question

Drug classification for Cervidil

answer

Therapeutic: Cervical ripening agent Pharmacologic: oxytocics, prostaglandins

question

Drug action for Cervidil

answer

Produces contractions similar to those occurring during labor. Initiates softening efface meant, and dilation of the cervix.

question

Side effects for Cervidil

answer

Headache, hypotension, diarrhea, nausea, vomiting, Uterine rupture, anaphylaxis, & chills

question

Nursing Implications for Cervidil

answer

Auscultate breath sounds. Wheezing and sensation of chest tightness may indicate hypersensitivity reaction.

question

Routes of administration for Cervidil

answer

Endocervical gel, vaginal insert, suppository

question

Pertinent lab values for Cervidil

answer

none

question

Cervidil (Brand name)

answer

dinoprostone (generic name)

question

Drug classification for Procardia

answer

Therapeutic: antianginals, antihypertensives Pharmacologic: calcium channel blockers

question

Drug action for Procardia

answer

Inhibits calcium transport into myocardial and vascular smooth muscle cells, resulting in inhibition of excitation-contraction coupling and subsequent contraction.

question

Side effects for Procardia

answer

headache, ARRHYTHMIAS, CHF, peripheral edema, flushing, STEVENS-JOHNSON SYNDROME

question

Nursing Implications for Procardia

answer

Monitor ECG periodically during prolonged therapy. Monitor bp and pulse before therapy, during dose titration, and periodically during therapy.

question

Routes of administration for Procardia

answer

PO

question

Pertinent lab values for Procardia

answer

Monitor serum potassium periodically, monitor renal and hepatic functions periodically during long-term therapy.

question

Drug classification for Vitamin K

answer

Therapeutic: antidotes, vitamins Pharmacologic: fat-soluble vitamins

question

Drug action for Vitamin K

answer

Required for hepatic synthesis of blood coagulation factors II, VII, IX, and X.

question

Side effects for Vitamin K

answer

Gastric upset, hemolytic anemia, pain at injection site, allergic reactions

question

Nursing implications for Vitamin K

answer

Monitor for frank and occult bleeding, monitor pulse and bp frequently. Monitor for side effects and adverse reactions in peds.

question

Routes of administrations for Vitamin K

answer

Subcut, IV, PO

question

Pertinent lab values for Vitamin K

answer

Monitor prothrombin time (PT) prior to and throughout vitamin K therapy to determine response to and need for further therapy.

question

Drug classification for RhoGAM

answer

Therapeutic: vaccines/immunizing agents Pharmacologic: immune globulins

question

Drug action for RhoGAM

answer

Prevent production of anti-Rh (D) antibodies in Rh (D) negative patients who were exposed to Rh (D) positive blood. Increase platelet counts in patients with ITP.

question

Side effects of RhoGAM

answer

Dizziness, headache, anemia, diarrhea, nausea, vomiting.

question

Nursing implications of RhoGAM

answer

Monitor patients for signs and symptoms of (IVH) intravascular hemolysis (back pain, shaking chills, fever, hemoglobinuria), anemia, and renal insufficiency. If transfusions are required, use Rh (D) negative packed red blood cells to prevent exacerbation of IVH

question

Routes of administration of RhoGAM

answer

IM, IV

question

Pertinent lab values for RhoGAM

answer

Monitor platelet counts, RBC counts, hemoglobin, and reticulocyte levels to determine effectiveness of therapy. Coombs test.

question

Drug classification of Narcan

answer

Therapeutic: antidotes (for opioids) Pharmacologic: opioid antagonists

question

Drug Actions of Narcan

answer

Completely blocks the effects of opioids, including CNS and respiratory depression, without producing any agonist effects.

question

Side effects of Narcan

answer

VENTRICULAR ARRHYTHMIAS, hypertension, hypotension, nausea, vomiting

question

Nursing implications of Narcan

answer

Monitor respiratory rate, rhythm, and depth of pulse, ECG, blood pressure and level of consciousness frequently for 3-4 hr after the expected peak of blood concentrations.

question

Routes of administration of Narcan

answer

IV, IM, Subcut

question

Pertinent lab values for Narcan

answer

None noted

question

Brand name: Narcan

answer

Generic name: naloxone

question

Drug classification for Stadol

answer

Therapeutic: opioid analgesics Pharmacologic: opioid agonists/antagonists

question

Drug actions for Stadol

answer

Binds to opiate recpetors in the CNS. Alters the perception of and response to painful stimuli while producing generalized CNS depression. Has partial antagonist properties that may result in opioid withdrawal in physically dependent patients.

question

Side effects of Stadol

answer

Confusion, dysphoria, hallucinations, sedation, nausea, sweating

question

Nursing implications of Stadol

answer

Assess type, location, and intensity of pain before and 30-60 min after IM, 5 min after IV and 60-90 min after intranasal administration.

