Drug Cards II Essay

question

Docusate/ Colace Classification
answer

Therapeutic: laxatives Pharmacologic: stool softeners
question

Docusate/ Colace Nursing Implications
answer

assess for abdominal distentionn, presence of bowel sounds and usual pattern of bowel function. assess color, imbalance and dependence.
question

Docusate/ Colace administration
answer

PO, PR
question

Docusate/ Colace client teaching
answer

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)
question

Docusate/ Colace additional information
answer

commonly used for constipation. oral therapy may take 3-5 days to produce results. rectal therapy may produce results within 2-15 minutes
question

ferrous sulfate classification
answer

therapeutic: antianemics pharmaacologic: iron supplement
question

ferrous sulfate administration
answer

PO, IM, IV
question

ferrous sulfate common side effects
answer

GI (nausea, constipation, dark stools, diarrhea, epigastric pain)
question

ferrous sulfate nursing implications
answer

assess nutrition, bowel function, hemoglobin/hematocrit
question

ferrous sulfate client teaching
answer

may notive darker stools. instruct client to follow a diet high in iron
question

ferrous sulfate additional information
answer

commonly prescribed for iron deficiency anemia
question

furosemide/Lasix classification
answer

therapeutic: diuretics pharmacologic: loop diuretics
question

furosemide/Lasix administration
answer

PO, IM, IV
question

furosemide/Lasix common side effects
answer

fluid and electrolytes: dehydration, hypochloremia, hypokalemia, hypomagnesemia, hyponatremia, hypovolemia, metabolic alkalosis
question

furosemide/Lasix nursing implications
answer

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
question

furosemide/Lasix Client teaching
answer

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
question

furosemide/Lasix additional information
answer

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.
question

hydrochlorothiazide/HCTZ classification
answer

therapeutic: antihypertensive, diuretic pharmacologic: thiazide diuretic
question

hydrochlorothiazide/HCTZ administration
answer

PO, IV
question

hydrochlorothiazide/HCTZ common side effects
answer

dizziness, hypotension, hypokalemia (low potassium), dehydration
question

hydrochlorothiazide/HCTZ nursing implications
answer

monitor blood pressure, I/O, weight, edema, fluid and electrolyte labs (especially potassium)
question

hydrochlorothiazide/HCTZ client teaching
answer

monitor blood pressure, weight and edema, change positions slowly, foods high in potassium
question

hydrochlorothiazide/HCTZ additional information
answer

commonly prescribed for hypertension, edema associated with CHF
question

hydrocodone/APAP (acetaminophen)/ Lortab Classification
answer

therapeutic: allergy, cold, and cough remedies (antitussive), nonopioid analgesics/opioid analgesic Pharmacologic: opioid agonists/nonopioid analgesic combination (narcostic, depresses central nervous system)
question

hydrocodone/APAP (acetaminophen)/ Lortab administration
answer

PO
question

hydrocodone/APAP (acetaminophen)/ Lortab common side effects
answer

CNS: confusion, sedation, hallucinations, headache. EENT: blurred vision, miosis. Resp: respiratory depression. CV: hypotension, bradycardia. GI: constipation
question

hydrocodone/APAP (acetaminophen)/ Lortab nursing implications
answer

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
question

hydrocodone/APAP (acetaminophen)/ Lortab client teaching
answer

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
question

hydrocodone/APAP (acetaminophen)/ Lortab additional information
answer

used to decrease the severity of pain without significantly altering the level of consciousness. can also suppress a nonproductive cough
question

ibuprofen/ motrin, advil classification
answer

therapeutic: antipyretics, antirheumatics, nonopiod analgesics, nonsteriodal anti-inflammatory agents Pharmacologic: nonopiod analgesics
question

ibuprofen/ motrin, advil administration
answer

PO
question

ibuprofen/ motrin, advil common side effects
answer

headache, dizziness GI: bleeding, constipation, dyspepsia, nausea, vomiting
question

ibuprofen/ motrin, advil nursing implications
answer

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
question

ibuprofen/ motrin, advil client teaching
answer

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
question

ibuprofen/ motrin, advil additional information
answer

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

Get instant access to
all materials

Become a Member