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Medication

Generic/Brand
Classification

Allopurinol /
zyloprim / antigout

Nicotine
Transdermal
Nicoderm CQ
Smoking
Deterrents

Normal Saline
Flush

Nursing
Implications (3)

Dosage

Route

Schedule
Desired Effect
/Time

100 mg

PO

Daily

Reduces uric acid


by inhibiting
xanthine oxidase

1. Asses history, number of


cigarettes smoked daily, patterns,
content of preferred brand.
2. Assess symptoms of smoking
withdrawal.
3. Evaluate progress in smoking
cessation

14mg

Top
Patch

1000
Daily

Smoking deferent
used to help
quit smoking.

Headache
Insomnia
Burning at patch
site

1. Assess IV catheter site for


Infiltration or signs of infection.
2. Assess hydration and
electrolyte consumption.
3. Assess for evidence of
Thrombosis.

2ml

IV

1000
2200
BID

Prevent IV
catheters from
becoming
blocked and
removed
medication that
may be left at site.

1. Allergy
2. Irritation at
injection site
3. infiltration

Monitor fluid intake and output. Daily


urine output of 2L.
Monitor CBC and hepatic renal function.
Optimal benefits may need 2 to 6 weeks
of therapy. Acute gout attacks may occur
at this time.

Side Effects (3)

Teaching (3)

Anemia
Rash
Renal failure
Epistaxis
Fever
Drowsiness

Increase fluid intake 2L/day.


Avoid large doses of vit C; kidney stone
formation may occur.
To reduce dairy produce, refined sugars, and
sodium.

1. Explain necessity of
immediate cessation of
smoking upon
initiation and throughout
therapy.
2. Encourage to
participate in smoking
cessation program while
using this product.
3. Instruct proper disposal,
keep out of reach of children
and pets.
1. Do not share medication with others.
2. Advice to take as direct for best po
benefit.
3. Store at room
temperature, do not freeze or
store in bathroom. Keep
away from children and pets.

Medication
Generic/Brand
Classification

Nursing
Implications (3)

Dosage

Route

Schedule
/Time

Pantoprazole /

May increase glucose and lipid levels.

40 mg

PO

Daily

Protonix/

May increase liver function test result


Values.

Desired Effect

Side Effects (3)

Teaching (3)

Suppress gastric
Acid secretion

Headache

Tell pt to swallow tablet whole


Not to crush, split, or chew it.

Chest pain

Anti ulcer
Drug

Amiodarone /
Cordarone/

Urinary frequency
Dont confuse protonix with Prilosec,
Prozac, or prevacid.

Precautions with pts with hx of liver, lung


Thyroid disease.
PO onset 1-3 weeks.
Baseline chest x-ray.

Tell pt that antacids dont affect


pantoprazole absorption
Tell pts that Drugs can be given without
regard to meals

100mg

PO

Daily

0.5 mg

PO

PRN
TID

Treats
arrhythmias

Constipation
Nausea
Vomiting

This medication may you dizzy.


Change positions slowly.
Sensitive to sun.

Depresses CNS

Irritability
Dizziness
Headache

Avoid alcohol while taking med.


Swallow tablets whole.
Med can be addictive.

Antiarrhythmics

Alprazolam/
xanax

Use cautiously in pts with hepatic renal,


Pulmonary disease.
Assess pt before and after given med.
Increased risk of digitalis toxicity with
Digoxin.

Medication
Generic/Trade
Classification
Bacitracin/
Antibiotic

Metolazone/
Zaroxolyn/
Thiazide diuretic

Nursing
Implications (3)
Wash & dry area well.
Gently rub area with antibiotic.
May leave it uncovered or with sterile
Dressing on it.

Route

Schedule
/Time

Desired Effect

topical

1000

15mg

Prevent infection Rash/ redness


Burning
Swelling

5mg

Reduce
swelling

Dosage

Give 30 mins before Lasix starts working


Fluid restriction with CHF pts

PO

0730

Side Effects (3)

Cross allergy with Sulfa


Hypokalemia
Dizziness and headache

It depletes potassium

Aspirin / NSAID /
Salicylate

Teaching (3)
Change dressing everyday
Compliant to antibiotic treatment
Notify if signs of infection continue

Change positions slowly


Call for assistance if need to ambulate
Report signs of headache so Pain can
Be treated right away.

