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MedMaster by NURSING.com

Brought to you by NURSING.com, based on their #1 Online Nursing Pharmacology Course . . . Visit nursing.com/50meds to get our list of the 50 most prescribed medications.
YouTube: https://www.youtube.com/c/Nrsng/

The 140 MUST KNOW medications for nurses and nursing students. Each episode will discuss a commonly used medication in hospitals and ICUs that we as nurses will use each day. The #1 medication and pharmacology podcast. This is the perfect podcast for nursing students preparing for the NCLEX or practicing nurses preparing for the CCRN or other exams who want to increase their knowledge of pharmacology and pathopharm. The podcast for nurses and nursing students! Are you ready to sky rocket your nursing career to the next level? We cover test preparation (NCLEX CCRN etc), work life balance, pharmacology, theory, and more. Nursing is hard . . . learning it doesn’t have to be! Jon Haws RN, the host has worked as a critical care registered nurse in a Level I Trauma hospital in Dallas, TX. Jon is the creator of NURSING.com. Visit the site and check out the books on Amazon.com We discuss current trends in the ICU, anatomy, physiology, nursing care, and much more. For full disclaimer information visit: nursing.com/about. NCLEX®, NCLEX-RN® are registered trademarks of the National Council of State Boards of Nursing, INC

Copyright: © 2019 TazKai, LLC and NRSNG, LLC

Latest Episodes:

Digoxin (Lanoxin) Nursing Considerations Jul 15, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DigoxinLanoxinNursingConsiderations Generic Name

Digoxin

Trade Name

Lanoxin

Indication

CHF, AFib, A-flutter

Action

Positive inotropic effect (increases force of myocardial contraction), prolongs refractory period, ↓ conduction through SA and AV nodes. Essentially digoxin is given to increase cardiac output and slow the rate.

Therapeutic Class

Antiarrhythmic, inotropics

Pharmacologic Class

Digitalis glycosides

Nursing Considerations

• Excreted by kidneys • Assess patient for hypersensitivity • Contraindicated with uncontrolled ventricular arrhythmias • Hypokalemia increase risk for toxicity • Hypercalcemia ↑ risk for toxicity • Use caution with diuretic use as they may cause electrolyte abnormalities that can lead to toxicity • Assess patient for cardiac arrhythmias including bradycardia • Signs of toxicity include vision changes (blurred vision, yellow, green vision disturbances) • Monitor pulse rate for 1 full minute prior to dosing patient (hold for pulse

Diazepam (Valium) Nursing Considerations Jul 13, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DiazepamValiumNursingConsiderations Generic Name

Diazepam

Trade Name

Valium

Indication

Anxiety, pre-op sedation, conscious sedation, treatment of seizures, insomnia, management of alcohol withdrawal

Action

Decreases the effects of voltage gated sodium channels to depresses the CNS

Therapeutic Class

Antianxiety agents, anticonvulsants, sedative/hypnotics, skeletal muscle relax- ants (centrally acting)

Pharmacologic Class

Benzodiazepine

Nursing Considerations

• Contraindicated in hepatic dysfunction • Use caution with renal impairment • Can cause dizziness, drowsiness, lethargy, hypotension, physical depen- dence, tolerance • Instruct patient to take as directed • Caution to avoid alcohol use • Flumazenil (Romazicon) is the reversal agent

Dexamethasone (Decadron) Nursing Considerations Jul 11, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/DexamethasoneDecadronNursingConsiderations Generic Name

Dexamethasone

Trade Name

Decadron

Indication

Manage cerebral edema, assess for Cushing's Disease

Action

Suppress inflammation and normal immune response. Used in inflammatory states to decrease inflammation.

Therapeutic Class

Antiasthmatics, corticosteroids

Pharmacologic Class

Corticosteroids

Nursing Considerations

• Excreted by the liver – monitor liver profile • Avoid in active untreated infections • May cause CNS alterations • May cause peptic ulcers • May cause Cushingoid appearance (buffalo hump, moon face) • Weight gain • Osteoporosis • Decrease wound healing • May elevate blood sugars • May increase cholesterol and lipid values

Cyclosporine (Sandimmune) Nursing Considerations Jul 08, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CyclosporineSandimmuneNursingConsiderations Generic Name

Cyclosporine

Trade Name

Sandimmune

Indication

Prevention of rejection in transplantation, treatment of severe RA, management of ulcerative colitis

Action

Inhibits normal immune response primarily by decreasing the activity of T cells

Therapeutic Class

Immunosuppressant, antirheumatics (DMARD)

Pharmacologic Class

Polypeptides (cyclic)

Nursing Considerations

• May cause seizures, tremors, hypertension, hepatotoxicity, diarrhea, N/V, gingival hyperplasia • Increases immune suppression with corticosteroids • Avoid grapefruit juice while taking this medications • Assess for signs of organ rejection • Monitor renal panel, liver enzymes • Take medication as directed • Lifelong therapy required for transplant patients • Instruct pt on how to take blood pressure

Cortisone (Cortone) Nursing Considerations Jul 06, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CortisoneCortoneNursingConsiderations Generic Name

Cortisone

Trade Name

Cortone

Indication

Management of adrenocortical insufficiency (Addison's Disease). Replace cortisol in states of deficiency, suppress inflammation and normal immune response.

