Med Card- Oseltamivir PDF

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Oseltamivir...

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INSTRUCTIONS: 1. For each chapter that teaches about medications, fill in the following table regarding the chosen meds. CLASS: Antivirals, Neuraminidase GENERIC NAME: Oseltamivir Phosphate TRADE NAMES: Tamiflu Inhibitors MOA: Neuraminidase inhibitors interfere with the release of progeny influenza virus from infected host cells, thus preventing infection of new host cells and halting the spread of infection. INDICATIONS: Treatment of acute uncomplicated influenza within 2 days of illness onset. • CONTRAINDICATIONS/PRECAUTIONS: Check with your physician if you have any of the following: • confusion • suicidal thoughts • delirium • chronic kidney disease stage 3A (moderate) • chronic kidney disease stage 3B (moderate) • chronic kidney disease stage 4 (severe) • chronic kidney disease stage 5 (failure) • kidney disease with likely reduction in kidney function INTERACTIONS with other Drugs/Substances: Tell your doctor if you have received flu vaccine in the nose within 2 weeks before treatment with this medication. This medication may lower your protection from flu vaccine given in the nose. Wait at least 2 days after ending treatment with this medication before receiving flu vaccine given in the nose. PATIENT RESPONSE / REACTIONS: COMMON SIDE EFFECTS: ADVERSE REACTIONS: S/S TOXICITY: TOXICITY/OVERDOSE DESIRED OUTCOME: • nausea • The flu itself or Tamiflu may Get emergency TX: § To treat acute influenza • vomiting rarely cause serious medical help if you § Tamiflu (oseltamivir phosphate) • diarrhea mental/mood changes. This have signs of an is an antiviral drug. It works by • dizziness may be more likely in allergic • headache attacking the flu virus to keep it children. Tell your doctor of reaction (hives, • nosebleed from multiplying in any signs of unusual difficult breathing, • eye redness or your body and by reducing the behavior, swelling in your face discomfort symptoms of the including confusion, agitation, or throat) or a severe • sleep problems flu. Tamiflu can sometimes or self-injury. skin reaction (fever, (insomnia) keep you from getting the flu if sore throat, burning • cough or other you take it before you get sick. eyes, skin pain, red or respiratory purple skin rash with problems. blistering and peeling). Call your doctor right away if the person using this medicine has:

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NURSING ACTIONS: § Reconstituted oseltamivir oral suspension is the preferred preparation for individuals unable to swallow capsules.1 Alternatively, if the oral suspension not available from the manufacturer or wholesaler, the appropriate dosage can be administered by opening the appropriate strength of commercially available capsules and mixing the contents with a sweet liquid (e.g., regular or sugarfree chocolate syrup, corn syrup, caramel topping, light brown sugar dissolved in water.

ASSESS: §

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Assess for the mentioned cautions and contraindications (e.g. drug allergies, hepatorenal impairment, pregnancy and lactation, etc.) to prevent any untoward complications. Perform a thorough physical assessment (other medications taken, orientation and reflexes, vital signs, etc.) to establish baseline data before drug therapy begins, to determine

CARE/IMPLEMENT: § Administer drug as prescribed as soon after exposure to the virus is possible to enhance effectiveness and decrease the risk of complications due to viral infection. § Administer influenza A vaccine before the flu season begins, if at all possible, to decrease the risk of contracting the flu and decrease the risk of complications. § Instruct the patient about the appropriate dosage scheduling regimen; safety precautions, including changing position slowly and avoiding driving and hazardous tasks that should be taken if CNS effects occur; the need to report any adverse effects such as difficulty walking or talking to enhance the patient knowledge about drug therapy and to promote compliance.

sudden confusion; tremors or shaking; unusual behavior; or hallucinations (hearing or seeing things that are not there).

TEACH: §

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Advise patients to take a missed dose as soon as remembered. If it is two hours or less until the next dose, skip the missed dose and continue regular dosing schedule. Ensure patients are aware of the importance of continuing their medication, even if they start to feel better, until they have completed the course.

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EVALUATE: Monitor patient response to therapy (prevention of respiratory flu-like symptoms and alleviation of flu-like symptoms). Monitor for adverse effects (e.g. changes in orientation and affect, blood pressure, urinary output, liver or renal function test changes, etc). Evaluate patient understanding on drug

effectiveness of therapy, and to evaluate for occurrence of any adverse effects associated with drug therapy.

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Educate client on drug therapy to promote understanding and compliance.

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SPECIAL CONSIDERATIONS/NOTES:

therapy by asking patient to name the drug, its indication, and adverse effects to watch for. Monitor patient compliance to drug therapy....