question

Routes of administration of Stadol

answer

IM, IV, Intranasal

question

Pertinent lab values for Stadol

answer

May cause and increase in serum amylase and lipase levels

question

Brand name: Stadol

answer

Generic name: butorphanol

question

Drug classificaion for Methergine

answer

Therapeutic: oxytocic Pharmacologic: ergot alkaloids

question

Drug side effects for Methergine

answer

HYPERTENSION, nausea, vomiting, cramps

question

Drug actions for Methergine

answer

Directly stimulates uterine and vascular smooth muscle.

question

Nursing implications for Methergine

answer

Monitor bp, heart rate, and uterine response frequently during medication administration. Notify health care professional promptly if uterine relaxation becomes prolonged or if character of vaginal bleeding changes.

question

Routes of administration of Methergine

answer

PO, IM, IV

question

Pertinent lab values for Methergine

answer

If no response to Methergine, calcium levels may need to be assessed. Effectiveness of medication is decreased with hypocalcemia. May cause a decrease in serum prolaction levels.

question

Brand name: Methergine

answer

Generic name: methylergonovine

question

Drug classification for Depo Provera

answer

Therapeutic: antineoplastics, contraceptive hormones Pharmacologic: hormones, progestins

question

Drug actions for Depo Provera

answer

A synthetic form of progesterone--actions include secretory changes in the endometrium, increases in basal body temp, histologic changes in vaginal ephithelium, relaxation of uterine smooth muscle, mammary alveolar tissue growth, pituitary inhibition, and withdrawal bleeding in the presence of estrogen.

question

Drug side effects for Depo Provera

answer

PULMONARY EMBOLISM, ANAPHYLAXIS, and ANGIOEDEMA

question

Nursing implications for Depo Provera

answer

Monitor blood pressure periodically during therapy. Assess patient's usual menstrual history. Monitor intake and output ratios and weekly weight.

question

Routes of administrations of Depo Provera

answer

PO, IM, Subcut

question

Pertinent lab values for Depo Provera

answer

Monitor hepatic function before and periodically during therapy. May cause increase in alkaline phosphatase levels. May decrease pregnanediol excretion concentrations. May cause increase in serum LDL concentrations or decrease in HDL concentrations. May alter thyroid hormone assays.

question

Brand name: Depo Provera

answer

Generic name: medroxyprogesterone

question

Drug classification for ferrous sulfate

answer

Therapeutic: antianemics Pharmacologic: iron supplements

question

Drug actions for ferrous sulfate

answer

An essential mineral found in hemoglobin, myoglobin, and many enzymes. Enters the bloodstream and is transported to the organs of the reticuloendothelial system (liver, spleen, bone marrow) where it is separated out and becomes part of iron stores.

question

Side effects of ferrous sulfate

answer

SEIZURES, ANAPHYLAXIS, hypotensions, nuasea, constipation, diarrhea,

question

Nursing implications for ferrous sulfate

answer

Assess patients for signs and symptoms of anaphylaxis (rash, pruritis, laryngeal edema, wheezing). Notify physician immediately if these occur. Keep epinepherine and resuscitation equipement close by in the event of an anaphylactic reaction.

question

Routes of administrations for ferrous sulfate

answer

PO

question

Pertinent lab values for ferrous sulfate

answer

Monitor hemoglobin, hematocrit, and reticulocyte values prior to and every 3 wks during the first 2 months of therapy and periodically after. Serum feritin and iron levels may also be monitored to assess effectiveness of therapy.

question

Generic name: ferrous sulfate

answer

Brand name: Feosol

question

Drug classification for Nubain

answer

Therapeutic: opioid analgesics Pharmacologic: opioid agonists/analgesics

question

Drug actions for Nubain

answer

Binds to opiate receptors in the CNS. Alters the perception of and response to painful stimuli while producing generalized CNS depression.

question

Side effects of Nubain

answer

Dizziness, headache, sedation, dry mouth, nausea, vomiting, clammy feeling, sweating.

question

Nursing implications for Nubain

answer

Assess type, location, and intensity of pain before and 1 hr after IM or 30 min after IV administration. Assess blood pressure, pulse, and respirations before and periodically during administration. If resp rate is less than 10/min, assess level of sedation.

question

Routes of administration of Nubain

answer

IM, Subcut, IV

question

Pertinent lab values related to Nubain

answer

May cause and increase in serum amylase and lipase concentrations

question

Brand name: Nubain

answer

Generic name: nalbuphine

question

Drug classifications for Phenergan

answer

Therapeutic: antiemetics, anthihistamines, sedative/hypnotics Pharmacologic: phenothiazines

question

Drug actions for Phenergan

answer

Blocks the effects of histamine. Has inhibitory effect on the chemoreceptor trigger zone in the medulla, resulting in antiemetic properties.

