med comp Flashcards

Question

ENOXAPARIN

Answer 1

SQ - I: prevention of venous thromboembolism (VTE), DVT, and PE C: hypersensitivity SE: nausea, vomiting, dizziness, headache AE: bleeding, anemia, alopecia edema NC: assess for signs of bleeding & hemorrhage, assess the patient for evidence of additional or increase thrombosis, monitory patients hypersensitivity reaction PT: instruct patient to correct technique for self-injection, care, and disposal, advise patient to report any symptoms of unusual bleeding or bruising, dizziness, itching, rash, advise patient not to take aspirin, naproxen, or ibuprofen without talking to a doctor

Answer 2

topical - I: inflammation & pruritus (itching) from allergic/ immunologic skin problems C: hypersensitivity, untreated bacterial or viral infections SE: dryness, irritation, burning AE: edema, adrenal suppression, secondary infection NC: assess affected skin before and daily during therapy, note degree of inflammation & pruritus PT: Take the drug exactly as directed, instruct patient on correct technique of medication administration, inform health care professional if symptoms return or worsen.

Answer 3

oral - I: inflammation, immunosuppression, an endocrine disorder C: active untreated infections SE: nausea, vomiting, acne, depression AE: peptic ulceration, thromboembolism, hypertension NC: assess for signs of adrenal insufficiency before and periodically during therapy, monitor intake/output ratios & daily weights, observe for peripheral edema PT: Take medication as directed, Do not stop taking suddenly or adrenal insufficiency may occur, contact a healthcare professional if severe abdominal pain or tarry stools occur

Answer 4

oral - I: seasonal allergies, hives C: hypersensitivity SE: drowsiness, confusion, dry mouth AE: blurred vision, GI upset NC: assess allergy symptoms, assess lung sounds & bronchial secretions PT: Take the drug exactly as directed, May cause drowsiness; avoid driving, avoid drinking alcohol

Answer 5

Oral - I: relief of allergic symptoms, mild nighttime sedation, prevents motion sickness C: hypersensitivity, acute asthma attacks, known alcohol intolerance SE: nausea, drowsiness, dizziness AE: tinnitus, blurred vision, hypotension, dysuria NC: this drug has multiple uses, determine why it was ordered and assess symptoms, for anaphylaxis: assess urticaria and patient airway, for insomnia: assess sleep patterns, for motion sickness, assess nausea, vomiting, bowel sounds PT: Take drug exactly as directed and don’t exceed recommended amount, May cause drowsiness; avoid driving, May cause dry mouth; frequent oral rinses each sleep hygiene techniques (dark-quiet room, limit daytime naps)

Answer 6

SQ - I: diabetes C: hypersensitivity, hypoglycemia SE: swelling, pruritus (itching) AE: hypoglycemia, hypersensitivity reactions NC: assess periodically for symptoms of hypoglycemia and hyperglycemia, monitor body weight periodically PT: instruct on the proper technique of administration, explain that this medication controls hyperglycemia and is long term therapy, emphasize the importance of compliance with nutritional guidelines and regular exercise as directed

Answer 7

oral - I: type 2 diabetes C: hypersensitivity, diabetic ketoacidosis, severe renal impairment SE: nausea, vomiting, diarrhea, bloating AE: lactic acidosis NC: observe S/S of hypoglycemic reactions, patients with severe renal impairment is >risk for lactic acidosis PT: Take the medication at the same time each day, drug helps control hyperglycemia and is usually long term therapy, follow prescribed diet and exercise

Answer 8

oral - I: coughs caused by upper respiratory tract infections C: hypersensitivity, intolerance to alcohol SE: nausea, vomiting, diarrhea AE: urticaria, stomach pain NC: monitor cough type & frequency PT: instruct to cough effectively, May cause drowsiness; avoid driving

Answer 9

oral - I: coughs caused by upper respiratory tract infections, chronic nonproductive coughs C: hypersensitivity, chronic productive coughs, taking MAO inhibitors or SSRIs SE: nausea, vomiting AE: stomach pain, sedation NC: monitor cough type and frequency PT: Take the drug exactly as directed and don’t exceed recommended amount, instruct patient to cough effectively, avoid drinking alcohol, call doctor if cough lasts >1week

Answer 10

eye drop - I: hypertension, prevention of MI, prevent migraine headaches C: Uncompensated HF, pulmonary edema, cardiogenic shock, bradycardia or heart attack SE: nausea, constipation, fatigue, weakness, ED AE: Arrhythmias, bradycardia, HF, pulmonary edema, anaphylaxis NC: monitor intake/output ratios & daily weight, assess patient routinely for evidence of fluid overload PT: Take drug as directed, at the same time each day, even if they’re feeling better, Teach patient and family how to check pulse daily and BP biweekly, Call healthcare professional immediately if slow pulse, difficulty breathing, wheezing, May cause drowsiness; avoid driving

Answer 11

oral - I: hypertension, angina pectoralis (small chest pain) C: HF, Pulmonary edema, bradycardia SE: nausea, vomiting, diarrhea, fatigue AE: HF, Pulmonary edema, bradycardia NC: monitor BP, ECG & pulse throughout therapy, monitor intake/output & daily weight PT: call a healthcare professional if slow pulse, difficult breathing, wheezing, dizziness occurs

