D o s a g e a n d r o u t e a d m in is t e r f ir s

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Unformatted text preview: le t a l p a in . D o s a g e a n d R o u t e : A d m in is t e r f ir s t t h in g in t h e m o r n in g w ith 6 - 8 o z p la in w a t e r, 3 0 m in u t e s b e f o r e o t h e r m e d ic a t io n s , b e v e r a g e s , o r f o o d . T r e a t m e n t o f o s t e o p o r o s is : 1 0 m g o n c e d a ily o r 7 0 m g o n c e w e e k ly , P O . P r e v e n t io n o f o s t e o p o r o s is : 5 m g o n c e d a ily o r 3 5 m g o n c e w e e k ly . P O . N u r s i n g Im p lic a t io n s : - a s s e s s p t f o r lo w - b o n e m a s s b e f o r e a n d p e r io d ic a lly d u r in g th e r a p y . - a s s e s s s e r u m c a lc iu m b e fo r e a n d p e r io d ic a lly d u r in g th e ra p y . - h y p o c a lc e m ia a n d v it a m in D d e fic ie n c y s h o u ld b e tr e a te d b e f o r e in itia t in g th e r a p y . - m a y c a u s e m ild , t r a n s ie n t e le v a t io n s o f c a lc iu m a n d p h o s p h a te . IB U P R O F E N (A D V IL , M O T R IN ) C l a s s if ic a t i o n : a n tip y r e t ic s , a n t ir h e u m a tic s , n o n o p io id a n a lg e s ic s , n o n - s t e r o id a n t i- in f la m m a to r y a g e n t s . A c t io n : In h ib it s p r o s t a g la n d in s y n t h e s is . In d ic a t io n : m ild t o m o d e r a t e p a in . C o n t r a in d ic a t io n s / P r e c a u t io n s : - a c t iv e G I b le e d in g o r u lc e r d is e a s e . - n o t r e c o m m e n d e d f o r p r e g n a n t p a tie n ts . - h a s b e e n a s s o c ia te d w ith p e r s is te n t p u lm o n a r y h y p e r te n s io n in in fa n ts . - s a f e ty n o t e s t a b lis h e d f o r in f a n t s < 6 m o . S id e E f f e c t s : headache - c o n s t ip a t io n - d y s p e p s ia - n a u s e a - v o m it in g G I b le e d in g - d ia r r h e a - h e p a t it is - e x f o lia t iv e d e r m a t it is t o x ic e p id e r m a l n e c r o s is a lle r g ic r e a c t io n s , in c lu d in g a n a p h y la x i s D o s a g e a n d R o u te : 2 0 0 -4 0 0 m g P O q 4 -6 h . N u r s in g Im p li c a t io n s : - a s s e s s f o r n a u s e a , v o m it in g , d ia r r h e a . - in c r e a s e s e ff e c ts o f a n t ic o a g u la n t s . - p t w it h a s th m a , a s p ir in - in d u c e d a lle r g y , a n d n a s a p o ly p s a r e a t in c r e a s e d r is k fo r d e v e lo p in g h y p e r s e n s it iv it y r e a c t io n s . A s s e s s fo r r h in it is , a s t h m a , a n d u r t ic a r ia . - m a y s h o w e le v a t e d le v e ls o f s e r u m P o ta s s iu m , B U N , s e r u m c r e a t in in e , a lk a lin e p h o s p h o ta s e , L D H , A S T , a n d A L T . - m a y s h o w d e c r e a s e d le v e ls o f B lo o d g lu c o s e , h e m o g lo b in a n d h e m a t o c r it c o n c e n t r a t io n s , le u k o c y t e a n d p la te le t c o u n ts , a n d C c r. - m a y c a u s e p r o lo n g e d b le e d in g tim e . H Y D R O C O D O N E ( D U O C E T , L O R T A B , N O R C O , V IC O D IN , Z Y D O N E ) C l a s s if ic a t i o n : - a lle r g y ,c o ld , a n d c o u g h r e m e d ie s ( a n t it u s s iv e ) . - n o n o p io id a n a lg e s ic s . - o p io id a n a lg e s ic s . A c t io n : - B in d t o o p ia t e r e c e p to r s in t h e C N S . A lt e r th e p e r c e p t io n o f a n d r e s p o n s e t o p a in f u l s t im u li w h ile p r o d u c in g g e n e r a liz e d C N S d e p r e s s io n . - S u p p r e s s t h e c o u g h r e f le x v ia d ir e c t c e n t r a l a c t io n . In d ic a t io n : u s e d m a in ly in c o m b in a t io n w it h n o n o p io id a n a lg e s ic s in th e m a n a g e m e n t o f m o d e r a t e t o s e v e r e p a in . A n t it u s s iv e ( u s u a lly in c o m b in a t io n p r o d u c t s w it h d e c o n g e s t a n ts ) . C o n t r a in d ic a t io n s / P r e c a u t io n s : u s e c a u t io u s ly in h e a d t r a u m a ; in c r e a s e d in t r a c r a n ia l p r e s s u r e ; s e v e r e r e n a l, h e p a t ic , o r p u lm o n a r y d is e a s e ; h y p o t h y r o id is m ; a d r e n a l in s u ff ic ie n c y ; a lc o h o lis m . S id e E f f e c t s : n e o n a t a l r e s p i r a t o r y d e p r e s s io n ( m o s t s ig n if ic a n t ) . n e o n a t a l w it h d r a w a l m a y o c c u r if w o m a n a d d ic te d t o o p ia t e s . c o n f u s io n , s e d a tio n ; r e s p ir a t o r y d e p r e s s io n . h y p o t e n s io n ; c o n s t ip a t io n D o s a g e a n d R o u t e : a n a lg e s ic s - 2 . 5 - 1 0 m g q 3 - 6 h P R N . ( I f u s in g c o m b in a tio n p r o d u c t s , a c e t a m in o p h e n o r a s p ir in d o s e s h o u ld n o t e x c e e d 4 g /d a y. A n t it u s s iv e - 5 m g q 4 - 6 h , P R N . N u r s in g Im p li c a t io n s : - a s s e s s B P , p u ls e , a n d r e s p ir a t io n s b e f o r e a n d p e r io d ic a lly d u r in g a d m in is tr a t io n . If R R < 1 0 /m in , a s s e s s le v e l o f s e d a t io n . P h y s ic a l s t im u la tio n m a y b e s u ff ic ie n t t o p r e v e n t h y p o v...
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This note was uploaded on 11/08/2010 for the course NUR 2000 taught by Professor Rn during the Spring '10 term at Florida State College.

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