Drug Quiz

    (Delta-Coref, Flo-Pred Pred Forte, Prelone) : Corticosteroid
    • Side Effects:
    • Depression
    • Nausea, diarrhea
    • Hypertension

    • Nursing Considerations:
    • Treatment of severe inflammation, immunosuppression, neoplasms
    • Take with food
    • Black/tarry stools, slow wound healing, blurred vision, bruising/bleeding, weight gain, emotional changes
    (Beclovent, Beconase, Qvar) : Corticosteroid
    • Side Effects:
    • Oropharyngeal fungal infections
    • Sore throat

    • Nursing Considerations:
    • Used in chronic asthma treatment, seasonal or perennial rhinitis.
    (Dilaudid) : Opioid Analgesic
    • Side Effects:
    • Dizziness/Drowsiness
    • Constipation
    • Nausea/vomiting
    • Respiratory depression
    • Impairment of mental and physical performance.

    • Nursing Consideration:
    • Used for relief of moderate to severe pain
    • May be habit-forming
    • Avoid alcohol during treatment
    • Use with caution in patients with pulmonary considerations as it will reduce respiratory rate.
    (Dilantin) ; Anticonvulsant
    • Side Effects:
    • Drowsiness, ataxia
    • Nystagmus/blurred vision
    • GI upset
    • Gingival hypertorphy
    • Skin rash
    • Decrease platlets and WBC's

    • Nursing Considerations:
    • Management of seizures, migraines, trigeminal neuraliga, Bells's palsy
    • May cause increase in blood sugar
    • What are the s/s of a decreased platlet and WBC's ?
    • * Avoid abrupt withdrawal to prevent convulsions
    • Teach good oral hygine
    (Lanoxin) : Digitalis Glycoside
    • Side Effects:
    • Headache
    • Fatigue
    • Anorexia,Nausea/Vomiting/Diarrhea
    • Hypotention/Dizziness
    • Bradycardia
    • Mental disturbances
    • Visual disturbances: diplopia, blurred vision, yellow-greeh halos, and photophobia

    • Nursing Considerations:
    • Used in treatment of CHF, atrial fibrillation, flutter or tachycardia
    • * Check apical pulse, if less than 60 beats per minute hold the med and contact clinician
    • *Eat a sodium -restricted and potassium-rich (bananas, orange juice) diet to keep potassium level normal. Monitor potassium level as hypokalemia can cause digoxin toxicity.
    (Lovenox) : Anticoagulant
    • Side Effects:
    • Can produce hemorrhage from any body site.
    • Anemia
    • Thrombocytopenia (low platetet count)
    • Pain at injection site

    • Nursing Considerations:
    • Prevents thromboembolism. The therapeuic dose does not dissolve clots but prevents new thrombus formation.
    • Administer by subcutaneous injection only in abdominal wall; do not expel the air bubble from the prefilled syringe or aspirate during injection.
    • * Monitor the activated partial thromboplastin time (aPTT) and platelet count.
    • * Observe for bleeding gums, bruises, epitaxis, hematuria, hematemesis, occult blood in stool and petechiae.
    • Avoid ASA-containing products and NSAIDs
    • * The antidote is protamine sulfate.
    (Zofran) : Antiemetic
    • Side Effects:
    • Headache
    • Dizziness/Drowsiness
    • Constipation, Diarrhea, Abdominal pain

    • Nursing Considerations:
    • Prevents nausea and vomiting associated with chemotherapy or radiation therapy. Also prevention and treatment of postoperative nausea and vomiting.
    • * Assess patient for N/V abdominal distention and bowel sounds prior to and following administration.
    (Bicillin, DisperMox, Larotid, Moxatag, omnipen, Wycillin) : Anti-infective - Penicillin
    • Side Effects:
    • Allergic reactions: fever, difficulty breathing, skin rash
    • Nausea/Vomiting/Diarrhea. Abdominal cramps, severe watery diarrhea as a result of superinfection (altered bacterial balance in bowel)

