Patho and drugs

 

Drugs and IV Fluids Student Name: __Aderonke Adeduro Assignment #:1
DRUG NAME
(Generic /Brand)
DOSE, FREQUENCY, ROUTE CATEGORY,
EXPECTED ACTIONS Possible ADVERSE, side effects and related patient/family education Nursing considerations and
Interventions

1.
NAME: Lisinopril /Prinivil

DOSE: 10 mg
FREQUENCY: Daily
ROUTE: PO

Hypertension /Antihypertensive drug Side effects: Chills, chest pain, coughing.
Patient/family education: Do not use Lisinopril if you are pregnant. No need to mention this to male pt. Drinking alcohol can further lower your blood pressure and may increase certain side effects of Lisinopril. 1. Monitor patient closely for adverse reaction of CV effect, new or worsening behavior.
2. Monitor blood pressure and pulse routinely.
2.

NAME: Lipitor/Atorvastatin

DOSE: 20 mg
FREQUENCY: Daily at Bed time
ROUTE: PO
Antilipemic/
To reduce the risk of MI, Stroke, angina,
Side effects: CNS: headache, insomnia,
CV: Peripheral Edema
GI: Abdominal pain, constipation, diarrhea, rash, nausea.
Patient/family education: Warn patient to avoid alcohol. 1. Patient should follow a standard cholesterol diet before and during therapy.
2. Advise patient that drug can be taking at any time of the day without regard for meal.

3.
NAME: Omega-3 Fish oil

DOSE: 1200 mg
FREQUENCY: BID
ROUTE: PO
Antilipemic/to reduce formation triglycerides. Side effects: pain, angina pectoris, altered taste, belching, dyspepsia, back pain

1. Patient/family education: Explain that taking drug doesn’t reduce the importance of following the recommended diet and exercise plan.
2. Tell patient to report planned or suspected pregnancy. Not pertinent to male pt. 1. Assess patient for conditions that contributes to increase triglycerides, such as diabetes and hypothyroidism, before treatment.
2. Continue diet and life style modification during treatment.
4.

NAME: Ibuprofen/Motrin

DOSE: 400 mg
FREQUENCY: Every six Hours PRN
ROUTE: PO
NSAID/For minor and moderate pain, fever, migraine, juvenile arthritis. Side effects: Dizziness, headache, nervousness, edema, fluid retention, abdominal pain, bloating, and constipation.
1. Patient/family education: Tell patient to take with meal or milk to reduce adverse GI reaction.
2. Tell patient that full therapeutic effect for arthritis may be delayed for 2-4 weeks. 1. Check renal and hepatic function periodically in patient on long term therapy.
2. Blurred or diminished vision and changes in color vision may occur.
5.

NAME: Docusate Sodium/Colace

DOSE: 100 mg
FREQUENCY: BID
ROUTE: PO
Laxative/use for occasional Constipation Side effects: Bitter taste, mild abdominal cramping, diarrhea, laxative dependence with long-term or excessive use.
Patient/family education:
1. Teach patient dietary sources of fiber, including bran and other cereals, fresh fruits, and vegetables.
2 Tell patient to stop drug and notified and notify prescriber if severe cramping occurs.
3. Notify patient that it may take from 1 to 3 days to soften stools.
1. Drug isn’t used to treat existing constipation but prevents constipation from developing.
2. Before giving drug, determine whether patient has adequate fluid intake, exercise, and diet.
6.
NAME: Hydrocodone/acetaminophen/Vicodin 5/325 mg

DOSE: 1-2 tabs
FREQUENCY: Q 6 hours PRN
ROUTE: PO
Pain Side effects: Dizziness, lightheadedness, black tarry stools, bleeding gums, blood in vomit, dark urine, fast heartbeat.
Patient/family education: Advice patient to inform their doctor if they planned to be pregnant or pregnant. not necessary for male patient.

Advise to watch for constipation, bleeding
7.

NAME: Nitroglycerin tablet/glyceryl trinitrate.

DOSE: 0.4 mg
FREQUENCY: Repeat x3 every 5 minutes
ROUTE: sublingual
Vasodilator/Use to prevent chronic angina attack, moderate to severe pain from chronic and fissure. Side effects: Headache, dizziness, syncope, weakness, burning, nausea and vomiting, hypersensitivity reactions.
Patient/family education:
1. Caution patient to take nitroglycerin regularly, as prescribed and to have it accessible at all times.
2. Advise patient that stopping drug abruptly causes spasm of coronary arteries.
3. Advise patient to avoid alcohol. Closely monitor vital signs, particularly blood pressure, during infusion, especially in patient with an IM.?

8.

NAME: Enoxaparin sodium /Lovenox

DOSE: 30 mg
FREQUENCY: BID x 10 days
ROUTE: Subcutaneously.
Anticoagulant/The impatient treatment of acute deep vein thrombosis with or without pulmonary embolism. It is use to prevent blood clots that sometime called DVT. Side effects: It increase risk of hemorrhage, Spinal/epidural hematoma, throbocytopnea.
Patient/family education:? How about watch for signs of bleeding in urine , stool and report immedialty an injury that will not stop bleeding . Report falls that involve head injury Stress the importance of informing their health care provider about any other medical problems that might affect the action of lovenox. For example:
Allergy of hypersensitivity to pork, benzyl alcohol or Lovenox.
Liver or kidney disease.
Septic shock
Active stomach ulcer.
Threatened miscarriage.
9.

Name:

Dose:
FREQUENCY:what happened to the morpine
ROUTE:
Side effects:
Patient/family education:
10.
NAME:

DOSE:
FREQUENCY:
ROUTE:

Side effects:
Patient/family education:
11. NAME:

DOSE:
FREQUENCY:
ROUTE:

Side effects:
Patient/family education:
Intravenous DRIP DRUG or FLUID CATEGORY,
EXPECTED ACTIONS Possible ADVERSE, side effects and related patient/family education Nursing considerations and interventions

1.
NAME (mixture): Morphine sulfate/Roxanol

RATE and/or dosage: 2mg
(Opiate) analgesic/Is use to help relieve moderate to severe pain. Side effects: Nausea, vomiting, constipation, lightheadedness, dizziness, drowsiness, or sweating.
Patient/family education:
1. Before using this medication, tell your doctor or pharmacist your medical history, of brain disorder.
2. Informed patient that other medications can affect how morphine works and your risk for side effect.
It helps to improve patient respiratory condition.
2.
NAME (mixture):

RATE and/or dosage:
Side effects:
Patient/family education:

3.
NAME (mixture):

RATE and/or dosage:
Side effects:
Patient/family education:

4.
NAME (mixture):

RATE and/or dosage:
Side effects:
Patient/family education:

5.
NAME (mixture):

RATE and/or dosage:
Side effects:
Patient/family education:
Date of Care: _________________________ Patient’s Initials: ____
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