Drug Cards II – Flashcards
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Docusate/ Colace Classification
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Therapeutic: laxatives Pharmacologic: stool softeners
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Docusate/ Colace Nursing Implications
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assess for abdominal distentionn, presence of bowel sounds and usual pattern of bowel function. assess color, imbalance and dependence.
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Docusate/ Colace administration
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PO, PR
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Docusate/ Colace client teaching
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advise client that laxatives should be used only for short-term therapy. long-term therapy may cause electrolyte imbalance and dependence. encourage patients to use other forms of bowel regulation, such as increasing fiber, fluids, and mobility. instruct clients with cardiac disease to avoid straining during bowel movements (Valsalva maneuver)
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Docusate/ Colace additional information
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commonly used for constipation. oral therapy may take 3-5 days to produce results. rectal therapy may produce results within 2-15 minutes
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ferrous sulfate classification
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therapeutic: antianemics pharmaacologic: iron supplement
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ferrous sulfate administration
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PO, IM, IV
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ferrous sulfate common side effects
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GI (nausea, constipation, dark stools, diarrhea, epigastric pain)
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ferrous sulfate nursing implications
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assess nutrition, bowel function, hemoglobin/hematocrit
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ferrous sulfate client teaching
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may notive darker stools. instruct client to follow a diet high in iron
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ferrous sulfate additional information
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commonly prescribed for iron deficiency anemia
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furosemide/Lasix classification
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therapeutic: diuretics pharmacologic: loop diuretics
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furosemide/Lasix administration
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PO, IM, IV
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furosemide/Lasix common side effects
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fluid and electrolytes: dehydration, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis
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furosemide/Lasix nursing implications
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assess fluid status during therapy (daily weight, I/O, amount and location of edema, lung sounds, skin turgor, mucous membranes. assess elderly for fall risk. assess client for tinnitus and hearing loss. monitor electrolytes, renal and hepatic function, serum glucose and uric acid. monitor serum potassium, calcium, magnesium, BUN, serum glucose,creatinine and uric acid levels
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furosemide/Lasix Client teaching
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instruct client to take as directed. instruct client to consult health care professional regarding a diet high in potassium. Change positions slowly to minimize orthostatic hypotension, may cause dizziness
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furosemide/Lasix additional information
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commonly used for treatment of edema caused by congestive heart failure (CHF), hepatic or renal disease. also used to treat hypertension. unlabeled use is for hypercalcemia of malignancy.
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hydrochlorothiazide/HCTZ classification
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therapeutic: antihypertensive, diuretic pharmacologic: thiazide diuretic
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hydrochlorothiazide/HCTZ administration
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PO, IV
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hydrochlorothiazide/HCTZ common side effects
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dizziness, hypotension, hypokalemia (low potassium), dehydration
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hydrochlorothiazide/HCTZ nursing implications
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monitor blood pressure, I/O, weight, edema, fluid and electrolyte labs (especially potassium)
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hydrochlorothiazide/HCTZ client teaching
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monitor blood pressure, weight and edema, change positions slowly, foods high in potassium
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hydrochlorothiazide/HCTZ additional information
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commonly prescribed for hypertension, edema associated with CHF
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hydrocodone/APAP (acetaminophen)/ Lortab Classification
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therapeutic: allergy, cold, and cough remedies (antitussive), nonopioid analgesics/opioid analgesic Pharmacologic: opioid agonists/nonopioid analgesic combination (narcostic, depresses central nervous system)
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hydrocodone/APAP (acetaminophen)/ Lortab administration
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PO
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hydrocodone/APAP (acetaminophen)/ Lortab common side effects
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CNS: confusion, sedation, hallucinations, headache. EENT: blurred vision, miosis. Resp: respiratory depression. CV: hypotension, bradycardia. GI: constipation
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hydrocodone/APAP (acetaminophen)/ Lortab nursing implications
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assess blood pressure, pulse, and respirations before administration. if respiratory rate is <10/min, assess level of sedation. assess bowel function routinely. assess type, location and intensity of pain prior to and 1 hour following administration. prolonged use may lead to physical and psychological dependence
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hydrocodone/APAP (acetaminophen)/ Lortab client teaching
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advise client to take medication as directed. instruct client on how and when to ask for pain medication. advise client to call for assisstance when ambulating. advise client to change positions slowly to minimize orthostatic hypotension
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hydrocodone/APAP (acetaminophen)/ Lortab additional information
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used to decrease the severity of pain without significantly altering the level of consciousness. can also suppress a nonproductive cough
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ibuprofen/ motrin, advil classification
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therapeutic: antipyretics, antirheumatics, nonopiod analgesics, nonsteriodal anti-inflammatory agents Pharmacologic: nonopiod analgesics
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ibuprofen/ motrin, advil administration
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PO
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ibuprofen/ motrin, advil common side effects
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headache, dizziness GI: bleeding, constipation, dyspepsia, nausea, vomiting
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ibuprofen/ motrin, advil nursing implications
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assess for clients with asthma, aspirin-induced allergy, and nasal polyps. those clients are at an increased risk for developing hypersensitivity reactions. assess for rhinitis, asthma, and urticaria. assess for pain and fever if that is the reason for administration. assess for excessive bleeding
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ibuprofen/ motrin, advil client teaching
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advise clients to take ibuprofen with a full glass of water and to maintain an upright position for 15-30 minutes after administration. take as directed. caution patient to avoid using with alcohol, aspirin, acetaminophen or other OTC medications
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ibuprofen/ motrin, advil additional information
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most commonly used for relief of mild to moderate pain of dysmenorrhea. also used for relief of inflammatory disorders such as rheumatoid arthritis, osteoarthritis and reduced fever
