140 Must Know NCLEX Meds: Demolish Nursing Pharmacology by Haws eBook

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  • Download: 140 Must Know NCLEX Meds eBook
  • Price: $5
  • Published: 2015
  • ISBN-13: 978-1508528166
  • ISBN-10: 1508528160

Description

140 Must Know NCLEX Meds eBook

Alteplase 

Generic Name 

alteplase 

Trade Name 

t-PA 

Indication 

MI, acute ischemic stroke, occluded central lines 

Action 

converts plasminogen to plasmin which degrades the fibrin found in clots 

Therapeutic Class 

thrombolytics 

Pharmacologic Class 

plasminogen activators 

Nursing Considerations 

 contraindicated in active bleeding 

 monitor closely for signs of bleeding (petechiae) 

o q 15 min X1hr 

o q 15-30 min X 8 hr 

 use caution with patient who have had recent surgery 

 may cause intracranial hemorrhage 

 monitor for anaphylaxis 

 use caution with uncontrolled hypertension 

 assess neuro status during therapy 

Atorvastatin 

Generic Name 

atorvastatin 

Trade Name 

Lipitor 

Indication 

management of high cholesterol (hypercholesterolemia), primary prevention of cardiovascular disease 

Action 

lowers total cholesterol as well as LDL while slightly increasing HDL. Inhibits HMG-CoA reductase which plays a role in the liver in cholesterol formation 

Therapeutic Class 

lipid-lowering agent 

Pharmacologic Class 

HMG-CoA reductase inhibitor 

Similar Medications 

simvistatin (Zocor), rosuvastatin (Crestor) 

Nursing Considerations 

 contraindicated in active liver disease 

 may cause rhabdomyolysis 

 monitor renal function 

 monitor serum cholesterol before, about 4 weeks after starting, and frequently during drug therapy 

 monitor liver function tests 

 instruct patient to report muscle weakness (sign of rhabdomyolysis) 

Acetaminophen 

Generic Name 

acetaminophen 

Trade Name 

Tylenol 

Indication 

pain, fever 

Action 

inhibit the synthesis of prostaglandins which play a role in transmission of pain signals and fever response 

Therapeutic Class 

antipyretic, non-opioid analgesic 

Nursing Considerations 

 do not exceed 4g of acetaminophen per day to limit risk for liver, renal, and cardiac damage 

 overdose will lead to hepatotoxicity 

 Acetadote is the antidote for overdose 

 may increase risk for bleed with warfarin therapy 

 may alter blood glucose measurements 

Acyclovir 

Generic Name 

acyclovir 

Trade Name 

Zovirax 

Indication 

genital herpes, herpes zoster, chicken pox 

Action 

interferes with viral DNA synthesis 

Therapeutic Class 

antiviral 

Pharmacologic Class 

purine analogues 

Nursing Considerations 

 may cause seizures, renal failure, Stevens-Johnson syndrome, thrombotic thrombocytopenic purpura syndrome, diarrhea, dizziness, nausea 

 monitor renal panel during administration 

 assess lesions 

 instruct patient to use proper protection during sexual intercourse 

140 Must Know NCLEX Meds eBook

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