Med admin Lab Flashcards by Shelbie Ellison

Aluminum and magnesium hydroxide with simethicone (mylanta): Action

Neutralizes gastric acid on content

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Aluminum and magnesium hydroxide with simethicone (mylanta): Classification

Antacid

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Aluminum and magnesium hydroxide with simethicone (mylanta): Why is pt taking it

GERD

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Aluminum and magnesium hydroxide with simethicone (mylanta): Assessments

Epigastric pain; heart burn; changes in stool

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Aluminum and magnesium hydroxide with simethicone (mylanta): Lab assessments

Magnesium levels (s/s of hypermagnesemia- depressed or loss of deep tendon reflexes, shallow slow respirations, and low blood pressure

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Aluminum and magnesium hydroxide with simethicone (mylanta): Special implications

give either 1 hour after or 2 hours before other medications

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Aluminum and magnesium hydroxide with simethicone (mylanta): follow-up assessment

Heart burn, epigastric pain, and s/s of hypermagnesemia

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Digoxin: Action

Increases the force of myocardial contraction, slows the heart rate, prolongs the refractory period of the AV node

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Digoxin: Classification

Anti-arrhythmic; Inotropic; Digitalis Glycoside

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Digoxin: Why is pt taking it

Chronic Heart Failure

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Digoxin: Assessments

Dig level (0.8-2.0ng/dL) hold if >2; apical pulse for one full minute, hold if <60 BPM; and the potassium level (3.5-5) (hypokalemia leads to dig toxicity). Contact prescriber if you hold dose

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Digoxin: Follow-up assessments

Common side effects (bradycardia); S/s of dig tox( N/V/D, bradycardia, yellow-green halo visual disturbances)

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Furosemide: Action

Inhibits the reabsorption of sodium and chloride in the loop of hence and distal renal tubule

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Furosemide: Classification

loop-diuretic

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Furosemide: Why is pt taking it

CHF and fluid volume overload

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Furosemide: Assessments

Potassium level, can decrease; Promotes loss of K, Mg, Cl, and Ca; Assess BP

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Furosemide: Special implications

Increase K in diet to decrease chance of hypokalemia

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Furosemide: Follow-up assessments

I/O and daily weight; Monitor for s/s of low K, Ca, Mg, and Cl

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Heparin: Action

Potentiates the inhibitory effect of anti-thrombin on factor Xa and thrombin; prevents formation of thrombus

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Heparin: Classification

Anti-coagulant

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Heparin: Why is the pt taking it

To prevent DVT (DVT Prophylaxis)

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Heparin: Assessments

Platelet count (hold if <100,000); aPTT(1.5-2 times the control); signs of bleeding

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Heparin: Special implications

Second nurse check to double check the dose and labs

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Heparin: Antidote

Protamine Sulfate

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Heparin: Follow-up assessments

Signs of blood clots( Swelling of calf, redness and pain); common side effects of bleeding, anemia, and thrombocytopenia; monitor injection sites for hematoma

Insulin: Action

Lowers blood sugar by stimulating glucose uptake in skeletal muscles and fats

Insulin: Classification

Insulins; anti diabetics

Insulin: Why is pt taking it

History of diabetes

Insulin: Special implications

when mixing: air cloudy, air clear, draw clear, draw cloudy. be careful not to draw up too much or you will have to start over

Insulin: Assessments

Type of insulin and amount pt normally takes; Blood glucose (60-100mg/dL0 and hgb A1c

Insulin: follow-up assessments

blood glucose and hgb A1c

Iron dextran: Action

an essential mineral for hemoglobin production

Iron dextran: classification

iron supplement

Iron dextran: why is pt taking it

pt has mild anemia Hemoglobin (11.8) and hematocrit(34)

Iron dextran: Assessments

assess the hemoglobin and hematocrit

Iron dextran: special implications

Medication is given Z-track method in a big muscle

Iron dextran: follow-up assessments

asses the injection site for discomfort

TB test: why

pt has a past of illicit drug use with possible exposure to TB

TB test: given

Intradermal injection at 10-15 degree angle; don't scratch or apply lotion in area

TB test:

TB follow up in 48-72 hours to have test read, and document date TB test is to be read

Morphine: Action

Binds to the opiate receptors in the CNS, alters the perception of painful stimuli

Morphine: Classification

Opioid Agonist

Morphine: Why is pt taking it

pt's history and physical states that he has lower back pain and the plan is to order morphine IM

Morphine: Assessment

Pain level, location, and quality, blood pressure (if systolic <100, hold), respiration rate (if less than 10, hold) bowel function/ pattern, level of conciousness

Morphine: special implications

Set bed alarm and place the call light in reach and instruct the patient to call for assistance

Morphine: Antidote

Naloxone

Morphine: Follow-up assessments

pain level to see if it has decrease, common side effects such as constipation, sedation, hypotension, and respiratory depression

Aspirin: Action

Inhibits Prostaglandins (cox-1 and cox-2); Inhibits hypothalamic heat-regulation center

Aspirin: Classification

Anti-inflammatory, NSAID salicylates; antiplatelet; analgesic; antipyretic

Aspirin: why is pt taking it

Depending on dose either for pain in back or to help prevent DVT

Aspirin: Assessment

History of GI ulcers or bleeds, liver disease, drug history for interactions( oral anti diabetics, anticoagulants, or other NSAIDs), pain level/location, history of asthma

Hydrochlorothiazide: Action

on the renal distal tubules, promoting sodium, chloride, potassium, and water excretion

Hydrochlorothiazide: Classification

Thiazide diuretic

Hydrochlorothiazide: why is pt taking this

CHF edema and fluid volume overload

Hydrochlorothiazide: special indications

Drug interaction with Digoxin (hypokalemia)

Hydrochlorothiazide: Assessments

VS; Weight; urine output; labs (electrolytes, glucose, uric acid), edema, drug hx

Hydrochlorothiazide: Follow-up Assessments

BP and edema decreased; lab normal ranges; side effects and adverse reactions

Spironolactone: Action

Acts primarily in the collecting duct renal tubules and late distal tubules to promote sodium and water excretion and potassium retention

Spironolactone: Classification

Potassium-sparing diuretic

Spironolactone: why is pt taking this

CHF Edema and FVO

Spironolactone: Assessments

if pt is taking potassium supplement or salt substitute; VS, electrolytes, weight, urine output

Spironolactone: Follow-up assessments

edema decreased; potassium levels

Metaprolol: action

Blocks stimulation of beta 1 receptors

Metaprolol: classification

antihypertensive; beta-adrenergic blocker

Metaprolol: Assessments

VS, AST, ALT, BUN, Creatinine