent
    Pharmacologic Class
    Histamine H2 antagonist
    Nursing Considerations
    increases serum level of warfarin
    can lead to respiratory infection (green sputum)
    monitor for arryhtmias
    may cause agranulocytosis, aplastic anemia
    monitor CBC during therapy
    take medication as directed
    instruct patient to increase fluid and fiber intake to decrease constipation
    8 min
  • MED: Chlorpromazine
    Chlorpromazine
    Generic Name
    chlorpromazine
    Trade Name
    Thorazine
    Indication
    second line treatment of schizophrenia and psychosis, nausea/vomiting, pre-op sedation, acute intermittent porphyria, headache, bipolar
    Action
    exhibits anticholinergic activity, alters effects of dopamine in CNS
    Therapeutic Class
    Antipsychotic, antiemetic
    Pharmacologic Class
    phenothiazines (dopamine D2 receptor antagonist)
    Nursing Considerations
    may cause neuroliptic malignant syndrome, sedation, tardive dyskineisa, hypotenstion, agranulocytosis
    assess mental status prior to and during treatment
    monitor blood pressure
    ensure patient is taking medication
    monitor CBC and liver function tests
    instruct patient not to skip doses or double dose.
    7 min
  • MED: Cephalexin
    Cephalexin
    Generic Name
    cephalexin
    Trade Name
    Keflex
    Indication
    skin infections, pneumonia, UTI, otitis media
    Action
    bactericidal: binds to bacterial cell wall leading to cell death
    Therapeutic Class
    anti-infectives
    Pharmacologic Class
    Cephalosporin 1st generations
    Nursing Considerations
    contraindicated with cephalosporin and serious penicillin allergies.
    may need lead to seizures, pseudomembranous colitis, diarrhea, phlebitis at IV site, anaphylaxis
    Assess infection and allergies
    obtain cultures prior to therapy
    monitor bowel function
    may lead to super infection
    may cause elevated liver enzymes
    6 min
  • MED: Celecoxib
    Celecoxib
    Generic Name
    celecoxib
    Trade Name
    Celebrex
    Indication
    osteoarthritis, rheumatoid arthritis, acute pain
    Action
    decreases pain and inflammation by inhibiting synthesis of prostaglandins
    Therapeutic Class
    antirrheumatics/NSAID
    Pharmacologic Class
    none
    Nursing Considerations
    use caution with cardiovascular disease
    increases risk for MI, CVA, thrombosis
    may cause GI bleeding, Stevens-Johnson syndrome, dermatitis
    notify provider for new-onset abdominal pain or black stool
    5 min
  • MED: Cefdinir
    Cefdinir
    Generic Name
    cefdinir
    Trade Name
    Omnicef
    Indication
    treatment of skin infections, otitis media
    Action
    bactericidal, binds to bacterial cell wall causing cell death
    Therapeutic Class
    anti-infectives
    Pharmacologic Class
    Cephalosporin 2nd generations
    Nursing Considerations
    contraindicated in cephalosporin and possibly penicillin allergies
    may need lead to seizures, pseudomembranous colitis, diarrhea, phlebitis at IV site, anaphylaxis
    Assess infection and allergies
    obtain cultures prior to therapy
    monitor bowel function
    monitor for bleeding
    may lead to super infection
    5 min
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    2 min

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Brought to you by NURSING.com, based on their #1 Online Nursing Pharmacology Course . . . Visit nursing.com/50meds to get our list of the 50 most prescribed medications.