Medication Information (First 11)

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Medication Information (First 11)
2015-02-22 11:49:33

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  1. Docusate sodium (Colace) class?
    Surfactant laxative
  2. Docusate sodium (Colace) oral and rectal dosage?
    • PO: 50-400mg
    • Rectal: 50-100mg
  3. Docusate sodium (Colace) oral and rectal time of onset?
    • PO: 12-72 hours
    • Rectal: 2-15 minutes
  4. Docusate sodium (Colace) action?
    • -Reduce or eliminate risk of constipation due to being bed bound
    • -Softening and passage of stool
  5. Docusate sodium (Colace) side effects?
    • Throat irritation
    • mild cramps
    • diarrhea
    • rashes
  6. Docusate sodium (Colace) is contraindicated in who?
    • -apendicitis
    • -regional enteritis
    • -diverticulitis
    • -fecal impaction
    • -hypersensitivity
  7. What would you teach a patient taking Docusate sodium (Colace)?
    Drink with a full glass of water
  8. Warfarin (coumadin) class?
  9. Warfarin (coumadin) oral dosage?
    2-10 mg/day
  10. Warfarin (coumadin) oral time of onset?
    36-72 hours
  11. Warfarin (coumadin) action?
    • -Decreases risk of subsequent MI and future thromboembolic events
    • -Treatment of venous thrombosis, pulmonary embolism and atrial fibrillation with embolization
  12. Warfarin (coumadin) side effects?
    • hemorrhage
    • cramps
    • nausea
    • fever
  13. What do you need to assess before giving a patient Warfarin (coumadin)?
    • -Check INR
    • -assess if patient is on any other meds that increase the risk of bleeding
    • -assess s/s of bleeding like bleeding gums, increased bruising, tarry stool, and decreased hgb
  14. Warfarin (coumadin) is contraindicated when?
    • - uncontrolled bleeding
    • - thrombocytopenia
    • -open wounds
    • -active ulcer disease
    • -recent brain/eye/spinal cord injury or surgery
    • -pregnant women
  15. What would you teach a patient taking Warfarin (coumadin)?
    • -Don't take other meds unless approved by prescriber
    • -eat consistent vit. K (not fluctuating)
    • -have patient call doc if s/s of bleeding or increased brusing
  16. Digoxin (Lanoxin) class?
  17. Digoxin (Lanoxin) oral and IV dosage?
    • O: 0.75-1.5mg
    • IV: .5-1mg digitizing dose
  18. Digoxin (Lanoxin) oral and IV time of onset?
    • O: 30-120 min
    • IV: 5-30 min
  19. Digoxin (Lanoxin) action?
    • HF, A fib, A flutter
    • Increases CO by increasing force of contraction and slows the heart rate.
  20. Digoxin (Lanoxin) side effects?
    toxicity: fatigue, HA, weakness, blurred vision, arrhythmias, bradycardia, anorexia, vomiting, thrombocytopenia
  21. What should you assess before giving a patient Digoxin (Lanoxin)?
    • Heart rate: hold med if <60 or new arrhythmias present
    • Look for Toxicity: check K+ levels and digoxin levels
  22. Digoxin (Lanoxin) is contraindicated when?
    • hypersensitivity
    • uncontrolled ventricular arrhythmias
    • AV block
    • Constrictive pericarditis
  23. What should you teach a patient taking Digoxin (Lanoxin)?
    • Take at the same time each day
    • take missed doses within 12 hours
    • take pulse first and call doc is <60 or >100
    • recognize toxicity s/s (anorexia, nausea, vomitting, fatigue, visual disturbances)
  24. Metformin (Glucophage) class?
  25. Metformin (Glucophage) oral and IM dosages?
    • PO: 500-2000 mg/day
    • IM: 10mg every 6-8 hrs
  26. Metformin (Glucophage) oral and IM time of onset?
  27. Metformin (Glucophage) action?
    • -Decreases hepatic glucose production and intestinal glucose absorption in management of type II DM
    • -Increases sensitivity to insulin.
    • -Used in polycystic ovarian syndrome.
  28. Metformin (Glucophage) side effects?
    • Abdominal bloating
    • Diarrhea
    • N/V
    • Lactic acidosis
  29. What should you assess before giving a patient Metformin (Glucophage)?
    • -If they are having any procedures requiring radiologic contrast. 
