Medication List for Q2 - Q2 Meds-4.pdf

Medication List for Q2 - Q2 Meds-4.pdf - Student...

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Student Classification Action Side effects and nursing implications Electrolytes Potassium Chloride Julie Mineral and electrolyte replacement/supplement Maintain acid-base balance; isotonicity, and electrophysiologic balance of cell Side Effects: Confusion, restlessness, weakness, arrhythmias, abdominal cramping, diarrhea, paralysis. NI: Assess signs of hypokalemia (weakness, fatigue, arrhythmias, polyuria, and polydipsia. Monitor pulse, BP, ECG during IV therapy Magnesium Sulfate Julie Mineral and electrolyte replacement/supplement Essential for activity of many enzymes. Plays important role in neurotransmission & muscular excitability. Acts as replacement in states of deficiency Side Effects: Drowsiness, ↓ respirations, arrhythmias, bradycardia, hypotension, diarrhea, paralysis. NI: Monitor pulse, BP, respirations during parental administration. Monitor neurologic status before and throughout therapy. Monitor I & O ratios, urine output=100ml every 4 hrs. at minimum. Calcium Gluconate Julie Mineral and electrolyte replacement/supplement Essential for nervous, muscular, & skeletal systems. Acts as an activator in the transmission of nerve impulses; essential for bone formation & blood coagulation. Side Effects: Syncope, cardiac arrest, arrhythmias, hypercalcemia, constipation. NI: Observe signs of hypocalcemia. Monitor BP and pulse. Hormones Synthoid, Levothyroxine (p.757) Epharim T: hormones P: thyroid preparations Replacement of or supplementation to endogenous thyroid hormones. Principal effect is increasing metabolic rate of body tissue: promote gluconeogenesis, stimulate protein synthesis, promote cell growth and differentiation, aid in the development of the brain and CNS. TE: replacement in hypothyroidism to restore normal homronal balance. Suppression of thyroid cancer. SE: Usually only seen when excessive doeses cause iatrogenic hyperthyroidism. tachycardia, chest pain, nervousness, insomnia, diaphoresis, tremors, weight loss. NI: Assess apical pulse and BP prior to and periodicially during therapy. Watch for overdose esp SE stated. Premarin (p.517) Epharim T: hormones P:estrogens Estrogens promote the g&d of female sex organs and the maintenance of secondary sex characteristics in women. TE: restoration of homronal balance in various deficiency states and treatment of hormone-sensitive tumors. SE: MI, thromboembolism, anaphylaxis, angioedema, headache, edema, HTN, nausea, weight changes, GI bleeding, ED testicular atrophy (men), acne, oily skin, breast tenderness NI: Assess BP before and periodically during therapy, monitor I&O, may cause ↑HDL glucose, sodium, ↓ LDL total cholesterol, may cause hypercalcemia Testosterone (p.1173) Epharim T: hormones P: androgens Responsible for the normal g&d of mal sex organs. Maintenance of mal secondary sex characteristics: growth and maturation of the prostate, seminal vessicles, penis, scrotum, male hair distribution, vocal cord thickening, alterations in mody musculature and fat distribution. TE: Corrections of hormone deficiency in male hypogonadism: initation of male puberty, supressiong of tumor growth in some
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