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: Cefeclor
    Cefaclor
    Generic Name
    cefaclor
    Trade Name
    Ceclor
    Indication
    treatment of respiratory tract infections, skin infections, otitis media
    Action
    bacteriacidal, 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
    may lead to super infection
    8 min
  • MED: Carbidopa/Levodopa
    Carbidopa/levodopa
    Generic Name
    carbidopa/levodopa
    Trade Name
    Sinemet
    Indication
    Parkinson's disease
    Action
    levodopa is converted to dopamine and works as a neurotransmitter and carbidopa prevents the destruction of levodopa
    Therapeutic Class
    Antiparkinson agent
    Pharmacologic Class
    Dopamine Agonist
    Nursing Considerations
    may cause orthostatic hypotension
    may cause dark urine
    weeks to months to take effect
    do not use with MAOIs
    don't use with glaucoma, melanoma
    assess for parkinsonian symptoms
    instruct patient to take as directed
    7 min
  • MED: Tegretol
    Carbamazepine
    Generic Name
    carbamazepine
    Trade Name
    Tegretol
    Indication
    seizures, DM neuropathy, pain associated with trigeminal neuralgia
    Action
    affects Na channels in neurons leading to decreased synaptic transmission
    Therapeutic Class
    Anticonvulsant
    Pharmacologic Class
    none
    Nursing Considerations
    interferes with oral contraceptives
    do not use with MAOIs
    may cause suicidal thoughts
    may cause Stevens-Johnson syndrome, agranulocytosis, aplastic anemia, thrombocytopenia
    do not consume grapefruit juice while taking this medication
    monitor CBC and platelet count
    monitor serum blood levels of medication often.
    5 min
  • MED: Captopril
    Captopril
    Generic Name
    captopril
    Trade Name
    Capoten
    Indication
    hypertension, management of CHF, decrease progression of DM neuropathy
    Action
    block conversion of angiotensin I to angiotensin II, increases renin levels and decreases aldosterone leading to vasodilation
    Therapeutic Class
    antihypertensives
    Pharmacologic Class
    ACE Inhibitor
    Nursing Considerations
    can cause neutropenia - check WBCs regularly
    use cautiously with potassium supplements and potassium sparing diuretics.
    use cautiously with diuretic therapy
    administer 1 hour before meals
    monitor blood pressure often
    monitor weight and fluid status
    monitor renal profile
    monitor CBC frequently
    May lead to Rhabdomyolysis
    Dry cough
    10 min
  • MED: Calcium Carbonate
    Calcium carbonate
    Generic Name
    Calcium carbonate
    Trade Name
    Tums / Rolaids
    Indication
    treatment of hypocalcemia, prevention of post menopausal osteoporosis, treatment of hypokalemia and hypomagnesaemia, adjunct in cardiac arrest, used as antacid
    Action
    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
    Therapeutic Class
    mineral and electrolyte replacements/supplements
    Pharmacologic Class
    antacids
    Nursing Considerations          
    may cause cardiac arrest and arrhythmias
    monitor hemodynamics
    may causes hypotension, bradycardia, and arrhythmias
    hypercalcemia can increase risk for digoxin toxicity
    instruct pt on foods that contain Vitamin D and encourage adequate intake
    monitor parathyroid hormone
    8 min
  • MED: Calcium Acetate
    Calcium acetate
    Generic Name
    Calcium acetate
    Trade Name              
    PhosLo
    Indication
    treatment of hypocalcemia, prevention of post menopausal osteoporosis, treatment of hypokalemia and hypomagnesaemia, adjunct in cardiac arrest, control of hyperphosphatemia with ESRD
    Action
    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
    Therapeutic Class
    mineral and electrolyte replacements/supplements
    Pharmacologic Class
    antacids
    Nursing Considerations
    may cause cardiac arrest and arrhythmias
    phlebitis at site of insertion
    monitor hemodynamics
    may causes 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
    6 min
  • MED: Butorphanol
    Butorphanol
    Generic Name
    Butorphanol
    Trade Name
    Stadol
    Indication
    moderate to severe pain, labor pain, sedation
    Action
    alters perception and response to pain by biding to opiate receptors in CNS
    Therapeutic Class
    Opioid Analgesic
    Pharmacologic Class
    opioid agonists/antagonists
    Nursing Considerations
    use caution with concurrent use of MAOIs
    may cause confusion, hallucinations, sedation
    monitor for CNS depression
    assess blood pressure pulse and respirations during administration
    administer slowly through IV line
    7 min
  • MED: Bupropion
    Bupropion
    Name
    bupropion
    Trade Name
    Wellbutrin
    Indication
    depression, smoking cessation, treat ADHD in adults
    Action
    Therapeutic Class
    Antidepressants, smoking deterrents
    Pharmacologic Class
    aminoketones
    Nursing Considerations
    may lead to seizures, suicidal thoughts
    do not administer if patient is taking MAOI
    use caution with renal and liver impairment
    assess mental status
    instruct patient to avoid alcohol while taking bupropion
    6 min

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