Ondansetron (Zofran) Nursing Considerations

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Kara Tarr
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Outline

Generic Name

ondansetron

Trade Name

Zofran

Indication

nausea/vomiting

Action

blocks effects of serotonin on vagal nerve and CNS

Therapeutic Class

antiemetic

Pharmacologic Class

5-HT3 antagonist

Nursing Considerations

• administer slowly over 2-5 minutes – fatal QT prolongation and VTach, respiratory arrest
• may cause headache, constipation, diarrhea, dry mouth
• asses nausea and vomiting
• assess for extrapyramidal symptoms
• monitor liver function tests

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Transcript

Hey guys, let’s talk about Onan Tron also known as Zo Fran. This is an injectable medication, as you can see here, the therapeutic class of ondansetron or how it works in the body is an anti medic, the pharmacologic class, or the chemical effect of on Dan Tron is a five HT, three antagonist. So on Dan Tron blocks the effects of serotonin on the VA nerve and the central nervous system, which is why we use this drug for the treatment of nausea and prevention. And also for vomiting. Some of the side effects that on Antron can cause are things like headache, constipation, dry mouth, and diarrhea. 

So in rare cases on Antron can cause extra pyramidal symptoms. So be sure to assess your patient for these. And also you want to assess your patient’s nausea and vomiting to be sure they’re only receiving the amount necessary. Also monitor your patient’s liver function tests. And it’s important to administer on Tron slowly over two to five minutes because rapid administration guys can cause fatal QT, prolongation, VTAC, and respiratory arrest, and it’s important teacher patient to report symptoms to the provider. So the maximum recommended daily doses vary depending on why your patient is receiving on Deru. So for instance, chemo patients tend to receive a higher dose than post-surgery patients do. So just be aware of this, depending on which area you are working in, that’s it for or on Tron orzo Fran. Now go out and be your best self today and as always happy nursing.

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Med Surg

Concepts Covered:

  • Gastrointestinal
  • Upper GI Disorders
  • Respiratory Emergencies
  • Immunological Disorders
  • Hematologic Disorders
  • Intraoperative Nursing
  • Medication Administration
  • Newborn Complications
  • Noninfectious Respiratory Disorder
  • Peripheral Nervous System Disorders
  • Studying
  • Central Nervous System Disorders – Brain
  • Sexually Transmitted Infections
  • Infectious Respiratory Disorder
  • Disorders of Pancreas
  • Liver & Gallbladder Disorders
  • Disorders of Thermoregulation
  • Musculoskeletal Trauma
  • Disorders of the Posterior Pituitary Gland
  • Cardiac Disorders
  • Emergency Care of the Cardiac Patient
  • Emergency Care of the Trauma Patient
  • Neurological Trauma
  • Disorders of the Thyroid & Parathyroid Glands
  • Male Reproductive Disorders
  • Oncology Disorders
  • Postoperative Nursing
  • Renal Disorders
  • Renal and Urinary Disorders
  • Central Nervous System Disorders – Spinal Cord
  • Integumentary Disorders
  • Shock
  • Acute & Chronic Renal Disorders
  • Respiratory Disorders
  • Vascular Disorders
  • Lower GI Disorders
  • Respiratory System
  • Disorders of the Adrenal Gland
  • Neurologic and Cognitive Disorders
  • Infectious Disease Disorders
  • Female Reproductive Disorders
  • EENT Disorders
  • Respiratory
  • Emergency Care of the Respiratory Patient
  • Neurological Emergencies
  • Communication

