Medication Administration PBA

acetaminophen

MOA - activates descending serotonergic inhibitory pathway to CNS

Indication - mild to moderate pain or fever, HA

Contraindication - hypersensitivity, aspartame, saccharin

Parameters - don’t exceed 4mg per day, monitor AST & ALT, watch for jaundice

SE - report signs of dark urine, yellowing of the eyes, or persistent nausea

Digoxin

MOA - inhibits NA/K ATPase making calcium more available for contractile proteins

Indications - A-fib, HF

Contraindications - V-fin, V-tach, 2nd or 3rd degree heart block

Parameters - hold for HR <60 bpm, monitor for bradycardia and dysrhythmias

SE - HA, yellow-green halos, drowsiness

Heparin

MOA - prevents conversion of fibrinogen to fibrin

Indications - prevention and treatment of MI & treatment of DIC

Contraindications - active bleeding, TCP, severe, uncontrolled HTN

Parameters - monitor aPTT and PTT, watch for HIT ans signs of bleeding

SE - more frequent nose bleeds, bleeding gums (use soft bristle toothbrush)

Influenza

MOA - stimulates immune system to produce antibodies against influenza virus

Indications - prevention of seasonal influenza

Contraindications - allergy to vaccine components, moderate to severe acute illness

Parameters monitor for signs of allergic reaction after injection

SE - soreness at injection site, mild fever, fatigue

Regular Insulin

MOA - decreased blood glucose by increasing transport of glucose into cells and increases the conversion of glucose to glycogen

Indications - Type 1 and 2 DM, GD

Contraindications - hypoglycemia, renal impairment, liver disease

Parameters - Check blood glucose before, watch for signs of hypoglycemia (shaky, sweaty, tachycardia)

SE - tachycardia, muscle weakness, and fatigue

Lisinopril

MOA - suppresses RAAS, prevents conversion of angiotensin I to angiotensin II

Indications - mild to moderate HTN, acute MI

Contraindications - Hx of angioedema, hyperkalemia, bilateral renal artery stenosis

Parameters - monitor for low BP, monitor BUN/creatinine

SE - dry persistent cough, muscle weakness, fatigue