308 : MEDICATION ADMINISTRATION

lists of medications + their classifications, holds, and nursing considerations

How would you explain METOPROLOL to a patient?

* **CLASSIFICATION:** Beta Blocker
* **NURSING CONSIDERATIONS:** May cause dizziness, risk for falls
* a.k.a **LOPRESSOR**

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__**METOPROLOL**__ is a BETA BLOCKER that helps __**lower your blood pressure**__. While taking this medication, you may feel some __**symptoms of dizziness**__, which can put you at __**risk for falls**__. If you ever feel like you are __**dizzy**__, please let me know.

How would you explain COLACE to a patient?

* **CLASSIFICATION:** Stool Softener
* **NURSING CONSIDERATIONS:** May cause diarrhea
* a.k.a *DOCUSATE*

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__**CLOASE**__ is a __**STOOL SOFTENER**__, that will help you go to the bathroom more easily. You may experience __**diarrhea**__ while taking this medication. If you start experiencing __**diarrhea,**__ please let me know.

How would you explain FUROSEMIDE/LASIX to a patient?

* **CLASSIFICATION:** loop diuretic
* **NURSING CONSIDERATIONS:** May cause dizziness
* a.k.a FUROSEMIDE/LASIX

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__**LASIX**__ (__**FUROSEMIDE)**__ is a __**LOOP DIURETIC**__, that can help lower your blood pressure. Side effects of this medication can include __**dizziness**__, so if you start feeling dizzy, please let me know.

How would you explain ROCEPHIN to a patient?

* **CLASSIFICATION:** Cephalosporin Antibiotic
* **NURSING CONSIDERATIONS:** May cause diarrhea or upset stomach
* CEFTRIAXONE

__**ROCEPHIN**__ is an antibiotic for cephalosporin, which treats bacterial infections. While you taking this medication, you might experience some __**diarrhea**__. If you do, please let me know.

How would you explain HUMULIN NPH to a patient?

* **CLASSIFICATION:** Intermediate-acting hormone
* **NURSING CONSIDERATIONS:** Call for any concerns, especially for signs/symptoms of hypoglycemia

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__**HUMULIN NPH**__ is an __**intermediate-acting hormone**__ that will help control your blood glucose levels. If yous start displaying symptoms of __**hypoglycemia**__ as feelings of __**anxiety, dizziness, fast heart rate, and etc.**__ please let me know.

How would you explain TUBERCULIN PURIFIED PROTEIN DERIVATIVE (PPD) to a patient?

* **CLASSIFICATION:** diagnostic agent
* **NURSING CONSIDERATIONS:** The site must be checked by a RN or provider/physician in 48 hours. __*Positive signs are redness and induration*__ but do not necessarily reflect a positive status of TB. Further investigation is needed.

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__**PPD**__ is a __**diagnostic agent**__ to check if you have tuberculosis. You will have to __**come back again in 48 hours**__, and an __**RN or your physician will look for any positive signs**__ of tuberculosis & determine if any __**future investigation is needed**__.

How would you explain REGULAR INSULIN to a patient?

* **CLASSIFICATION:** Short-acting hormone
* **NURSING CONSIDERATIONS:** Call for any concerns especially for signs/symptoms of low blood sugar, which may include fatigue/lethargy, sweating, dizziness, hunger, fast heartbeat, feeling shaky, irritability.

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__**REGULAR INSULIN**__ is a short-acting hormone, that will help control your blood glucose levels. While taking this medication, you may feel symptoms caused by __**low blood sugar**__, such as __**tiredness, sweating, dizziness, hunger, a fast heartbeat**__, etc. If you start feeling any of these symptoms, please let me know.

A patient asks you,” Why do I need to take Humulin NPH and Insulin? Isn’t that like double the Insulin?” How would you respond to them?

__**HUMULIN NPH**__ is an intermediate-acting hormone, so the medication will take around 5-6 hours to be effective. While INSULIN is a short-acting hormone, allowing the medication to take 5-15 minutes to be effective.

How would you explain HEPARIN to a patient?

* **CLASSIFICATION:** Anticoagulant, Inhibit Xa, IIa, fibrin stabilizing factor.
* **NURSING CONSIDERATIONS:** Call for any injury sustained. As it is a “blood-thinner” (anticoagulant), it is used to prevent or treat clots, you may bruise more and bleeding will take longer to stop.

__**HEPARIN**__ is a __**blood thinner**__ that can help prevent blood clots. While taking this medication, you may notice that you __**bruise easily or any bleeding will take longer to stop**__. If you notice any of these symptoms, please let me know.

How would you explain DIGOXIN to a patient?

* **CLASSIFICATION:** Cardiac Glycosides
* **NURSING CONSIDERATIONS:** May cause dizziness, loss of appetite, diarrhea, changes in vision. Call with concerns.

__**DIGOXIN**__ is a __**cardiac glycoside**__ ==that helps to treat heart failure and certain irregular heartbeats.== While taking this medication, you may experience symptoms of __**dizziness, loss of appetite, diarrhea, and changes in vision**__. If you notice any of these symptoms, please let me know.

How would you explain ASPRIN to a patient?

* **CLASSIFICATION:** Non-steroidal anti-inflammatory agent (NSAID), anti-platelet aggregate
* **NURSING CONSIDERATIONS:** Call for any injury sustained. Aspirin acts to make platelets less sticky to prevent clotting, you may bruise more, and bleeding will take longer to stop.

__**ASPRIN**__ is used to __**prevent your blood from clotting**__, so you may experience some __**symptoms of bruising or notice that bleeding**__ will take a longer time to stop. If you notice any of these symptoms, please let me know.

When would you NOT give a patient METOPROLOL?

Low HR, Low BP, Allergy

When would you NOT give a patient COLACE?

Loose BM, Allergy

When would you NOT give a patient LASIX/FUROSEMIDE

Low K+, Low BP, Allergy

When would you NOT give a patient ROCEPHIN?

Allergy

When would you NOT give a patient HUMULIN NPH?

Low Capillary Blood Glucose, Allergy

When would you NOT give a patient TUBERCULIN PURIFIED PROTEIN DERIVATIVE (PPD)?

Allergy

When would you NOT give a patient REGULAR INSULIN (R)?

Capillary Glucose out of range, Allergy

When would you NOT give a patient HEPARIN?

Allergy, imminent surgery (if there is a potential for any upcoming surgery, consult the physician for ANY anticoagulant)

When would you NOT give a patient DIGOXIN?

Low HR, Low K+

When would you NOT give a patient ASPRIN?

Allergy, imminent surgery (if there is a potential for any \n upcoming surgery, consult the physician for ANY anti-platelet aggregate)

What are the “normal” values for HEART RATE?

60-100

What are the “normal” values for BLOOD PRESSURE?

* sys

What are the “normal” values for POTASSIUM (K+)?

What are the “normal” values for SERUM GLUCOSE?

70-105

What are the “normal” values for BM STATUS?

formed/normal