Medications Flashcards
(19 cards)
Why is Digoxin given to patients? (2)
to Slow and Strengthen the HR
What medication is a Cardiotonic?
Digoxin
For how long should the patient’s apical pulse be checked prior to Dig admin?
1 min
What HR value will be cut off to hold Dig admin?
<60 bmp unless otherwise ordered by MD
What s/s will indicate Dig toxicity?
Anorexia, N/V, Diarrhea, SWELLING OF EXTREMITIES PALPITATIONS "YELLOWING" or BLURRED VISION, Altered LOC DEPRESSION UNUSUAL FATIGUE
What is Phenergan (promethazine) used for? (3)
Antiemetic
Sedative
Treat various allergic conditions
What can develop when using Phenergan?
Tissue necrosis
How do you give Phenergan IV?
Mix with 25 mL NS by pharmacy and administer IVPB
How to give Phenergan IM?
Deeply into the muscle
What is Narcan (naloxone) used for?
Reverse the effect of narcotic pain relievers
What is Lovenox used for? (3)
Acute Coronary Syndrome (ACS)
DVT prophy
Tx of acute DVT
(T/F) When giving a Lovenox shot the bubble inside the syringe needs to be expressed
False
Do you rub the injection site after a Lovenox shot?
No. Rubbing will increase bruising
What is Tamoxifen? (3)
Antineoplastic agent
Estrogen Receptor Antagonist
Selective Estrogen Receptor Modulator
What is Tamoxifen used for?
Tx of Metastatic Breast Cancer
What are SE of Tamoxifen? (3)
Hair loss
Hot flashes
Loss of libido
Patients need to notify MD when taking Tamoxifen, when what s/s appear? (4)
Menstrual irregularities
Vaginal bleeding
Intolerable hot flashes
Swelling or Pain in the calves
What labs need to be monitored when given Warfarin (coumadin) to a pt?
Prothrombin Time (PT) and INR
What is a diet consideration when taking Warfarin?
Don’t make major changes in diet that can increase Vit K intake (Green vegetables, mayonnaise)