Study Plan Lessons

05.01 Pancreatitis and Large Bowel Obstruction for CCRN Review
Acute Respiratory Distress Syndrome (ARDS) for Progressive Care Certified Nurse (PCCN)
AIDS Case Study (45 min)
Airway Suctioning
Anemia for Progressive Care Certified Nurse (PCCN)
Anesthetic Agents
Anesthetic Agents
ARDS Case Study (60 min)
ARDS causes Nursing Mnemonic (GUT PASS)
Artificial Airways
Aspiration for Certified Emergency Nursing (CEN)
Assessment for Myasthenic Crisis Nursing Mnemonic (BRISH)
Asthma for Certified Emergency Nursing (CEN)
AVPU Mnemonic (The AVPU Scale)
Azithromycin (Zithromax) Nursing Considerations
Barbiturates
Brain Death v. Comatose
Brain Tumors
Bronchoscopy
Carbon Dioxide (Co2) Lab Values
Chest Tube Management
Chest Tube Management Case Study (60 min)
Chronic Obstructive Pulmonary Disease (COPD) Case Study (60 min)
Chronic Obstructive Pulmonary Disease (COPD) for Certified Emergency Nursing (CEN)
Cirrhosis Case Study (45 min)
Cold Temperature-related Emergencies for Certified Emergency Nursing (CEN)
Complications of Immobility
Coronavirus (COVID-19) Nursing Care and General Information
Day in the Life of a Med-surg Nurse
Diabetes Insipidus Case Study (60 min)
Diabetes Mellitus Case Study (45 min)
Diabetic Ketoacidosis (DKA) Case Study (45 min)
Disseminated Intravascular Coagulation Case Study (60 min)
Dysrhythmias for Certified Emergency Nursing (CEN)
Enteral & Parenteral Nutrition (Diet, TPN)
Erythromycin (Erythrocin) Nursing Considerations
Fractures (Open, Closed, Fat Embolus) for Certified Emergency Nursing (CEN)
General Anesthesia
Head and Spinal Cord Trauma for Certified Emergency Nursing (CEN)
Heart Failure Case Study (45 min)
Heart Failure for Certified Emergency Nursing (CEN)
Hemorrhagic Fevers for Certified Emergency Nursing (CEN)
Histamine 1 Receptor Blockers
Hyperthyroidism Case Study (75 min)
Hypothermia (Thermoregulation)
Infectious Diseases: Influenza for Progressive Care Certified Nurse (PCCN)
Intraoperative (Intraop) Complications
Leukemia Case Study (60 min)
Levofloxacin (Levaquin) Nursing Considerations
Local Anesthesia
Lung Cancer
Malignant Hyperthermia
Melanoma
Meperidine (Demerol) Nursing Considerations
Metabolic Acidosis (interpretation and nursing diagnosis)
Miscellaneous Nerve Disorders
Moderate Sedation
Montelukast (Singulair) Nursing Considerations
Morphine (MS Contin) Nursing Considerations
Myocardial Infarction (MI) Case Study (45 min)
Nephrotic Syndrome Case Study (Peds) (45 min)
Neurological Disorders (Multiple Sclerosis, Myasthenia Gravis, Guillain-Barré Syndrome) for Certified Emergency Nursing (CEN)
Noncardiac Pulmonary Edema for Certified Emergency Nursing (CEN)
Nursing Care and Pathophysiology for Acquired Immune Deficiency Syndrome (AIDS)
Nursing Care and Pathophysiology for Anaphylaxis
Nursing Care and Pathophysiology for Asthma
Nursing Care and Pathophysiology for Influenza (Flu)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Psoriasis
Nursing Care and Pathophysiology for Scleroderma
Nursing Care and Pathophysiology for Sepsis
Nursing Care and Pathophysiology for SIRS & MODS
Nursing Care and Pathophysiology of Acute Respiratory Distress Syndrome (ARDS)
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Pneumonia
Nursing Care Plan (NCP) & Interventions for Increased Intracranial Pressure (ICP)
Nursing Care Plan (NCP) for Activity Intolerance
Nursing Care Plan (NCP) for Acute Bronchitis
Nursing Care Plan (NCP) for Acute Kidney Injury
Nursing Care Plan (NCP) for Acute Respiratory Distress Syndrome
Nursing Care Plan (NCP) for Anaphylaxis
Nursing Care Plan (NCP) for Anemia
Nursing Care Plan (NCP) for Angina
Nursing Care Plan (NCP) for Aortic Aneurysm
Nursing Care Plan (NCP) for Aspiration
Nursing Care Plan (NCP) for Asthma / Childhood Asthma
Nursing Care Plan (NCP) for Blunt Chest Trauma
Nursing Care Plan (NCP) for Bowel Obstruction
Nursing Care Plan (NCP) for Brain Tumors
Nursing Care Plan (NCP) for Bronchoscopy (Procedure)
Nursing Care Plan (NCP) for Cardiogenic Shock
Nursing Care Plan (NCP) for Chronic Kidney Disease
Nursing Care Plan (NCP) for Chronic Obstructive Pulmonary Disease (COPD)
Nursing Care Plan (NCP) for Congestive Heart Failure (CHF)
