Medicine 1231231230

Implications: assess alcohol usage and overall health and pain assessment, assess for feverTeaching: avoid >4g/day avoid alcohol check labels on OTC medications for more acetaminophen call MD if fever is not relieved.Side Effects: hepatic failure, hepatotoxicity, renal failure, leukopenia, urticaria.Labs: evaluate hepatic /renal function and may alter BS results, and increase LDH
Contradiction: hypersensitivity to products containing alcohol, aspartame, saccharin , and sugar.Interactions: warfarin, hepatoxic substances, propranolol.

Contraindicated: hyersensitivity, patients in whom constipation must be avoided. Side effects: drowsiness, constipation, abdominal pain, allergic reaction. Interactions: ^ CNS depression with other CNS depressants.Implications: assess frequency and consistency of stools and bowel sounds. Assess fluid and electrolyte balance. Teaching: take with clear liquids to avoid dehydration; take as directed; avoid alcohol; call MD if fever accurs.

Brand name: MiralaxGeneric name: polyethyleneClassification: laxativePreg Cat: CUse: treatment of occasional constipationAction: osmotic -drawing water into the lumen of the GI tractRoute: PO 17g in 8 OZ of water/ may be used for up to 2 weeksContraindications: GI obstruction, gastric retention, toxic colitis, megacolorAdverse Reactions: abdominal bloating, cramping, flatulence, nauseaInteractions: none signifigantLabs: none listedAntidote: none listedNursing: assess for abdominal pain, assess stool, inform patient that 2-5 days may be need to produce a BM

Action: has inhibiroty effect on the chemoreceptor trigger zone in the medulla, resulting in antiemetic properties.
Contraindicated: hypersensitivity, comatose patients prostatic hypertrophy Side Effects: neuroleptic malignant syndrome, confusion, disorientation, dizziness. Implications: monitor BP, pulse, respirations, assess patient for level of sedation, assess patient for nausea. Labs: may cause increased serum glucose level. Implementation: administer with food, water, or milk to minimize GI irritation.

Action: acts as CNS depressant at the sub-cortical level of the CNS. Contraindicated: hypersensitivity, OB, LactationSide effects: drowsiness, dry mouth, pain, agitation, constipationImplications: assess patient for profound sedation and provide safety precautions as indicated. assess mental status. Labs: may cause false negative skin test results using allergen extracts. Teaching: may cause drowsiness or dizziness.

Action: increases coronary blood glow by dilating coronary arteries and improving collateral glow to ischemic regions.Contraindicated: hypersensitivity, severe anemia, pericardial tamponade. Side Effects; dizziness, headache, hypo tension, tachycardia.Implications: assess location, duration, intensity and precipitating factors of patients anginal pain, monitor blood pressure, and pulse.Teaching: taking drug as directed, acute anginal attacks: advise patient to sit down and use medication at the first sign of attack if not relieved in 5-10 min repeat only repeat 3 times.

Contraindicated: hypersensitivity, OB, lactation, avoid in patients with known intolerance to alcohol. Side effects: confusion, sedation, respiratory depression, constipation. Implications: assess type, location, and intensity of pain prior to and 1 hour after administrationTeaching: can be addictive, change positions slowly, avoid use of of CNS depressants.

Notes: ADR's conjunctivitis, decreased visual activity, ocular burning, rashes, lasts up to 24 hours.

Contraindications: hypersensitivity, OB, Lactation. Side Effects: headache, abdominal pain, diarrhea, eructation, flatulanceNursing: assess patient routinely for epigastric or abdominal pain and for frank or occult blood in stool. take medication as directed, avoid alcohol, or NSAIDs

Contraindications: hypersensitivity concurrent non selective MAO inhibitor therapy.Side Effects: neuroleptic malignant syndrome, pulmonary infiltrates, rhabdomyolysis. Nursing: assess parkinsonian and extrapyramidal symptoms monitor patient for signs similar to neuroleptic malignant syndrome, symptoms have been associated with rapid dose reduction or withdrawl. may cause dizziness or hallucinations.

Contraindications: hypersensitivity, pathologic bleeding, lactationSide Effects: GI bleeding, bleeding, neutropenia, thrombotic, thrombocytopenic purpura.Nursing: assess for signs of a stroke, monitor for signs of thrombotic thrombocytic purpura. discontinue 5-7 days before a surgery notify MD if a fever occurs.

Contraindications: hypersensitivity, history of angioedema with previous ACE inhibitors OB, LactationSide Effects: cough, hypo-tension, taste disturbances, agranulocytosis, angioedemaNursing: monitor blood pressure and pulse monitor patient for fluid overload, avoid salt substitutes

Implications: obtain a dietary history, avoid large amounts of grape fruit juiceTeaching: avoid OTC meds without consulting DR. avoid more than 200 mL of grapefruit juice. Side Effects: abd cramps, constipation, flatus, diarrhea, heartburn, rashesLabs: evaluate serum cholesterol and AST levels Contraindications: hypersensitivity, activce liver disease, OB and lactationInteractions: CYP3A4 inhibitors amindarone.

Contraindications: hypersensitivity, sleep apneaSide Effects: anaphylactic reaction. Nursing: assess mental status, sleep patterns, and potential for abuse prior to administration. assess alterness at the peak of the medication. reduce external stimuli take medication as directed, go to bed right after taking medication.

Contraindications: uncompensated CHF, pulmonary edema, cardiogenic shock, bradycardia or heart block.Side effects: fatigue, weakness, bradycardia, CHF, pulmonary edema, erectile dysfunction. Nursing: monitor blood pressure, ecg and pulse frequently. CHECK PULSE BEFORE GIVING IF THE PULSE IN <50 bpm withhold medication and call MD