Celecoxib (Celebrex) Nursing Considerations
Generic Name Celecoxib Trade Name Celebrex Indication Osteoarthritis, rheumatoid arthritis, acute pain Action Decreases pain and inflammation by inhibiting synthesis of prostaglandins Therapeutic Class Antirheumatics/NSAID Pharmacologic Class Cox 2 inhibitor Nursing Considerations • Use caution with cardiovascular disease • Increases risk for MI, CVA, thrombosis • May cause GI bleeding, Stevens-Johnson syndrome, dermatitis • Notify […]
Codeine (Paveral) Nursing Considerations
Generic Name Codeine Trade Name Paveral Indication Management of pain, diarrhea, cough suppressant Action Binds to opiate receptors in the CNS and alters perception of pain while producing a general depression of the CNS. This depression also causes a decrease in the cough reflex and GI motility. Therapeutic Class Allergy, cold, cough remedy, antitussive, opioid […]
Adenosine (Adenocard) Nursing Considerations
Nursing Considerations Contraindications 2nd or 3rd degree AV Block Atrial flutter Atrial fibrillation Monitor before administration Blood pressure Apical pulse Patient on cardiac monitor Period of asystole after bolus Side Effects Flushing Shortness of breath Nausea Patient Education May feel flush after bolus Avoid caffeine
Amiodarone (Pacerone) Nursing Considerations
Generic Name Amiodarone Trade Name Cordarone Indication a-fib, ventricular arrhythmias, SVT, ACLS protocol for v-fib and v-tach Action Prolongs phase 3 of the action potential, makes the heart more tolerant to arrhythmias, inhibits adrenergic stimulation, slows rate, decreases peripheral vascular resistance causing vasodilation Therapeutic Class Antiarrhythmic class III, potassium channel blocker Pharmacologic Class None Nursing […]
Atenolol (Tenormin) Nursing Considerations
Generic Name Atenolol Trade Name Tenormin Indication Hypertension, angina, prevention of MI Action Blocks the stimulation of beta1 receptors in the SNS with minimal effect on beta2 receptors Therapeutic Class Antianginal, antihypertensive Pharmacologic Class Beta blocker Nursing Considerations • Contraindicated in CHF, pulmonary edema, cardiogenic shock, bradycardia, heart block • Monitor hemodynamic parameters (HR, BP) […]
Atropine (Atropen) Nursing Considerations
Generic Name Atropine Trade Name Atropen Indication Decreases oral and respiratory secretions, treats sinus bradycardia and heart block, treatment of bronchospasm Action Atropine is an anticholinergic which means that it inhibits the effects of the parasympathetic nervous system, specifically acetylcholine. This inhibition causes increase in HR, bronchodilation, decreased GI and respiratory secretions. Therapeutic Class Antiarrhythmic […]
Pharmacokinetics Nursing Mnemonic (ADME)
ADME A-Absorption D-Distribution M-Metabolism E-Excretion Description “Add Me” – These are the 4 steps/components of pharmacokinetics, or how the body processes a drug. Absorption is getting the drug into the systemic circulation, Distribution is getting the drug to the target organs, Metabolism (performed by the Cytochrome P450 system) is making the drug active and excretable, […]
Drug Interactions Nursing Mnemonic (These Drugs Can Interact)
These Drugs Can Interact T-Theophylline D-Dilantin C-Coumadin I-llosone (Erythromycin) Description Coumadin and ilosone: Ilosone can increase the effects of Coumadin, increase risk for bleeding. Coumadin and Dilantin: potential for increased effects of both. Coumadin and Dilantin: Increased Coumadin metabolism (decreased effect). Theophylline and Dilantin: if taken orally they can interfere with absorption of each other […]
NRSNG Live | The S.O.C.K Method for Mastering Nursing Pharmacology and Never Forgetting a Medication Again
Chance Reaves BSN, RN Chance worked as a nurse in the ICU at Parkland Hospital and at Rich- land College both in Dallas, Texas. He is Assistant Nurse Educator at NRSNG. He is responsible for facilitating the content on NRSNG Academy, the NRSNG blog, and various NRSNG podcasts. Prior to becoming a nurse, Chance worked […]
Parasympathomimetics (Cholinergics) Nursing Considerations
Overview Review lesson on Autonomic Nervous System for thorough understanding of these medications Parasympathetic Medications Direct Acting Parasympathomimetic drugs Bethanecol Indications Post-operative urinary retention (Bethanecol) Neurogenic bladder How they work Bind to muscarinic receptors Increase bladder tone- cause urinary contraction Carbachol and Pilocarpine Indications Given prior to ompthalmic procedures to ease examination Glaucoma How they […]