funds medications and herbal remedies

purpose of acetaminophen

pain and fever reduction

adverse affects of acetaminophen

liver damage and hypertension

contraindication of acetaminphen

alcohol use

interactions of acetaminophen

alcohol increases the risk of liver injury, warfarin increases the risk of bleeding, cholestyramine decreases absorption

action of acetaminophen

cox inhibitor, limited to CNS; not an anti-inflammatory or anticoagulant

interventions for acetaminophen

monitor for abdominal discomfort, nausea, vomiting, diarrhea, and diaphoresis

purpose of aspirin

inflammation, pain, fever reduction, and inhibition of platelet aggregation

action of aspirin

blocks COX-1 and COX-2

adverse affects of aspirin

GI upset, heartburn, nausea, gastric bleeding/ulceration, salicylism, Reye’s disease

interventions for aspirin

monitor for GI bleeding, monitor intake and output

aspirin can be given prophylactically for ______

myocardial infarction

purpose of ibuprofen

inflammation, pain, fever

action of ibuprofen

inhibits COX-1 and COX-2

adverse affects of ibuprofen

gastric upset, heartburn, nausea, GI bleeding/ulceration

interventions for ibuprofen

monitor for bleeding and intake/output

purpose of morphine

moderate-severe pain, preoperative sedation, decreases anxiety

action of morphine

mimics naturally occurring opioids and endorphins

adverse affects of morphine

respiratory depression, sedation, constipation, nausea, vomiting, orthostatic hypotension, urine retention

interventions for morphine

monitor vital signs and intake and output

purpose of naloxone

reversal of opioids, overdose, and neonatal respiratory depression

action of naloxone

blocks opioid receptors

adverse affects of naloxone

ventricular arrythmias, increased HR and RR, withdrawal symptoms, hypertension, vomiting, tremors

interventions for naloxone

monitor vital signs, level of consciousness, nausea and vomiting, tachycardia and diaphoresis

purpose of prednisone

pain and inflammation

what type of medication is prednisone

corticosteroid or glucocorticoid

action of prednisone

mimics cortisol by suppressing inflammation, inhibits prostaglandins and pain, decreased capillary permeability, decreases swelling and lysosomal activity

adverse affects of prednisone

hyperglycemia, adrenal function depression, GI distress, fluid retention, immunosuppression, bone loss, myopathy

interventions for prednione

monitor for adrenal insufficiency (hypotension and fatigue), monitor glucose, and GI bleeding

purpose of sumatriptan

relieve manifestations of migraine or cluster headaches

action of sumatriptan

vasoconstriction and reversing inflammation; serotonin agonist

adverse affect of sumatriptan

chest pressure, heaviness, vasospasm of coronary vessels, tingling sensations, and vertigo

interventions for sumatriptan

patient education, monitor vital signs, use pain scale

what is aloe for

skin repair and bowel discomfort

contraindications for aloe

can decrease efficacy of oral meds

what is chamomile for

skin, GI, diarrhea, sleeplessness

contraindications for chamomile

allergic reaction and reactions with cyclosporine and warfarin

what is echinacea for

colds, infections, and skin disorders

contraindications for echinacea

skin hasn’t been validated

what is garlic for

decreasing cholesterol and blood pressure

what is ginger for

nausea, vomiting, and motion sickness

what is ginko biloba for

symptoms of dementia and memory

contraindications for ginko biloba

interferes with anticoagulants

what is ginseng for

energy, stamina, and overall good health

contraindications for ginseng

might interact with anticoagulants

what is st. john’s wart for

depression and insomnia

contraindications for st. john’s wart

effects serotonin when used with antidepressants; affects digoxin, cyclosporin, anticoagulants, birth control, HIV, and cancer

what is valerian for

anxiety and insomnia

contraindications for valerian

don’t use with alcohol or sedatives