I f g a s t r ic ir r it a t io n o c c u r s a d m

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Unformatted text preview: . I f g a s t r ic ir r it a t io n o c c u r s , a d m in w it h m e a ls . T a k e ta b le t s a n d c a p s u le s w i th a fu ll g la s s o f w a t e r o r ju ic e . L iq u id p r e p a r a t io n s : a d u lt s - d ilu te in w a t e r o r ju ic e , f u ll g la s s ( 2 4 0 m l) , c h ild r e n - h a lf o f a g la s s , a d m in w it h s t r a w o r p la c e d r o p s a t b a c k o f t h r o a t . F e o s o l e lix ir s h o u ld b e d ilu t e d in w a t e r o n ly . N u r s in g I m p lic a t io n s : - a s s e s s n u t r it io n a l s t a t u s a n d d ie t a r y h x to d e t r m in e p o s s ib le c a u s e o f a n e m ia a n d n e e d fo r p t t e a c h in g . - a s s e s s b o w e l f u n c tio n f o r c o n s tip a tio n o r d ia r r h e a . I f t h e s e o c c u r, n o t ify p h y s ic ia n . - a s s e s s p t fo r s ig n s a n d s y m p to m s o f a n a p h y la x is ( r a s h , p r u r itu s , la r y n g e a l e d e m a , w h e e z in g ) . N o t ify p h y s ic ia n if t h e s e o c c u r. K e e p e p in e p h r in e a n d r e s s u s c it a t io n e q u ip m e n t c lo s e b y . - m o n it o r h e m o g lo b in , h e m a to c r it , a n d r e t ic u lo c y t e v a lu e s p r io r t o a n d e v e r y 3 w k d u r in g f ir s t 2 m o n th s o f t h e r a p y a n d p e r io d ic a lly t h e r e a f te r. - o c c u lt b lo o d in s t o o ls m a y b e o b s c u r e d b y b la c k c o lo r a tio n o f ir o n in s to o l. - m a y c a u s e f a ls e in c r e a s e in s e r u m b ilir u b in a n d fa ls e d e c r e a s e in s e r u m c a lc iu m le v e ls . S T A D O L (B U T O R P H A N O L ) C l a s s i f ic a t i o n : o p io id a n a lg e s ic . A c t i o n : o p io id a n a lg e s ic w it h s o m e a g o n is t - a n t a g o n is t e f f e c t s . P r o d u c e s r e s p ir a t o r y d e p r e s s io n t h a t d o e s n o t in c r e a s e m a r k e d ly w it h la r g e r d o s e s . I n d i c a t i o n s : s y s t e m ic p a in r e lie f d u r in g la b o r. C o n t r a i n d ic a t io n s / P r e c a u t io n s : H y p e r s e n s it iv it y . N o t u s e d in o p ia t e - d e p e n d e n t p e r s o n s b e c a u s e a n t a g o n is t a c t iv ity o f th e d r u g m a y c a u s e w it h d r a w a l s y m p t o m s in t h e w o m a n o r n e w b o r n . U s e c a u t io u s ly d u r in g b ir t h o f p r e t e r m in f a n t . D r u g a c t io n s p o t e n t ia t e d b y b a r b it u r a te s , p h e n o th ia z in e s , c im e t id in e , a n d o t h e r t r a n q u iliz e r s . A d v e r s e R e a c t io n s : - r e s p ir a t o r y d e p r e s s io n o r d y s p n e a ( w o m a n o r n e w b o r n ) - a n a p h y la x is - d iz z in e s s , lig h t - h e a d e d n e s s , s e d a t io n , le t h a r g y , h e a d a c h e , e u p h o r ia , m e n t a l c lo u d in g , f a in t in g , r e s tle s s n e s s , e x c it e m e n t , t r e m o r s , d e lir iu m , in s o m n ia . - n a u s e a , v o m itin g , c o n s t ip a t io n , in c r e a s e d b illia r y p r e s s u r e , d r y m o u th , a n o re x ia . - f lu s h in g , a lt e r e d h e a r t r a t e a n d B P , c ir c u la to r y c o lla p s e . - u r in a r y r e te n tio n . - s e n s it iv it y t o c o ld . D o s a g e a n d R o u t e : 1 m g e v e r y 3 - 4 h r, r a n g e 0 . 5 - 2 m g , m a y b e g iv e n u n d ilu t e d . I V . N u r s i n g Im p lic a t io n s : - a s s e s s f o r a lle r g ie s a n d o p ia te d e p e n d e n c e . - o b s e r v e v it a l s ig n s a n d r e s p ir a t o r y f u n c t io n in w o m a n ( 1 2 p e r m in u t e o r m o r e ) a n d n e w b o r n ( 3 0 p e r m in u t e o r m o r e ) . - h a v e n a lo x o n e a n d r e s u s c it a t io n e q u ip m e n t a v a ila b le fo r t r e a t m e n t o f r e s p ir a to r y d e p r e s s io n in w o m a n a n d n e o n a t e . - r e p o r t n a u s e a o r v o m it in g t o t h e b ir t h a t e n d a n t f o r p o s s ib le o r d e r f o r a n t ie m e t ic . - a n t ie m e t ic s o r o t h e r c e n t r a l n e r v o u s s y s t e m d e p r e s s a n t s m a y e n h a n c e t h e r e s p ir a to r y d e p r e s s a n t e ffe c t s o f b u t o r p h a n o l. B O N IV A (IB A N D R O N A T E ) C l a s s if ic a t io n : b o n e r e s o r p t io n in h ib it o r s . A c t io n : in h ib its r e s o r p t io n o f b o n e b y in h ib it in g o s to c la s t a c t iv it y . C o n t r a in d ic a t io n s /P r e c a u t io n s : H y p e r s e n s itiv ity . U n c o r r e c t e d h y p o c a lc e m ia . I n a b ilit y t o s t a n d o r s it u p s t r a ig h t f o r a t le a s t 6 0 m in . C c r < 3 0 m l/m in . U s e c a u t io u s ly in p r e g n a n c y ( o n ly if p o t e n t ia l b e n e fit o u t w e ig h s r is k s t o m o th e r a n d fe t u s . L a c t a tio n . S id e E f f e c t s : - d ia r r h e a - d y s p e p s ia - p a in in a r m s /le g s . - e s o p h a g it is - e s o p h a g e a l/g a s t r ic u lc e r D o s a g e a n d R o u t e : 2 . 5 m g o n c e d a ily o r 1 5 0 m g o n c e m o n t h ly ....
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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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