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Top 50 Drugs-Nursing for Fundamentals TEST BANK NEW EDITIONS 2024.
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Top 50 Drugs-NursingAlbuterol Aerosol - ANS Class: Bronchodilator Beta 2 agonist
Thera: Bronchodilation for asthma, COPD, acute bronchospasm
SE: Nervousness, restlessness, tremor, chest pain, palpitations.
-- Assess lung sound before & after TX. Observe paradoxical bronchospasm (wheezing).
Consider an aerochamber. Monitor K+ and glucose. Rinse mouth with water to minimize dry
mouth.
(Ambien) zolpidem - ANS Class: Sedative / hypnotic
Thera: Sedation and induction of sleep
SE: Amnesia, daytime drowsiness, drugged feeling, physical & psychological dependence,
tolerance, GI effects
-- Assess sleep, mental status, potential for dependence. Don't use more than 7-10 days. Avoid
ETOH & other CNS depressants
(Ativan) lorazepam - ANS Class: Anti Anxiety Sedative / hypnotic. Benzodiazepine.
Thera:Management of anxiety, insomnia, Status Epilepticus. Preoperative sedation.
Postoperative amnesia
SE: Dizziness, drowsiness, lethargy, APNEA, CARDIAC ARREST with rapid IVP
-- Assess anxiety, mental status,. Avoid ETOH & other CNS depressants
(Avandia) rosiglitazone - ANS Class: Antidiabetic. Thiazolidinediones
Thera: Decrease insulin resistance
SE: Edema, anemia, wt gain, increased cholesterol
-- Monitor for fluid retention, hypoglycemia. Check PLFTs & CBC High Alert Medication!
(Cardiazem ) diltiazem - ANS Class: Antianginal antiarrhythimics (class IV) antihypertensive.
CA++ channel blocker
Thera: Decreased blood pressure. Coronary vasodilation. Antiarrhythimic
SE: Arrhythmias. CHF. Peripheral edema, Postural hypotension
-- Assess for signs of CHF. Monitor BP &P, notify < 50 bpm. May cause drowsiness of dizziness.
Caution patient to avoid driving until response to medication is known. Gingival
hyperplasia-teach good oral care
(Celebrex ) celecoxib - ANS Class:NSAIDs, COX-2 inhibitor
Thera: Analgesic, anti- inflammatory, & anti- pyretic
SE: GI BLEEDING, dermal rash, GI effects
-- Assess pain, ROM and swelling. Do not give if allergic to sulfonamides, aspirin or NSAIDs.
Watch for tarry stools.
(Cozaar) losartan - ANS Class: Angiotensin II receptor blocker
, Thera: Antihypertensive. Decreases risk of stroke.
SE: Orthostatic hypotension, diarrhea. Dizziness, ANGIOEDEMA. Use cautiously in CHF
-- Assess orthostatic blood pressures. Use care when changing positions to prevent orthostatic
hypotension. Monitor BUN/Creatinine for possible early renal failure.
(Coumadin) warfarin - ANS Class:Anticoagulant. Interferes with hepative syntheses of Vitamin
K- dependant clotting factors
Thera: Prophylaxis/Treatment of venous &/or pulmonary embolism (PE) and atrial fibrillation w/
embolization. Antidote = Vitamin K
SE: Bleeding. Numerous drugs and natural products affect the activity of warfarin!
-- Asses for bleeding, or increased thrombosis. Check INR/PT before administration and
regularly. PT may be 1.3-1.5 times greater than control. INR goal dependent on medical
diagnosis. Maintain consistent vitamin K, Take in evening. Avoid ETOH & OTC medications.
High Alert Medication
(Deltasone) prednisone - ANS Class:Anti-inflammatory. (intermediate acting) corticosteroid
Thera: inflammation & modification of the normal immune response; replacement therapy in
adrenal insufficiency. Management of cerebral edema. Potentiates anti-N/V action of Zofran.
SE: PEPTIC ULCERATION, THROMBOEMBOLISM, mood changes, hypertension, anorexia,
nausea, acne, decreased wound healing, ecchymosis, fragility, hirsutism, petechiae, adrenal
suppression, muscle wasting, osteoporosis, cushingoid appearance, GI effects
-- Monitor for fluid retention, hyperglycemia, infections, bleeding, steady weight gain, crackles,
dyspnea. Do not D/C abruptly. Monitor serum electrolytes, cholesterol/lipids. avoid people
w/contagious illnesses, TAKE WITH FOOD
(Decadron) dexamethasone - ANS Class: Anti-inflammatory (long acting) corticosteroid
Thera: inflammation & modification of the normal immune response; replacement therapy in
adrenal insufficiency. Management of cerebral edema. Potentiates anti-N/V action of Zofran.
SE: PEPTIC ULCERATION, THROMBOEMBOLISM, mood changes, hypertension, anorexia,
nausea, acne, decreased wound healing, ecchymosis, fragility, hirsutism, petechiae, adrenal
suppression, muscle wasting, osteoporosis, cushingoid appearance, GI effects
-- Monitor for fluid retention, hyperglycemia, infections, bleeding, steady weight gain, crackles,
dyspnea. Do not D/C abruptly. Monitor serum electrolytes, cholesterol/lipids. avoid people
w/contagious illnesses, TAKE WITH FOOD
(Dilantin) phenytoin - ANS Class: Antiarrhythmic, Anticonvulsant
Thera: Decrease seizures, control arrhythmias; Decrease pain
SE: Aganulocytosis, aplastic anemia, Stevens-Johnson syndrome. diplopia, nystagmus,
hypotension, gingival hyperplasia, nausea, rashes
-- Assess for hypersensitivity syndrome; monitor CBC, platelet count, avoid driving till MD ok;
avoid ETOH & OTC meds; maintain oral hygiene; urine can be pink/red; diabetic-monitor
glucose closely; avoid taking within 2-3hr of antacids/antidiarrheals; decrease
contraceptive(hormonal), TAKE WITH FOOD
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