oscy practice

medications

Captopril (oral) action and inication

action - decreases BP

indication - hypertension, heart failure

captopril (oral) side effects

side effects- dry cough, dizziness, high potassium

captopril (oral) check before administering

check before administering - allergies, potassium/renal function, give on an empty stomach

captopril (oral) nursing assessment

nurse assessment - BP. Hold and report if below prarmeter

digoxin (oral) action and indication

action - slows the heart rate and strengthens each beat

indication - artierial fibrillation, heart failure

digoxin (oral) side effects

side effects- nausea, vommiting, yellow-green vision

digoxin (oral) check before administering

check before administering - potassium level, dose, potassium

digoxin (oral) nursing assesment

nurse assessment - apical pusle for one minute, report if under 60bpm

Paracetamol (oral) action and indication

action - relieves pain and lowers fever

indication - mild to moderate pain, fever

Paracetamol (oral) side effects

side effects - liver damage in overdose, rarely rash

Paracetamol (oral) check before administering

check before administering - dose in the last 24hrs, time of last dose, max daily dose, liver disease/alcohol, other products with paracetamol

Paracetamol (oral) nursing assessment

nurse assessment - pain score before and after, hydration, abdominal pain

ibuprofen (oral) action and indication

action - relieves pain, swelling and fever.

indication - mild to moderate pain, inflammation, fever

ibuprofen (oral) side effects

side effects - stomach irritation/ulcers/bleeding, kidney problems, raised BP, asthma flare

ibuprofen (oral) check before administering

check before administering - aspirin allergy, ulcer history, kidney/heart disease, give with food.

ibuprofen (oral) nursing assessment

nurse assessment - pain score before and after, hydration, abdominal pain

actrapid (subcutaneous) action and indication

action - lowers blood sugar

indication - diabetes with raised blood glucose

actrapid (subcutaneous) side effects

side effects - lumps at injection sites, hypoglycaemia, weight gain

actrapid (subcutaneous) check before administering

check before administering - insulin type, dose (second RN check), expiry, clear appearence, meal avaliable

actrapid (subcutaneous) nursing assessment

assess: BGL just before giving, and choose and rotate the injection site

enoxaparin / clexane (subcutaneous) action and indication

action - prevents blood clots

indication - prevention and treatment of DVT/PE, some acute coronary syndromes

enoxaparin / clexane (subcutaneous) side effects

side effects - bleeding, bruising, injection site haematoma, low platelets

enoxaparin / clexane (subcutaneous) check before administering

check before - allergies, active bleeding, platelets/renal function

enoxaparin / clexane (subcutaneous) nursing assessment

nursing assessment - bleeding risk