Term
Generic: Guafenesin
Trade Name: ___
Theraputic: ____
Pharmacologic: ___
Pregnanacy Category: ___
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Definition
Trade Name: Breonesin, Mucinex, etc.
Theraputic: allergy, cold, and cough remedy
Pharmacologic:expectorant
Pregnancy category: C |
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Term
Guafenesin
Indications for use:
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Definition
Indications for use: Relieve cough associated with viral upper respiratory tract infections
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Term
Guafenesin
Mechanism of Action: |
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Definition
Mechanism of Action: reduces viscosity of tenacious secretions by incerasing respiratory fluids |
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Term
Guafenesin
Contraindictions/Precautions: ___ |
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Definition
Contraindictions/Precautions: hypersensitivity; use with caution with cough lasting more than 1 week, or accompanied by fever, rash, ha; use with cautino in pt. with diabetes |
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Term
Guafenesin
Route/Dosage: ____ |
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Definition
Route/Dosage:
PO 200-400 mg q4h or 600-1200 mg q12h as XR product
(do NOT exceed 2400 mg/day) |
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Term
Guafenesin
Adverse Reaction/Side Effects: ____ |
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Definition
Adverse Reaction/Side Effects: dizziness, nausea, ha, diarrhea, stomach, pain, vomiing, rash, uticaria |
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Term
Guafenesin
Nursing Implications: ___ |
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Definition
Nursing Implications:
Assess lung sounds, frequency and type of cough |
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Term
Guafenesin
Desired Outcomes: ___ |
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Definition
Desired Outcomes:
easier mobilization and expectoration of mucus from cough associated with upper respiratory infection |
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Term
Warfarin
Trade Name: ___
Therapeutic: ___
Pharmacologic: ___
Pregnancy Category: ___
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Definition
Trade Name: Coumadin, Jantoven
Therapeutic: anticogulants
Pharmacologic: coumarins
Pregnancy Category: X |
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Term
Warfarin
Indications for use: ____ |
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Definition
| Indications for use: prophylaxis and treatment of venous thrombosis, pulmonary embolism, atrial fibrillation with embolization |
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Term
Warfarin
Mechanism of Action: ___ |
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Definition
Mechanism of Action: interferes with hepatic synthesis of Viatmin K dependent clotting factors |
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Term
Warfarin
Contraindications/Precautions: __ |
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Definition
Contraindications/Precautions: uncontrolled bleeding, open wounds, active ulcer disease, recent brain/eye/spinal cord injury; uncontrolled hypertension |
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Term
Warfarin
Route/Dosage: ____ |
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Definition
Route/Dosage: PO IV 2-5 mg day for 2-4 days then adjust daily dose by results INR |
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Term
Warfarin
Adverse Reactions/Side Effects: ___ |
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Definition
Adverse Reactions/Side Effects: cramps, nausea, dermal necrosis, bleeding, fever |
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Term
Warfarin
Nursing Implications: ___ |
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Definition
| Nursing Implications: assess for signs of bleeding and hemorrhage, assess for evidence of additional/increased thrombosis |
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Term
Warfarin
Desired Outcomes: ___ |
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Definition
Desired Outcomes: prolonged PT (1.3- 2.0 times control; may very with indication) or INR of 2-4.5 without signs of hemorrhage |
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Term
Generic: Heparin
Trade Name: ___
Therapeutic: ___
Pharmacologic: ___
Pregnancy Category: ___ |
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Definition
Trade Name: Hepalean
Therapeutic: Anticoagulants
Pharmacologic: antithrombotics
Pregnancy Category: C |
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Term
Hepatitis B Vaccine
Contraindications/Precautions: __
Route/Dosage: ___
Adverse Reactions: __
Nursing Implications: ___
Desired Outcome: ___ |
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Definition
Contraindications/Precautions: hypersensitivity to yeast
Route/Dosage: 0.5 mL IM T 0, 1-2, AND 6-8 months
Adverse Reactions: local soreness
Nursing Implications: don't give in open wound; monitor if hyper sensitivity known
Desired Outcome: vaccinate against Hep B virus |
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Term
Generic: Ondansetron
Trade Name: __
Therapeutic: ___
Pharmacologic: ___
Pregnancy Category: __ |
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Definition
Trade Name: Zofran, Zuplenz
Therapeutic: antiemetics
Pharmacologic: 5- HT3 antagonist
Pregnancy Category: B |
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Term
Ondansetron
Indications for use: ___ |
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Definition
| Indications for use: prevention of nausea and vomiting associated with highly or moderately emetogenic chemotherpay |
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Term
Ondansetron
Mechanism of Actions: ___ |
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Definition
| Mechanism of Actions: blocks the effects of serotonin at 5- HT3 sites located in vagal nerve terminals and the chemoreceptor trigger zone |
