OLOL 1029 Drugs - best PDF

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MEDICATION FORM

DRUG

CALCULATIO N

Client’s weight (kg)__________ 70.1 _ Generic name: n/a Apixaban Trade name: Eliquis Classification: Anticoagulants Recommended dose: 1.2-2.5 Client’s dose: 2.5 mg PO BID

Generic name: Carvedilol n/a Trade name: Coreg Classification: beta blocker Recommended dose: Client’s dose: 3125mg

ACTION Why is patient receiving medication? Action:

SIDE EFFECTS/ CONTRAINDI CATIONS Side Effects:

NURSING IMPLICATIO NS/ PATIENT TEACHING Nursing implications:

Acts as a selective, rev Bleeding!!! Blood in the Assess patient for symptoms o site inhibitor of factor eyes, blood in the urine. stroke, DVT, PE, or peripheral inhibiting both free an vascular disease periodically factor. Does not affectbloody or black, tarry during therapy. aggregation directly bstools. bruising or purple inhibit thrombin-inducareas on the skin. Patient teaching: platelet aggregation. Instruct patient to take apixaban Why is patient receiving Contraindications: as directed. Take missed doses a Previous severe medication? soon as remembered on the sam To block the activithypersensitivity reactions, day and resume twice daily certain clotting subactive pathological bleeding,administration; do not double and severe hepatic impairment. doses. in the blood.

Action: Blocks stimulation of beta1(myocardial) and beta2 (pulmonary, vascular, and uterine)adrenergic receptor sites Why is patient receiving medication? To treat his high blood pressure and congestive heart failure.

Nursing implications: Side Effects: Monitor BP and pulse frequently dizziness, fatigue, during dose adjustment period weakness, andanxiety, periodically during therapy. Assess for orthostatic depression, drowsiness. hypotension when assisting patient up from supine position.

Contraindications: History of serious Patient teaching: hypersensitivity reaction, Advise patient to make sure enough medication is available for pulmonary edema, weekends, holidays, and vacations. cardiogenic shock. Instruct them to check pulse daily and BP biweekly. Advise patient to hold dose and contact health care professional if pulse is 50 bpm or BP changes significantly.

MEDICATION FORM

DRUG Client’s weight 70.1

CALCULATIO N

ACTION Why is patient

SIDE EFFECTS/ CONTRAINDI

NURSING IMPLICATIO NS/ PATIENT

(kg)__________ _

receiving medication?

CATIONS

Generic name: Docusate n/a Trade name: Colace Classification: laxatives Recommended dose:

Action: Promotes incorporation of water into stool, resulting in softer fecal mass. May also promote electrolyte and water secretion into the colon. Why is patient receiving medication? To prevent constipation.

Generic name: n/a Pantoprazole Trade name: Protonix Classification: proton-pump inhibitors Recommended dose: Client’s dose: packet BID AC

TEACHING

Side Effects: Nursing implications: Assess formild abdominal throat irritation, cramps, distention, diarrhea, presence rashes. of bowel

sounds, and usual pattern of bowel function. Assess color, consistency, and amount of Contraindications: stool produced

Hypersensitivity; Patient Abdominal pain,teaching: nausea, Advise patients that laxatives or vomiting, especially should be used only for shortwhen associated with term therapy. Long term fever or therapy other signs of an electrolyte may cause acute abdomen imbalance and dependence

Nursing implications: Action: Side Effects: Assess patient routinely for Binds to an enzymeHeadache. in the Diarrhea.epigastric or abdominal pain presence of acidic gastric Nausea. Vomiting. Gas. and for frank or occult blood pH, preventing the final Joint pain. Constipation in stool, emesis, or gastric transport of hydrogen ions aspirate. into the gastric lumen. Contraindications: Patient teaching: Should be used during Why is patient receiving Instruct patient to take pregnancy only if clearly medication? medication as directed for the needed To treat erosive full course of therapy, even if feeling better. esophagitis and other Advise patient to avoid conditions involving alcohol, products containing excess stomach acid. aspirin or NSAIDs, and foods that may cause an increase in GI irritation.

MEDICATION FORM

DRUG Client’s weight (kg)__________ 70.1 _

CALCULATIO N

ACTION and Why is patient receiving medication?

SIDE EFFECTS/ CONTRAINDI CATIONS

NURSING IMPLICATIO NS/ PATIENT TEACHING

Generic name: n/a ipratropium Trade name: albuterol Classification: anticholinergics Recommended dose: Client’s dose: 0.5-25mg 3 ml Q4H PRN.

Nursing implications: Side Effects: When ipratropium is Inhibits cholinergic receptors in dizziness, headache,administered concurrently with bronchial smooth muscle, resulting nervousness blurredother vision. inhalation medications, in decreased concentrations of

Action:

administer adrenergic cyclic guanosine monophosphate bronchodilators first, followed (cGMP). Decreased levelsContraindications: of cGMP produce local Hypersensitivity to by ipratropium, then bronchodilation. corticosteroids. Wait 5 min

ipratropium, atropine, Why is patient receiving between medications. belladonna alkaloids, or medication? during teaching: To prevent wheezing,bromide; Avoid usePatient Instruct patient in proper use of acute bronchospasm. difficulty breathing, chest tightness, and coughing in people with chronic obstructive pulmonary disease

inhaler, nebulizer, or nasal spray and to take medication as directed. Do not double doses....