Med cards

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Med cards
2013-11-17 19:57:01
Geriatric Meds

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  1. What drug class is Digoxin/Linoxin
    Cardiac glycoside, Inotropic
  2. Method of action of digoxin/Lanoxin
    increases force and velocity of myocardial systolic contraction and lowers conduction velocity through AV node
  3. Important nursing interventions for digoxin/Lanoxin
    • Take apical pulse for a full minute before administering noting rate, quality, and rhythm.
    • Monitor serum digoxin, potassium, magnesium and calcium levels
  4. Signs and symptoms of digoxin/Lanoxin toxicity
    anorexia, nausea, vomiting, diarrhea, visual disturbances
  5. carvedilol/Coreg classification
    Alpha + Beta adrenergic Antagonist/Anti-hypertensive
  6. Carvedilol/Coreg uses and action
    Tx of essential hypertension, CHF, left ventricular dysfunction post MI

    Adrenergic receptor blocking agent that contributes to blood pressure reduction due to peripheral vasodialation therefore decreasing resistence
  7. Levetiracetam/Keppra classification and uses

    adjunctive therapy for partial onset myoclonic tonic clonic seizures
  8. levetiracetam/Keppra action
    • prevents epileptiform burst firing and propagation of seizure activity
    • NON-GABA
  9. When taking levetiracetam/Keppra monitor for
    • suicidal ideation, asthenia, headache, inection, somnolence
    • Notify doctor if difficulty with gait develops
  10. duloxetine hydrochloride/Cymbalta class and uses
    SNRI anti depressant

    Tx of major depressive disorder, GAD, firbomyalgia, diabetic peripheral neuropathy, musculoskeletal pain, osteoarthritis
  11. When administering duloxetine hydrochloride/Cymbalta monitor for
    Nausea, dry mouth, constipation, insomnia, unexplained abdominal pain (LFT'S) s/s of drug interactions, suicidal ideation, emergence of anxiety, agitation, panic attacks, insomnia, irritability, hostility, psychomotor restlessness, hypomania, and mania, and blood pressure

    May take up to 4 weeks for full effect
  12. metoprolol tartrate/Lopressor class and uses
    cardioselective; beta adrenergic antagonist; antihypertnesive, anti-anginal

    mild to severe HTN, long term treatment of angina pectoris, prophylactic management of stable angina, reduce risk of mortality after MI, CHF, migraine prophylaxis, arrythmias
  13. side effects of metoprolol/Lopressor
    • laryngospasm, complete heart block, cardiac arrest, agranulocytosis, dizziness, fatigue, insomnia, bradycardia, heartburn, SOB.
    • Take apical pulse and BP before administering and report significant changes or if pulse is <60 or irregular
  14. spironolactone/Aldactone class and uses
    potassium sparing diuretic; electrolytic and water balance; aldosterone antagonist

    Essential HTN, refractory edema due to CHF, hepatic cirrhosis, nephrotic syndrom, hypokalemia, and idiopathic edema
  15. When giving spironolactone/Aldactone monitor for
    BP, s/s of fluid electrolyte imbalances, digoxin toxicity, I&O, daily weight under standard conditions, observe and report onset of mental changes, lethargy or stupor especially in patients with liver disease