Pharm CMS prep

Heparin monitoring

PTT 60-80have protamine sulfate ready

Warfarin monitoring

INR of 2 or 3vitamin K antidote

eye drop administration

depress the lower lid and place the medication in the lower conjunctival sac.

MDI inhaler use

after using inhaler, rinse mouth thoroughly with water and split out. do not swallow1. observe for side effects:-tachycardia, dysrhythmia, cns excitation, n/v2. evaluate effectiveness-monitor for decreased SOB, wheezing, crackles, loosened secretions and anxiety3. give treatment before meals to avoid n/v and reduce fatigue that accompanies eating

decreased cardiac output

slows distribution

Decreased GI motility

slows absorption

hepatotoxicity s/s

n/v, jaundice, dark urine, abdominal discomfort, anorexia

nephrotoxicity s/s

Oliguria, elevated creatinine, elevated BUN, and acid-base imbalances

allergic reaction/hypersensitivity often occurs

in the first 15 minutesABC priorities

medication interactions

St johns worthGinesengGrape fruit juicetyramine high foodsleafy greens

what increases your likelihood of allergic reaction?

pt has had a previous exposure to the medication

allergic reaction

ABCEPIdiphenhydraminemethylprednisolone

Anticholinergic drugs

A/Edry mouthconstipationurinary retentiondrugs that interrupt or reduce the function of the parasympathetic system

ABX and cultures

take cultures before ABX administration

atropine

Bradycardia, Anesthesia adjunct

benztropine

Parkinson's disease, Prevent EPS and dystonic rxn (mental health meds)

ipratropium

bronchodilator for COPD

oxybutynin

over active bladder

OAB

...

scopolamine

Motion sickness, N/V

vancomycin

Nephrotoxic; ototoxic; red man syndromePeak & trough levels

tetracycline

DO NOT give to pregnant women or children <8; NO dairyCauses tooth discoloration

penicillin & amoxicillin

Allergic rxn

azithromycin

Dysrhythmias, ototoxicity

ciprofloxacin

Achilles tendon rupture

cephalexin

Allergic rxn; do not give w/PCN allergy

gentamicin

Nephrotoxic; ototoxicPeak & trough levels

ketoconazole

Hepatotoxic; GI upsetMonitor LFTs

Amphotericin B

Hepatotoxicity; nephrotoxicity; bone marrow depressionPatient is hydrated with 0.9NSpre-medicated with acetaminophen and diphenhydramineInfuse med slowly over 2-4hrs

metronidazole

Hepatotoxic; dark urine; metallic taste

Antiretrovirals / HAARTfor HIV/AIDSEnd in -vir or -dine

Monitor CBC, electrolytes and liver function tests

Albuterolbeclomethasonemontelukasttheophylline

AsthmaTransient tachycardia, palpitations, tremorsICS: rinse mouth; use SABA 1stLiver dysfunction; depressionCardiac toxicity

albuterolipratropiumbeclomethasone

COPDAs aboveDry mouth, constipation, urinary retentionICS: rinse mouth; use SABA 1st

isoniazidrifampinethambutol

TBPeripheral neuropathyTurns urine & body fluids orangeBlindness

rescue inhaler usage

shakehold for 10 secswait 1-2 minsdo again

Albuterol Precautions:

Paradoxical bronchospasm, use cautiously in patients with CHD, dysrhythmias, DM; patient taking beta-blockers

rifampin

Give on empty stomach (anti-tuberculosis) remember Rifampin causes red urine

-prils captopril

Angioedema; ACEI cough; hyperkalemia

-sartan losartan

hyperkalemia

-pine nifedipine

Bradycardia; peripheral edema; dizziness

digoxin

Dig toxicity: Bradycardia, GI upset, vision changes, yellow halosAssess Apical for full minute**digibind reversal

nitroglycerin

HA; dizziness

All CV medications cause

hypotension and orthostatic hypotensionMonitor: HR, BP; teach patient to change positions slowly

furosemide

Dehydration; HYPOKALEMIA; Ototoxicity

hydrochlorothiazide

Dehydration; HYPOKALEMIA

spironolactone

Hyperkalemia; amenorrhea, gynecomastia,

mannitol

F/E imbalance

diuretic patient teaching

take in AMmonitor potassium if loop

Potassium rich foods

Potato, cantaloupe, spinach, broccoli, orange, banana, avocados, tuna, beets

aspirinclopidogrel

Anti-platelet drugs; used in myocardial infarctionDo not give asa to childrenBLEEDING

heparin

BLEEDING; HIT; monitor PTTAntidote: protamine

enoxaparinfondaparinux

Low molecular weight heparinBLEEDING; HITbubble in

warfarin

vitamin K antagonistBLEEDING. Monitor INRAntidote: Vitamin K

apixabandabigatranrivaroxaban

Direct oralanticoagulantsBLEEDINGGI upset; take with food

Bleeding precautions

no venipuncture, injection or IV, if necessary use small guage, handle patient gently, use drawsheet, no razor, no toothbrush, blow nose gently, no aspriin, no rectal temp, no hard foods

