Card Set Information
List of drugs for quiz
Ativan PO pg 799
: Anxiety disorder, sedation
: Additive CNS depression (alcohol, antihistamine,opioid analgesics)
Tagamet PO (cimetidine) pg. 661
*Increase risk of toxicity with Coumadin (Warfarin)*
: Healing and prevention of ulcers. Decrease GERD symptoms, Decrease secretion of gastric acid.
Assess for epigastric or abdominal pain, frank/occult blood stools, emesis, gastric aspirate.
Check CBC w/ diff for anemia, agranolocytosis.
Administer with meals or at bedtime to prolong effect (one dose/day=hs).
Vicodine pg. 675
Reduce moderate-severe pain.
Assess pain level
Don’t use with MAOI (Marplan, Parnate)
Too much Tylenol/day
Coumadin (Warfarin) pg 1295
Prevention of thromboembolic events, blood clots, MI
*Check PT (1.3-1.5 % of normal) & INR (2.5-3.5 recommended for therapeutic effect)*
Heparin may effect PT, INR but Coumadin PO takes 3-5 days to reach effective level, usually begun still on Heparin.
: active ulcer disease, bleeding issues
Limit foods high in vitamin K, cranberry juice/products, IM meds, activities that could lead to bleeding, NSAIDs. Use soft toothbrush.
Foods High in Vitamin K
Non-Steroidal Anti-Inflammatory Drugs
Mylanta pg. 803
: Neutralization of gastric acid w/ healing of ulcers and decrease in associated pain.
Don’t take within 2 hrs of other meds
Nitro Paste pg 929
: Relief/prevention of anginal attacks. Increase cardiac output. Reduction in BP
*Monitor BP before and after *
Rotate location of topical site
Stadole IM pg 257
: Decrease the severity of pain moderate-severe. Used in labor, sedation before surgry
*assess pain prior to administration*
Rotate sites of injection
Promethazine IM (Phenergan) pg. 1061
: Treatment of allergic conditions, motion sickness, sedation, anti-nausea/vomiting
Can cause CNS depression
Monitor for EPS
: Administer deep into well developed muscle. (Can cause severe tissue necrosis)
Lovenox SQ (Enoxaparin) pg. 657
Prevention of thrombus formation
Assess for signs of bleeding/hemorrhage
: Observe injection sites for hematomas, ecchymosis, or inflammation.
Administer deep into subcutaneous tissue. Inject in abdomen (rotate sides, stay at least 1” away from belly button). Pinch/bunch skin with thumb and forefinger.
Meperdine IM (Demerol) pg. 820
Used for relief of moderate-severe pain.
Assess pain level
Can cause seizers, CNS depression.
Do not use with MAOIs
Check respirations and bowel function
Hydroxyzine IM pg. 682
Sedation, relief of anxiety, decrease nausea/vomiting, decrease allergic symptoms associated with the release of histamine.
Do not use with pregnant women, causes CNS depression, increased fall risk.
Assess patient for level of sedation
*Use the Z-track, deep into well developed muscle. Do not use deltoid site, extremely painful shot.*
Heparin SQ pg. 654
Prevention of thrombus formation. Prevent extension of existing thrombi
Assess for uncontrolled bleeding, open wounds, hypertension
Monitor platelet count every 2-3 days.
Assessing pain level
ite- Where is the pain?
nset- When did the pain start, and was it sudden or gradual?
haracter- What is the pain like? An ache? Stabbing?
adiation- Does the pain radiate anywhere?
ssociations- Any other s/s associated with the pain?
ime course - Does the pain follow any pattern?
xacerbating/Relievingfactors - Does anything change the pain?
everity- How bad is the pain?