Oral and Topical Medications (Sheet)

60 bpm

if a drug lowers heart rate, hold for a HR less than

90mmHg

if it lowers BP, hold for SBP less than

pain, inflammation, fever, prevention of heart attack or stroke

indications for use of aspirin (4)

tinnitus, hyperventilation, confusion, lethargy, agitation, sweating, and diarrhea

symptoms of toxicity for aspirin (7)

GI side effects (irritation & bleeding)

main side effects of aspirin

increased risk of bleeding; may need to stop up to a week before a procedure

pt education that is needed with aspirin

pain and fever

things to assess before giving aspirin (2)

apical heart rate

pre-admin assessment for digoxin

bradycardia, vision changes, and GI symptoms

toxicity of digoxin symptoms (3)

digoxin immune fab

antidote to digoxin

treats CHF and AFib

indication for digoxin

BP, electrolytes, excess fluid

pre-administration assessment for furosemide (3)

BUN & Cr (kidney function) and K+

what are some lab values we could check before giving furosemide?

potassium wasting diuretic

what does furosemide do? classification?

edema

what does furosemide treat?

electrolytes, fluid status (I & O, daily weights), improved BP

monitor these when on furosemide (3)

diuresis

what is the BBW for furosemide?

fall risk; because of dizziness

what must you protect your patient from when on furosemide and why?

Reinforce lifestyle changes required for new diabetics

what is metformin used for?

glucose and HgbA1C to determine improvement of blood sugar

what should you monitor for in a patient taking metformin?

IV contrast

this can lead to renal failure if the patient is also taking metformin

antihypertensive

metoprolol is a…

decrease HR or BP

metoprolol can be used to

HTN, types of MI and stable symptomatic HP

what does mom say the indications for metoprolol are? (3)

HR & BP

know what before administering metoprolol?

bradycardia, fatigue, dizziness, low BP

what are some common adverse effects of metoprolol? (4)

glucagon

what is the antidote to metoprolol?

INR level

for patients taking Warfarin monitor…

2-3

therapeutic range for INR is typically…

vitamin K1

antidote for warfarin

bleeding

what is the patient at increased risk of with warfarin?