-
docusate sodium
- (Colace)
- Drug Classification: Stool softener
- Side Effect(s) mild cramps
- Give with a full glass of water
-
acetylsalicylic
acid or aspirin
- (Ascriptin,ASA)
- Drug Classification: Nonopioid analgesic, NSAID, antipyretic
- S/E: GI distress (cramping, heartburn, abdominal distension, mild nausea)
- a. Advise patient to report tinnitus, unusual bleeding of gums, bruising, or black, tarry
- stools.
- b. Administer pc meals or with food or antacid to decrease gastric irritation.
-
Ibuprofin
- (Motrin)
- Drug Class: Nonsteroidal anti-inflammatory drug (NSAID)
- S/E:
- drowsiness
- headache
- dyspepsia
- constipation
- a. Administer with food or antacids.
- b. Advise pt. to take this medication with full glass of water and remain in upright position for 15-30 min. after administration.
- c. Caution pt. to avoid concurrent use of alcohol, aspirin, acetaminophen or other over-the-counter medications without consultation with physician or pharmacist
-
acetaminophen
- (Tylenol)
- Drug Class: Nonopioid analgesic
- Antipyretic
- S/E :rash, urticaria
- a. Administer with a full glass of water.
- b. May be taken with food or on an empty stomach.
-
hydrocodone/acetominophen
- (Vicodin)
- Class : Opioid agonist/Nonopioid analgesic combination
- S/E
- confusion
- sedation
- constipation
- hypotension
- a. Assess pain before and after dose.
- b. Asses BP, P, R before and during administration.
- c. Measures to prevent constipation: increase bulk, increase activity, increase fluids.
-
digoxin
- (Lanoxin)
- Drug Class: Cardiac glycoside
- S/E: Nausea, vomiting,
- anorexia, bradycardia
- a. Monitor apical pulse 1 full minute before administering; withhold & notify MD
- if <60 bpm.
- b. Monitor for therapeutic plasma level
- (0.5-2.0 mg/ml)
-
furosemide
- (Lasix)
- Drug Class: Diuretic
- S/E: Hypokalemia(muscle weakness, abdominal cramping); hypovolemia (weight loss, increase .R & P, decrease BP,
- dry mucous membranes)
- a. Weigh daily
- b. I & O
- c. Monitor electrolytes-K
- d. Encourage patient to eat foods naturally high in potassium
-
Promethiazine
- (Phenergan)
- Drug Class:Antihistamine
- Sedative/hypnotic
- Antiemetic
- S/E:
- Confusion,
- Disorientation
- Sedation
- a. Assess patient for profound sedation and provide safety precautions. Supervise
- ambulation
- b. Administer deep IM
-
Levofloxacin
- (Levaquin)
- Drug Class: Anti-infective
- S/E
- diarrhea
- stomach cramps
- a. Instruct pt. to continue taking medication around the clock until finished completely,
- even if feeling better.
- b. Assess patient for infection (VS;
- appearance of wound, sputum, urine; WBC,)
-
albuterol
- (Proventil)
- Drug Class: Bronchodilator
- S/E:
- nervousness
- restlessness
- tremor
- a. Caution pt. not to exceed recommended dose, may cause adverse effects, paradoxical,
- broncho spasm, or loss of effectiveness of medication.
- b. Advise to use Albuterol first if using other inhalation medication and allow 5 min.
- to elapse before administering other inhalant medications, unless otherwise
- directed.
- c. Advise pt. to rinse mouth with water
- after each inhalation dose to minimize dry mouth.
-
Insulin
- (Novolog)
- Drug Class: Hormone
- S/E:
- Hypoglycemia
- Lypodystrophy
- a. Encourage patient to follow prescribed diet, exercise and medication regimen to prevent
- hypo and hyperglycemia.
- b. Do not inject in the same site for at
- least one month.
-
Metformin
- (Glucophage)
- Drug Class: Antidiabetic
- S/E:
- Hypoglycemia
- Abdominal
- bloating, diarrhea
- a. Monitor serum glucose and glycosylated hemoglobin periodically.
- b. Observe for signs and symptoms of
- hypoglycemic reaction.
