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Generic name
bisacodyl
Trade name
Dulcolax
- Classification: Laxative
- Uses: Temp. relief of constipation
- Nursing considerations: Last BM, Auscultate BS all 4 quadrants, palpate, Document BM
- SE: Mild cramping, N/D, Fluid and electrolyte disturbances
- Adult: 5-10mg PRN - max 30mg for special procedure
- Child: >6 5-10mg; >2 10mg; <2 5mg
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Generic name
furosemide
Trade name
Lasix
- Classification: Electrolyte & water balance agent, antihypertensive, loop diuretic
- Therapeutic: Loop diuretic, antihypertensive
- Uses: Tx of edema assoc. w/ CHF; cirrhosis of the liver and kidney disease
- Can Use: Mannitol for severe edema
- Nursing consid: Assess fluid status during therapy; measure wt; I&O ratios
- SE: Postural hypotension, dizziness with excessive diuresis
- Edema
- Adult PO 20-80mg in one or more divided doses up to 600mg/day
- Child: PO 2mg/kg
- Neonate: 1-4mg/kg
- HTN:
- Adult: PO 10-40mg bid max: 480mg/day
-
Generic name
docusate sodium
Trade name
Colace
- Classification/therapeutic: Stool Softner
- Used: Tx constipation
- Nursing: Auscultate BS, LBM, Size of BM
- SE: GI: Mild ab cramps, D/N/V, bitter taste
- Adult: PO 50-500mg/day PR 50-100mg
- Child: PO <3 10-40mg; 3-6 20-60mg; 6-12y 40-120mg/day
-
Generic name
nitroglycerin
Trade
Nitrocap; Minitran, Nitrostat
- Classification: Nitrate vasodilator
- Therapeutic: Antiaginal, vasodilator
- Uses: Chest pain
- Nursing: skin color, temp, lesions, BP, P, ECG
- SE: CNS: headache, blurred vision, weakness, vertigo, dizziness, fainting
- Adult:
- Transdermal: apply once q24hr or leave for 10-12hr then intervals
-
Generic name
pantoprazole sodium
Trade name
Protonix
long-lasting reduction of gastric acid production. PPI
- Class: Gastric proton, pump inhibitor, antisecretory
- Thera: Antiulcer
- Uses: Short-term tx of erosive esophagitis associated with GERD, hypersecretory disease
- Nursing: BS x 4, LBM, palpate ab: Soft/non-tender
- SE: Diarrhea, flatulence, ab pain, HA, insomnia, rash
- 100mL/15min x 20 = 133.3333/4
- 33gtt/min
- Adult: PO 40mg daily IV 40mg daily x 7-10 days
Renal and hepatic impairment dosage adjustment
-
Generic name
metropolol tartrate
Trade
Lopressor
pg 1001
- Class: Antihypertensive, Beta-adreneric, Antagonist, Antianginal, Cardioselective
- Thera: Antihypertensive
- Uses: Management of mild-severe HTN, long-term tx of angina
- Nursing: Take apical pulse, BP before administering the drug
- SE: Hypersensitivity, rash, fever, muscle aches, fatigue, dizziness
Adult: PO 50-100mg/day in 1-2 divided doses, may increase weekly 10-450mg
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Generic name
acetminophen/ paracetamol
Trade name
Tylenol
- Class: Non-narcotic analgesic, antipyretic
- Thera: same
- Uses: Pain, cardiac disorders can help muscle recover faster from periods of low blood flow
- Nursing: Take VS, Pain 1-10, temp, assess for hepatoxity
- SE: Rash, N/V, dizziness, lethargy, diaphoresis, epigastric pain
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Hypoatremia
Not enough sodium
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