Guaifenesin (Mucinex) Nursing Considerations
Generic Name guaifenesin Trade Name Mucinex Indication Cough suppression, expectorant Action Decreases viscosity of and mobilizes secretions Therapeutic Class allergy, cold and cough remedies, expectorant Pharmacologic Class none Nursing Considerations • patient should avoid over the counter cold medications • assess lung sounds • maintain adequate fluid intake
Montelukast (Singulair) Nursing Considerations
Generic Name montelukast Trade Name Singulair Indication prevent or treat asthma, manage seasonal allergies, prevent exercise-induced bronchoconstriction Action disrupts the effects of leukotrienes which effect airway edema, smooth muscle constriction, and cellular activity Therapeutic Class allergy, cold, and cough remedies, bronchodilators Pharmacologic Class Leukotriene Antagonist Nursing Considerations • assess respiratory status • assess liver function […]
Mannitol (Osmitrol) Nursing Considerations
Generic Name mannitol Trade Name Osmitrol Indication increased ICP, oliguric renal failure, edema, increased intraocular pressure Action inhibits reabsorption of water and electrolytes by increasing osmotic pressure, excreted by kidneys Therapeutic Class diuretic Pharmacologic Class osmotic diuretic Nursing Considerations • may cause phlebitis at IV site • may cause dehydration, fluid and electrolyte imbalances • […]
Metoclopramide (Reglan) Nursing Considerations
Generic Name metoclopramide Trade Name Reglan Indication prevention of nausea, vomiting, hiccups, migraines, gastric stasis Action accelerates gastric emptying by stimulating motility Therapeutic Class antiemetic Pharmacologic Class Dopamine D2 receptor antagonist, prokinetic Nursing Considerations • do not use with GI obstruction • may cause extrapyramidal reaction, neurolyptic malignant syndrome, tardive dyskinesia, arrhythmias, blood pressure alterations, […]
Insulin – Long Acting (Lantus) Nursing Considerations
Generic Name Insulin detemir, Insulin glargine Trade Name Levemir, Lantus Indication hyperglycemia with diabetes type 1 and 2, diabetic ketoacidosis Action stimulates uptake of glucose into muscle and fat cells, inhibits production of glucose in the liver, prevents breakdown of fat and protein Route Onset Peak Duration Detemir 3-4 hr 3-14 hr 24 hr […]
Ranitidine (Zantac) Nursing Considerations
Generic Name ranitidine Trade Name Zantac Indication duodenal ulcers, GERD, heartburn, esophagitis, GI bleed Action inhibits action of histamine in gastric parietal cells, decreases gastric acid secretion Therapeutic Class antiulcer agents Pharmacologic Class histamine H2 antagonists Nursing Considerations • may cause arrhythmias, agranulocytosis, aplastic anemia, confusion • assess abdominal pain • monitor for blood in […]
Verapamil (Calan) Nursing Considerations
Generic Name verapamil Trade Name Isoptin Indication hypertension, angina, SVT, migraine Action prevents transport of calcium, leading to decreased contraction, decreases SA and AV node conduction Therapeutic Class antianginals, antiarrhythmic, antihypertensive, vascular headache suppressants Pharmacologic Class Ca Channel Blocker Nursing Considerations • don’t use with 2nd and 3rd degree heartblock • don’t use with systolic […]
Nystatin (Mycostatin) Nursing Considerations
Generic Name nystatin Trade Name Mycostatin Indication candidiasis, denture stomatitis Action causes leakage of fungal cell contents Therapeutic Class Antifungal Pharmacologic Class none Nursing Considerations • may cause diarrhea, nausea, vomiting • can be used to soak dentures • assess mucus membrane
Glipizide (Glucotrol) Nursing Considerations
Generic Name Glipizide Trade Name Glucotrol Indication Type 2 diabetes mellitus Action Stimulates release of insulin from the beta cells in the pancreases and leads to increased sensitivity to insulin Therapeutic Class Anti-diabetic Pharmacologic Class Sulfonylureas Nursing Considerations • May cause aplastic anemias, hypoglycemia, photosensitivity, dizziness, drowsiness, headache, diarrhea • Monitor CBC, assess for allergy […]
Procainamide (Pronestyl) Nursing Considerations
Generic Name procainamide Indication wide variety ventricular and atrial arrhythmias, PAC, PVC, VTach, post cardioversion Action decreases excitability and slows conduction velocity through the heart Therapeutic Class antiarrhythmic (Class IA Na Channel Blocker) Nursing Considerations • may cause ventricular arrhythmias, seizure, asystole, heart block • monitor EKG continuously may cause widening of QRS complex • […]