NUR 245 Nursing Implications

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albumin Nursing Implications
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Monitor vital signs, central venous pressure, intake and output. Assess for signs of vascular overload before and after administration. Monitor serum sodium levels; may cause an increase in concentrations. Monitor hemoglobin and hematocrit levels; these values may decrease due to hemodilution.
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allopurinol Nursing Implications
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Assess for rash, monitor I/O, monitor serum & urine uric acid levels. Monitor glucose, Hgb, Hct, BUN, Creatinine & liver function.
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alteplase Nursing Implications
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Begin as soon as symptoms appear. Assess for bleeding every 15 minutes after administration during first hour, then every 30 for next 8 hours. Monitor Hct, Hgb, platelet count, PTT
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amiodarone Nursing Implications
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Asses I/O, (K+, Na+, Cl-), liver function tests, ECG, vital signs
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apixaban Nursing Implications
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watch for signs of bleeding and symptoms of stroke
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atorvastatin Nursing Implications
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obtain dietary history. Monitor LFTs.
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atropine Nursing Implications
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Monitor vitals, ECG, abdominal dissension, constipation, confusion, drowsiness. Antidote: Physostigmine
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carvedilol Nursing Implications
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Assess BP, monitor for hypotension and bradycardia. Monitor I/O and daily weights.. May cause increased blood glucose levels
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clopidogrel Nursing Implications
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Assess for symptoms of MI, stroke, or peripheral vascular disease. Monitor CBC with differential, bleeding time. may cause increase in serum bilirubin, liver enzymes, total cholesterol & uric acid levels
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dobutamine Nursing Implications
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monitor BP, HR, cardiac output, central venous pressure, and urinary output. Palpate peripheral pulses and assess appearance of extremities routinely. Do not discontinue suddenly.
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droperidol Nursing Implications
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monitor BP & pulse. Assess level of sedation. Observe for extrapyramidal effects.
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epinephrine Nursing Implications
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Assess for rebound bronchospasm, chest pain & arrhythmias. Assess volume status. Assess for increase in glucose & serum lactic acid. Assess for decrease in serum potassium.
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epoetin Nursing Implications
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Monitor BP as HCT rises. Assess renal studies, urinalysis, protein, BUN, creatinine, ferritin, transferrin monthly. Monitor for seizures.
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fenofibrate Nursing Implications
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monitor serum lipids, AST, ALT. May cause moderate decrease in Hgb, Hct, WBC assess for cholelithiasis
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filgrastim Nursing Implications
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Assess CBC, plt count. Assess BP, respirations, pulse. Assess bone pain. Flush with DEXTROSE, NOT NS. Do not shake.
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fluticasone + salmeterol Nursing Implications
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monitor vitals, weight, glucose, electrolytes, ECG, adrenal function. Assess growth rate in children.
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ipratropium bromide + albuterol Nursing Implications
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assess for allergy to atropine & bella donna Assess respiratory status prior to and at peak of medication. notify HCP of bronchospasm
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mannitol Nursing Implications
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monitor VS, urine output, and central venous pressure. Assess for signs of electrolyte imbalance. Monitor neurologic status and intracranial pressure. Monitor renal function and serum electrolytes throughout therapy.
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montelukast Nursing Implications
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Monitor for changes in behavior/thoughts of suicide. Lung sounds and respiratory sounds. Allergy symptoms.
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niacin Nursing Implications
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obtain diety history Monitor glucose, uric acid, hepatic function, serum cholesterol & triglyceride levels.
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nitroglycerine Nursing Implications
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Record characteristics of chest pain. Monitor BP and apical pulse before administration. Monitor ECG continuously for IV administration. Do not discharge defibrillator over ointment on chest.
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norepinephrine Nursing Implications
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assess for hypovolemia and fix this first if present. Assess peripheral circulation. monitor ECG, BP, urine output, IV site.
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propranolol Nursing Implications
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monitor BP and pulse. MUST HAVE ECG if IV. Assess for OSHT. Monitor I/O, daily weight. Assess for fluid overload. Monitor for increase in BUN, serum lipoprotein, potassium, triglyceride & uric acid levels.
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tiotropium Nursing Implications
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assess respiratory status before administration Consult HCP if bronchospasm. If wheezing, hold med and notify provider.
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valsartan Nursing Implications
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Monitor BP & pulse. Monitor daily weight, assess for fluid volume overload or depletion. Monitor renal function & K+

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