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Term
Ondansetron
Contraindications/Precautions: ___ |
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Definition
Contraindications/Precautions: hypersensitivity, orally disenintegrating tabs contain aspartame and should not be used in pt. with phenylketonuria |
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Term
Ondansetron
Route/Dosage: ____ |
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Definition
| Route/Dosage: po 24 mg 30 min prior to chemotherapy; 8 mg 30 min prior to chemo adn rpt. 8 hr later; IV 0.15 mg/kg 30 min prior to chemo repeated 4-8 hr late |
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Term
Ondansetron
Adverse Reactions/ Side effects: ___ |
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Definition
| Adverse Reactions/ Side effects: ha, dizziness, drowsiness, fatigue, weakness |
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Term
Ondasetron
Nursing implications: ____ |
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Definition
| Nursing implications: assess for nausea, vomiting, abdominal distention, and bowel sounds prior to and following administration; monitor EKG in pt. with hypokalemia, hypomagnesemia |
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Term
Ondansetron
Desired Outcomes: ___ |
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Definition
| Desired Outcomes: prevention of nausea and vomiting |
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Term
Generic: metFORMIN
Trade Name:
Therapeutic:
Pharmacologic:
Pregnancy category: |
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Definition
Trade Name: Glucophage
Therapeutic: antidiabetics
Pharmacologic: biguanides
Pregnancy category: B |
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Term
metFORMIN
Indications for Use: ___ |
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Definition
| Indications for Use: management of type 2 diabetes mellitus; maybe used with diet, insulin, or sulfonyl urea oral hypoglycemics |
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Term
metFORMIN
Mechanism of Action: ___ |
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Definition
| Mechanism of Action: decreases hepatic glucose production, decreases intestinal glucose absorption |
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Term
metFORMIN
Contraindications/Precautions: ___ |
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Definition
| Contraindications/Precautions: increase sensitivity to insulin; metabolic acidosis, dehydration, sepsis, hypoxemia, hepativ impairment; use with caution in pt. with concurrent renal disease; chronic alcohol abuse; serious medical conditions |
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Term
metFORMIN
Route/Dosage: __ |
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Definition
| Route/Dosage: PO 500 mg bid and may increase by 500 mg weekly up to 2000 mg/day; if >2000mg required divided in 3 doses or 850 mg/day |
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Term
metFORMIN
Adverse Reactions/ Side Effects: ___ |
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Definition
| Adverse Reactions/ Side Effects: abdominal bloating, diarrhea, nausea, vomiting, unpleasant metallic taste; decreased Vitamin B levels |
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Term
metFORMIN
Nursing Implications: ___ |
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Definition
| Nursing Implications: pt. develop illness or labratory abnormalities should be assessed for ketoacidosis or lactic acidosis |
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Term
metFORMIN
Desired Outcomes: ___ |
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Definition
| Desired Outcomes: control blood glucose levels without appearances of hypoglycemic or hyperglycemic episodes |
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Term
Generic: Penicillins
Trade Name: ___
Therapeutic: ___
Pharmacologic: ___
Pregnancy Category: ___ |
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Definition
Trade Name: Penicillin
Therapeutic: anti-infective
Pharmacologic: penicillins
Pregnancy Category: B |
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Term
Penicillins
Indications for use: ____
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Definition
Indications for use: tx of variety of infections including pneumonococcal pneumonia, streptococcal pharyngitis, syphilis, gonorrhea strains; tx of enterococcal infections; Lyme disease
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Term
Penicillins
Mechanism of Action: __ |
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Definition
| Mechanism of Action: bind to bacterial wall and result in cell death |
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Term
Penicillins
Contraindications/ Precautions: ___ |
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Definition
Contraindications/ Precautions: hypersensivity; use with caution in pt. with severe renal insufficiency; Geri: consider body mass, age related decreas. in hepatic/renal/cardiac function, cormorbidities, and concurrent drug therapy |
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Term
Pencillins
Route/Dosage:___ |
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Definition
| Route/Dosage: IM, IV 1-5 million units q4-6h; PO 125-500 mg q6-8h |
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Term
Penicillins
Adverse Reactions/Side Effects: ____ |
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Definition
| Adverse Reactions/Side Effects: seizures, diarrhea, epigastric distress, nausea, vomiting, interstitial nephritis, rash, uticaria, eosinophilia, hemolytic anemia, superinfection |
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Term
Insulin
Therapeutic:
Pharmacologic:
Classified by origin and action. |
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Definition
Therapeutic: agents used to correct endocrine imbalance
Pharmacologic: treat hyperglycemia |
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Term
Insulin
Rapid Acting: all are __ solutions
Regular: takes __ to work; route?
