MEDICATION REVIEW 1 - SOUTH LOUISIANA COMMUNITY COLLEGE...

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SOUTH LOUISIANA COMMUNITY COLLEGE Associate of Science in Nursing Program MEDICATION REVIEW Pt Initials: RB Student Name Alyssa Underwood Date November, 4 th 2015 Faculty Cornerstone Village South Medication Names Classification Indications Action Therapeutic Effects Adverse Reaction/Side Effects Nursing Implications Education GLYCERIN fluid and electrolyte agent; hyperosmotic laxative; antiglaucoma Orally to reduce elevated intraocular pressure (IOP) before or after surgery in patients with acute narrow- angle glaucoma, retinal detachment, or cataract and to reduce elevated CSF pressure. Sterile glycerin (anhydrous) is used topically to reduce superficial corneal edema resulting from trauma, surgery, or disease and to facilitate ophthalmoscopic examination. Used rectally (suppository or enema) to relieve constipation. When administered orally, glycerin raises plasma osmotic pressure by withdrawing fluid from extravascular spaces; lowers ocular tension by decreasing volume of intraocular fluid. Also may decrease CSF pressure and produce slight diuresis. Topical application to eye reduces edema by hydroscopic effect. Glycerin suppositories apparently work by causing dehydration of exposed tissue, which produces an irritant effect, and by absorbing water from tissues, thus creating more Also reduces intraocular pressure by lowering intraocular fluid. Relieves constipation by absorption of water and stimulation of peristalsis. CNS: Headache, dizziness, disorientation. CV: Irregular heartbeat. GI: Nausea, vomiting, thirst, diarrhea, abdominal cramps, rectal discomfort, hyperemia of rectal mucosa. Metabolic: Hyperglycemia, glycosuria, dehydration, hyperosmolar nonketotic coma . Consult physician regarding fluid intake in patients receiving drug for elevated IOP. Although hypotonic fluids will relieve thirst and headache caused by the dehydrating action of glycerin, these fluids may nullify its osmotic effect. •Monitor glycemic control in diabetics. Drug may cause hyperglycemia •Evacuation usually comes 15–30 min after administration of glycerin rectal suppository or enema. • Note: Slight hyperglycemia and glycosuria may occur with PO use; adjustment in antidiabetic medication dosage may be required. •Do not breast feed while taking this drug without consulting physician. August, 2011
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Medication Names Classification Indications Action Therapeutic Effects Adverse Reaction/Side Effects Nursing Implications Education mass. Both actions stimulate peristalsis in the large bowel and thus increases peristalsis MORPHINE SULPHATE central nervous system (cns) agent; analgesic; narcotic (opiate) agonist Symptomatic relief of severe acute and chronic pain after nonnarcotic analgesics have failed and as preanesthetic medication; also used to relieve dyspnea of acute left ventricular failure and pulmonary edema and pain of MI.
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  • Fall '15
  • Decker
  • Nursing, Morphine, Therapeutic effect, Nursing Implications, Adverse Reaction/Side

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