Answer 12

oral - I: hypertension C: hypersensitivity, bilateral renal artery stenosis SE: nausea, diarrhea, dizziness, fatigue AE: chest pain, angioedema, hypotension, hypoglycemia NC: assess the patient for signs of angioedema, assess BP & pulse throughout therapy PT: call a healthcare professional immediately if swelling of faces eyes, lips occur, May cause drowsiness; avoid driving, change positions slowly to reduce orthostatic hypotension

Answer 13

oral - I: hypertension, heart failure C: hypersensitivity, history of angioedema with previous use of ACE inhibitors SE: nausea, vomiting, diarrhea, cough AE: hypotension, impaired renal function NC: monitor BP & pulse periodically throughout therapy, assess the patient for signs of angioedema PT: Take the medication at the same time each day even if feeling well, call the doctor if rash, sore throat, fever occur, change positions slowly to reduce orthostatic hypotension

Answer 14

``` oral - I: mild to moderate hypertension edema (heart failure, renal dysfunction) ``` C: hypersensitivity, intolerance to tartrazine, anuria SE: nausea, vomiting, dizziness, drowsiness AE: Stevens-Johnson syndrome (skin disorder), hypotension, pancreatitis NC: monitor BP, intake/output, daily weight, assess for skin rash, frequently during therapy PT: Take the medication at the same time each day, motor weight biweekly; call the doctor if significant changes, change positions slowly to minimize orthostatic hypotension

Answer 15

Oral - I: hypertension, angina pectoris, vasospastic angina C: hypersensitivity, systolic BP <90mmHg SE: nausea, dizziness, fatigue, flushing AE: peripheral edema, angina, bradycardia, hypotension NC: monitor BP & pulse before therapy and periodically during therapy, monitor intake & output ratios and daily weight monitor signs for heart failure PT: Take the drug exactly as directed and don’t exceed recommended amount., teach the patient how to monitor pulse, Contact a healthcare professional if HR <50bpm, May cause drowsiness; avoid driving

Answer 16

topical - I: pain due to post-op neuralgia C: hypersensitivity, third-degree heart block, Wolf-Parkinson-White syndrome SE: nausea, vomiting, confusion, drowsiness AE: seizure, cardiac arrest NC: monitor ECG continuously, BP & Respiratory status frequently during administration, monitor for pain intensity periodically during therapy PT: May cause drowsiness; avoid driving, explain the purpose of lidocaine to the patient, avoid contact with water since the patch may not stick

Answer 17

topical - I: moderate to severe chronic pain C: hypersensitivity, acute, mild, intermittent, or post-op pain, respiratory depression, acute or severe bronchial asthma SE: nausea, vomiting, constipation, confusion, sedation AE: apnea, respiratory depression, bradycardia, hypotension, adrenal insufficiency NC: assess BP, pulse, RR before and periodically during administration, assess risk for opioid addiction use, or misuse prior to administration, assess bowel function routinely PT: instruct how and when to ask for and take pain medication.Instruct correct method for application and disposal of patch • avoid grapefruit juice

Answer 18

oral - I: moderate to severe pain C: hypersensitivity, respiratory depression, acute or severe bronchial asthma SE: nausea, vomiting, constipation, confusion, sedation AE: respiratory depression, orthostatic hypotension, blurred vision NC: Assess BP, pulse, & RR before and periodically during administration, assess risk for opioid addiction , abuse, or misuse before administration. PT: Instruct patient on how & when to ask for and take pain meds, advise patient that this drug is known to abuse potential, protect from theft, May cause drowsiness; avoid driving

Answer 19

oral - I: pain, inflammation, reduce fever C: hypersensitivity, active GI bleeding or ulcer disease, severe HF SE: nausea, vomiting, constipation, abdominal discomfort AE: HF, MI, stroke, GI bleeding NC: assess pain before and 1-2 hr after administering, assess for S/S GI bleeding, assess for skin rashes PT: Take drug exactly as directed and don’t exceed recommended amount, May cause drowsiness; avoid driving, avoid drinking alcohol

Answer 20

oral - I: Mild pain, Fever, inflammatory disorders, prophylaxis for heart attack C: hypersensitivity to aspirin, cross-sensitivity with other NSAIDs, bleeding disorders SE: nausea, vomiting, dyspepsia (indigestion), epigastric distress, abdominal pain AE: GI Bleeding, Hypersensitivity reactions (anaphylaxis), tinnitus NC: For inflammatory conditions give scheduled doses, monitor patient for hypersensitivity reactions, Monitor salicylate level; severe toxic effects levels >400mcg/mL PC: Take with food or glass of water to reduce GI reactions and sit upright for 15-30 minutes, avoid the previous hypersensitivity use of alcohol, Consult doctor is tinnitus occurs, consult a doctor if a fever lasts >3days

Answer 21

oral - I: Mild pain, fever C: previous hypersensitivity severe hepatic impairment/ active liver disease SE: nausea, vomiting, diarrhea, constipation, anxiety AE: hepatotoxicity, renal failure, cardiac damage, toxic epidermal necrosis, rash NC: Many OTC and prescriptions products contain acetaminophen; be aware when calculating total daily dose, reduce total daily dose & increase dosing intervals for patients with hepatic or renal impairment PT: Take drug exactly as directed and don’t exceed recommended amount, consult doctor if fever lasts >3day, stop use and consult doctor if a rash occurs

med comp Flashcards

(45 cards)