Battaglia - assigned drug cards from Med surg 1 clinical. Hypertensives PDF

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assigned drug cards from Med surg 1 clinical. Hypertensives...

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Drug Cards Name

Jenna Battaglia

Instructions: Review 4 medications. Complete each area on the drug cards below for each of the medications. Drug Name

Therapeutic/ Pharmacologic Class

1 Albuterol Trade: Accuneb, Proair HFA, Respiclick, Proventil HFA, Ventolin FHA

Bronchodilators, adrenergic

Indication/ Use Treatment of bronchospasms in asthma or COPD. Long term control agent in patients with chronic and persistent bronchospasm.

Adverse/ Side Effects Nervousness, restlessness, tremor, chest pain, palpitations, paradoxical bronchospasm

Nursing Considerations May cause drop in potatssium. Give oral administration with food, XL tablets swallowed whole. Shake inhaler well, wait one minute in between doses. Do not dilute the nebulizer solution, O2 6-10L/min. Treatments last five to twenty minutes.

Drug Name

Therapeutic/ Pharmacologic Class

2 Ciprofloxacin Cipro, Cirpo XR Anti-infectives; Fluoroquinolones

Indication/ Use Treatment of: UTIs, gonorrhea, gynecological infections, respiratory infections, skin infections, bone/joint infections, infections diarrhea, intraabd infections, febrile neutropenia, post-anthrax inhalation, treat/prevent plague

Adverse/ Side Effects CNS: raises intracranial pressure, seizures, suicidal thoughts.

Nursing Considerations Assess for infection. Monitor bowel function for signs of Cdiff. Assess peripheral neuropathy.

GI: hepatotoxicity, CDiff, nausea,

Assess for s/s of suicidal thoughts and behaviors.

Derm: StevenJohnsons

May cause rise in liver function values.

Misc: anaphylaxis, tendon rupture, dizziness, headache, insomnia

Obtain culture and sensitivity.

Drug Name

Therapeutic/ Pharmacologic Class

Indication/ Use

3 Fluticasone Trade: Armonair, Respiclick, Arnuity Ellipta, Flovent Diskus, Flovent HFA

Anti-inflammatories (steroidal)

Corticosteroids

Maintenance treatment of asthma and prophylactic therapy. Decreases frequency and severity of asthma attacks.

Adverse/ Side Effects

Nursing Considerations

CNS: headache, dizziness

Monitor resp. status/lung sounds.

EENT: cataracts, dysphoria, glaucoma, hoarseness, oropharyngeal fungal infections, nasal stuffiness, rhinorrhea, sinusitis. Endo: adrenal suppression (long term therapy only), reduces bone mineral density, decreases growth in children, Cushing’s syndrome. GI: diarrhea MS: muscle pain Resp: bronchospasm, couch, UR tract infection, wheezing

Monitor for withdrawal symptoms during withdrawal from oral corticosteroids. May cause decreased bone mineral density during prolonged therapy. Monitor for s/s of hypersensitivity reactions (rash, pruiutes, swelling of face/neck, dyspnea) during therapy. Adrenal function testing required.

Life threatening: Hypersensitivity reactions including anaphlayxsis, laryngeal edema, bronchospasm, and urticaria. Churg-strauss syndrome.

Drug Name

Therapeutic/ Pharmacologic Class

4 Fluticasone/umeclidinium/vilanterol Bronchodilators Trade: Trelegy Ellipta Coritocsteriods Anticholinergics Adrenergics

Indication/ Use

Adverse/ Side Effects

Nursing Considerations

Maintenance treatment of COPD.

CNS: headache

May cause hypokalemia/hypoglycemia.

Maintenance treatment of asthma.

CV: arrythmias, hypertension, QTc interval prolongation, tachycardia EENT: cataracts, dysphonia, glaucoma, oral candidiasis Endo: adrenal suppression, hyperglycemia. F/E: hypkalemia Resp: increased risk of pneumonia, paradoxical bronchospasms HYPERSENSITIVITY REACTIONS

Advise patient to take medication as prescribed and not to discontinue without consulting dr. Caution patient not to use to treat acute symptoms. Advise patient to stop using medication and notify health care professional s/s of hypersensitivity reactions occur. Avoid smoking, known allergies and respiratory irritants....