Change position slowly avoid etoh fiber and fluid 2

This preview shows page 19 - 23 out of 113 pages.

change position slowly, avoid etoh, fiber and fluid 2 . Expectorants Guaifenesin (Mucinex) 1 . Indications nonproductive cough associated w/ respiratory infection 2 . MOA reduces viscosity of secretions (thins secretions), making cough more productive 3 . Pt education increase fluid intake to help liquefy secretions 3 . Mucolytics Acetylcysteine 1 . Indications pulmonary disorders w/ thick mucous secretions (i.e. CF) 2 . Antidote for acetaminophen poisoning (think acetylcysteine is for acetaminophen poisoning ) 3 . MOA improves flow of secretions in respiratory tract 4 . S/E N/V, rash, bronchospasm (use caution w/ asthmatics)
5 . Medication can smell like rotten eggs (expected finding) 4 . Decongestants Phenylephrine, Pseudoephedrine 1 . Indications rhinitis (nasal congestion), MOA vasoconstriction of resp tract mucosa 2 . S/E agitation, nervousness, palpitations 3 . May cause rebound congestion from prolonged use (educate to limit use to 3 to 5 days) 5 . Antihistamines Diphenhydramine (1st gen), Loratadine (2nd gen) 1 . Indications nasal congestion, mild allergic reactions, motion sickness 2 . Diphenhydramine S/E sedation, anticholinergic effects 6 . Nasal Glucocorticoids Mometasone, fluticasone, budesonide (many end in - one ) 1 . Indications rhinitis (nasal congestion) 2 . S/E headache, nasal burning, pharyngitis (sore throat) MEDICATIONS AFFECTING URINARY OUTPUT 1 . Loop Diuretics Furosemide (Lasix) 1 . Indications pulmonary edema, edema (RT HF, liver or kidney disease), HTN 2 . MOA Blocks reabsorption of Na, Cl, and water (furosemide - think furious diuresis) 3 . S/E dehydration, electrolyte imbalances ( hypokalemia,
hyponatremia ), hypotension, ototoxicity, hyperglycemia 4 . Nursing interventions infuse IV at 20 mg/min, weigh daily, I&O, monitor electrolytes 5 . Pt education consume foods high in potassium (potatoes, bananas, dried fruits, nuts) 2 . Thiazide Diuretics Hydrochlorothiazide 1 . Indications HTN, edema (RT HF, liver or kidney disease) 2 . S/E dehydration, hypokalemia , hyperglycemia 3 . Nursing interventions weigh daily, I&O, monitor electrolytes, encourage foods high in K 3 . Potassium Sparing Diuretics Spironolactone 1 . Indications HF, HTN; CONTRAINDICATED W/ SEVERE KIDNEY FAILURE 2 . MOA blocks aldosterone, promoting excretion of Na and water, but retention of Potassium 3 . S/E HYPERKALEMIA , amenorrhea, gynecomastia, impotence 4 . Pt education avoid salt substitutes containing potassium 4 . Osmotic Diuretics Mannitol 1 . Indications edema, ICP, IOP ( Man I had a bad headache bc i had ICP but man it all went away when I took mannitol ) 2 . S/E HF, pulmonary edema, renal failure, dehydration, electrolyte imbalances (Na, K) 3 . Must use filter needle when drawing from the vial and filter in IV tubing 1 . Prevents administering microscopic crystals
MEDICATIONS AFFECTING BLOOD PRESSURE 1 . ACE inhibitors Captopril, lisinopril 1 . Indications HTN, HF, MI, diabetic nephropathy 2 . MOA blocks ACE enzyme (functions to convert Angiotensin I to AII) which results in vasodilation, sodium and water excretion, and potassium retention 3 . S/E A ngioedema, C ough, E

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture

  • Left Quote Icon

    Student Picture