    • -May resume drug when BUN and creatinine are normal
  30. Metformin (Glucophage) is contraindicated in who?
    • Hypersensitivity
    • metabolic acidosis
    • dehydration
    • sepsis
    • hypoxemia
    • hepatic impairment
    • renal dysfunction
  31. What would you teach someone taking Metformin (Glucophage)?
    • NOT a cure for DM, just helps control hyperglycemia
    • Follow diet and exercise regiment
    • S/S of lactic (hyperventilation, myalgia, malaise, and somnolence)
  32. Furosemide (Lasix) class?
    Loop diuretic
  33. Furosemide (Lasix) oral, IV, and IM dosage?
    • PO: 20-80mg/day
    • IV: 20-40mg
    • IM:20-40mg
  34. Furosemide (Lasix) oral, IV, and IM time of onset?
    • PO: 30-60 min
    • IV: 5 min
    • IM: 10-30min
  35. Furosemide (Lasix) action?
    • -Inhibits reabsorption of sodium and chloride
    • -Increases renal excretion of H2O, Na,
    • Cl, Mg, K and Ca to combat edema due to heart failure, hepatic impairment or renal disease
  36. Furosemide (Lasix) side effects?
    • -Dehydration
    • -Stevens-johnson syndrome
    • -Aplastic anemia
    • -Agranulocytosis hypocalcemia
    • -Hypokalemia
    • -Hyponatremia
  37. what would you assess before giving a patient Furosemide (Lasix)?
    • -don't want low BP
    • -don't want s/s of dehydration
    • -give slowly if an IV push (fast could cause hearing loss)
    • -Discontinue if rash develops
  38. Furosemide (Lasix) is contraindicated in who?
    • -Hypersensitivity
    • -hypokalemia
    • -hepatic coma or anuria
    • -Use cautiously in severe liver disease and DM.
  39. What would you teach a patient with Furosemide (Lasix)?
    -Notify doc if rash, muscle weakness, cramps, nausea, dizziness, numbness or tingling of extremities
  40. Metoprolol (Lopressor/Toprol) class?
    • -Beta Blocker
    • -Antianginal
    • -Antihypertensive
  41. Metoprolol (Lopressor/Toprol) oral and IV dosage?
    • PO: 25-400mg/day
    • IV: 5mg every 2 min for 3 doses
  42. Metoprolol (Lopressor/Toprol) oral and IV time of onset?
    Rapid for both
  43. Metoprolol (Lopressor/Toprol) action?
    • -Decreases blood pressure, heart rate and frequency of attacks of angina pectoris.
    • -Blocks the stimulation of beta1-adrenergic receptors which decreases heart rate,
    • workload of heart, peripheral vascular resistance, and dysrhythmias.
  44. Metoprolol (Lopressor/Toprol) side effects?
    • -Bradycardia
    • -HF
    • -hypotension
    • -pulmonary edema
    • -fatigue/weakness
    • -ED
  45. What should you assess before giving Metoprolol (Lopressor/Toprol)?
    • -HR (must be above 50)
    • -BP (no hypotension or signs of HF - dyspnea, rales, crackles, weight gain, and peripheral edema)
  46. Who is Metoprolol (Lopressor/Toprol) contraindicated in?
    • -Uncompensated HF
    • -pulmonary edema
    • -cardiogenic shock
    • -bradycardia
  47. What would you teach a patient taking Metoprolol (Lopressor/Toprol)?
    • -Notify doc if rash occurs
    • -Avoid alcohol
    • -Do not stop drug abruptly (Must be tapered over 1-2 weeks to avoid rebound dysrhythmias)
  48. Benazepril (Lotensin/Lisinopril) class?
  49. Benazepril (Lotensin/Lisinopril) oral dosage?
    PO: 10 mg/day
  50. Benazepril (Lotensin/Lisinopril) oral dosage time of onset?
    within 1 hour
  51. Benazepril (Lotensin/Lisinopril) action?
    • -Blocks the conversion of angiotensin I to angiotensin II
    • -leads to blood vessel dilation (antihypertensive effect), prevents and/or reverses remodeling of the heart (HF and post MI).
  52. Benazepril (Lotensin/Lisinopril) side effects?
    • -Agranulocytosis
    • -angioedema
    • -cough
    • -hypotension
    • -taste disturbances
    • -dizziness/fatigue
    • -chest pain
    • -renal failure
  53. What would you assess before giving patient Benazepril (Lotensin/Lisinopril)?
    Patients may experience a cough which, if disturbing, could lead to having to d/c drug
  54. Benazepril (Lotensin/Lisinopril) is contraindicated in who?
    • Pregnancy/lactation
    • bilateral renal artery stenosis
    • hypersensitivity and history of angioedema with previous ACE inhibitors
  55. What would you teach a patient taking Benazepril (Lotensin/Lisinopril)?
    • Avoid K+ supplements
    • Notify doc if rash, mouth sores, sore throat, fever, swelling of hands or feet, irregular heart beat, chest pain, dry cough, hoarseness, swelling of face, eyes, lips or tongue and difficulty swallowing or breathing occur.