question

Side effects of Phenergan

answer

NEUROLEPTIC MALIGNANT SYNDROME, confusion, disorientation, sedation

question

Nursing implications for Phenergan

answer

HIGH ALERT: If administered IV, assess for burning and pain at IV site, may cause severe tissue injury. Avoid IV administration, if possible. If pain occurs, discontinue administration immediately.

question

Routes of administration for Phenergan

answer

PO, IM, IV, Rect

question

Pertinent lab values related to Phenergan

answer

May cause false-positive or false-negative pregnancy test results. Evaluate CBC periodically during chronic therapy; blood dyscrasias may occur. May cause an increase in serum glucose. May cause false-negative results in skin tests using allergen extracts.

question

Brand name: Phenergan

answer

Generic name: promethazine

question

Drug classification for magnesium sulfate

answer

Therapeutic: mineral and electrolyte replacements/supplements Pharmacologic: minerals/electrolytes

question

Drug actions for magnesium sulfate

answer

Essential for the activity of many enzymes. Plays and important role in neurotransmission and muscular excitability.

question

Side effects for magnesium sulfate

answer

diarrhea, decreased respiratory rate, arrhythmias, bradycardai, hypotension

question

Nursing implications for magnesium sulfate

answer

Monitor pulse, bp, respirations, and ECG frequently throughout administration of parenteral magnesium sulfate. Respirations should be at least 16/min before each dose.

question

Potential routes of administration for magnesium sulfate

answer

IM, IV

question

Pertinent lab values related to magnesium sulfate

answer

Monitor serum magnesium levels and renal function periodically throughout administration of parenteral magnesium sulfate.

question

Drug classifications for Pitocin

answer

Therapeutic: hormones Pharmacologic: oxytocics

question

Drug action for Pitocin

answer

Stimulates uterine smooth muscle, producing uterine contractions similar to those in spontaneous labor. Has vasopressor and antidiuretic effects

question

Side effects for Pitocin

answer

COMA, SEIZURES, INTRACRANIAL HEMORRHAGE, ASPHYXIA (fetal), increased uterine motility, painful contractions

question

Nursing implications for Pitocin

answer

Fetal maturity, presentation, and pelvic adequacy should be assessed prior to administration of oxytocin for induction of labor. Assess character, frequency, and duration of uterine contractions.

question

Routes of administrations for Pitocin

answer

IV, IM

question

Pertinent lab values related to Pitocin

answer

Monitor maternal electrolytes. Water retention may result in hypochloremia or hyponatremia.

question

Brand name: Pitocin

answer

Generic name: oxytocin

question

Drug classifications for Vicodin

answer

Therapeutic: allergy, cold, and cough remedies, opioid analgesics Pharmacologic: opioid agonists/nonopioid analgesic combinations

question

Drug actions for Vicodin

answer

Bind to opiate receptors in the CNS. Alter the perception of and response to painful stimuli while producing generalized CNS depression

question

Side effects of Vicodin

answer

Confusion, dizziness, sedation, hypotension, constipation, dyspepsia, nausea

question

Nursing Implications for Vicodin

answer

Assess blood pressure, pulse, and respiration before and periodically during administrations. Accidental overdose of opioid analgesics has resulted in fatalities.

question

Routes of administration for Vicodin

answer

PO

question

Pertinent lab values related to Vicodin

answer

May cause and increase in plasma amylase and lipase concentrations

question

Brand name: Vicodin

answer

Generic name: hydrocodone/acetaminophen

question

Drug classification for Ibuprofen

answer

Therapeutic: antipyretic, antirheumatics, nonopiod analgesics, nonsteroidal anti-inflammatory agent Pharmacologic: nonopiod analgesics

question

Drug action for Ibuprofen

answer

Inhibits prostaglandin synthesis

question

Side effects of Ibuprofen

answer

GI BLEEDING, HEPATITIS, EXFOLIATIVE DERMATITIS, STEVENS-JOHNSON SYNDROME, TOPIC EPIDERMAL NECROLYSIS, ANAPHYLAXIS

question

Nursing implications for Ibuprofen

answer

Patients who have asthma, aspirin induced allergy, and nasal polyps are at increased risk for developing hypersensitivity reactions. Assess for rhinitis, asthma, and urticaria. Assess patient for skin rash frequently during therapy.

question

Routes of administration for Ibuprofen

answer

PO, IV

question

Pertinent lab values related to Ibuprofen

answer

BUN, serum creatinine, CBC, and liver function tests should be evaluated frequently.