Humalog (lispro): take __; route?
Novolog (aspart): route?
Apidra (glulisine): route?
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Definition
Rapid Acting: all are clear solutions
Regular: takes 30 min to work; SQ or IV
Humalog (lispro): take 5 min before meal; SQ
Novolog (aspart): SQ or IV
Apidra (glulisine): SQ or IV |
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Term
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Definition
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Term
Insulin
Long-acting:
Lantus (insulin glargine): ___, route?, duration?, when taken?
Levimir (detamur): duration?, color, mixed? |
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Definition
Lanius: clear, SQ only and cannot be mixed, no peak; 24 hr duration, give at same time every day
Levimir (detemur): doesn't last as long as Lantus, may need two daily doses, clear, cannot be mixed |
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Term
Insulin:
Uses/indications: __ |
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Definition
Uses/indications: control of hyperglycemia with type 1 or type 2 diabetes |
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Term
Insulin:
Side Effects: ___ |
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Definition
| Side Effects: shaky, sweaty, anxious, fast heart beat, imparied vision, fatigue, hunger, headache, irritable |
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Term
| insulin orders must include: ___ |
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Definition
| brand name, strength, number of units to be administered, route, time, never use "u" for units |
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Term
how many units of insulin used in TB syringe?
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Definition
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Term
Sliding Scale of Insulin
0-70: __
70-200: __
200-250: __
251-300: __
301-350: __
351-400: __
>400: __ |
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Definition
0-70: 1 amp D50 or orange juice and call MD
70-200: 0 units
200-250: 3 units of regular insulin SQ
251-300: 5 units of regular SQ
301-350: 7 units of regular SQ
351-400: 9 units of regular SQ
>400: 12 units of regular SQ and call MD |
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Term
Heparin
Indications for use: ____ |
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Definition
Indications for use: prophylaxis and tx of thromboembolic disorder |
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Term
Heparin
Mechanism of action: ___ |
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Definition
| Mechanism of action: potentiates inhibitory effect of antithrombin on factor Xa and thrombin |
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Term
Heparin
Contraindications/Precautions: ___ |
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Definition
| Contraindications/Precautions: hypersensitivity; uncontrolled bleeding, severe thrombocytopenia, open wounds (full dose) |
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Term
Heparin
Route/dosage: ___ |
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Definition
Route/dosage: IV (intermittent bolus): 10, 000 units followed by 5000-10,000 units q4-6h;
continous infusion: 5000 units (35-70 units/kg) followed by 20,000-40,000 units infused over 24 hr |
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Term
Heparin
Nursing Implications: ___ |
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Definition
| Nursing Implications: assess for bleeding/hemorrhage, asses pt. for evidence of additional/increased thrombosis; mnitor platelet count 2-3 days |
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Term
Heparin
Desired Outcomes: ___ |
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Definition
| Desired Outcomes: prolonged partial thromboplastin time (PTT) of 1.5-2.5 times the control without signs of hemorrhage |
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