Nursing Care Plan (NCP) for Cushing’s Disease
Nursing Care Plan (NCP) for Diabetes Insipidus
Nursing Care Plan (NCP) for Diabetic Ketoacidosis (DKA)
Nursing Care Plan (NCP) for Disseminated Intravascular Coagulation (DIC)
Nursing Care Plan (NCP) for Diverticulosis / Diverticulitis
Nursing Care Plan (NCP) for Emphysema
Nursing Care Plan (NCP) for Encephalopathy
Nursing Care Plan (NCP) for Endocarditis
Nursing Care Plan (NCP) for Gastroesophageal Reflux Disease (GERD)
Nursing Care Plan (NCP) for GI (Gastrointestinal) Bleed
Nursing Care Plan (NCP) for Guillain-Barre
Nursing Care Plan (NCP) for Heart Valve Disorders
Nursing Care Plan (NCP) for Hydrocephalus
Nursing Care Plan (NCP) for Hyperosmolar Hyperglycemic Nonketotic Syndrome (HHNS)
Nursing Care Plan (NCP) for Hyperthermia (Thermoregulation)
Nursing Care Plan (NCP) for Hyperthyroidism
Nursing Care Plan (NCP) for Hypovolemic Shock
Nursing Care Plan (NCP) for Lung Cancer
Nursing Care Plan (NCP) for Lymphoma (Hodgkin’s, Non-Hodgkin’s)
Nursing Care Plan (NCP) for Mumps
Nursing Care Plan (NCP) for Myasthenia Gravis (MG)
Nursing Care Plan (NCP) for Myocardial Infarction (MI)
Nursing Care Plan (NCP) for Nephrotic Syndrome
Nursing Care Plan (NCP) for Osteoporosis
Nursing Care Plan (NCP) for Pancreatitis
Nursing Care Plan (NCP) for Pericarditis
Nursing Care Plan (NCP) for Restrictive Lung Diseases
Nursing Care Plan (NCP) for Rubeola – Measles
Nursing Care Plan (NCP) for Spinal Cord Injury
Nursing Care Plan (NCP) for Syncope (Fainting)
Nursing Care Plan (NCP) for Syndrome of Inappropriate Antidiuretic Hormone (SIADH)
Nursing Care Plan (NCP) for Thoracentesis (Procedure)
Nursing Care Plan (NCP) for Thrombophlebitis / Deep Vein Thrombosis (DVT)
Nursing Care Plan (NCP) for Tuberculosis
Nursing Care Plan for Cirrhosis (Liver)
Nursing Care Plan for Distributive Shock
Nursing Care Plan for Nasal Disorders
Nursing Care Plan for Pulmonary Edema
Nursing Care Plan for Restrictive Lung Diseases (Pulmonary Fibrosis, Neuromuscular Disorders)
Nursing Care Plan for Scleroderma
Nursing Case Study for Breast Cancer
Nursing Case Study for Cardiogenic Shock
Nursing Case Study for Hepatitis
Nursing Case Study for Pneumonia
Nursing Case Study for Type 1 Diabetes
Obstruction for Certified Emergency Nursing (CEN)
Obstructive Sleep Apnea for Progressive Care Certified Nurse (PCCN)
Ondansetron (Zofran) Nursing Considerations
Opioids
Pancreatitis For PCCN for Progressive Care Certified Nurse (PCCN)
Patient Positioning
Pentobarbital (Nembutal) Nursing Considerations
Peritonitis for Certified Emergency Nursing (CEN)
Pleural Space Complications (Pneumothorax, Hemothorax, Pleural Effusion, Empyema, Chylothorax) for Progressive Care Certified Nurse (PCCN)
Positioning (Pressure Injury Prevention and Tourniquet Safety) for Certified Perioperative Nurse (CNOR)
Post-Anesthesia Recovery
PPE Precautions (Personal Protective Equipment) for Certified Perioperative Nurse (CNOR)
Propofol (Diprivan) Nursing Considerations
Respiratory A&P Module Intro
Respiratory Alkalosis
Respiratory Course Introduction
Respiratory Depression (Medication-Induced, Decreased-LOC-Induced) for Progressive Care Certified Nurse (PCCN)
Respiratory Distress Syndrome for Certified Emergency Nursing (CEN)
Respiratory Failure (Acute, Chronic, Failure to Wean) for Progressive Care Certified Nurse (PCCN)
Respiratory Infections (Pneumonia) for Progressive Care Certified Nurse (PCCN)
Respiratory Infections Module Intro
Respiratory Procedures Module Intro
Respiratory Trauma for Certified Emergency Nursing (CEN)
Respiratory Trauma Module Intro
Rheumatoid Arthritis Assessment Nursing Mnemonic (RHEUMATOID)
Shock States (Anaphylactic, Hypovolemic) For PCCN for Progressive Care Certified Nurse (PCCN)
Spinal Cord Injury Case Study (60 min)
Stroke Assessment (CVA)
Surgical Wound Classification Documentation for Certified Perioperative Nurse (CNOR)
Systemic Lupus Erythematosus (SLE)
The Medical Team
Thoracentesis
Trach Suctioning
Tuberculosis for Certified Emergency Nursing (CEN)
Vaccine-Preventable Diseases (Measles, Mumps, Pertussis, Chicken Pox, Diphtheria) for Certified Emergency Nursing (CEN)
Ventilator Settings
Wound Dressing Maintenance for Certified Perioperative Nurse (CNOR)