Action

The adrenal glands sit on top of the kidneys. The adrenal glands excrete steroid hormones, including cortisol that play a role in increasing blood sugars, immune suppression, and metabolism of fat, protein, and carbohydrates, as well as decreasing bone formation.

Therapeutic Class

Antiasthmatics, corticosteroids

Pharmacologic Class

Corticosteroids

Nursing Considerations

• Excreted by the liver – monitor liver profile • Avoid in active untreated infections • May cause CNS alterations • May cause peptic ulcers • May cause Cushingoid appearance (buffalo hump, moon face) • Weight gain • Osteoporosis • Decrease wound healing • May elevate blood sugars • May increase cholesterol and lipid values

Codeine (Paveral) Nursing Considerations Jul 04, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CodeinePaveralNursingConsiderations 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 analgesic

Pharmacologic Class

Opioid agonist

Nursing Considerations

• May cause alterations in mentation, hypotension, constipation, nausea, vomiting • Assess BP, pulse, and respiratory rate prior to administration and frequently during administration • Use caution if patient is receiving MAO Inhibitors • Narcan (naloxone) is the antidote for opioid agonists

Clopidogrel (Plavix) Nursing Considerations Jul 01, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/ClopidogrelPlavixNursingConsiderations Generic Name Clopidogrel Trade Name

Plavix

Indication

Atherosclerotic events, MI, CVA, PVD, acute coronary syndrome

Action

Inhibits platelet aggregation

Therapeutic Class

Antiplatelet agent

Pharmacologic Class

Platelet aggregation inhibitors

Nursing Considerations

• May cause GI bleeding, neutropenia, hypercholesterolemia • May increase risk for bleeding in warfarin, aspirin, heparin • Can increase risk for bleeding with garlic, ginkgo, ginger • Monitor for signs of bleeding • Monitor bleeding times • Monitor CBC and platelet count • Discontinue use 5-7 days before surgery

Clindamycin (Cleocin) Nursing Considerations Jun 29, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/ClindamycinCleocinNursingConsiderations Generic Name

Clindamycin

Trade Name

Cleocin

Indication

Skin infections, respiratory tract infections, septicemia, intra-abdominal infections, osteomyelitis

Action

Bacteriostatic: inhibits protein synthesis

Therapeutic Class

Anti-infectives

Pharmacologic Class

Lincosamide

Nursing Considerations

• Arrhythmias, pseudomembranous colitis, diarrhea, phlebitis • Monitor bowel function • Assess for infection, obtain cultures prior to therapy • Monitor liver function tests • Monitor CBC

Ciprofloxacin (Cipro) Nursing Considerations Jun 27, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CiprofloxacinCiproNursingConsiderations Generic Name

Ciprofloxacin

Trade Name

Cipro

Indication

Urinary tract infections, gonorrhea, respiratory tract infections, bronchitis, pneumonia, skin and bone infections, infectious diarrhea, abdominal infections

Action

Inhibits bacterial DNA synthesis

Therapeutic Class

Anti-infectives

Pharmacologic Class

Fluoroquinolone

Nursing Considerations

• Contraindicated in allergies • May cause QT prolongation, avoid use with other drugs that can cause QT prolongation • Can cause seizures, arrhythmias, pseudomembranous colitis, anaphylaxis, Stevens Johnson syndrome • May decrease effects of phenytoin • Monitor renal panel • Assess for infection, obtain cultures prior to therapy • Monitor liver function tests

Cimetidine (Tagamet) Nursing Considerations Jun 24, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/CimetidineTagametNursingConsiderations Generic Name Cimetidine Trade Name

Tagamet

Indication

Treatment of duodenal ulcers, GERD, heartburn, Zollinger Ellison syndrome, prevention of GI bleeding in critical patients.

Action

Inhibits action of histamine leading to inhibition of gastric acid secretion

Therapeutic Class

Antiulcer agent

Pharmacologic Class

Histamine H2 antagonist

Nursing Considerations

• Increases serum level of warfarin • Can lead to respiratory infection (green sputum) • Monitor for arrhythmias • May cause agranulocytosis, aplastic anemia • Monitor CBC during therapy • Take medication as directed • Instruct patient to increase fluid and fiber intake to decrease constipation

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