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Acetaminophen (Tylenol) class
nonopioid analgesics
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Acetaminophen (Tylenol) side effects
anemia (long term use), liver and kidney failure, dyspnea (high prolonged doses), angioedema, hives, itching
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Acetaminophen (Tylenol) What is it used for
mild pain or fever
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Acetaminophen (Tylenol) onset
less than 1 hour, peak 30 min to 2 hours, duration 4-6 hours, rectal-onset slow, peak 1-2 hours, duration 3-4 hours
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Acetaminophen (Tylenol) nursing
take crushed or whole with full glass of water, give with food with milk to prevent GI upset; signs of chronic poisioning-rapid weak pulse, dyspnea, cold clammy; signs of chronic overdose: bleeding bruising, malaise, fever, sore throat, anorexia, jaundice
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Aspirin class
nonopioid analgesics
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Aspirin side effects
nausea, vomiting, rash, angioedema, dyspnea, melena, tinnitus, GI bleed
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Aspirin what is it used for
mgmt. of mild to moderate pain or fever, TIA, prophy MI, angina
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Aspirin onset
PO 15-30 min, peak 1-2 hours, duration 4-6; rectal onset slow, 20-60% absorbed if retained 2-4 hours
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Aspirin nursing considerations
long term use, check for liver damage: dark urine, clay colored stools, yellowing of skin and sclera, itching, abdominal pain, fever, diarrhea; for arthritis, give 30 min before exercise, may take 2 weeks before full effect is felt, discard tablets if they smell like vinegar
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Minoxidil (Rogaine) class
antihypertensives
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Minoxidil (Rogaine) side effects
edema, increase in body hair, rash
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Minoxidil (Rogaine) nursing
teach pt to take radial pulse, check for wt gain, edema, topical approved to promote hair growth in men and women, do not use in children or infants, avoid contact with eyes, mucours, or sensitive skin
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Atorvastatin Calcium (Lipitor) class
antilipemics
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Atorvastatin Calcium (Lipitor) side effects
constipation, decreased vitamins ADK, ABD pain, nausea, arthralgia, myopathy, nasopharyngitis, UTI
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Atorvastation Calcium (Lipitor) what is it used for
lower cholesterol, digitalis toxitity, biliary obstruction pruritus and diarrhea; decrease risk of MI and stroke with DM2 pts
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Atorvastation Calcium (Lipitor) nursing
take meals one hr before or 4 hours after this med to avoid poor absorption, mix granuales in applesauce or liquid, do not take dry, let stand for 2 min; monitor for hypoprothrombinemia such as bleeding gums, tarry stools, hematuria, bruising; minitor liver enzymes; avoid grapefruit
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Nitro side effects
transient headache, postural hypotension, flushing
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Nitro what is it used for
treatment/prophylaxis of angina pectoris; IV used for control of BP during surgery and CHF associated with acute MI
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Nitro sustained release
every 4-6 hours on empty stomach; onset 20-40 minutes, duration 3-8 hours
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Nitro spray
do not inhale spray. Onset 2 minutes, duration 3-5 minutes
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Nitro IV
use infusion pump and special non PVD tubing, onset 1-2 minutes, duration 3-5 minutes
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Nitro ointment
onset 30-60 minutes, duration 3-8 hours
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Nitro transdermal
apply to clean hairless area, totate sites, onset 30-60 minutes, duration 12-24 hours
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Nitro nursing
go to ER if pain not relieved with 3 tabs in 15 minutes, wear medical info tag
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Amiodarone (Codarone, Pacerone) class
antiarrhythmics
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Amiodarone (Codarone, Pacerone) side effects
dizziness, fatigue, malaise, corneal microdeposits, bradycardia, hypotension, anorexsia, constipation, photosensitivity, neurologic dysfunction, muscle weakness, cardia, arrest, nausea, vomiting
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Amiodarone (Codarone, Pacerone) what is it used for
mgmt. of ventricular arrhythmias unresponsive to less toxic agents
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Amiodarone (Codarone, Pacerone) IV
continuous cardiac monitoring
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Amiodarone (Codarone, Pacerone) nursing
assess for pulmonary toxicity (rales, crackles, decreased breath sounds, pleuritis friction rub, fatigue, dyspnea, cough, pleuritic pain, fever; neurotoxicity, side effects might not appear right away, check radial pulse, use sunscreen, may increase Alt, AST
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Cromolyn Sodium Inhaler (Intal) class
antiasthmas
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Cromolyn Sodium Inhaler (Intal) side effects
bronchospasm, cough, wheeze, dizziness, nausea
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Cromolyn Sodium Inhaler (Intal) what is it used for
prophylactic mgmt. of bronchial asthma
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Cromolyn Sodium Inhaler (Intal) nursing
notify clinician of wheezing, respiratory distress; do not use for acute asthma attacks, full therapeutic effect may take several weeks
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Montelukast (Singulair) class
antiasthmas
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Montelukast (Singulair) side effects
dizziness, headache, URI, fever, pharyngitis, cough, GI upset, otitis media, runny nose, sinusitis
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Montelukast (SIngulair) what is it used for
prophylaxis and treatment of chronic asthma and allergic rhinitis
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Montelukast (Singulair) nursing
do not use to treat acute symptoms, notify clinician of wheezing, respiratory distress, full therapeutic effect may take several weeks, may increase neuropsychiatric events
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