Ferrous Sulfate

Iron supplimentMonitor CBC; Fe levelsConstipation; turns stools black; Liquid prep stains teeth; use straw

epoetin alfaerythropoietin

Hematopoietic Growth FactorsMonitor BP and CBCA/E: HTN, DVT, HA, seizures

methimazolepropylthiouracil

HyperthyoroidismA/EHypothyroidism; agranulocytosis; hepatotoxicity

Radiation

HyperthyroidismA/EHypothyroidism; bone marrow suppressionRadiation precautions

levothyroxine

HypothyroidismA/EHyperthyroidism; CP; palpitations; dysrhythmias

ketoconazole (cushings)

cushings diseaseA/EHepatotoxicity

hydrocortisone fludrocortisone

Addisons disease

SIADH

furosemide

DI

vasopressindesmopressinMonitor vs, I/O, daily wts, F/E. Complication: water intoxicationEffective: U/O

Opioids

Resp: Respiratory depressionCV: Orthostatic hypotensionNeuro: Sedation & dizzinessGI: CONSTIPATION; N/VGU: Urinary retentionNaloxone antidote

Opioid Nursing care

Pain assessment Baseline vs and monitoring after Follow controlled substances procedures Waste medication not used with another RN as witness Hold med if RR <12 Have reversing agent and emergency equipment available

donepezilmemantine

Alzheimer's diseaseInsomnia; HA; seizures; dysrhythmias; GI upsetSedation; dizziness; HTN; HA

interferon

Multiple sclerosisBone marrow suppression; hepatotoxicity

pyridostigmine

Myasthenia gravis secretions; dysphagia; bronchoconstriction; bradycardia; hypotension

carbidopa-levodopabenztropine

Parkinson's diseaseCV a/e; dyskinesia; hallucinationsdry mouth, constipation, urinary retention

diazepamlorazepam

Abortive meds - seizureRespiratory depression; sedation

seizure maintenance meds

carbamazepine Blood dyscrasiaphenobarbital CNS depression and sedationphenytoin Gingival hyperplasia; bradycardiavalproic acid Hepatotoxicity, pancreatitis

seizure meds monitor

Neurological and cardiopulmonary status Therapeutic serum levels of medications LFTs

oxytocin

Uterine stimulantUsed to induce labor; strengthen contractions; control PP hemorrhage

misoprostol

Uterine stimulant"ripen" cervix; chemical 1st trimester AB

terbutaline

Used to stop premature labor

magnesium sulfate

pre-clampsiaUsed to prevent seizures Monitor DTR; Mg level

betamethasone dexamethasone

labor steroidsStimulates lung maturity in pre-term fetus resp distress syndrome

OB meds monitoring

Uterine contractions Fetus (baby): FHT w/ fetal monitor Maternal VS: BP and HR; I/O

migrane first line treatments

acetaminophen asa & NSAIDsAsa & NSAIDs: GI upset. Take with foodTriptans:sumatriptanCP; coronary artery spasm, dizzinessContraindicated: CHD, HTN

migrane second line treatments

ergotamine GI upset: N/V; muscle pain , paresthesia; Dependency (can cause withdrawal s/s)caffeine

migrane prophylactic

propranolol Bradycardiadivalproex GI upset; pancreatitisamitriptyline. Anticholinergic; drowsiness, dizziness

DTR grading

4+: very brisk, hyperactive with clonus (beating muscle; abnormal)3+: brisker than average (could be normal)2+: average, normal1+: somewhat diminished, low normal0: no response

alprazolamclonazepam

AnxietyA/ESedation, drowsiness; dizziness

buspironezolpidem

AnxietyA/EDrowsiness; dizziness; daytime sleepiness; SI

lithium< 1.5

Bipolar DisorderBradycardia, hypotension, edema; wt. gain; GI upsetpolydipsia; polyuria; HYPONATREMIALITHIUM toxicity = cardiac toxicity

chlorpromazinehaloperidolrisperidone

psychosis/schitzophreniaAgranulocytosisEPS; TD; neuroleptic malignant syndrome Orthostatic hypotension, dysrhythmias; agitation; endocrine a/e

mental health drugs monitor

CBC & LFT

epidural block adverse effects

maternal hypotension, fetal bradycardia, inability to feel the urge to void, loss of the bearing down reflex

fluoxetine (Prozac)paroxetine (Paxil)sertraline (Zoloft)

SSRIA/E libido; wt. loss; serotonin syndrome. SI. bruxismInsomnia vs sleepiness

venlafaxine (Effexor)duloxetine (Cymbalta)

SNRIA/E libido; wt. loss; serotonin syndrome. SI

amitriptyline (Elavil)doxepin (Sinequan)

TCAFor agitation and restlessnessToxicity: dysrhythmias, seizures confusion, coma Anticholinergic a/e. Do not stop abruptly

phenelzine (Nardil)

MAOIOrthostatic hypotension, tachycardia; dysrhythmias, delirium; hypertensive crisis (phentolamine)Avoid tyramine-rich foods

bupropin

AtypicalA/EHTN, tachycardia; dysrhythmias, hypertensive crisis, wt. loss; insomnia

alcoholism

Benzodiazepines• diazepam• Lorazepam• Antidote: flumazenilMaintenance• disulfiram• naltrexone

opioid addiction

• methadone• clonidine• buprenorphineNaloxone is used to treat opioid OD

nicotine dependence

• Nicotine replacement• bupropion• varenicline

medication rights

PatientMedicationDoseRouteTimeDocumentationRationaleResponeseRefusal

missed dose

do no doubletake missed asapdo not leave meds aroundassess for A/Eif error complete incident(not in chart)