    • Nursing Considerations:
    • Used tor treatment of respiratory infections, otitis media,pneumonia, skin and soft tissue infections, gonorrhea.
    • *After IM injection, observe for 20 minutes for reaction.
    • * Continue medication for entire time prescribed, even if symptoms resolve
    • * Monitor for superinfections such as severe diarrhea.
    (Humulin R) : Short acting Insulin
    • Side Effects:
    • Hypoglycemia
    • Lipodysrophy
    • Hypokalemia

    • Nursing Considerations:
    • Management of diabetic coma, diabetic acidosis or other emergency conditions.
    • Only insulin that can be given IV
    • * Regular insulin peaks in 2 to 4 hours after injection. During peak action is when hypoglycemic reactions are most likely to occur.
    • *Do not rub after subQ injection
    • * Monitor blood sugar
    (Ativan) : Antianxiety - Benzodiazepine
    • Side effects:
    • Dizziness/Drowsiness/Poss. Disorientation
    • Orthostatic hypotension
    • Visual disturbance/Blurred vision

    • Nursing Considerations:
    • Treatment of anxiety, irritability in psychiatric or organic disorders; treatment of insomnia, adjunct in endoscopic procedures, preoperative medication.
    • *Monitor for agitation, trembling, visual disturbance (worsen glaucoma).
    • * Initate safety precautions eg side rails due to possible confusion or orthostatic hypotension and risk for falling
    • *Avoid alcohol
    • *Dont stop the medication abruptly as this can result in seizures
    (DiaBeta) : Oral Hypoglycemic Agent - Sulfonylurea
    • Side effects:
    • GI disturbances (most common side effect) inc. decreased appitite, nausea and diarrhea.
    • Headache

    • Nursing Considerations:
    • Management of type 2 diabetes mellitus by stimulating beta cells to produce more insulin.
    • *Monitor blood glucose levels/ have a quick source of sugar in case blood glucose drops too much
    • *Take at breakfact (better with a meal d/t GI disturbances.
    • *Dont drink alcohol
    • *Insulin may be needed during stress, surgery or infection
    (Proventil HFA) : Bronchodilator - Adrenergic
    • Side Effects:
    • Palpitations and tachycardia
    • Dysrhythmias
    • Restlessness, nervousness, and tremors
    • Ankorexia, nausea, and vomiting
    • Headaches and dizziness
    • Hyperglycemia

    • Nursing Considerations:
    • Used to control and prevent reversible airway obsturction caused by asthma or COPD.
    • * The inhalant is used as a quick relief for acute bronchospasm.The PO med is used as a long term control agent.
    • * Assess lung sounds, pulse, and BP before administration. Note amount color and character of sputum
    • *Provide adequate hydration: avoid caffeinated products'
    (Pepcid) : Histamine 2 (H2)- Receptor Antagonist
    • Side Effects:
    • Diarrhea
    • Muscle Pain
    • Rash

    • Nursing Considerations:
    • Reduces secretion of gastric acid and promotes healing of ulcers. Alleviates symptoms of heartburn
    • *Do not need to be administered with food. Food may reduce absorbtion rate.
    (Phenegran) : Antiemetic - Antihistamine
    • Side Effects:
    • Drowsiness
    • Dizziness
    • Constipation/Urinary retention
    • Dry mouth

    • Nursing Considerations:
    • Prevent and treat nausea.
    • Decreases sensitivity of vestibular apparatus of inner ear.
    • Suppress vomiting center.
    • * Use cautiously with asthma, glaucoma, prostatic hypertrophy.
    • *Drowsiness and confusion, especially if given withother CNS depressants.
    (Tylenol) Nonopioid Analgesic
    • Side Effects:
    • Liver and kidney failure
    • Rash
    • N/V

    • Nursing Considerations:
    • Used to decrease mild pain and fever.
    • *Contraindicated in liver or renal disease, alcoholism
    • *Self-medication should not be used longer than 10 days for an adult. Should not exceed 4Gm daily.
    • * Signs of chronic overdose: bleeding, brusing, malaise, fever, sore throat, anorexia, jauncice
    • *Antidote is acetylcysteine (Mucomyst).
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Drug Quiz
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