N113 Comprehensive Medication Checkoff Reference Sheet

Albuterol sulfate (Ventolin HFA)

considerations, SEs/ADRs, indications, Assessments for effectiveness?

special considerations: watch for tachycardia, hypokalemia. Caffeine = increased stimulation

SE: tachycardia, tremors, paradoxical bronchospasm

Indication for checkoff: Asthma or COPD

Medication

Assess improved airway clearance AEB clear lung sounds, absence of SOB, SpO2 >95%

Diazepam (Valium) IM considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Considerations- hold for oversedation

SE ADRs: dizziness, drowsiness, OrthoHypertension,

Indication: Anxiety/agitation

Assessments: reassess for indications and signs of oversedation 15-30 mins post admin

Furosemide (Lasix) considerations, SE/ADRs, indications, Nursing assessments for effectiveness

considerations: give in AM to avoid sleep disruption; monitor potassium, hold for hypokalemia

SE/ADRs: polyuria, hypotension, Stevens-Johnson Syndrome

Indication: congestive HF

Assessments: decreased Edema/BP, Increased diauresis/UOP

heparin sodium (Heparin) considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Considerations: hold for drop in platelets, s/sx hemorrhage, HIT,

Diet increase risk of bleeding: ginkgo, garlic, green tea

SE ADRs: Bruising(injection site), HIT,

Indications: VTE prophylaxis

Assessments : monitor CBC (platelets, Hbg, Bct) and/or PTT, INR, s/sx of bleed (stool, hematemesis)

Hydromorphone (Dilaudid) IM considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Considerations: respiratory depression, opioid-naive patients

SE/ADRs: drowsiness; nausea, respiratory depression, sedation

Indication: pain

Assess: reassess pain 15-30 mins; RR, sedation level

Insulin lispro (Humalog, Novolog) SUBCUT considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Rapid acting insulin, Administer with food immediately available

SE: Hypoglycemia - sweating, headache, confusion

Indication: diabetes

Assessments: monitor BG, S/Sx of hypoglycemia

glucose goa 70/130

insulin glargine (Lantus) SUBCUT considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Consider: long acting insulin, may impact glucose

SE:Hypoglycemia - sweating, headache, confusion

Indication: diabetes Mgmt

assess monitor glucose goal 70-130

neomycin and polymyxin B sulfates & hydrocortisone(Cortisporin) Otic (Suspension) considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Considerations: crontraindicated- perforated tympanic membrane

SE/ADRs :ear irritation, dizziness, hypersensitivity

Indication: ear infection

Assessment: decreased ear pain/discomfort

nitroglycerin (Nitro-Bid) -Topical considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Considerations: hold for hypotension (SBP <100) do not use w/ED drugs- fatal hypotension

SE/ADRs: headache, hypotension, CV collapse

Indication: stable Angina

Assessments: decreaed/prevention of anginal pain

Potassium Chloride - oral solution

(Klor-Con; K-Lor) considerations, SE/ADRs, indications, Nursing assessments for effectiveness

Consideration: Monitor K (3.5-5mg/dL)

increased sensitivity to ACE inhibitors, calcium and potassium sparing diuretics

SE/ADRs: NVD, Dysrhythmias

indication: potassium supplement/replacement

Assess: K level 3.5-5

absence of muscle weakness, cardiac changes

Timolol (timoptic) - opthamalic solution

considerations, SE/ADRs, indications, Nursing assessments for effectiveness

consider: monitor for systemic absorption (hypotension/bradycardia)

SE/ADR: burning/itching, blurred vision after installation

indication Glaucoma

assess absence of increased intraocular pressure (need reading/reader)