question

Brand name: Motrin

answer

Generic name: ibuprofen

question

Drug classification for Cytotec

answer

Therapeutic: antiulcer agent, cytoprotective agents Pharmacologic: prostaglandins

question

Drug actions for Cytotec

answer

Acts as a prostaglandin analog, decreasing gastric acid secretion and increasing the production of protective mucus. Caused uterine contractions.

question

Side effects of Cytotec

answer

Abdominal pain, diarrhea, miscarriage

question

Nursing implications for Cytotec

answer

Assess patient frequently for epigastric or abdominal pain or frank or occult blood in stool, emesis, or gastric aspirate. DO NOT CONFUSE CYTOTEC WITH CYTOXAN

question

Pertinent lab values for Cytotec

answer

None noted

question

Brand name: Cytotec

answer

Generic name: misoprostol

question

Drug classification for fentanyl

answer

Therapeutic: opioid analgesic Pharmacologic: opioid agonists

question

Drug actions for fentanyl

answer

Bind to opiate receptors in the CNS, altering the response to and perception of pain. Produces CNS depression.

question

Side effects fo fentanyl

answer

APNEA, LARYNGOSPASM

question

Nursing implications of fentanyl

answer

Monitor respiratory rate and bp freqently throughout therapy. Report significant changes immediately.

question

Potential routes of administration of fentanyl

answer

IM, IV

question

Pertinent lab values related to fentanyl

answer

May cause increase in serum amylase and lipase concentrations

question

Brand name: Sublimaze

answer

Generic name: fentanyl

question

Drug classification for terbutaline

answer

Classification: Therapeutic: bronchodilators Pharmacologic: adrenergic

question

Drug action for terbutaline

answer

results in the accumulation of cyclic adesine monophosphate at beta-adrenergic receptors. Produces bronchodilation. Inhibits the release of mediator of immediate hypersensitivity reactions from mast cells. Relatively selective for beta2 adrenergic receptor sites with less effect on beta1 adrenergic receptors.

question

Side effects for terbutaline

answer

results in the accumulation of cyclic adesine monophosphate at beta-adrenergic receptors. Produces bronchodilation. Inhibits the release of mediator of immediate hypersensitivity reactions from mast cells. Relatively selective for beta2 adrenergic receptor sites with less effect on beta1 adrenergic receptors.

question

Nursing implications for terbutaline

answer

Preterm labor: Monitor maternal pulse and BP, frequency and duration of contractions, and fetal heart rate. Notify if contractions persist or increase or if fetal or maternal distress occurs. Maternal side effects include tachycardia, palpitations, tremor, anxiety and headache.

question

Routes of administration for terbutaline

answer

PO, Subcut, IV

question

Pertinent lab values for terbutaline

answer

Lab Values: may cause transient decrease in serum potassium concentration with higher than recommended doses. Monitor maternal serum serum glucose and electrolytes. May cause hypokalemia and hypoglycemia. Monitor neonate's serum glucose because hypoglycemia may also occur in neonates.

question

Brand name: Brethine

answer

Generic name: terbutaline

question

Drug classification for erythromycin

answer

Therapeutic: anti-infective Pharmacologic: macrolides

question

Drug action for erythromycin

answer

suppresses protein synthesis at the level of 50S bacterial ribosome

question

Side effects for erythromycin

answer

CV- QTC Prolongation (may results in torsades de pointes) Ventricular arrhythmias

question

Nursing implications for erythromycin

answer

Implications- Assess for infection at beginning and during therapy Obtain specimens for culture and sensitivity before initiating therapy and during

question

Routes of administration for erythromycin

answer

Routes: topical (list specifies ophthalmic ointment) topical for ophthalmic use Other routes include: PO, IV

question

Pertinent lab values for erythromycin

answer

Lab Values: Monitor liver functions on patients receiving long-term therapy May cause increased serum bilirubin, AST, ALT, and alkaline phosphates concentrations May cause false increase of urinary catecholamine

question

Brand name: E-Mycin

answer

Generic name: erythromycin

question

Drug classification for gentamicin

answer

Therapeutic: anti-infectives Pharmacologic: aminoglycosides

question

Drug action for gentamicin

answer

Inhibits protein synthesis in bacteria at level of 30S ribosome

question

Side effects of gentamicin

answer

Ataxia

question

Nursing implications for gentamicin

answer

- Assess for infection at the beginning of and throughout therapy o Vital signs, wound appearance, sputum, urine, stool, WBC

question

Potential routes of administration for gentamicin

answer

- Parenteral (IV, IM) - IT - Topical

question

Pertinent lab values for gentamicin

answer

None noted

question

Brand name: Gentamicin

answer

Generic name: Aminoglycosides

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