Anti Coag
patient education for bleeding precautions
use an electric razor, not a straight razor
soft bristle toothbrush, minimize punctures of skin
otc relief of constipation (provides rapid relief)
CI with pepto bismol
aspirin and aspirin-containing products
scopolamine education
will cause drowsiness- dont drive, operate heavy machinery, etc.
SE of SSRI's
weight gain and sexual disfunction
labs to monitor with heparin? antidote?
Protamine sulfate
aPTT and platelets
*safe with pregnancy
priority screening before starting patient on antidepressant
suicidal thoughts or tendencies
education on regular bowel movements for pregnant women
exercise regularly, drink plenty of fluids (2000-3000mls per day), and eat a diet with increased fiber
side effects of ondansetron (Zofran)
rarely any; dizziness
zoloft can be given for multiple reasons including...
panic attacks, social phobias, bulimia, pain relief
Labs to monitor with Coumadin
PT and INR
given to treat peptic ulcers caused by H pylori
Lactulose treats hepatic encephalopathy by which mechanism
decreases ammonia level through stools
Reglan's mechanism of action
promotes gastric emptying by increasing gastric motility
examples of tyramine-containing foods? contraindicated in which antidepressant?
CI: MAOIs
cured meats, hard aged cheeses, red wine
thrombolytic therapy's adverse effects
example of a "clot-busting" medication (dissolves already formed clots)
thrombolytic drugs (ex. TPA)
nursing interventions with IV protonix
dilute with normal saline, dose (typically 40mg), administer over 2-15 minutes
nursing considerations for Zofran administration
infuse 30 minutes in advance of procedures (if possible), infuse over 15 minutes, repeat doses q 4-6 hours
Therapeutic effects of risperidone (risperdal)
control sx of schizophrenia (decreased hallucinations, delusions, and paranoia
nursing interventions with TPA therapy
monitor temperature, limit venipunctures, assess neuro status frequently, apply pressure to oozing sites
sx of malignant hyperthermia
unstable blood pressures, fever, tremors, incontinence, decreased level of consciousness
antacid for GI upset and kidney failure
calcium based antacid
side effects of antihistamines
drowsiness
OD of tricyclic antidepressants can result in what life-threatening SE
cardiac dysrhythmias