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Flashcards in Med admin checkoff drugs Deck (20)
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1
Q

acetaminophen (oral), drug type and uses

A

Analgesic & Antipyretic

  • Reduce mild to moderate pain or fever
  • Arthritis
2
Q

Acetaminophen Adverse Reactions and Side Effects

A
  • Hepatotoxicity
  • Renal failure
  • Constipation
  • Nausea/Vomiting
  • Hypo- Hypertension
  • Toxic epidermal necrolysis
  • Stevens-Johnson syndrome
  • Acute Generalized exanthematous pustulosis
  • Nausea/Vomiting
3
Q

Acetaminophen Contraindications

A
  • Acetaminophen hypersensitivity
  • severe hepatic disease
  • actve renal disease
  • alcoholism
4
Q

Acetaminophen - Max dosages

A

4000mg per day

1000mg per dose

5
Q

Acetaminophen Nursing Implications

A
  • Malnourishment or alchonolism - higher risk for hepatotoxicity
  • Prolonged use increases risk for renal effects.
  • Do not exceed rec. dose of either acetaminophin and salicylates
  • Increased serum bilirubin, LDH, AST, ALT and prothrombin time may indicate hepatotoxicity.
6
Q

Lisinopril type, uses/indications

A

antihypertensives (ACE inhibitor)

  • Hypertension
  • Management of HF
  • Reduction of risk of death or development of HF following MI
7
Q

Lisinopril Contraindications

A
  • Hypersensitivity to ACE inhibitors
  • Use cautiously with renal impairment, hepatic impairment, hypovolemia, hyponatremia, concurrent diabetic therapy
8
Q

Lisinopril Adverse Reactions and Side Effects

A
  • Hyperkalemia
  • Hypotension
  • Taste disturbance
  • Agranulocytosis
  • Angioedema
  • renal disfunction/failure
  • constipation
  • cough
  • nausea/ vomiting
  • diarrhea
  • dizziness
  • weakness
9
Q

Lisinopril Max Dosages

A

Max daily dose 80mg/d

Dose of 2.5mg is indicated as initial therapy with renal failure

10
Q

Lisinophril Nursing Implications

A
  • Monitor BP and pulse frequently
  • Assess patient for signs of angioedema (dyspnea, facial swelling)
  • HF - monitor for fluid overload (edema, rales/crackles, dyspnea, weight gain, jugular venous distension)
  • Discontinue use if pt is hypokalemic or hypotensive
11
Q

Ciprofloxacin Type and Uses

A

Antibacterial

  • UTI
  • lower respiratory infection
  • bone infection
  • joint infections
  • skin infections
  • soft-tisssue infection
  • Gynecological Infection
    *
12
Q

Ciprofloxacin Contraindications

A
  • Hypersensitivity
  • History of myasthenia gravis (may worsen muscle weakness and breathing)
13
Q

Ciprofloxacin Adverse and Side Effects

A
  • Elevated intracranial pressure
  • seizures
  • dizziness
  • headache
  • insomnia
  • Torsade de pointes
  • anaphylaxis
  • stevens-johnson syndrome
  • hepatotoxicity
  • pseudomembranous colitis
  • nauzea
  • diarrhea
  • hyperglycemia, hypoglycemia
  • peripheral neuropathy
14
Q

Ciprofloxacin Nursing Implications

A
  • Observe for signs and symptoms of anaphylaxis
    • keep epinephrine and antihistamine on hand
  • Monitor bowel function. Diarrhea, abdominal cramping, fever and bloody stools are signs of pseudomembranous colitis
  • Assess for rash during therapy as sign of Stevens-Johnson syndrome. Discontinue therapy if severe or accompanied with fever, general malaise, fatigue, muscle or joint aches, blisters, oral lesions, conjunctivitis, hepatitis or eosinophilia.
15
Q

Ciprofloxacin max dosage

A

400 mg/mL

16
Q

Furosemide Type, Uses

A

Diuretic

  • Edema due to HF
  • Hepatic impairment
  • Renal disease
  • Hypertension
17
Q

Furosemide Contraindications

A
  • Hypersensitivity
  • Hepatic coma or anuria
  • Use cautiously in:
    • Severe liver disease
    • Electrolyte depletion
    • diabetes mellitus
    • hypoproteinemia
    • severe renal impairment
18
Q

Furosemide Adverse and Side Effects

A
  • erythema multiforme
  • stevens-johnson syndrome
  • toxic epidermal necrolysis
  • aplastic anemia
  • agranulocytosis
  • dehydration
  • hypocalcemia
  • hypochloremia
  • hypokalemia
  • hypomagnesemia
  • hypomagnesemia
  • hyponatremia
  • hypovolemia
  • metabolic alkalosis
19
Q

Furosemide Max Dosages

A

Max daily 600 mg

Max dose 40mg (Hypertension)

Max dose 80mg (Edema)

20
Q

Furosemide Nursing Implications

A
  • Assess pt for skin rash frequently during therapy. Discontinue at first sight of rash.
  • Diuretic use is associate with increased falls in geriatric pts
  • Monitor BP
  • Monitor daily weights, I and Os, lung sounds, turgor and mucous membranes