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Age: 48 years old Diagnosis: CHF III 2o Thyrotoxic Heart Disease MR NTG Acute gastritis AF RUR Drug Features Generic Name: Kalium Durule Therapeutics Indication Effects Contraindication • Nursing Responsibilities Most Common • • • • Nausea Vomitin g, Diarrhe a Abdomi nal discomf ort
Adverse Effects • • • • •
Prevention and Brand Name: correction of Potassium potassium Chloride deficiency; when Classification: associated with Electrolytic and alkalosis, use water balance potassium agent chloride; when associated with Prescribed acidosis, use Dosage: potassium 2 tablets (20 acetate, mEq) x TID bicarbonate, citrate, or gluconate Route: Oral Mechanism of Action Form: Tablet Principal intracellular cation of most body tissues, participates in a
Contraindicated with allergy to tartrazine, aspirin (tartrazine is found in some preparations marketed as Kaon-Cl, KlorCon) Severe renal impairment with oliguria, anuria, azotemia Untreated Addison’s disease; hyperkalemia; adynamia episodica hereditaria; acute dehydration; heat cramps GI disorders that delay passage in the GI tract.
PRE: Do Rash handwashing to prevent GI cross obstruction contamination GI bleeding Check for GI the doctor’s ulceration or order perforation Check the Hyperkalemi for the age of a— the patient increased Check for serum K+ the gender of ECG the patient changes Provide (peaking of the 10R for T waves, giving loss of P medication waves, depression Identify of ST patients name segment, Assess prolongation patients of QTc condition interval) Ask for any drug allergy
Caution patient not to chew or crush tablets. especially if transmission of treated with nerve impulses. Administer liquid form to any patient with delayed GI emptying. cardiac. Administer oral drug after meals or with food and a full glass of water to decrease GI upset. Arrange for further dilution or dose reduction if GI effects . maintenance of normal renal function. have patient swallow tablet whole. tonicity.number of Special Concern: physiologic processes— • Use cautiously maintaining with cardiac intracellular disorders. and smooth muscle. digitalis. skeletal. lactation. contraction of pregnancy. INTRA: Arrange for serial serum potassium levels before and during therapy. also plays a role in carbohydrate metabolism and various enzymatic reactions.
Do not use salt substitutes. Do not chew or crush tablets.are severe POST: CLIENT/FAMILY TEACHING Take drug after meals or with food and a full glass of water to decrease GI upset. The wax matrix is not absorbed . do not take more than prescribed. You may find wax matrix capsules in the stool. swallow tablets whole. Take the drug as prescribed.
Have periodic blood tests and medical evaluation. severe nausea.in the GI tract. unusual tiredness or weakness. vomiting. Report tingling of the hands or feet. diluting them further may help). black or tarry stools. Report if experiencing these side effects: Nausea. vomiting. . feeling of heaviness in the legs. abdominal pain. diarrhea (taking the drugs with meals.
Age: 48 years old Diagnosis: CHF III 2o Thyrotoxic Heart Disease MR NTG Acute gastritis AF RUR Drug Features Generic Name: Spironolactone Brand Name: Aldactone Therapeutics Indication Effects Contraindication • • • • Nursing Responsibilities Most Common • • • • Weakne ss Paresth esia Diarrhe a Abdomi nal discomf ort Drowsin ess.Patient’s Initials: A. hyponat remia Adverse Effects • • • • • • • • • • Diagnosis and maintenance of primary Classification: hyperaldostero Potassiumnism Adjunctive sparing diuretic. • • • PRE: Do Fluid or handwashing electrolyte to prevent imbalance cross contamination Gynecomast ia Check for the doctor’s tachycardia order hypotension Check the oliguria for the age of hyperkalemi the patient a Check for confusion the gender of hirsutism the patient mental Provide disturbances the 10R for menstrual giving irregularities medication . Dosage: hepatic 1 tablet (100mg) cirrhosis when x BID other therapies are inadequate Route: or inappropriate Oral Treatment of Anuria Hyperkalemia Acute or progressive renal insufficiency Addison’s disease. therapy in Aldosterone edema antagonist associated with CHF.M. headac he. nephrotic Prescribed syndrome.
Avoid giving food rich in potassium.Form: Tablet hypokalemia or prevention of hypokalemia in patients who would be at high risk if hypokalemia occurred: • Digitalize d patients. Measure and record regular weight to monitor mobilization of edema fluid. • Mechanism of Action Spironolactone acts on the distal renal . Arrange for regular evaluation of serum electrolytes and BUN. patients with cardiac arrhythm ia Essential hyperten sion. usually in combinat ion with other drugs • loss of libido and impotence. Identify patients name Assess patients condition Ask for any drug allergy INTRA: Give daily doses early so that increased urination does not interfere with sleep.
Report signs of hyponatremia or hyperkalemia (see Appendix F). most likely to occur in patients with severe cirrhosis. It increases the excretion of sodium chloride and water while conserving potassium and hydrogen ions POST: CLIENT/FAMILY TEACHING Be aware that the maximal diuretic effect may not occur until third day of therapy and that diuresis may continue for 2–3 d after drug is withdrawn.p Avoid replacing fluid losses with large amounts of free water .tubules as a competitive antagonist of aldosterone.
Report gains/loss of 5 lbs.p Do not drive or engage in potentially hazardous activities until response to the drug is known.p Weight 2– 3 times each week. Avoid excessive intake of highpotassium foods and salt substitutes. .(can result in dilutional hyponatremia) .
Age: 48 years old Diagnosis: CHF III 2o Thyrotoxic Heart Disease MR NTG Acute gastritis AF RUR Drug Features Generic Name: Ceftriaxone Brand Name: Rocephin Classification: Antibiotic Prescribed Dosage: 2g Route: IV Form: Liquid Therapeutics Indication Contraindication Effects Most Common • • • • • Nausea Vomitin g. parainfluenzae. Klbsiella. Take vital signs for baseline. pregnancy. Staphylococcus Special Concern: aureus. Check the label on the medication Lower • Contraindicated respiratory with allergy to infections cephalosporins or caused by penicillins Streptococcus pneumonia. N Adverse Effects • • • • Headache Dizziness Hepatotoxi city Decreased WBC . Enterobacter especially if aerogenes. HCT. Proteus with cardiac mirabilis. Escherichia • Use cautiously coli. influenza. marscens. Streptococcus. Hemophilus lactation. Determine for allergies to medications after doing skin testing Check compatibility of the medications and IV fluid. Diarrhe a Abdomi nal Pain Pain at injection site. disorders.Patient’s Initials: A. Platelet count PRE: Inspect and palpate the intravenous insertion site for signs of infections. • Use cautiously Haemophilus with renal failure. treated with Serratia digitalis.M. Mechanism of Action . Assemble equipments and supplies.
Prepare the medication. causing cell death and compare with the medical orders. . Stop the IV flow by closing the clamp or pinching the tubing above the injection port. INTRA: Identify the injection port closest to the client. Clean the port with an antiseptic swab.Inhibits synthesis of bacterial cell wall. Wash hands and observe other appropriate infection control procedures.
Tell patient to notify prescriber if loose stools or diarrhea occur. Instruct patient to report pain on the IV site. POST: CLIENT/FAMILY TEACHING Tell ptient to promptly report adverse reactions and sign and symptoms of superinfection. . Slowly inject the medication and release it.