Be aware of other OTC containing NSAID


PO

0800

Enteric-coated tablets are slowly absorbed 81mg

Platelet
Aggregation

Nausea
Rash
Headache

Dont crush or chew tablet but swallow th


whole.
May increase risk for bleeding

Monitor coagulation studies


Keep compliant to medication regimen
As it is important for cardiac health

Simvastatin/
Zocor/
Antilipemic

Give drug in the evening

PO

Bedtime

Cholesterol

Asthemia

Biosynthesis

Abdominal pain

40mg
Obtain liver function tests

Upper respiratory infection

Avoid eating foods high in cholesterol.


Avoid drinking grapefruit juice with
Medication.
Avoid drinking alcohol. It can raise
triglyceride levels and may increase
your risk of liver damage.

Medication
Generic/Trade
Classification
Lantus/
Anti-diabetic/
Pancreatic
hormone

Nursing
Implications (3)

Dosage Route

keep patients under close supervision.


Give maintenance doses subcutaneously.
Sub-Q
Use caution when mixing two types of
Insulin.
36 units

Schedule
Desired Effect
/Time

Bedtime

Reduce
Glucose
levels

Side Effects (3)

Teaching (3)

Hypoglycemia
Pruritus
Rash

Rotate injection site.


Notify for signs of infection/
Irritation at injection site.
Check blood sugar before

Zolpidem/
Ambien/
Hypnotic

Use cautiously in pts with compromised


Respiratory status.
Use drug only for short term.
Use the smallest effective dose in all
Pts.

Hydralazine/
Apresoline/
Anti-hypertensive

Monitor BP & HR
Obtain CBC before and during therapy
Monitor Weight

Novolog/
Insulin Aspart/
Anti-diabetic

Use cautiously in pts susceptible to


Hypoglycemia.
Monitor glycosylated Hgb levels.
Assess pt for rash over whole body.

10mg

PO

Bedtime

20mg

PO

4 TIMES
A DAY

25 units Sub-Q

0800

Hypnotic
Headache
Activity &
Change in dream
Minimal muscle Depression
relaxant

Take drug at night time before going


To bed because of rapid onset.
Change position slowly because of
Drowsiness.
Report any signs of palpitation or
Cardiac signs to HCP.

vasodilator

Headache
Nausea
Anorexia

Take with meals to increase


Absorption.
Tell your doctor or dentist before
you receive any medical or dental
surgery.
Do not drive or perform other
possibly unsafe tasks.

Pruritus
Hypoglycemia
Rapid pulse

Notify HCP if short of breath.


Rotate site of injection.
Notify for signs of infection at
Injection site

Regulates
Glucose
metabolism

Medication
Generic/Trade
Classification

Nursing
Implications (3)

Metoprolol
Tartate /beta
blocker

Check apical pulse before given med. If


Less than 60 withhold.
Monitor BP frequently. Drug masks
Common s/s of shock.
Liver & kidney function and CBC.

Furosemide/Lasix
Loop diuretic

Inform pt for possible need for K+


Supplements.
A drop in the amount of blood cells.
This may show up as feeling weak,
unexplained bruises, bleeding,
getting more infections .
long term may cause hearing loss.

Warfarin/
Coumadin/
Anticoagulant

Draw blood to establish baseline


Coagulation parameters before therapy.
Give drug at the same time everyday.
Alcohol use may enhance anticoagulants
Effects.

Hydromorphone

Give by direct injection over no less than


2 mins.
Respiratory depression & hypotension
Can occur.
Drugs may be mixed in D5W, normal
Saline, dextrose 5% or ringers solution.

Dilaudid

Dosage

PO

Route

25mg

Schedule
Desired Effect
/Time

BID

PO

PO

IVP

40mg

BID

5MG

Bedtime

1mg/
ml

PRN
Every
3 hrs

Decrease
Blood pressure

Side Effects (3)

Teaching (3)

Fatigue
Dizziness
Depression

Give with or immediately following


Food.
Change positions slowly. It may
Cause hypotension.
Be sure to take your medicine
even if you may not feel "normal."

Inhibits Na+ &


Vertigo
Chloride
Headache
Reabsorption at Orthostatic hypotension
The proximal &
Distal tubules &
The ascending
Loop of henle

Take drug with food to prevent GI


Upset.
Stand slowly to prevent dizziness.
If you have diabetes, Lasix may
Affect your blood sugar level.

Inhibits vit K
Dependent
Activation
Of clotting
Factor II, VII,
IX, X formed in
Liver.

Report any signs of bleeding to HCP.


Use electric razors to prevent
Bleeding.
Notify HCP before having dental
Or surgical procedures about
Warfarin therapy.

Fever
Headache
Abdominal pain

Alteres perceptionDizziness
Of & emotional Hypotension
Response to
Respiratory depression
pain

Change positions slowly.


Notify if IV site is red, swollen, or
Infected.
Risk of addiction to drug.