Tobramycin Sulfate contraindicated in: - Ibuprofen (Motrin)
Metformin (Glucophage) and glipizide (Glucotrol) for diabete mellitus. Nurse check what
... [Show More] lab: - HbA1c of below 7% for diabetics
Warfarin antidote: - Vitamin K
Pancrelipase (Pancrease) teaching plan: - Take at each meal and snack.
Levothyroxine (Synthroid) effective if: - TSH 0.5-2 mircounits/mL
T4 and T3 Value - t3: 75-220 ng/dL
t4: 4-11 mcg/dL
Prazosin (Minipress) teaching: - Move slowly from sitting to standing.
Phenytoin (Dilantin) teaching: - Hirsutism, avoid alcohol and antihistamines, double vision
Enalapril (Vasotec) and spironolactone (Aldactone) adverse effects: - Hyperkalemia because its a ACE-inhibitor and K-sparing diuretic.
Methotrexate (Rheumatrex) for Rheumatoid arthritis teaching: - Report sores in mouth, take once a week [oral or injection], 4-6 weeks to work.
Mannitol (Osmitrol) effective: - Urine output increases
Morphine Sulfate following thoracic procedure. What indicates client pain being managed: - Client able to breathe deeply and cough.
Amitriptyline (Elavil) adverse effects: - Urinary retention.
Magnesium Sulfate toxicity signs: - Decrease level of consciousness, CNS depression
Ferrous Sulfate enhance absorption: - Asorbic Acid
Sotalol Hydrochloride (Betapace) teaching plan: - Decrease heart rate.
Patient on Insulin Lispro and prescribed Metoprolol (Lopressor) for HTN. Nurse should observe what signs for hypoglycemia: - Sweating
Nitroglycerin SL teaching: - Lie down, check BP, relief in 1-3 mins, monitor for headache.
Allopurinol (Zyloprim) contraindications: - Warfarin
Atovastain (Lipitor) nurse should monitor: - CK-Creatinine Kinase
Exercise induced asthma: - Cromolyn sodium (Intal)
Furosemide (Lasix) withhold: - Potassium level
Insulin glargine (Lantus) type 1 diabetes mellitus teaching plan: - DO NOT MIX in syringe, adminster at bedtime, clear, don't need to shake
Colesevelam (WelChol) teaching plan: - Other medication 1 hour or 4 hours after, taken with food or water, high fiber diet.
Levothyroxine (Synthroid) breastfeeding: - Take after breast feeding.
Fluoxetine (Prozac) teaching plan: - Don't take St. John's Wort, may get rash, Acetaminophen instead of Ibuprofen.
Digoxin (Lanoxin) patient experiences Dysrhythmias: - Furosemide (Lasix) lead to hyperkalemia causes dysrhythmias.
Ceftriaxone (Rocephin) postop and notices Uticardia and dyspnea: - Discontinue infusion
Ketorolac (Toradol) teaching plan: - Check for bruising, Take with food.
Risedronate (Actonel) for osteoporosis teaching plan: - Sit up 30 mins, don't take with milk, take in morning, take on empty stomach.
Albuterol (Proventil) for asthma with montelukast (Singular) teaching: - Take montelukast at night
Pilocarpine (Pilocar) eye drops teaching: - Don't drive until vision clears, cause brow pain, take for rest of life, messes with the rest of the body
Required Digoxin measurements: - Peak and trough
Naloxone (Nacar) Antidote: - Observe for bleeding, Assess client for nausea and vomiting, check pain frequently, tachycardia, repeat dose every 2-3 minutes.
Fluticasone propionate (Flovent) adverse: - Candidasies of the mouth, dysphonia.
Trimethropim/sulfamethoxazole (Barctim DS) teaching: - Drinking 8-10 glasses of water
Gentamicin (Garamycin) side effect: - Ototoxicity
Telephone prescription from provider. The Nurse: - Reads the prescription back to the provider.
Seizure disorder. Patient should: - Keep a seizure chart.
Potassium level: - 3.5-5 mEq/L
Potassium level less then 3.5 mEq/L: - Cardiac monitor for cardiac dysrhythmias.
Penicillin allergy requires incident report with what symptom: - S.O.B.
Phenytoin (Dilantin) decreases effectiveness of: - Ethinyl/desogestrel (Oral contraceptive)
Ergotamine (Ergostat) SL for migraine headache: - 1 SL tablet at onset of headache.
Digoxin level: - 1.0-2.0 ng/mL. Digoxin is toxic at 2.4 give Digoxin immune fab (Diggibind)
Avoid during metronidazole (Flagyl): - Beer can cause disulfiram-reaction (Hypotension, vomiting, weakness)
Captopril (Capoten) cannot be used: - With salt substitue with meal or potassium.
Mannitol (Osmitrol) achieving therapeutic effect: - Decrease intraocular pressure for acute closure glaucoma.
Simvastatin (Zocor) teaching plan: - Report muscle pain, do not take med with grapefruit juice, minimize alcohol intake, life long therapy, take in the evening.
Heparin and warfarin client with 4 times aPPT and INR of 2: - Decrease the heparin.
aPPT (Activated partial thromboplastin time) plasma value: - 1.5-2 times the normal
INR (International Normalized Ratio) value: - 2.0-3.0. Target of 2.5. Higher the number bleeding disorder. Lower the number clotting disorder.
Oxytocin (Pitocin) by continuious IV, piggy backed into maintenance IV solution. FHR indicates late decelerations. The nurse first: - Discontinue client's IV to reduce contractions.
Bupropion (Zyban) side effects: - Insomnia (Stimulant).
Risedronate (Actonel) to treat osteoporosis. Client teaching: - Take in the morning, sit up 30 mins after taking, take with food, swallow whole.
Haloperidol (Haldol) adverse effects (Used for treating vomiting): - Akathisia (Restlessness).
Oprelvekin (Interleukin 11-WBC) effectiveness: - Increase platelet count in chemotherapy patients.
Baclofen (Lioresal) therapeutic outcome: - Decrease the frequency and severity of muscle spasms (MS).
Epoetin Alfa (Procrit) to treat anemia. Nurse should monitor: - Increased blood pressure and seizures if hematocrit rises too quickly.
Tranylcpromine (Parnate) for depression. Client teaching: - Move slowly when changing position because orthrostatic hypotension can result as a side effect.
Exenatide (Byetta) for type 2 diabetes mellitus. Nurse needs to monitor immediately: - Abdominal pain due to pancreatitis.
Secondary symptom for hyperglycemia: Increased thirst
Hypoglycemia symptoms: - Diaphoresis and Irritability [Show Less]