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by: Caroline


La Salle
GPA 3.0
Nursing Care of Adults, Altered Health 2

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About this Document

This is a drug reference for the most common drugs used on med surge floors. This includes the drugs indications, side effects, nursing implications, labs to consider and more.
Nursing Care of Adults, Altered Health 2
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This 7 page Study Guide was uploaded by Caroline on Wednesday September 9, 2015. The Study Guide belongs to NUR 412 at La Salle University taught by in Summer 2015. Since its upload, it has received 192 views. For similar materials see Nursing Care of Adults, Altered Health 2 in Nursing and Health Sciences at La Salle University.

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Date Created: 09/09/15
Commonly Used Med Surg Drugs indication side effects labs to consider nursing implications Cardiazem oral and infusion Antianginal Antiarrhythmic AntiHTN Indications HTN angina Prinzmetals vasospasmic angina SVT Atrial utter A b and other arrhythmias Amiodarone Side 0 O 0 Effects Confusion dizziness drowsiness headache nervousness weakness psychiatric disturbances Blurred vision disturbed equilibrium epistaxis tinnitus Coughdyspnea Arrhythmias Heart Failure Peripheral edema bradycardia chest pain hypotension syncope palpitations tachycardia Elevated liver enzymes constipation dry mouth dyspepsia nausea vomiting Urine disturbances sexual dysfunction Steven s Johnsons Syndrome Flusing sweating photosensitivity Gynecomastia hyperglycemia RBC WBC count disturbances Potassium levels Renal and Hepatic fx Nursing Implications O O O O O 0 DO NOT CRUSH extended release tablets Does not need to be administered with meals can be administered with meals if GI irritation occurs Monitor BP ECG IampOs Assess for HF signs Peripheral edema weight gain ralescrackles etc Assess skin Stevens Johnsons Syndrom Assess pain angina 0 Anti arrhythmics 0 Indications life threatening ventricular arrhythmias SVT Side Effects 0 Confusion dizziness fatigue insomnia malaise o Corneal microdeposits dry eyes neuritis photophobia Lasix O Labs 0 0 Adult Respiratory Distress Syndrome Pulmonary Fibrosis Pulmonary Toxicity CHF Worsening Arrhythmias Bradycardia hypotension Anorexia constipation nausea vomiting elevated liver funcUons Hypohyperthyroidism Toxic Epidermal Necrolysis rare Ataxia involuntary movement paresthesia peripheral neuropathy tremor Liver and Thyroid fx before and q6months during therapy Chest xray before and during therapy Nursing Implications O 0000 Monitor ECG BP HR rhythm Assess respiratory for pulmonary toxicity Assess for signssymptoms of ARDS Assess for neurotoxicity weakness tremors Signs of thyroid dysfunction Loop Diuretic Indications edema due to heart failure hepatic impairment or renal disease Effects Side 0 O O 0 COO 0000 hype engon Blurred vision dizziness headache vertigo Hearing loss tinnitus Hypotension Anorexia constipation diarrhea increased liver enzymes nausea vomiting pancreatitis Increased BUN excessive urination nephrocalcinosis Steven Johnsons Syndrome Toxic Epidermal Necrolysis Hypercholesterolemia hyperglycemia hypertriglyceridemia hyperuricemia Dehydration uid and electrolyte imbalances Agranulocytosis Muscle cramps parasthesia Fever Renal and Hepatic Fx BUN creatnine liver enzymes Electrolytes Glucose Uric Acid eves Nursing Implications May be taken with food or milk to decrease GI irritation 0 Should not be given at night to prevent frequent urination through the night that would disrupt sleep schedule 0 Tablets may be crushed if patient has difficulty swallowing O Hepann o Anticoagulant 0 Indications prophylactic treatment of multiple thromboembolic disorders sometimes used as a ush to maintain patency of IV catheters Side Effects Long term use aopecia RashesuUcada Bleeding Heparin Induced Thrombocytopenia Anemia Pain at injection site Long term use I osteoporosis Fever hypersensitivity Monitor aPTF Hgb amp Hct Monitor platelet counts Liver fx Potassium 0 Nursing Implications 0 Assess for bleeding Gums bruising nose bleeds black tarry stool 0 Observe injection sites 0 Monitor patient