Exam (elaborations)
TAUC-In House and Dispensed Medication Summary
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TAUC-In House and Dispensed Medication Summary
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TAUC-In House and Dispensed Medication SummaryAcetaminophen (in-house) Correct Answer (tylenol) a pain
reliever and fever reducer
=>dose: *adult; 500-1000mg, acetaminophen is stocked in
500mg pediatric; tylenol suspension concentration is supplied
as 160mg/5mL, pediatric dosing is weight based, confirm an
accurate patient weight in kg upon patient arrival. The
standard pediatric acetaminophen dosing is 15mg/kg.
caution: use caution giving this medication to patients with liver
disease as acetaminophen is filtered through the liver and can
cause increased damage
Acetaminophen with Codeine #3 Correct Answer (Tylenol-
Codeine NO.3) Codeine is an opioid pain medication.
Acetaminophen is a non-narcotic analgesic. These are combined
to treat moderate to severe pain.
=>tablet dose: supplied in 300mg/30mg tablets (300mg Tylenol
and 30mg Codeine per tablet). Should be taken with milk or
food to decrease nausea or vomiting. Patient should drink 6 to
8 full glasses of water per day to minimize constipation.
=>suspension dose: supplied in a 12mg/5mL oral solution.
Patient
should take only as prescribed and patients should take with
food.
caution: advise the patient not to take other acetaminophen
(Tylenol) products to prevent an acetaminophen overdose. Can
be habit forming, patient should only take as prescribed. Use
with caution with patients who have liver disease. May cause
constipation in patients. May have sedative effects such as
,drowsiness, dizziness, lightheadedness. Alert the patient and/or
family not to drive or drink alcohol while taking medication
Acyclovir Correct Answer (zovirax) an antiviral drug and
works by slowing the growth and spread of the herpes virus.
Acyclovir is administered to treat the herpes virus, including
genital herpes, cold sores, chicken pox, and shingles (herpes
zoster) in adults. Important: acyclovir will neither cure herpes
nor prevent herpes from spreading to other people, but it can
lessen the symptoms of an outbreak.
=>dose: supplied in 400mg tablets. Should be started as soon as
possible after the first appearance of symptoms (such as
tingling, burning, blisters), ideally within the first 1-2 days.
Advise the patient to drink plenty of water while they are
taking this medication to keep the kidneys working properly.
caution: use cautiously in patients with kidney disease. Use
cautiously in patients with weakened immune systems, such as
HIV/AIDS, or patients with recent bone marrow transplants.
Adenosine (in-house) Correct Answer (adenocard) an
antiarrhythmic administered to convert supraventricular
tachycardia (SVT)
=>dose: rapid IV push in an AC IV with an immediate flush of
saline until the patient's heart rate converts or until a maximum
of 3 doses has been reached. 1st dose- 6mg RAPID IV push
with immediate flush. 2nd dose-if patient does not convert
with 1st dose, may increase dose to 12mg RAPID IV push with
immediate flush
caution: patient must be on a cardiac monitor prior to
administration; patient must have IV fluids infusing during
administration; can cause decreased blood pressure, so monitor
,vital signs; this medication may cause chest pain and shortness
of breath during administration. encourage patient to take slow
deep breaths; place patient on nasal cannula O2 to help decrease
shortness of breath during administration; always have provider
at bedside during administration
Afrin Nasal Spray (in-house) Correct Answer (oxymetazoline
HCl) a vasoconstrictor used to treat nasal congestion by
shrinking the swollen mucous membranes in the nose. Afrin
may also be used to treat nose bleeds, constricting the bleeding
site.
=>dose: Afrin is stocked in the ENT cart, in a 30mL spray
bottle,
and should be administered by the provider
caution: prolonged use of this medication can cause rebound
swelling of the mucous membranes in the nose and increased
nasal congestion.
AK-POLY-BAC Correct Answer (bacitracin/polymyxin B
ophthalmic) an antibiotic used to treat eye infections
=>dose: supplied in a tube of ointment
=>administration instruction: wash hands before use; warm by
hand by holding the medicine tube for a few minutes before
use; keep the cap secured to the tube when not in use; tilt
head back slightly and gently pull down on lower eyelid; apply
a thin film of the ointment into the lower eyelid; close the eye
and roll eyeball around for 1 to 2 minutes.
caution: may cause temporary blurred vision; warn patient of
this prior to administration. Instruct the patient to discontinue if
they experience changes in vision or a significant sensitivity to
light. Instruct the patient to discontinue this medication if they
, develop severe itching or swelling of their eyes. Do not allow
the tip of the ointment to touch any surface, including the eyes
or hands. If the tip is contaminated the risk of infection is
significant, which may lead to vision loss or serious damage to
the eye. Do not share the ointment with another person.
Albuterol Sulfate (in-house) Correct Answer *inhalation
solution that's a bronchodilator. Albuterol is indicated for the
treatment of bronchospasms in patients with cases such as RSV,
asthma, COPD, and other respiratory illnesses.
=>dose: 2.5mg/3ml in a solution and given per nebulizer
inhalant,
albuterol may be mixed with ipratropium bromide (atrovent)
given per inhalation to make a Duoneb treatment; may be
given by itself in pediatric patients and for the 2nd
administration in all patients
caution: albuterol may cause nervousness and tremors in
patients; albuterol may cause an increase in heart rate and/or
uneven heart beats.
Amoxicillin Correct Answer penicillin-based antibiotic that
fights bacteria by inhibiting the synthesis of bacterial cell walls.
It's administered to treat many different types of bacterial
infections, such as tonsillitis, bronchitis, pneumonia, gonorrhea,
and infections of the ear, nose, throat, skin, or urinary tract.
=>dose: supplied in 500mg capsules; should be taken at the
same time every day; may be taken with or without food. If the
patient experiences nausea or stomach upset with this
medication, have the patient take it with food to decrease
these symptoms.
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