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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Concepts Covered:

  • Basics of NCLEX
  • Test Taking Strategies
  • Prioritization
  • Studying
  • Fundamentals of Emergency Nursing
  • Developmental Considerations
  • Developmental Theories
  • Communication
  • Concepts of Mental Health
  • Health & Stress
  • Neurological Emergencies
  • Emotions and Motivation
  • Pregnancy Risks
  • Cardiac Disorders
  • Renal Disorders
  • Childhood Growth and Development
  • Prenatal and Neonatal Growth and Development
  • Adulthood Growth and Development
  • Respiratory Disorders
  • Noninfectious Respiratory Disorder
  • Eating Disorders
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  • Urinary System
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  • Labor Complications
  • Disorders of Pancreas
  • Acute & Chronic Renal Disorders
  • Liver & Gallbladder Disorders
  • Hematologic Disorders
  • Medication Administration
  • Urinary Disorders
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  • Lower GI Disorders
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  • Disorders of the Thyroid & Parathyroid Glands
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Study Plan Lessons

Overview of the Nursing Process
Nursing Process – Assess
Nursing Process – Diagnose
Nursing Process – Plan
Nursing Process – Implement
Nursing Process – Evaluate
Critical Thinking
Thinking Like a Nurse
The Nurse Routine
Prioritization
Triage
Cultural Awareness and Influences on Development
Developmental Considerations for the Hospitalized Individual
Family Structure and Impact on Development
Kohlberg’s Theory of Moral Development
Erikson’s Theory of Psychosocial Development
Piaget’s Theory of Cognitive Development
Body Image Changes Throughout Development
Nurse-Patient Relationship
Therapeutic Communication
Defense Mechanisms
Self Concept
Patients with Communication Difficulties
Maslow’s Hierarchy of Needs in Nursing
Nutrition Assessments
Nutrition (Diet) in Disease
Specialty Diets (Nutrition)
Developmental Stages and Milestones
Cultural Awareness and Influences on Development
Environmental and Genetic Influences on Growth & Development
Growth & Development – Late Adulthood
Developmental Considerations for End of Life Care
Growth & Development -Transitioning to Adult Care
ABGs Nursing Normal Lab Values
ABG (Arterial Blood Gas) Interpretation-The Basics
ROME – ABG (Arterial Blood Gas) Interpretation
ABGs Tic-Tac-Toe interpretation Method
Respiratory Acidosis (interpretation and nursing interventions)
Respiratory Alkalosis
Metabolic Acidosis (interpretation and nursing diagnosis)
Metabolic Alkalosis
ABG (Arterial Blood Gas) Oxygenation
Lactic Acid
Base Excess & Deficit
Fluid & Electrolytes Course Introduction
Fluid Compartments
Fluid Pressures
Fluid Shifts (Ascites) (Pleural Effusion)
Isotonic Solutions (IV solutions)
Hypotonic Solutions (IV solutions)
Hypertonic Solutions (IV solutions)
Potassium-K (Hyperkalemia, Hypokalemia)
Sodium-Na (Hypernatremia, Hyponatremia)
Calcium-Ca (Hypercalcemia, Hypocalcemia)
Chloride-Cl (Hyperchloremia, Hypochloremia)
Magnesium-Mg (Hypomagnesemia, Hypermagnesemia)
Phosphorus-Phos
Calcium Acetate (PhosLo) Nursing Considerations
Epoetin (Epogen) Nursing Considerations
Enalapril (Vasotec) Nursing Considerations
Calcium Carbonate (Tums) Nursing Considerations
Epoetin Alfa
Acute Renal (Kidney) Module Intro
Nursing Care and Pathophysiology of Acute Kidney (Renal) Injury (AKI)
Nursing Care and Pathophysiology of Nephrotic Syndrome
Nursing Care and Pathophysiology of Glomerulonephritis
Nursing Care and Pathophysiology of Urinary Tract Infection (UTI)
Nursing Care and Pathophysiology of Renal Calculi (Kidney Stones)
