Muscle Relaxants
What is baclofen used to treat?
spasticity
What is the therapeutic effect of heparin?
preventing new clot formation by inhibiting clotting factors
What condition is alteplase primarily used for in acute settings?
acute ischemic stroke, MI, or pulmonary embolism
what is the main indication for phenobarbital?
seizure disorders
What is the class of clopidogrel?
antiplatelet (ADP receptor blocker)
What is a key side effect of diazepam?
What lab value should be monitored for warfarin therapy?
PT/INR (goal 2-3, or 2.5-3.5 for mechanical valves)
What is a major adverse reaction of alteplase?
major bleeding
What should a patient report immediately when taking levetiracetam?
mood changes or suicidal thoughts
What vitamin does ferrous sulfate supplement?
iron
What should a nurse monitor when administering IV diazepam?
respiratory rate and oxygen saturation
What is the antidote for heparin overdose?
Protamine sulfate
What baseline lab should be checked before administering alteplase?
PT, aPTT, platelets, and fibrinogen
What is the route of administration for IV phenobarbital to prevent hypotension?
slow infusion
What is the primary use of acyclovir?
herpes simplex virus (HSV) or varicella-zoster virus (VZV) infections
What is the primary nursing consideration when discontinuing phenobarbital?
taper dose gradually to prevent withdrawal seizures
What precaution should be taken when administering enoxaparin SQ injections?
dont aspirate or massage the injection site (prevents hematoma at injection site)
What is the time-sensitive window for alteplase administration in ischemic stroke?
within 3 hours of symptom onset
What lab value is used to monitor phenobarbital toxicity?
phenobarbital levels (therapeutic range 15-40 mcg/mL)
What lab parameter should be monitored with epoetin alfa therapy?
hemoglobin
What behavioral side effect is associated with levetiracetam and requires urgent reporting?
irritability or suicidal thoughts
What food interaction should patients on warfarin avoid to maintain consistent INR?
excessive vitamin K rich foods
What nursing action is critical to prevent re-occlusion after alteplase use?
keeping heparin available post thrombolysis
What is the key nursing consideration when switching a patient from IV to PO phenobarbital?
administering tacrolimus 8-12 hours after stopping IV
What drug interaction increases tacrolimus levels and should be avoided?
grapefruit