Kaplan NCLEX-RN meds

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Author:
plbernal
ID:
195537
Filename:
Kaplan NCLEX-RN meds
Updated:
2013-02-22 17:52:17
Tags:
allergy asthma analgesics
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Description:
Side effects and nursing considerations
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  1. Types of allergy/asthma medications
    • cetirizine HCL (Zyrtec)
    • Fexofenadine (Allegra)
    • Hydroxyzine (Vistaril, Atarax, Anx)
    • Loratadine (Alavert, Claritin)
    • Beclomethasone (Beclovent, Beconase, Qvar)
    • Flunisolide (Aerobid, Nasalide)
    • Fluticasone (Flonase)
    • Fluticason Propionate Salmetrol (advair disc)
    • Mometasone (Nasonex Spray)
    • Triamcinolone (Nasacort AQ Spray)
  2. Side Effects for Cetirizine HCL (Zyrtec)
    • Drowsiness
    • fatigue
    • dry mouth
    • stomach pain
    • diarrhea
    • vomiting
  3. Nursing considerations for Cetirizine HCL (Zyrtec)
    • -relief of seasonal allergic rhinitis symptoms
    • -relief of perinneal allergic rhinitis caused by molds, animal dander, and other allergens
    • -avoid alcohol during cetirizine therapy
    • -call physician immediately for difficulty breathing or swallowing
    • -notify physician for hydroxyzine (Vistaril) allergy
    • -RX: preg cat. B
  4. Side effects of Fexofenadine (Allegra)
    • drowsiness
    • headache
    • dizziness
    • diarrhea
    • vomiting
    • pain
    • cough
    • hives
    • rash
    • itching
    • difficulty breathing
    • hoarsness
    • swelling
  5. Nursing considerations for Fexofenadine (Allegra)
    • -management of rhinitis, allergy symptoms, chronic idiopathic urticaria
    • - avoid alcohol, CNS depressants
    • -60mg tablet; onset within 1 hour, peak 2-3 hours, duration about 12 hours
    • -180mg tablet: duration 24 hours
    • -notify physician if taking erythromycin or ketoconazole (Nizoral)
    • -If taking aluminum magnesium antacid, taking antacid a few hours before or after fexofenadine
    • -Rx: preg. cat. C
  6. Hydroxyzine (Anx, Atarax, Vistaril) side effects
    • drowsiness
    • dry mouth, nose, and throat
    • dizziness
    • headache
    • chest congestion
    • reddening of skin
  7. Hydroxyzine (Anx, Atarax, Vistaril) nursing considerations
    • -treatment of pruritus, pre-op anxiety, post-op nausea and vomiting, to potentiate opioid analgesics, sedation
    • -PO: onset 15-30 minutes, duration 4-6 hours
    • -avoid use with alcohol, CNS depressants
    • -teach patient that dizziness/drowsiness may occur; use caution in potentially hazardous activities
    • -treatment of symptoms of alcohol withdrawal
    • -notify physician of diagnosis of glaucoma, ulcers, enlarged
  8. Types of analgesics
    • Acetaminophen (tylenol)
    • Aspirin
    • Celecoxib (Celebrex)
    • Ibuprofen (Advil, Motrin)
    • Naproxen (Aleve)
    • Codeine
    • Hydrocodone/Acetaminophen (Lortab, Vicodin)
    • Hydromorphone (Dilaudid)
    • Meperidine (Demerol)
    • Methadone (Dolophine, Methadose)
    • Morphine
    • Oxycodone (OxyContin, percodan (with asprin), percocet (with acetaminophen))
    • Propoxyphene (darvocet)
  9. Types of anticoagulants
    • Heparin
    • Warfarin
  10. Types of anticonvulsants
    • carbamazepine (Carbatrol)
    • divalproex sodium (Depakote)
    • gabapentin (Gabarone, Neurontin)
    • lamotrigine (Lamictal)
    • phenobarbital (Luminal)
    • phenytoin (Dilantin)
    • pregabalin (Lyrica)
    • topiramate (Topamax)
    • valproate (Depacon)
    • valproic acid (depakene)

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