Chronic Renal (Kidney) Module Intro
Nursing Care and Pathophysiology of Chronic Kidney (Renal) Disease (CKD)
Nursing Care and Pathophysiology of BPH (Benign Prostatic Hyperplasia)
Dialysis & Other Renal Points
Peritoneal Dialysis (PD)
Hemodialysis (Renal Dialysis)
Continuous Renal Replacement Therapy (CRRT, dialysis)
Anesthetic Agents
Anesthetic Agents
Epidural
Patient Controlled Analgesia (PCA)
Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations
Bisacodyl (Dulcolax) Nursing Considerations
Clindamycin (Cleocin) Nursing Considerations
Proton Pump Inhibitors
Atenolol (Tenormin) Nursing Considerations
Captopril (Capoten) Nursing Considerations
Amlodipine (Norvasc) Nursing Considerations
Azithromycin (Zithromax) Nursing Considerations
Cephalexin (Keflex) Nursing Considerations
Ampicillin (Omnipen) Nursing Considerations
Ciprofloxacin (Cipro) Nursing Considerations
Acyclovir (Zovirax) Nursing Considerations
Anti-Infective – Antivirals
Anti-Infective – Antifungals
Cefdinir (Omnicef) Nursing Considerations
Cefaclor (Ceclor) Nursing Considerations
Parasympatholytics (Anticholinergics) Nursing Considerations
Diuretics (Loop, Potassium Sparing, Thiazide, Furosemide/Lasix)
Hematology Module Intro
Thrombocytopenia
Ferrous Sulfate (Iron) Nursing Considerations
Nursing Care and Pathophysiology for Anemia
Nursing Care and Pathophysiology for Sickle Cell Anemia
Nursing Care and Pathophysiology for Disseminated Intravascular Coagulation (DIC)
Iron Deficiency Anemia
Hemophilia
Hemoglobin (Hbg) Lab Values
Hematocrit (Hct) Lab Values
Platelets (PLT) Lab Values
Diabetes Mellitus (DM) Module Intro
Nursing Care and Pathophysiology of Diabetes Mellitus (DM)
Diabetes Management
Nursing Care and Pathophysiology of Diabetic Ketoacidosis (DKA)
Hyperglycaemic Hyperosmolar Non-ketotic syndrome (HHNS)
Hypoglycemia
Addisons Disease
Nursing Care and Pathophysiology for Cushings Syndrome
Nursing Care and Pathophysiology for Diabetes Insipidus (DI)
Nursing Care and Pathophysiology for SIADH (Syndrome of Inappropriate antidiuretic Hormone Secretion)
Insulin Drips
Antidiabetic Agents
Thrombolytics
Iodine Nursing Considerations
Propylthiouracil (PTU) Nursing Considerations
Glucagon (GlucaGen) Nursing Considerations
Insulin – Mixtures (70/30)
Insulin – Intermediate Acting (NPH) Nursing Considerations
Insulin – Short Acting (Regular) Nursing Considerations
Insulin – Long Acting (Lantus) Nursing Considerations
Insulin – Rapid Acting (Novolog, Humalog) Nursing Considerations
Nursing Care and Pathophysiology for Cholecystitis
Nursing Care and Pathophysiology for Cirrhosis (Liver Disease, Hepatic encephalopathy, Portal Hypertension, Esophageal Varices)
Nursing Care and Pathophysiology for Hepatitis (Liver Disease)
Nursing Care and Pathophysiology for Pancreatitis
Nursing Care and Pathophysiology for Appendicitis
Hiatal Hernia
Nursing Care and Pathophysiology for Diverticulosis – Diverticulitis
GERD (Gastroesophageal Reflux Disease)
Gastritis
Bariatric Surgeries
Nursing Care and Pathophysiology for Peptic Ulcer Disease (PUD)
Nursing Care and Pathophysiology for Inflammatory Bowel Disease (IBD)
Nursing Care and Pathophysiology for Ulcerative Colitis(UC)
Nursing Care and Pathophysiology for Hemorrhoids
Nursing Care and Pathophysiology for Crohn’s Disease
Appendicitis
Pantoprazole (Protonix) Nursing Considerations
Omeprazole (Prilosec) Nursing Considerations
Pancrelipase (Pancreaze) Nursing Considerations
Ondansetron (Zofran) Nursing Considerations
Vasopressin
Proton Pump Inhibitors
Parasympatholytics (Anticholinergics) Nursing Considerations
Nursing Care and Pathophysiology for Multiple Sclerosis (MS)
Nursing Care and Pathophysiology for Myasthenia Gravis
Nursing Care and Pathophysiology for Parkinsons
Essential NCLEX Meds by Class