N340: pharm final-nurse education

med administration instruction for your patients

omeprazole

PO daily, 1st a.c.

odansetron

PO sublingual, IV push slow

aluminum hydroxate (antacid)

chew well then drink 8oz H2O; max 4x/day; 1hr a.c. or 1-3hr p.c. & h.s.

docusate sodium

NPO except H2O/juice; no other laxative within 2hrs; drink lots of H2O

metoclopramide

30 mins a.c. or h.s.

psyllium

1-3x/day with 8oz H2O

sevelemer

swallow whole pill, or drink powder mix within 30mins; 1hr pre- or 3hr post- other meds

Calcium- citate & carbonate

take with vitamin D

phenytoin

do NOT stop seizure med abruptly; wear medical alert bracelet

levadopa/carbidopa

takes up to 6 months for full therapeutic effects; wear medical alert bracelet

levothyroxine

first thing in the morning, 30mins 1st a.c.; monitor T4/TSH every 6-8 weeks

rapid-acting (lispro)

o: 15-30mins; p: 30mins-1.5hrs; d: 3-6hrs

meal coverage + take w/ meal; don’t use if cloudy/discolored

short-acting (regular insulin)

o: 30mins-1hr; p: 1-5hrs; d: 6-10hrs

prep as an IV; don’t use if cloudy/discolored

intermediate-acting (NPH)

o: 1-2hrs; p: 6-14hrs; d: 16-24hrs

take w/ meal same time daily; keep snacks d/t long peaks

long-acting (glargine)

o: 70mins; p: none; d: 18-24hrs

as long as you take it, you’re good :)

warfarin (INR: 2-3, PT: 11-13.5)

3-day cumulative effects; don’t increase dietary vit. K

lab work every 1-3 weeks until therapeutic range; d/c 7 days pre-op

apixaban (if convert from warafin: INR <2)

don’t double dose if missed 1; d/c 48hrs pre-op

heparin (monitor PPT)

d/c 7 days pre-op; subQ or IV drip (fast-acting, can turn on/off)

ethinyl estradiol

no salt substitute d/t hyper-K

finasteride (ball shrinker)

take 6-12 months can cause decrease prostate size;

wear gloves since transdermal

oxybutynin

x2-4/day or extended-release tablet

albuterol

15-20mins before exercise

major contraindication for digoxin

calcitriol

beclomethasone

rinse mouth after use

diphenhydramine

60-90mins for effect, no caffeine or EtoH

patho: crohn’s

rebound tenderness

patho: peptic ulcers

tenderness when palpate

patho: fresh frozen plasma

reverses warfarin d/t plasma has a lot coagulation factor

vancomycin

narrow peak/trough

enoxaparin (low molecular weight, long-acting)

subQ (since long acing)

aka. subQ Heparin

patho: contraindication for ethinyl estradiol

breast cancer patient who have estrogen receptor that feeds the cancer; history of clotting since can put you at risk for clot

albuterol + ipatropium

max effect! a powerful bronchodilator

morphine

dilate & IV push slow; RR < 10: give naloxone

acetaminophen (Tylenol)

does not decrease inflammation

guaifenesin

need lots of H2O to work