Antihypertensives
What is metoprolol?
Give class side and side effects and things to know
-used for anti-hypertension and angina
-Metoprolol is a beta blocker
-Dizziness, fatigue, low blood pressure
-DO NOT TAKE IF YOU HAVE ASTHMA
Acetaminophen (Tylenol)
Give class side and side effects and things to know
-Non opioid analgesics (Treats mild pain and fever
-Acetylcysteine is the antidote for overdose
SE: Nausea, constipation
Assess: alcohol use and look for rash
Alprazolam (Xanax)
Give class side and side effects and things to know
-benzodiazepines
-Treats general anxiety disorder
SE: Dizziness, drowsiness, headache, nausea
Fall risk, drowsiness is typically a first side effect, assess addiction/dependency risk
Docusate (colace, dulcolax)
Give class side and side effects
- Laxative, stool softeners
SE: cramps, diarrhea
WBC
4,000-10,000
Furosemide
Give class side and side effects and things to know
- also known as lasix
- loop diuretic
- treats edema, hypertension, heart failure
- increases the amount of urine made, do not take if you are unable to urinate
SE: GI changes, dizziness
Ibuprofen (advil, motrin)
Give class side and side effects and things to know
- Treats mild to moderate pain, fever, and inflammation
- Non-opiods analgesics
SE: Constipation, nausea, vomitting
Assess for bleeding and symptoms of DRESS
Paroxetine (Paxil)
Give class side and side effects and things to know
SSRI
Treats major depressive disorder + Generalized anxiety disorder etc
SE: loss of appetite, sleep problems, weakness
Watch for serotonin syndrome, suicidal tendencies, full neuro assessment
Prednisone
Give class side and side effects and things to know
Corticosteroid
Suppresses immune system and inflammation
SE: insomnia, increased appetite, acne
Do not take when getting a live vaccine, take with food, look for edema + adrenal insufficency
135-145
What is Lisinopril?
Give class side and side effects and things to know
- Used for hypertension and to treat CHF
- ACE inhibitors (opens the blood vessels)
SE: headache, dizziness, dry cough
-Watch for kidney function
Oxycodone (oxycontin)
Give class side and side effects and things to know
-Opioid analgesics (treat moderate to severe pain)
SE: Constipation, dry mouth, flush, blurred vision WATCH FOR RESPIRATORY DEPRESSION
Assess respirations, pulse, bowel function, risk for addiction
Which of the following symptom assessments would validate the diagnosis of generalized anxiety disorder? Select all that apply.
Excessive worry about items difficult to control.
Muscle tension.
Hypersomnia.
Excessive amounts of energy.
Feeling “keyed up” or “on edge.”
Excessive worry, muscle tension, keyed up/on edge
Diphenhydramine (benadryl)
Give class side and side effects
Antihistamine, allergy med
SE: dizziness, sleepyness
Potassium
3.5-5
(per the sheet in the shell)
Nifedipine
Give class side and side effects and things to know
-Calcium channel blockers (relaxes heart muscles)
- Anti-hypertensive
- Do not take with severe coronary artery disease
- Dizziness, flush, weakness
Which client is most likely to receive opioids for extended periods of time?
A. A client with fibromyalgia
B. A client with phantom limb pain
C. A client with progressive pancreatic cancer
D. A client with trigeminal neuralgia
C. A client with progressive pancreatic cancer
A client experiencing a panic attack would display which physical symptom?
Fear of dying.
Sweating and palpitations.
Depersonalization.
Restlessness and pacing.
Sweating and palpitations
Zolpidem (ambien)
Give class side and side effects
Sedative
SE: drowsiness, sleepyness, headache
BUN
8-23
When should you hold an antihypertensive medication
When the heart rate is below 60 or 50
(depends who you ask)
In caring for a young child with pain, which assessment tool is the most useful?
A. Simple description pain intensity scale
B. 0-10 numeric pain scale
C. Faces pain-rating scale
D. McGill-Melzack pain questionnaire
C. Faces pain-rating scale
Are benzos or SSRIs used for long-term use?
Albuterol
Give class side and side effects and things to know
Bronchodilator
relaxes muscles in the airways and increases airflow to the lungs
SE: all types of pain, upset stomach, cough
Assess lung sounds, pulse, BP, look for wheezing if so then hold
Creatine
0.5-1.2