NURS 1540 Unit 2 Medications

Comprehensive vocabulary and clinical practice cards for NURS 1540 Unit 2 medications based on the lecture study guide.

Albuterol (Ventolin)

A Bronchodilator known as a "Rescue inhaler" indicated to treat or prevent bronchospasms, open bronchi with Asthma, and treat wheezing and SOB in COPD.

Mometasone (Asmanex)

An Inhaled Corticosteroid used to decrease and prevent airway inflammation for maintenance of asthma.

Lisinopril (Zestril)

An ACE inhibitor that decreases vascular resistance by relaxing vessels to treat HTN.

Digoxin (Lanoxin)

A Cardiac Glycoside/Antiarrhythmic that slows and strengthens the myocardial contraction for treatment of dysrhythmias and CHF.

Nitroglycerin (Nitrostat)

A vasodilator/antianginal used for the treatment of angina/MI and as an adjunct treatment for CHF.

Epinephrine (Adrenalin)

An Adrenergic agent that increases contractility of the heart and causes bronchodilation and vasoconstriction; used in allergic reactions, cardiac arrest, and shock.

Albuterol Nursing Implications

Wait $1-2\,minutes$ between puffs of MDI and use a spacer to assist in delivery.

Mometasone administration sequence

Take bronchodilator first if prescribed and allow $5\,min$ before taking; always rinse mouth after use.

Lisinopril Nursing Implications

Check BP before admin and watch for signs of CHF/fluid overload, including weight and I and O.

Digoxin Toxicity symptoms

Confusion, irreg. pulse, fatal arrythmia, tachycardia, N/V diarrhea, and blurred vison.

Digoxin Heart Rate Requirement

Check apical pulse for $1\,min$; hold if pulse is less than $60$.

Digoxin Therapeutic level

The drug level should be between $0.5 - 2\,ng/mL$.

Nitroglycerin SL administration

Given as a $0.4\,mg$ tab every $3-5\,minutes$ x3 for angina; store in a dark glass container.

Nitroglycerin IV administration

If on an IV Nitro drip, the patient must be on telemetry to monitor heart rate.

Epinephrine safety protocols

Have a second practitioner confirm correct dosage calculations and monitor BP, pulse, and urine output.

Mometasone side effects

Oral fungal infection, pharyngitis, rhinitis and sinusitis, bronchospasm, cough and wheezing.

Lisinopril side effects

Orthostatic Hypotension, Cough, Dizziness, Fatigue, HA, blurred vision, and angioedema.