Methadone (Methadose) Nursing Considerations
Generic Name methadone Trade Name Mathadose Indication withdrawal symptoms, pain Action Suppresses withdrawal symptoms. 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 opioid analgesic Pharmacologic Class opioid agonist […]
Nalbuphine (Nubain) Nursing Considerations
Generic Name nalbuphine Trade Name Nubain Indication pain, analgesia during labor, sedation before surgery, supplement to balance anesthesia Action alters perception and response to pain, causes CNS depression Therapeutic Class Opioid Analgesic Pharmacologic Class opioid agonists/analgesics Nursing Considerations • use caution with head trauma • can cause dizziness, headache, nausea, vomiting, respiratory depression • do […]
Oxycodone (OxyContin) Nursing Considerations
Generic Name oxycodone Trade Name Oxycontin Indication pain Action binds to opiate receptors in CNS altering the perception and sensation of pain Therapeutic Class Opioid Analgesic Pharmacologic Class opioid agonists, opioid agonists/nonopioid, analgesic combinations Nursing Considerations • may cause respiratory depression, constipation, confusion , sedation, hallucinations, urinary retention • use caution with increased intracranial pressure […]
Quetiapine (Seroquel) Nursing Considerations
Generic Name quetiapine Trade Name Seroquel Indication schizophrenia, depressive disorder, mania Action dopamine and serotonin antagonist Therapeutic Class antipsychotic, mood stabilizers Pharmacologic Class none Nursing Considerations • may cause neurolyptic malignant syndrome, seizures, dizziness, palpitations, weight gain, anorexia • QT interval prolongation • don’t use with CNS depressants • assess weight frequently • monitor liver […]
Olanzapine (Zyprexa) Nursing Considerations
Generic Name olanzapine Trade Name Zyprexa Indication schizophrenia, mania, depression, anorexia nervosa, nausea/vomiting related to chemotherapy Action antagonizes dopamine and serotonin Therapeutic Class antipsychotic, mood stabilizers Pharmacologic Class thienobenzodiazepines Nursing Considerations • do not use while breastfeeding • can cause neurolyptic malignant syndrome, seizures, suicidal thoughts, insomnia, tardive dyskinesia, agranulocytosis, constipation, tremors • assess mental […]
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 […]