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A comprehensive review of key concepts and medications relevant to nur 250, a nursing course. It covers a wide range of topics, including drug administration, side effects, contraindications, and nursing interventions. Organized in a concise and easy-to-understand format, making it a valuable resource for students preparing for their final exam.
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action by nurse after taking the phone order repeat and verify orders the method used for giving iron dextran injections z track method Buspirone (buspar) is also approved for this problem anxiety the correct technique for nitroglycerin ointment administration remove old ointment first the contraindication to most otic preparations
perforated eardrum anti-nausea drug to create appetite in AIDs patient Dronabinol (marionol) correct way to mix cholestyramine powder food/fruit or 4-6 oz of fluid insulin that has an effect in 15 minutes Lispro (Humalog) therapeutic effect of NSAIDS besides anti-inflammatory antipyretic Ribavirin (Virazole) A drug given by inhalation for RSV Parenteral These drugs bypass the first pass effect
this drug can be given IV for cerebral edema or for glaucoma mannitol an assessment of identification brand, name, birthday, photo ID correct definition of half- life The time it takes for half of the original drug to be removed from the body lipid lowering drug Monitor: BP Lipid panel: HDL, LDL, VLDL (total is supposed to be <200) Report unexplained muscle pain Grapefruit juice decreases effectiveness because of the CYP3 A4 enzyme binds to so much, can cause toxic level Make sure the patient gets a panel, not just a total. Insulin Why rotate sites? Lipodystrophy
Best site to give insulin? Abdomen bc it's faster absorbing Lab? Hgb A1C- 120 day picture NSAID Number 1 side effect? GI. Heartburn, N/V, bleeding No aspirin for kids because Reyes Low dose every day is for heart attack Contraindication? If on blood thinner, stomach ulcer, risk for nosebleed/ any bleeding Liver function testing is important First action if a patient is reacting to something? Stop the medication Anybody with a Hx of valve problem, dental work, etc. is for a prophylactic Quinolones Black box warning-tendonitis/tendon rupture Number one antibiotic for a bladder or kidney infection Sulfonamides ideal FBS
insulin mixing clear to cloudy- do not shake contraindication to estrogen cancer, DVT, smoking oxytocin uses uterine stimulant early symptoms of hypoglycemia cold and clammy Shakiness. Dizziness. Sweating. Hunger. Irritability or moodiness. Anxiety or nervousness. Headache.
ace inhibitor protect kidney damage but may not be on it for BP but just to protect kidneys from diabetes thrombolytic assess chest pain opioids cns and respiratory depression betablocker for a heart attack lowers BP and has cardio-protective property pharmacotherapeutic use of drugs to diagnose, treat and prevent steps of nursing process assess
patient drug dose route time/frequency documentation mydriatics dilation miotic constrict epoetin alpha increases erythropoiesis calamine patches change every 3 days
iron tablets take vitamin c careful with dairy products and antacids green/tarry/black stools warfarin easy bruising, GI bleeding, watch stools, petechia prokinetic drug helps promote GI motility probiotics help restore natural balance calcium antacids they can develop kidney stones
teaching with the PPI's don't take long term because it can mask underlying conditions administer 30-60 minutes before meal Swallow whole (no chewing/crushing) No smoking Long term use leads to osteoporosis Golytely Bowel prep for surgery or colonoscopy SE: weakness, nausea, abdominal cramping Mix with orange juice Stimulant laxatives Used for acute constipation and bowel prep Dulcolax Shouldn't be used daily Probiotics Intestinal normal flora modifier: replace the loss from antibiotic use
Suppresses growth of organisms that grow bacteria Yogurt and buttermilk (not frozen yogurt) Interactions and Pepto Bismol Aspirin based (don't take with aspirin) Should not be given to teens or children (reye's) Causes constipation Don't take longer than 48 hours Interacts with Coumadin Transdermal patch for motion sickness Scopolamine behind ear put on 4-5 hours before you travel Epogen used to treat anemia Aranesp
teaching and side effects with eye drops Lower conjunctival sac Shake container well Apply pressure to inner canthus for 1 minute Do not touch tip to eye Never directly to eye Teaching ear drops Room temperature (prevent vomiting and dizziness) Adults = pinna up and back Children 3 or less= pinna down and back Lie on side opposite affected ear for 5 minutes with cotton ball Don't touch ear with dropper carbamide peroxide Earwax emulsifier flushing of the ear canal lactulose Hyperosmolar laxative given for chronic constipation/ bowel prep
SE: diarrhea (hold med if occurs) Put in juice to mask taste Contraindicated with low lactose diet contraindication to ear drops perforated ear drum pramoxine otic local anesthetic used to treat local ear infections nursing process ADPIE subjective v. objective implementation subjective vs. objective data subjective- what the subject tells you objective- what you observe
Coumadin overdose Stop medication if PTINR is high Administer Vitamin K if hemorrhage occurs Teaching and ASA Don't take with another anticoagulant, increased bleeding risk Don't take with an NSAID Renal dysfunction, allergic to Tartrazine dye Children or teens
Used to decrease blood pressure, decrease fluid Hydrochlorizide- HCPZ Side effects: hypokalemia, hypercalcemia, hyperglycemia, hyperlipidemia, hyperuricemia, orthostatic hypotension Diuretics and IOP Carbonic anhydrase inhibitors= all have diuretic effect Work to decrease the rate of aqueous humor formation = decrease IOP Muscle weakness, fatigue, numbness of face and lips Diamox Dose and Synthroid Dosed in MCG (not MG) Onset of affect and insulin (Know specific meds) o Short o Intermediate o long
