drug cards week 1 PDF

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drug cards week 1...

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Drugs Card Name

Angel Rigal

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

Therapeutic or Pharmacologic Class Therapeutic class: NSAIDs Pharmacologic class: Cyclooxygenase2 inhibitors

Indication/ Use

Adverse/ Side Effects

Nursing Considerations

To relieve signs and symptoms of osteoarthritis To relieve signs and symptoms of Rheumatoid arthritis To relieve signs and symptoms of ankylosing spondylitis To relieve signs and symptoms of juvenile RA Acute pain and primary dysmen orrhea

CNS: headache, dizziness, insomni a. CV: HTN, peripheral edema. EENT: pharyngitis, rhinitis, sinusitis. GI: abdominal pain, diarrhea, dyspepsia, flatulence , GI reflux, nausea. Metabolic: hyperchloremia. Musculoskeletal: back pain. Respiratory: dyspnea, URI. Skin: erythema multiforme, exfoliative dermatitis, SJS, toxic epidermal necrolysis, rash.

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Black Box Warning: NSAIDs cause an increased risk of serious GI adverse events, including bleeding, ulceration, and perforation of the stomach or intestines, which can be fatal. Black Box Warning: NSAIDs may increase the risk of serious thrombotic events, MI, or stroke. Patients allergic to or with a history of anaphylactic reactions to sulfonamides, aspirin, or other NSAIDs may be allergic to this drug. Alert: Watch for and immediately evaluate signs and symptoms of heart attack (chest pain, shortness of breath, trouble breathing) or stroke (weakness in one part or side of the body, slurred speech).

Drug Name Methylprednisolone/ Medrol methylPREDNISolone acetate Depo-Medrol methylPREDNISolone sodium succinate Solu-Medrol

Therapeutic/ Pharmacologic Class Therapeutic class: Corticosteroids Pharmacologic class: Glucocorticoids

Indication/ Use

Adverse/ Side Effects

Severe inflammation or immunosuppress ion

CNS: euphoria, insomnia, psychotic behavior, pseudotumor cerebri, vertigo, headache, depressi on, personality changes, paresthesia, seizures, mala ise, emotional lability, insomnia. CV: arrhythmias, HF, cardiomyopat hy, HTN, bradycardia, tachycardia, syncope, myocardial rupture after MI, edema, thrombophlebitis, thromboe mbolism, cardiac arrest, CV collapse. GI: peptic ulceration, GI irritation, increased appetite, pancreatitis, nausea, vomit ing GU: menstrual irregularities. Metabolic: hypokalemia, hyperglycemia, sodium and water retention, carbohydrate intolerance, hypercholesterolemia, hypocalcemi a. Respiratory: pulmonary edema. Skin: hirsutism, delayed wound healing, acne, skin eruptions, cutaneous and subcutaneous atrophy.

Nursing Considerations 

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Watch for depression or psychotic episodes, especially in high-dose therapy. Diabetic patient may need increased insulin; monitor glucose level. Alert: Don’t give SoluMedrol intrathecally because severe adverse reactions may occur. Alert: Epidural corticosteroid injections to treat neck and back pain and radiating pain in the arms and legs may result in rare but serious adverse events (loss of vision, stroke, paralysis, death). The use of epidural corticosteroid injections isn’t approved by the FDA. Alert: Counsel patients who receive epidural corticosteroid injections to seek immediate medical attention if they experience loss of vision or vision changes; tingling in the arms or legs; sudden weakness or numbness of the face, arm, or leg on one or both sides of the body; dizziness; severe headache; or seizures. Alert: Drug may cause suppression of the HPA axis, which can lead to adrenal crisis. Younger children and patients receiving high doses are at increased risk. Withdrawal from corticosteroids should be done slowly and with patient monitoring...