-
metoprolol
- (Lopressor)
- Drug Class :Antihypertensive
- S/E
- Fatigue
- Weakness
- Dizziness
- a. Monitor blood pressure, ECG, and pulse frequently during dose adjustment and during
- therapy.
- b. Administer with meals or directly after
- eating.
-
aprazolam
- (Xanax)
- Drug Class: Sedative/Hypnotic
- S/E:
- Drowsiness
- Light
- headedness
- Dry
- mouth
- a. Teach patient that abrupt withdrawal may result in pronounced restlessness,
- insomnia, tremors, and seizures.
- b. If dizziness occurs, change positions slowly, and avoid tasks that require
- alertness.
-
potassium chloride
- (K-Dur, Micro-K)
- Drug Class: Electrolyte
- S/E:Cardiac arrhythmias and ECG changes such as tall-peaked T waves demonstrating hyperkalemia.
- a. Assess patient for signs of hypokalemia such as weakness, fatigue, arrhythmias.
- b. Monitor for hyperkalemia such as
- fatigue, muscle weakness, paresthesia and tall-peaked T wave.
-
carbanazepine
- (Tegretol)
- Drug Class: Anticonvulsant
- S/E:
- Ataxia
- Drowsiness
- Dry mouth
- A.Give with food
- B. Implement seizure precautions as indicated
-
cefazolin
- (Ancef, Kefzol)
- Drug Class: Anti-infective
- Cephalosporin
- S/E: N & V, Diarrhea, Rash
- a. Determine previous use of and sensitivity to penicillins or other cephalosporins.
- b. Assess IV site for phlebitis
-
clozapine
- (Clozaril)
- Drug Class: Atypical, Antipsychotic
- S/E: Agranulocytosis
- a. Monitor weekly WBCs. Report WBC of <3000mm3 and withhold clozapine.
- b. Monitor patient for signs and symptoms of
- infection.
-
diltiazem
- (Cardizem)
- Drug Class: Calcium channel blocker, Antianginal Coronary Vasodilator
- S/E:
- Dysrhythmia
- Hypotension
- a. Orthostatic BP monitoring.
- b. Monitor pulse before administration for bradycardia.
-
estrogens, conjugated
- (Premarin)
- Drug Class: Hormone
- S/E:
- Edema
- Thromboembolism
- a. Monitor intake and output ratios and weekly weight.
- b. Assess blood pressure prior to and periodically through therapy.
-
fluoxetine
- (Prozac)
- Drug Class: Antidepressant
- S/E:
- Headache
- Nervousness
- Insomnia
- a. Supervise suicidal-risk patient closely
- during early therapy for increased suicide potential.
- b. Assess speech pattern, mood; assist with ambulation if dizziness
- occurs.
-
lithium
- (Lithobid)
- Drug Class: Mood stabilizer
- S/E:
- Weight gain,
- fine hand tremor,
- polyuria
- increased thirst,
- nausea
- A. Monitor blood levels
- B. Eat diet with normal salt and fluid intake – do not take diuretics
- C. Take with food
-
morphine sulfate
- (Roxanol)
- Drug Class: Opioid, Analgesic
- S/E
- Confusion
- Constipation
- a. Assess VS for decreased BP, P and R.
- b. Assess type, location and intensity of pain
- prior to and 30-60 min. following administration.
- c. Implement measures to prevent constipation – increase bulk, increase
- activity and increase fluids
-
trimethoprimsulfamethoxazole/ TMP-SMZ
- (Bactrim, Septra)
- Drug Class: Antiinfective Sulfonamide
- S/E:
- Rashes which should be reported STAT
- a. Advise patient to take PO med with full
- glass of desired fluid.
- b. Fluid intake should be sufficient to maintain a urine output of
- 1200-1500 ml daily to prevent stone formation.
-
warfarin
- (Coumadin)
- Drug Class: Anticoagulant
- S/E:Bleeding
- a. Check prothrombin time (therapeutic time is 1.5 to 2 X control, or INR – therapeutic level is 2-3).
- b. Check patient for signs of bleeding,
- (bleeding gums, bruising, tarry stools, hematuria).
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