Generic/Trade: Furosemide / Lasix
Generic/Trade: Carvedilol / Coreg Safe Dose: 20-80 mg/dose q6
Safe Dose: 6.125mg to 25mg daily
Prescribed Dose: 6.125
Class: Antihypertensive
Action: Beta Blocker
Indication: Improve contractility from CHF
Side Effects: HYPOtension, low pulse,
dizziness, orthostatic hypotension
Implications: Monitor BP and lung sounds,
initiate fall precautions, HOLD IF HR <60
Generic/Trade: CELECOXIB/CeleBREX
Safe Dose: 200 – 800 MG T.I.D PO A: PO: 100-200 mg
daily/BID; max:800mg/d
Prescribed Dose: 200MG T.I.D. PO daily
Class: Nonsteroidal Anti-inflammatory Drugs, COX-2
inhibitor
Action: Anti-inflammatory - COX-2 inhibitors which
normally promotes prostaglandin synthesis anti-inflammatory
response, but does not inhibit COX-1.
Indication: Inflammation? rheumatoid arthritis,
osteoarthritis to relieve dysmenorrhea and moderate to severe
pain, for ankylosing spondylitis
Side Effects: stomach pain, constipation, diarrhea,
gas(Flatulence), heartburn, nausea, vomiting, dizziness,
headache, respiratory tract infection
Implications: monitored for signs and symptoms of GI
bleeding
-use with caution with Renal or hepatic dysfunction, angina,
dysrhythmias, heart failure, anemia, dehydration, peptic ulcer
disease, GI bleeding or perforation, concurrent anticoagulant
therapy, steroids, alcoholism, immunosuppression
-Older adults- monitor Renal function
-increase fluid intake for adequate hydration and possibly
lower dose with older patients
- give on empty stomach for best absorption, but can be given
with food if GI upset occurs.
-if taking Ginkgo biloba, may increase bleeding risk Monitor
CBC, LFT’s, Serum creatinine/BUN, stool guaiac. Absolute
contraindication with: coronary artery bypass graft surgery
(CABG), NSAID hypersensitivity, salicylate hypersensitivity,
serious rash, sulfonamide hypersensitivity
Prescribed Dose: 40mg
Class: Loop Diuretic
Action: Inhibits reabsorption of Na and H2O
Indication: Peripheral edema from CHF
Side Effects: HYPOtension, dehydration,
dizziness, HYPOKalemia
Implications: Monitor daily weights, watch K+
levels, give in AM, monitor BP
Generic/Trade: Rocephin/CefTRIAXone
Safe Dose: 1 to 2 g IV or IM divided every 12 to 24
hours for adults A:IM/IV: 1-2g q12-24h; max:4 g/day
Adol/C/Infants: IM/IV: 50-75 mg/kg/d in divided doses
q 12-24h; MAX: 100mg/kg/d
Prescribed Dose: Max 4g a day prescribed dose was 1
gm IM daily
Class: parenteral third-generation cephalosporin
Action: a beta-lactam antibiotic Inhibits bacterial cell-
wall synthesis causing cell lysis; bactericidal effect
Indication: Infections, lower respiratory tract
infections, UTIS, STDS otitis media, meningitis,
appendicitis, gonorrhea, septicemia and surgical
infection prophylaxis and skin, respiratory, bone/joint,
gyn, and urinary tract infections.
Side Effects: diarrhea, Nausea, vomiting, and
dysgeusia, Eosinophilia, thrombocytosis, leukopenia
diarrhea, abdominal cramping, flatulence, rash,
flushing, diaphoresis, fever, pruritus, headaches,
dizziness, edema, injection site reaction
Implications: Infection, STDSlooking for nursing
implications here***:
-Assess allergies to cephalosporins or PCN.
-Inject into well-developed muscle mass
-Record Vital signs and Urine output. Report abnormal
findings.
-Evaluate lab results (especially indicating renal or
Liver Function-BUN, Serum Creatinine, AST, ALT,
ALP, and Bilirubin)
-Tell patients to report signs of Superinfection-such as
mouth ulcers or discharge from anal or genital area
-Advise patients to ingest buttermilk, yogurt, or an
acidophilus supplement to prevent superinfection of
intestinal flora