for hypersensitivity Chills fever uticaria oooogooooooo Protonix Antiulcer 0 Indications GERD prophylactic use in the hospital to prevent stomach ulcers during times of stress 0 Side Effects Headache Hyperglycemia Bone fracture Pseudomemranous Colitis Abdominal pain diarrhea La Liver functions Magnesium levels 0 Nursing Implications oogooooo May decrease the absorption of other medication May increase risk of bleeding with warfarin Interactions with digoxin Assess patient for epigastric pain Monitor for black tarry or blood in stool OOOOO Prednisone Steroidal anti in ammatory Indications Allergies asthma autoimmune disorders hematologic neoplastic management of chronic illness adjunctive therapy of hypercalcemia adjunctive therapy to decrease nausea and vomiting related to chemotherapy Side Effects 0 Headache increased ICP children restlessness depression Cataracts increase IOP HTN Peptic Ulceration Anorexia nausea vomiting Acne decreased wound healing ecchymoses Adrenal suppression hyperglycemia Long term use uid retention Hypokalemic acidosis Thromboembolism Weight gain or weight loss Muscle wasting osteoporosis muscle pain Cushings syndrome Increased susceptibility to infection 0 Q Adrenal functions WBC counts Electrolytes Glucose levels 0 Nursing Implications 0 Monitor patient for cushings syndrome 0 Assess involved systems for improvement during therapy 0 Assess for adrenal insufficiency Hypotension weight loss nausea vomiting 0 Monitor IampOs o Children monitor growth Vancomycin o Antiinfective 0 Indications treatment of potentially life threatening infections C DIFF OOOOEOOOOOOOOOOOOO o Endocarditis meningitis osteomyelitis pneumonia septis soft tissue infections Effects Ototoxicity Hypotension Nausea vomiting Nephrotoxicity Rashes Eosinophilia leukopenia Phlebitis Back and neck pain Anaphylaxis o L O D o 0 CBC BUN levels renal function Urine speci c gravity 0 Nursing Implications 0 Assess for anaphylaxix or other hypersensitive reactions Chills fever redness 0 Monitor site for phlebitis 0 Assess patient for further suprainfection 0 Monitor IampO Albuterol Bronchodialator Indications asthma chronic persistant bronchospasm COPD Side Effects Nervousness restlessness tremor headache insomnia Paradoxical Bronchospasm Chest pain palpitations angina arrhythmias HTN Nausea vomit Hyperglycemia Hypokalemia ooogooooooooo Pulse ox Chest xray Potassium levels Monitor glucose 0 Nursing Implications 0 Assess lung sounds Wheezing crackles Monitor for paradoxical bronchospasm Monitor PFT Monitor pulse HR BP tremors Observe sputum if applicable Color amount characteristics 9 00003000000 OOOO Metropolol Beta blocker antianginal anti HTN 0 Indications arrhythmias HTN tachycardia angina prevention of MI management of CHF migrane prophalaxis tremors anxiety 0 Side o 0000 o Q oooogooooooo Effects Fatigue weakness anxiety depression dizziness nervouseness Blurred vision stuffy nose Bronchospasm wheezing Bradycardia HF Pulmonary edema Hypotension orthostatic hypotension peripheral vasoconstriction Constipation diarrhea elevated liver enzymes Erectile dysfunction Urinary frequency Rashes Hyperglycemia hypoglycemia Backjoint pain Drug induced lupus syndrome ANA titers Blood glucose levels Liver functions BUN renal functions 0 Nursing Implications O o o o Insulin Aspart Monitor BP HR and rhythm before giving the medication Monitor IampOs Assess for orthostatic hypotension Fall risk Monitor for symptoms of HF Onset 15 min 0 Peak 12 hrs 0 Duration 34 hrs Onset 24 hrs 0 Peak 410 hrs 0 Duration 1016 hrs Regular Onset 3045 min 0 Peak 2 35 hrs 0 Duration 8 hrs Lantus Onset 34 hrs Peaknone Duration 24 hrs Antidiabetic Indications type 1 or type 2 diabetis Side effects 0 Labs 0 Hypoglycemia Blood Glucose Levels Nursing Implications O O O O O 0 Monitor blood glucose levels Patient teaching is extremely important for at home care Demonstrating skills such as taking blood sugar understanding results administering insulin Teach the signs and symptoms of hypo and hyper glycemia Understand and explain quotchecking for ketonesquot during hyper glycemia Explain what is a safe snack for hypoglycemia Monitor and teach about diabetic neuropathy


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