SIM meds PDF

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Summary

Sim meds...

Description

Medication Administration Worksheet Drug: - Name - Dose (is it safe?) - Route - Frequency

Class and Pharmacokinetics

Therapeutic Use

Side Effects

(why is your patient taking this med?)

(include most common and severe)

Isotonic ivf

It is used to give fluids to the body when more fluids and electrolytes are needed.

opioid/narcotic

: Morphine is used to treat moderate to severe pain. Shortacting formulations are taken as needed for pain. The extended-release form of morphine is for around-theclock treatment of pain. This form of morphine is not for use on an as-needed basis for pain It is used to numb an area before a procedure.

False blood glucose elevation due to maltose. It is used to give fluids to the body when more fluids and electrolytes are needed. Abdominal pain bloating or swelling blurred vision body aches or pain chills confusion convulsions cough decreased urine difficulty with breathing dizzy from position change irregular heartbeat loss of appetite loss of voice muscle pain or cramps n/v numbness or tingling in the hands, feet, or lips pounding in the ears rapid weight gains sore throat sweating unusual bleeding or bruising unusual tiredness or weakness unusual weight gain or loss Cramps, difficulty having a bowel movement Drowsiness false or unusual sense of wellbeing relaxed and calm feeling sleepiness or unusual drowsiness weight loss Resp depression, constipation,

Lactate ringers

Morphine

Lidocaine 1% with epinephrine

December 2016

Allergy, acidosis, methemoglobinemia- like a blue or gray color of the lips, nails, or skin; a heartbeat that does not feel normal; seizures; very bad dizziness or passing out; very bad headache; feeling very sleepy; feeling tired or weak; or shortness of breath.

Pre-assessment (what needs to be assessed before administering this med? i.e. vitals, labs) urine output (amount?) systolic BP HR LOC Labs, , hydration status

Vs (bp, resp) Pain loc

Loc

Post-assessment (what needs to be assessed after administering this med?)

Client Education

Check for side effects, renal function, labs, vs, hydration.

Vs (bp, resp) Pain loc

Nolaxone- reverse drug

Avoid driving and doing other tasks or actions that call for you to be alert until the effects of lidocaine and epinephrine wear off and you feel fully

Medication Administration Worksheet awake. If you are allergic to sulfites, talk with your doctor. Some products have sulfites. This medicine may affect certain lab tests. Acetaminophen Oral, rectal, IV 4000 mg oral If hepatic impairment < 3000mg

Antipyretic analgesic

Fever, pain

severe hepatic impairment or severe active liver disease Nausea, constipation, upset stomach, dizziness, drowsiness, urinary retention, easy brushing/bleeding

Fever – vs, pain

Vs pain

Tylonol 3 (with codeine)

Analgesic and opioid (codeine)

Pain

Nausea, constipation, upset stomach, dizziness, drowsiness, urinary retention, easy brushing/bleeding

Fever – vs, pain

Vs pain

Bisocodyl

laxative

Stimulates BM

abdominal discomfort, nausea, cramps, griping, and/or faintness with therapeutic doses.

Lbm

Bm

Oral: TABLET: 5 to 15 mg orally once a day as needed ENEMA: 10 mg rectally once a day as needed SUPPOSITORY: 10 mg (1 suppository) rectally once a day as needed Ranitidine

December 2016

Duration of therapy: Up to 1 week

Diarrhea, GI irritation, and fluid and electrolyte depletion.

H2 blocker

Ranitidine is used to treat ulcers of the stomach and intestines and prevent them from coming back after they have healed. This medication is also used to treat certain stomach and throat (esophagus)

Headache, constipation or diarrhea Serious- blurred vision, mental/mood changes easy bleeding/bruising, enlarged breasts, severe tiredness, fast/slow/irregular heartbeat, signs of infection (such as sore throat that doesn't go away, fever, chills), severe stomach/abdominal pain, dark urine, yellowing skin/eyes.

Some products need stomach acid so that the body can absorb them properly. Ranitidine decreases stomach acid, so it may change how well these products work. Some affected products include atazanavir,

Medication Administration Worksheet

Fentanyl

December 2016

Opiod narcotic

problems It works by decreasing the amount of acid your stomach makes. It relieves symptoms such as cough that doesn't go away, stomach pain, heartburn, and difficulty swallowing. strong prescription pain medicine. The patches are used to treat moderate to severe chronic pain around the clock.

masitinib, delavirdine, certain azole antifungals (such as itraconazole, ketoconazole), pazopanib, among others.

RESP DESTRESS Black, tarry stools blurred vision chest pain confusion convulsions cough decreased urine difficult or labored breathing dizziness dry mouth fainting fever or chills increased thirst irregular heartbeat lightheadedness loss of appetite lower back or side pain mood changes muscle pain or cramps nausea or vomiting nervousness numbness or tingling in the hands, feet, or lips painful or difficult urination pale skin pounding in the ears rapid breathing sneezing sore throat sunken eyes swelling of the hands, ankles, feet, or lower legs tightness in the chest

Resp Pain

Resp Pain

Urine lab results may be altered Use with benzodiazepines will lead to serious sedation! Don’t use it with other opioid analgesic When used for break-through pain NEVER take more than two doses of short-acting fentanyl products (such as Subsys) at one time (each dose must be at least 30 minutes apart)

Medication Administration Worksheet

Versed

benzodiazepine

Injection Nasal spray Po syrup

used to sedate a person who is having a minor surgery, dental work, or other medical procedure.

used to put you to sleep for surgery

Etomidate parenteral injection 2 mg/mL (10 mL, 20 mL)

Tetanus IM

To prevent tetanus

used to treat or prevent tetanus

troubled breathing with exertion ulcers, sores, or white spots in the mouth unusual bleeding or bruising unusual tiredness or weakness wrinkled skin Resp depression Hypotension seizure

Vitals- resp, bp, hr Loc Fall risk

Avoid driving first 24 hrs Avoid grapefruit

Injection site pain, skeletal muscle movements (e.g., myoclonic, averting, tonic, or ocular movements), postoperative n/v. Myoclonus occurs frequently. Most episodes are mild to moderate in severity, Usually bilateral.

Soreness in inj site      

December 2016

Vitals- resp, bp, hr Loc Fall risk

Rare: Difficulty in breathing or swallowing hives itching, especially of soles or palms reddening of skin, especially around ears swelling of eyes, face, or inside of nose unusual tiredness or weakness, sudden and severe

loc

Loc Musculoskeletal

Avoid if pt has narrow angle glaucoma and allergic to cherries Administration of IV fentanyl immediately before induction has been shown to minimize incidence of skeletal muscle movements. Avoid alcohol and driving -At the same time, in a different extremity with a different syringe, administer Tetanus and Diphtheria Toxoids Adsorbed (Td) Treatment of active cases: Dose adjusted to severity of infection -Start treatment immediately...