Medication cards pt. 4 Flashcards Preview

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Flashcards in Medication cards pt. 4 Deck (17)
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1
Q

Cytotec (misoprostol): Class and action

A
  • Class: Prostaglandin/oxytocic
  • Action: uterine contraction
2
Q

Cytotec (misoprostol): Indication

A
  • used in combination of mifepristone for termination of pregnancy
  • used for cervical ripening and induction of labor.
  • Pregnancy category X
  • Used for elective abortion before 7 weeks
3
Q

Cytotec (misoprostol): Adverse Effect

A
  • Miscarriage
  • abdominal pain
  • diarrhea
  • tachysystole (major)
4
Q

Cytotec (misoprostol): Drug interaction

A

Magnesium (containing antacids-diarrhea)

5
Q

Cytotec (misoprostol): Dosage and route

A
  • PO 400 mcg single dose for 2 days after mifepristone for termination intravaginal
  • 25 mcg repeat Q3-6 hours PRN
  • PO, intravaginally, intracervical
6
Q

Cytotec (misoprostol): Nursing implication

A
  • Monitor
    • uterine cramping
    • FHR
    • bleeding
  • Inform pt med can cause spontaneous abortion.
  • Surgery may be needed if abortion is incomplete
  • Assess dilation of cervic during therapy
7
Q

Hydrocordone (norco): class and action

A
  • Class: opoid analgesic
  • Action: bind to opiate receptors in CNS
8
Q

Hydrocodone (norco): Indication

A

Management of pain

9
Q

Hydrocodone (norco): adverse effect

A
  • Confusion
  • n/v/c
  • hallucinations
  • dizziness,
  • respiration depression
10
Q

Hydrocodone (norco): Dosage and route

A
  • PO 2.5-10 mg Q3-6 hours PRN
11
Q

Hydrocodone (norco): nursing implications

A
  • Assess LVL of sedation
  • Monitor:
    • vs, hr, RR before and after administration
    • bowel souds
  • Assess Pain
    • intensity
    • location
    • type
12
Q

Ibuprofen (motrin): class and action

A
  • Class: antipyretic and analagesic
  • inhibits prostaglandin synthesis
13
Q

Ibuprofen (motrin): Indication

A
  • mild to moderate pain
  • fever
  • Pregnancy category C & D
14
Q

Ibuprofen (motrin): Contraindicated

A
  • hypersensitivity
  • avoid after 30 week gestation
  • active bleeding
  • GI ulcer disease
15
Q

Ibuprofen (motrin): adverse effect

A
  • anaphylaxis
  • headache
  • steven-johnson syndrome
  • exfoliative dermatitis
  • constipation
  • GI bleed
  • dyspepsia
16
Q

Ibuprofen (motrin): Dosage and route

A

PO 4-10 mg/kg/dose

Q6-8 hours

IV

17
Q

Ibuprofen (motin): Nursing implicaitons

A
  • Instruct patient to drink full glass of water and remain upritght for 15-30 min
  • Pt who have asthma, aspirin induced injury and nasal polyps are at increase risk of developing allergic reaction
  • Monitor
    • signs of bleeding
    • VS