MED LIST - Continuous - Texas A&M University Corpus Christi...

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Texas A&M University Corpus Christi – NURS 3614 Fundamentals of Nursing Care Medication Template MEDICATIONS (include scheduled meds, all pain meds and PRN meds given in the last week) Generic/Trade name Metoprolol tartrate / Lopressor (Skidmore-Roth, 2015 p. 684-685) Classification Antihypertensive and Antianginal Mechanism of Action Reduces the B/P by blocking beta effects; reduces elevated renin plasma levels; negative chronotropic effect Dosage and Route 25mg, 1 tab po bid Is this a Safe Dose? Yes, the maximum dose for an adult patient is 50 mg bid or 400mg a day. Drug/food Interactions Drug: Cimetidine, methyldpa prazosin, reserpine, Insulin, EPINEPHrine, hydrALAZINE. Food: Increased food means increased absorption. Side Effects / Adverse Reactions Side effects: Insominia, dizziness, palpitations, hypotension, nausea and vomiting, diarrhea, and hiccups. Adverse effects: CHF, cardiac arrest, AV block, bradycardia, pulmonary/peripheral edema, chest pain, agranulocytosis, eosinophilia, thrombocytopenic purpura, and bronchospasm. Lab / VS needed prior to administration of each dose Vital signs are required to be taken prior to drug administration. Lab work baseline should be taken and monitored for renal and liver function. Nursing Considerations Assessment: Monitor renal and liver function labwork and assess the patient for edema. Implementation: This medication is to be taken once daily by mouth with or without food. Teaching: Patient should report any edema or allergic reactions. Should avoid abrupt discontinuation Pharmacodynamics: Onset: 15 min Peak: 2-4 hr Duration: 6-19 hr Why is this patient taking this? Heart failure, hypertension Is it effective? Provide the evidence. Is effective if decreased BP Generic/Trade name Enoxaparin Sodium/ Lovenox (Skidmore-Roth, 2015 p. 361) Classification Anticoagulant Mechanism of Action Binds to antithrombin III inactivating factors Xa/IIa resulting in higher ratio of anti-factor Xa to anti- factor IIa Dosage and Route 40mg SQ daily Is this a Safe Dose? Yes Drug/food Interactions Drug: Anticoagulants, antiplatelets, NSAIDS, salicylates, RU-486, thrombolytics: increased bleeding Drug/Herb: feverfew, garlic, ginkgo, horse chestnut: increased bleeding risk
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Texas A&M University Corpus Christi – NURS 3614 Fundamentals of Nursing Care Medication Template Side Effects / Adverse Reactions CNS: Fever, confusion GI: Nausea HEMA: hemorrhage, hypochromic anemia, thrombocytopenia, bleeding INTEG: Ecchymosis, inj site hematoma META: Hyperkalemia in renal failure MS: Osteoporosis SYST: Edema, peripheral edema Lab / VS needed prior to administration of each dose Increased: AST/ALT Decreased: platelets Nursing Considerations Assessment: Monitor blood studies, anti-Xa levels q3mo; platelet count q2-3day: thrombocytopenia may occur. Assess patient for bleeding gums, petechiae, ecchymosis, black tarry stools, hematuria, epistaxis, decrease in B/P; indicate bleeding and possible hemorrhage; notify prescriber immediately.
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