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12 Cards in this Set

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Oral Contraceptives -education regarding adverse effects

Ovcon 35; Necon 1/35; ortho-novum
Insturct client to report warmth, edema, tenderness and/or pain in lower legs

Breakthrough bleeding, Hypertension, Cervical cancer
Chemotherapy Agents- formulating a nursing diagnosis

tamoxifen(Nolvadex)
Provide frequent oral hygiene using soft toothbrushes and avoid alchohol mouthwashes

**Hot flashes**

decrease breast cancer spread
Anticoagulants/Parenteral: medication administration

Heparin; enoxaparin(Lovenox)- Prevent formation of clots
Apply pressure for 1 to 2 mins after the injection. Rotate & recorder injection site

Obtain baseline vitals:
Get CBC, platelet & hematocrite(periodically)

STOP: <100,000 platelet count

aPTT 60-80 secs

ANTIDOTE: protamine sulfate administer no faster 20mg./min or 50mg/10mins:
Anticoagulants/Parenteral

warfarin (Coumadin)- prevention of clots
Avoid: dark, leafy veg, cabbage, cauliflower, soybean

INR 2-3

side: hemorrhage

Antidote: Vitamin K - iv slowly in diluted solution(if cannot control fresh frozen plasma, whole blood)

flushing, hypotension, utricaria, cardiovascular
Antiplatelets- regarding adverse reactions

aspirin (Ecorin); clopidogrel (Plavix)-prevention aute MI, reinfarcation MI, stroke
Hemorrhagic stroke (weakness, dizziness, headache)

GI bleeding -with meal, or prilosec

81mg - prevention
325mg - attack
Hematopoietic Growth Factor: recognizing side effects of erythropoeitin

epoetin alfa (Epogen, Procrit)
Need adequate levels of iron, folic acid, & vitamin b12 - less effective if not

HBG 10-12 g/dl
Hematocrit 40%

**do not mix with other meds***

baseline BP and monitor(administer hypertensive meds if increase)
Nonsteroidal Anti-Inflammatory Drugs -recognizing adverse effects

NSAIDs (aspirin), clecoxib(Celebrex) ; IB, Naprosyn;ketorolac (Toradol)
tinnitus, sweating, headache, dizziness, Respiratory alkalosis

Reye syndrome in kids (fever, viral illness, flu)

--bleeding, black/dark colorded stools (nausea, vomiting, ab pain)

Do not chew or crush enteric-coated or sustained release aspirin.

Toradol used for short-term treatment -postoperative

ketorolac-enhances the use of opioids without adverse effects
Thrombolytic Medications: minimizing adverse effects

streptokinase (Streptase); alteplase (Activase, tPA) - dissolving clots alreaded formed) treatment
Limit venipuctures and injections
GET: baseline INR

Apply pressure dreassing to recent wounds

Base vital signs(platelet, Hgb, Hct, aPTT, PT, INR and monitor for change(level of consciousness, weakness & signs of bleeding,
Anti-Parkinson's Medication - reporting adverse effects

levodopa(Dopar, Larodopa)
Dyskinesias(head bobbing, tics, grimacing, tremors) - decrease dose

Cardiovascular effects (tach, palpitations, irregular heartbeat) - ECG /vital signs

visual hallucinations, nightmares-admin clozaril

Do not use with skin lesions
Antithyroid Medications: documenting adverse effects

propylthiouracil (PTU), methimazole (Tapazole) -graves disease, throid
Agranulocytosis: sore throat, fever - Notify, Monitor blood count --treat angranulocytosis with Neupogen

Overmedication (hypothroidism) drowsiness, depression, weight gain, edeman, brady, anorexia, cold intolerance, dry skin, menorrhagia

Weight gain, Normal vital signs, t4 levels
Cardiac Glycosides: recognizing side effects

digoxin (lanoxin, lanoxicaps, & digitek) - heart
dysrhythmias - hypokalemia (comsume foods high in patassium);
serum levels K 3.0-5.0 , digoxin level 0.5-2.0, monitor pluse rate <60 Notify

Avoid OTC
Antidepressant-Tricyclic (TSA) - adverse/side/contraindication

amitriptyline (Elavil), imipramine (Tofranil) - depression, bipolar
Orthostatic hypotension (1min from lying to standing) - if big change DO not administer

Cardiac toxicity (excess dosing)

SEDATION: usally diminishes over time - admin at bedtime

Toxicity: dysrhythmias, mental confusion, agitation, followed by seizures & coma

Anticholinergic effects (dry mouth (chew sugarless gum), blurred vission, photophobia, urinary retension (increase water), constipation (eat foods high in fiber), tachy (monitor HR)