Clinical 6 Meds Flashcards
(24 cards)
Advair diskus classification/action
Antiasthmatic
Decrease frequency and severity of asthma attacks and improves asthma symptoms
Fluticasone-Salmeterol
Advair diskus
Advair diskus contraindication
Caution in pt with active infection
Diabetes
Glaucoma
Advair diskus side effects
Headache
Dysphonia
Hoarsness
Advair Diskus Nx Implication
Assess lung sounds, BP, and HR first
Gabapentin
Neurontin
Gabapentin classification/action
analgesic adjuncts, anticonvulsants, mood stabilizers
Decreased incidence of seizures, decreased post-herpetic pain
Gabapentin Contraindication
Renal insufficiency
Gabapentin Side effect
Confusion
Depression
Drowsiness
Ataxia
Gabapentin Nx Implication
Do not give within 2 hours of an antacid
Do not discontinue abruptly
Hydralazine
Apresoline
Hydralazine classification/action
Antihypertensive
Vasodilator
Decreased afterload in patients with CHF
Hydralazine contraindication
Cardiovascular or cerebrovascular disease
Severe renal and hepatic disease
Hydralazine side effect
Dizziness Drowsiness Headache Tachycardia Sodium retention Drug induced lupus syndrome
Hydralazine Nx Implications
Monitor BP and HR
Lab lookout: monitor CBC, electrolytes, LE cell prep, and ANA titer
Metolazone
Zaroxolyn
Metolazone classification/action
Antihypertensive
Diuretic
Lowers BP
Metolazone contraindication
Caution in severe hepatic impairment
Metolazone Side effect
Drowsiness Lethargy Chest pain Hypokalemia Hyperuricemia
Metolazone Nx Implication
Monitor BP,
I&O
Daily weight
Instruct pt to take at same time each day
Morphine classification/action
Opioid analgesics
Opioid agonists
Decrease in severity of pain
Morphine contraindication
Caution in pt with head trauma,
Increased intracranial pressure
Severe renal, hepatic, or pulmonary disease
Morphine side effects
Confusion
Sedation
Hypotension
Constipation
Morphine Nx Implication
High alert med Assess BP, pulse, and respirations If R <10/min, assess level of sedation Assess type, location, and intensity of pain prior to and 1 hour after Assess bowel function routinely