N331 med nursing implications

Losartan (Cozaar)
no grapefruit juice
assess BP (lying, sitting, standing) & HR
reduce Potassium & Sodium
monitor orthostatic hypotension

Amiodarone (Cordarone
monitor pulse,
liver levels
thyroid levels
avoid grapefruit juice
may have bluish discoloration

Bumetanide (Bumex)
assess fluid status
skin turgor
hepatic function
electrolytes (K)
admin in AM with food

Acyclovir (Zovirax)
admin within 24 hrs of shingles outbreak
take with full glass of water
do NOT use OTC creams/lotions

Hydroxyzine (Vistaril)
discontinue 72 hrs before skin tests
avoid ETOH

Metoclopramide (Reglan)
monitor muscle rigidity, LOC, BP/HR, diaphoresis
admin 30 min before meals
avoid ETOH

Temazepam (Restoril)
admin only if 8 hrs sleep is possible
avoid ETOH

Baclofen (Kemstro)
discontinue gradually over at least 2 wks
avoid ETOH

Bupropion (Wellbutrin)
lowers seizure threshold
may impair judgement
can take at least 4 wks to be effective
watch for suicidality
avoid ETOH

Bisoprolol (Zebeta)
do not abruptly stop
hold if pulse <50 change positions slowly

Benazepril (Lotensin)
monitor rash, sore throat, fever, swelling, etc
avoid salt substitutes
avoid sodium
avoid potassium
avoid herbal products
stop if pregnant

Carbamazepine (Tegretol)
therapeutic level 4-12 mcg/ml
watch for steven johnson syndrome
take at bedtime
hormonal contraceptives not effective

Cimetidine (Tagamet)
admin with meals & at bedtime
stop 24 hrs before skin tests to avoid false negatives
no smoking

Clindamycin (Cleocin)
admin w/ full glass of water
do not admin >600 mg IM
No sex
remain recumbent for 30 min after admin
topical is flammable
wait 30 min after washing/shaving to apply

Verapamil (Calan)
do not give if HR <50 admin w/ meals or milk maintain good dental hygiene avoid ETOH cold preparations

Glipizide (Glucotrol)
admin 30 min before meals
use sunscreen
carry form of sugar at all times

Misoprostol (Cytotec)
admin w/ meals
avoid magnesium

Pravastatin (Pravachol)
do not give if CK levels >10
admin once daily in evening
avoid grapefruit juice
Preg X – stop if pregnant

Pioglitazone (Actos)
monitor liver function carry a form of sugar at all times

Ondansetron (Zofran)
assess bowel sounds, abd distention and hepatic impairment
max 8 mg/day

Pentoxifylline (Trental)
give with meals

Mirtazapine (Remeron)
assess suicidal tendencies
admin at bedtime
avoid OTC meds
CNS depressants during & for at least 3-7 days after

Sumatriptan (Imitrex)
BP before & 1 hr after giving
only use during an attack – not to prevent
no more than 2 doses in 24 hrs
avoid ETOH

Indomethacin (Indocin)
take w/ full glass of water
sit in upright for 15-30 min
avoid ETOH

Fentanyl (Duragesic)
monitor BP & pulse
do not give if RR <10 may lead to dependence can be worn in water avoid ETOH heat increases release from patch

Dorzolamide (Trusopt)
can exacerbate kidney stones

Morphine (Duramorph)
do not give if RR <10 discontinue gradually

Sulfasalazine (Azulfidine)
fluid intake of 1200-1500 ml daily to prevent crystalluria
may cause orange-yellow urine/skin

Phenobarbital (Luminal)
supervise ambulation
do not stop abruptly
avoid ETOH
CNS depressants

Nortriptyline (Aventyl)
monitor BP & pulse
assess for suicidal tendencies
can alter blood glucose levels
admin w/ food at bedtime
blue/green urine
avoid ETOH
CNS depressants during & for at least 3-7 days after

Hydrocodone/Acetaminophen (Vicodin) *max 4g/24h acetaminophen* *watch resp

Digoxin (Lanoxin) Check apical pulse x60 seconds before admin. Hold if

Methylphenidate HCl (Ritalin) Consider a “med holiday” over the summer to allow for a growth spurt Give after meals because it decreases appetite May want a baseline ECG Not a paradoxical reaction Adderall XR Give after meals WE WILL WRITE …

Expectorant Nursing Implications Patients taking expectorants should receive more fluids to help loosen and liquify secretions. Oral/Nasal Decongestant Interactions Alpha-Adrenergic Drugs MAOI’s Patients should avoid Caffeine WE WILL WRITE A CUSTOM ESSAY SAMPLE ON ANY TOPIC SPECIFICALLY FOR YOU FOR …

albumin Nursing Implications Monitor vital signs, central venous pressure, intake and output. Assess for signs of vascular overload before and after administration. Monitor serum sodium levels; may cause an increase in concentrations. Monitor hemoglobin and hematocrit levels; these values may …

baclofen (Gablofen, Lioresal) • Assess muscle spasticity before and periodically during therapy. • Observe client for drowsiness, dizziness, or ataxia. May be alleviated by a change in dose. • May increase serum glucose, alkaline phosphatase, AST, and ALT levels. • …

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