  56. Potassium (K-Dur) class?
    mineral and electrolyte replacement
  57. Potassium (K-Dur) oral and IV dosage?
    • PO: 40-100 mEq/day
    • IV: 10-80 mEq/day
  58. Potassium (K-Dur) oral and IV time of onset?
    • PO: unknown
    • IV: rapid
  59. Potassium (K-Dur) action?
    • -Treats and prevents K+ deficiency by maintaining an acid-base balance,
    • isotonicity and electrophysiological balance of the cell
    • -Essential to transmission of nerve impulses and contraction of cardiac, skeletal and smooth
    • muscle
    • -Treats arrhythmias due to digoxin toxicity
  60. Potassium (K-Dur) side effects?
    • -Confusion
    • -Restlessness
    • -Weakness
    • -Arrhythmias
    • -ECG changes
    • -abdominal pain
    • -diarrhea
    • -flatulence
    • -N/V
  61. What should you assess before giving a patient Potassium (K-Dur)?
    • -Serum potassium levels (prior to administration of IV form) 
    • -Infuse at a rate no greater than 10 mEq/hour in a diluted solution (Never administer IV push)
  62. Potassium (K-Dur) is contraindicated in who?
    • -Hyperkalemia
    • -severe renal impairment
    • -untreated Addison’s disease
    • -severe tissue trauma
  63. What should you teach a patient taking Potassium (K-Dur)?
    • -purpose of the medication (especially when digoxin or diuretics are taken at
    • the same time)
    • -take drug with food or at least a full glass of water
    • -Report dark, tarry or bloody stools,
    • weakness, unusual fatigue or tingling of extremities
  64. atorvastatin (lipitor) class?
    statin/lipid-lowering agent
  65. atorvastatin (lipitor) oral dosage?
    10-40 mg everyday
  66. atorvastatin (lipitor) oral time of onset?
  67. atorvastatin (lipitor) action?
    • -Treats hypercholesterolemia by inhibiting the enzyme HMG-CoA reductase, resulting in lower
    • levels of LDL cholesterol
    • -Decreases the risk of MI or stroke
  68. atorvastatin (lipitor) side effects?
    • -Rhabdomyolysis
    • -abdominal cramps
    • -constipation
    • -diarrhea/flatus
    • -heartburn
    • -rashes
  69. who is atorvastatin (lipitor) contraindicated in?
    • -Hypersensitivity
    • -active liver disease
    • -unexplained persistent increase in AST or ALT
  70. What would you teach a patient taking atorvastatin (lipitor)?
    • -Take before bed (cholesterol synthesis is greater at night)
    • -Notify doc if signs of liver injury, unexplained
    • muscle pain, tenderness, or weakness occurs (especially if accompanied by fever or malaise) -should be used in conjunction with diet restrictions
  71. oxycodone & acetaminophen (percocet) class?
    antipyretic, opioid analgesic
  72. oxycodone & acetaminophen (percocet) oral dosage?
    PO: 5/325-10/325 mg every 3-4
  73. oxycodone & acetaminophen (percocet) oral time of onset?
    10-15 minutes
  74. Action of the oxycodone part of percocet?
    • -Binds to opioid receptors in the CNS and alters the perception of and response to
    • painful stimuli.
    • -Used to treat moderate to severe pain.
  75. Action of the acetaminophen part of percocet?
    Decreases prostaglandin synthesis only in the CNS which results in antipyretic and decreased pain effects
  76. oxycodone & acetaminophen (percocet) side effects?
    • -Confusion
    • -sedation
    • -Constipation
    • -respiratory depression
    • -dizziness
    • -dysphoria
    • -euphoria
    • -blurred vision
  77. What should you assess before giving a patient oxycodone & acetaminophen (percocet)?
    • -respiratory status
    • -LOC
    • -bowel patterns
    • -effectiveness of the drug to relieve pain
    • -Do NOT give other meds containing acetaminophen
  78. Who is oxycodone & acetaminophen (percocet) contraindicated in?
    • -Hypersensitivity
    • -significant respiratory depression
    • -Acute or severe bronchial asthma
    • -Use caution while pregnant and lactating
  79. What should you teach a patient taking oxycodone & acetaminophen (percocet)?
    • -DONT take any other medications containing acetaminophen (=liver toxicity)
    • -Drug has a known abuse potential
    • -Drowsiness or dizziness may occur so avoid alcohol and driving
    • -Orthostatic hypotension
    • -stool softeners might be needed
  80. Bupropion (Wellbutrin) class?
  81. Bupropion (Wellbutrin) oral dosage?
    PO: 100-450 mg/day
  82. Bupropion (Wellbutrin) oral time of onset?
    1-3 weeks
  83. Bupropion (Wellbutrin) action?
    • -Treats depression
    • -Decreases neuronal reuptake of dopamine in the CNS 
    • -Diminishes neuronal uptake of serotonin and norepinephrine
  84. Bupropion (Wellbutrin) side effects?
    • Seizures
    • suicidal thoughts or behaviors
    • agitation
    • headache
    • dry mouth
    • N/V
    • tremor
  85. Who is Bupropion (Wellbutrin) contraindicated in?
    • Hypersensitivity
    • concurrent use of MAO inhibitors
    • seizure disorders
    • severe head injury/stroke
    • lactation
  86. What would you teach someone taking Bupropion (Wellbutrin)
    • Take at same time every day.
    • look out for suicidal thoughts and actions
    • stop taking if agitation, depressed mood or any changes in behavior occur