Don't go Breaking my Heart
The medication for heart failure should be held if a heart rate is less than 60 and that when reaches toxic levels patient begin to experience nausea, blurred vision, and see halos around lights.
Digoxin
A patient taking Depakote presents with abdominal pain, nausea, and vomiting. The nurse suspects this side effect.
Pancreatitis
A nurse is educating a patient about the side effects of doxycycline. The nurse knows this side effect should be reported immediately to the healthcare provider.
Blurred vision
The nurse is caring for a patient on a Heparin drip for deep vein thrombosis. The nurse knows this laboratory value must be monitored closely.
PTT (Partial Prothrombin Time) or Anti Xa
This is an over-the-counter antipyretic medication that excessive doses can cause liver toxicity.
A patient with hypertension is started on lisinopril. These three laboratory value should be monitored closely.
Creatinine, BUN, and potassium
The nurse is caring for a patient who is experiencing muscle twitching and blurred vision who is taking a mood stabilizer. The nurse prioritizes giving fluids to restore electrolyte balance and improve renal clearance of this medication, addressing possible toxicity. The patient is most likely taking this mood stabilizer.
Lithium
The nurse tells the patient taking metronidazole for a fungal infection to avoid this because it can cause a disulfiram-like reaction.
Alcohol
A patient taking this anticoagulant has an INR of 4.5, nursing management may include holding the medication and administering vitamin K.
Warfarin
This opioid agonist is used for moderate to severe pain, can cause respiratory depression, and has a reversal agent called naloxone.
Morphine
A patient who is currently taking furosemide for heart failure has an irregular rhythm strip. The nurse knows that this lab value should be obtained immediately.
The nurse is caring for a patient who was just prescribed Wellbutrin for seasonal affective disorder. Before administering the medication, the nurse knows to assess for this prior to initiating treatment.
Seizure disorder
The nurse knows that when administering vancomycin to a patient it should be administered slowly to avoid this reaction that causes flushing, itching and a rash.
Red man syndrome
This antiplatelet medication inhibits platelet aggregation and is commonly prescribed after stent placement to prevent thrombotic events.
Clopidogrel
This opioid is often prescribed for moderate to severe pain, may be combined with acetaminophen, and requires monitoring for respiratory depression, constipation, and potential for misuse or dependency.
Oxycodone
The nurse is about to give metoprolol to her patient. The nurse knows the heart rate must be above this number to be safe to administer.
60
This SSRI is commonly used to treat depression and anxiety by increasing serotonin levels in the brain.
The nurse notices that a patient receiving gentamicin IV has low urinary output. The nurse will monitor these two lab values to assess for nephrotoxicity.
Creatinine and BUN
This antiplatelet drug, used after acute coronary syndrome, may cause a unique side effect of dyspnea in some patients.
Brilinta
This NSAID is often used for moderate to severe pain. It is often given IV or IM in the hospital setting. Nurses must monitor for kidney damage and GI bleeding.
Toradol (Ketorolac)
The nurse knows this medication commonly used for chest pain should be held if a patient's blood pressure is low because it can cause hypotension.
Nitroglycerin
This atypical antipsychotic is associated with QT prolongation, metabolic syndrome, and is sometimes used off label for insomnia
Seroquel
This broad-spectrum antibiotic can cause tendon rupture, QT prolongation, and should not be taken with antacids due to impaired absorption.
Ciprofloxacin
This antiplatelet drug is used to prevent platelet aggregation and cardiovascular protection. Higher doses can increase risk for GI bleeding and nurses should monitor for signs of bleeding.
Aspirin
This adjuvant pain medication, originally an anticonvulsant, is used for neuropathic pain.
Gabapentin