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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:

Bupropion (Wellbutrin) Nursing Considerations Jun 01, 2022

Show notes

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

Bupropion

Trade Name

Wellbutrin

Indication

Depression, smoking cessation, treat ADHD in adults

Action

Not well understood, ↑ dopaminergic and noradrenergic transmission via reuptake

Therapeutic Class

Antidepressants, smoking deterrents

Pharmacologic Class

Aminoketones

Nursing Considerations

• May lead to seizures, suicidal thoughts • Do not administer if patient is taking MAOI • Use caution with renal and liver impairment • Assess mental status • Instruct patient to avoid alcohol (may lead to hallucinations, seizures, anxiety)

Bismuth Subsalicylate (Pepto-Bismol) Nursing Considerations May 30, 2022

Show notes

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

Bismuth subsalicylate

Trade Name

Kaopectate, Pepto-Bismol

Indication

Diarrhea, heartburn, indigestion, H. pylori associated ulcer

Action

Stimulates the absorption of fluids and electrolytes in the intestinal wall, reduction in hypermotility of the stomach, and binds to toxins.

Therapeutic Class

Antidiarrheal, antiulcer, antacid

Pharmacologic Class

Absorbent

Nursing Considerations

• Contraindicated in aspirin hypersensitivity • Increase risk for impaction with geriatric and pediatric patients • Monitor liver profile • Bismuth may interfere with radiologic exams

Bisacodyl (Dulcolax) Nursing Considerations May 27, 2022

Show notes

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

Bisacodyl

Trade Name

Dulcolax

Indication

Treatment of constipation, bowel regimen

Action

Stimulates enteric nerves to cause peristalsis which leads to fluid accumulation in the colon

Therapeutic Class

Laxatives

Pharmacologic Class

Stimulant laxatives

Nursing Considerations

• May lead to hypokalemia • May cause abdominal pain and cramps • Not for use within 1 hour of taking milk product • Assess for abdominal distention and bowel function • Instruct patient to drink 1500-2000 mL/day during therapy • Monitor fluid and electrolyte levels • Instruct patient to take as ordered

Benztropine (Cogentin) Nursing Considerations May 25, 2022

Show notes

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

Benztropine

Trade Name

Cogentin

Indication

Treatment for Parkinson's disease

Action

Exhibits anticholinergic properties (blocks acetylcholine) in the CNS to reduce rigidity and tremors

Therapeutic Class

Antiparkinson agent

Pharmacologic Class

Anticholinergic

Nursing Considerations

• May lead to arrhythmias, hypotension, palpitations, and tachycardia • Anticholinergic effects like constipation, dry mouth • Assess for extrapyramidal symptoms • Instruct patient to take as directed • Instruct patient to maintain good oral hygiene

Azithromycin (Zithromax) Nursing Considerations May 23, 2022

Show notes

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

Zithromax

Indication

URI, chronic bronchitis, lower respiratory infections, otitis media, skin infections, various STIs, prevention of bacterial endocarditis, treatment of cystic fibrosis

Action

Inhibits bacterial protein synthesis

Therapeutic Class

Agents for atypical mycobacterium, anti-infectives

Pharmacologic Class

Macrolide

Nursing Considerations

• May lead to pseudomembranous colitis, pain, diarrhea, nausea, Stevens-Johnson syndrome, angioedema • May increase risks for warfarin toxicity • Monitor patient for signs of anaphylaxis • Instruct patient to notify physician for diarrhea, or blood or pus in stool • Instruct patient to take medication exactly as prescribed

Diphenoxylate-Atropine (Lomotil) Nursing Considerations May 20, 2022

Show notes

Download the cheat: https://bit.ly/50-meds View the lesson: https://bit.ly/Diphenoxylate-AtropineLomotilNursingConsiderations Generic Name Diphenoxylate/atropine Trade Name

Lomotil

Indication

Treatment for diarrhea

Action

Inhibits GI motility via anticholinergic effects

Therapeutic Class

Antidiarrheal

Pharmacologic Class

Anticholinergic

Nursing Considerations

• Contraindicated with angle-closure glaucoma, dehydration • Structurally related to opioids so use caution with patients that have allergies to opioids • May cause constipation, tachycardia, dizziness, ileus • Monitor liver function as the medication is excreted by the liver • Ensure that client is taking medication as prescribed and not double dosing

Atropine (Atropen) Nursing Considerations May 18, 2022

Show notes

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

Atropine

Trade Name

Atropen

Indication

Decreases oral and respiratory secretions, treats sinus bradycardia and heart block, treatment of bronchospasm

Action

Atropine is an anticholinergic which means that it inhibits the effects of the parasympathetic nervous system, specifically acetylcholine. This inhibition causes increase in HR, bronchodilation, decreased GI and respiratory secretions.

Therapeutic Class

Antiarrhythmic

Pharmacologic Class

Anticholinergic, antimuscarinic

Nursing Considerations

• Avoid in acute hemorrhage, tachycardia, and angle closure glaucoma • Monitor patient for tachycardia and palpitations • May cause urinary retention in elderly patients • Patients may experience constipation due to slowed GI motility

Atenolol (Tenormin) Nursing Considerations May 16, 2022

Show notes

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

Generic Name

Atenolol

Trade Name

Tenormin

Indication

Hypertension, angina, prevention of MI

Action

Blocks the stimulation of beta1 receptors in the SNS with minimal effect on beta2 receptors

Therapeutic Class

Antianginal, antihypertensive

Pharmacologic Class

Beta blocker

Nursing Considerations

• Contraindicated in CHF, pulmonary edema, cardiogenic shock, bradycardia, heart block • Monitor hemodynamic parameters (HR, BP) • May cause bradycardia, CHF, pulmonary edema • Masks symptoms associated with diabetes mellitus • Advise to change positions slowly to prevent orthostatic hypotension • Instruct patient on how to take blood pressure

ASA (Aspirin) Nursing Considerations May 13, 2022

Show notes

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

Acetylsalicylic Acid

Trade Name

Aspirin

Indication

Rheumatoid arthritis, osteoarthritis, ischemic stroke, and MI prophylaxis

Action

Inhibits the production of prostaglandins which leads to a reduction of fever and inflammation, decreases platelet aggregation leading to a decrease in ischemic diseases

Therapeutic Class

Antipyretics, non-opioid analgesics

Pharmacologic Class

Salicylates

Nursing Considerations

• Use caution in bleeding disorders, chronic alcohol use • May lead to Stevens-Johnson syndrome, laryngeal edema, and anaphylaxis • Increases risk for bleeding with warfarin, heparin, and clopidogrel • Increased risk for GI bleeding with NSAID use • Monitor liver function tests • Concurrent use with alcohol may increase risk for GI bleeding • Aspirin with viral infections can cause Reye's syndrome

Ampicillin (Omnipen) Nursing Considerations May 11, 2022

Show notes

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

Ampicillin

Trade Name

Principen

Indication

Skin infections, soft tissue infections, otitis media, sinusitis, respiratory infections, GU infections, meningitis, septicemia

Action

Bactericidal, broader spectrum than penicillin, binds to cell wall leading to bacterial cell death

Therapeutic Class

Anti-infective

Pharmacologic Class

Aminopenicillin

Nursing Considerations

• Contraindicated in penicillin allergy, use caution in renal insufficiency • May lead to seizures, diarrhea, anaphylaxis, superinfection • Assess for infection • Monitor liver function tests • Instruct patient on signs of superinfection: furry overgrowth on tongue, vaginal itching, loose and foul smelling stool • Pt should not use with oral contraceptive use.

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