dosage of insulin or oral hypoglycemics). Nursing Administration- instruct clients to use glucocorticoid inhalers on a regular, fixed schedule for a long-term therapy of asthma. Glucocorticoids are not to be used to treat an acute episode. Administer using a MDI or DPI or nebulizer. Inhale the Beta2 agonist before inhaling the glucocorticoid. The beta2 agonist promotes bronchodilation and enhances the absorption of the glucocorticoid. Glucocorticoid ( methylprednisolone)- IV. Glucocorticoids do not provide immediate effects, but rather promotes decreased frequency Beta2-adrenergic agonists ( Albuterol )- inhaled is short acting, oral is long acting (albuterol). Prevention of asthma episode and treatment for broncospasm (bronchodialator). Other Respiratory Drugs- Guaifenesin ( advise clients to increase fluid intake whn taking guaifenesin to promote liquefying secretions. Guaifenesin is frequently combined with other medicatiosns like antitussives and decongestants as a liquid. Report a cough for longer than one week to provider. Preg risk category C. dizziness, drowsiness, hypotension, tachycardia, hepatotoxicity.) , cough syrup, mucolytic (used for acute and chonric pulmonary disorders exacerbated by large amounts of secretions and clients who have cystic fibrosis. Complications include aspiration and bronchospasm, dizziness drowsiness hypotension and tachycardia, hepatotoxicity) Anemia- medication to increase hemoglobin, Hematocrit or red blood cells
Iron supplements- ferrous sulfate- can cause stool to be dark, tarry (common side effect no need to call provider); which vitamin is given to enhance iron absorption- vitamin C; may use straw for children taking liquid iron medicine to prevent teeth staining Procrit or Epoeitin alpha- given for anemia due to chronic disease like End Stage Renal Disease since the kidney is damaged and could not produce the hormone erythropoietin; do not give if hemoglobin level is normal (know your normal hemoglobin level)- what’s the adverse effect/s? Also given during dialysis Neupogen- given to increase white blood cell for patient with leukemia or decreased WBC- know the side effects and nursing care Infection- Antibiotics- remember all antibiotic- the nurse should ask for allergy to Penicillin or allergy to the drug prior to giving- advise client to finish course of antibiotic per order Monitor temperature – since fever is a sign of infection; increased fluids when giving antibiotic unless on fluid restriction; What laboratory result to check to make sure antibiotic is working or toxic to the patient Know the peak and trough - especially for Vancomycin (administer slowly over 60 mins. monitor vancomycin trough levels routinely after blood levels have reached a steady state. , Rocephin, Cefazolin, etc- peak- highest drug concentration- usually taken 30 minutes after the last dose of antibiotic; trough- lowest drug concentration, usually taken in the morning or before the next dose of the drug.
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- Spring '14
- Pharmacology, adverse effects, Paracetamol, Therapeutic effect, Adverse Effect, Glucocorticoid