- Information
- AI Chat
NSG 430 Medication Education Worksheet
Adult Health Nursing II (NSG-430)
Grand Canyon University
Recommended for you
Preview text
Medication: What is it for? What is its action? Side Effects Nursing Implications (Vital signs, labs, assessments)
Administration Techniques (example: IV push)
Propofol
Sedation propofol may work by decreasing the dissociation of GABA from GABA receptors in the brain and potentiating the inhibitory effects of the neurotransmitter.
chest pain or discomfort, confusion, dark-colored urine,dizziness,drowsiness, lightheadedness, fainting, fever, muscle cramps, spasms, pain, or stiffness,
assess level of consciousness and identify early signs of hypotension, bradycardia, apnea, airway obstruction and/or oxygen desaturation
IV, IV Push
Dexmedetomidin e Dexdor, Igalmi, Precedex
an alpha-2 agonist used for sedation during various procedures
it inhibits the release if norepinephrine, therefore, terminate the propagation of pain signals.
Blurred vision, chest pain or discomfort, confusion, coughing, dizziness, cardiac arrhythmia
Assess heart rate, ECG, assess BP (hypotension), and SPO
IV
Fentanyl
opioid analgesic Fentanyl binds to opioid receptors, especially the mu opioid receptor, which are coupled to G-proteins
relaxation, euphoria, pain relief, sedation, confusion, drowsiness, dizziness, nausea and vomiting, urinary retention, pupillary constriction, and respiratory depression
Assess vitals, respirations, SPO2, and mental status
IV,IM , Patch
Dobutamine
decompensated congestive heart failure
Dobutamine's ionotropic effect increases contractility, leading to decreased end-systolic volume and, therefore, increased stroke volume
increased heart rate and increased blood pressure, ventricular ectopic activity, nervousness, N/V/D
Advise patient to inform nurse immediately if chest pain; dyspnea; or numbness, tingling, or burning of extremities occurs.
Continuous IV Dobutamine 12 mg/ml
Dopamine
Dopamine is a catecholamine neurotransmitter used to treat hemodynamic
Dopamine produces positive chronotropic and inotropic effects on the myocardium, resulting in increased heart rate and
lightheadedness, chest pain, fast, slow, or pounding heartbeats, shortness of breath,
Report any rhythm disturbances or symptoms of increased arrhythmias, including palpitations, chest discomfort, shortness
IV
Medication: What is it for? What is its action? Side Effects Nursing Implications (Vital signs, labs, assessments)
Administration Techniques (example: IV push)
imbalances, poor perfusion of vital organs, low cardiac output, and hypotension.
cardiac contractility. of breath, fainting, and fatigue/weakness.
Norepinephrine
used to raise blood pressure in patients with severe, acute hypotension (short- term low blood pressure)
predominantly stimulates α 1 receptors to cause peripheral vasoconstriction and increase blood pressure
Blurred vision, chest pain or discomfort,headache. lightheadedness, dizziness, or fainting,nervousness,pounding in the ears, slow, fast, or irregular heartbeat,unusual tiredness or weakness.
monitor BP continuously if possible or every couple of minutes, double check all concentrations with additional nurse,may result in rebound hypotension due to tissue ischemia when discontinued,monitor EKG and CVP,if patient is awake instruct them to report headaches, dizziness, or chest pain.
IV
Epinephrine
emergency treatment of type I allergic reactions, including anaphylaxis. It is also used to increase mean arterial blood pressure in adult patients with hypotension associated with septic shock.
induces increased vascular smooth muscle contraction, pupillary dilator muscle contraction, and intestinal sphincter muscle contraction.
tachycardia, hypertension, headache, anxiety, apprehension, palpitations, diaphoresis, nausea, vomiting, weakness, and tremors.
heart rate, cardiac rhythm, and blood pressure frequently if an IV drip is to be infused
IV
Medication: What is it for? What is its action? Side Effects Nursing Implications (Vital signs, labs, assessments)
Administration Techniques (example: IV push)
conduction velocity in the ventricles.
Succinylcholine
facilitate tracheal intubation, and to provide skeletal muscle relaxation during surgery or mechanical ventilation
A
depolarizing neuromuscula r blocking agent, succinylcholine adheres to post-synaptic cholinergic receptors of the motor endplate
allergic reactions like skin rash, itching or hives, swelling of the face, lips, or tongue, breathing problems.
Assess respirations, SPO2, mentation
IV push
Vecuronium
Facilitates endotracheal intubation (Paralytic)
relax muscles or as an adjunct in general anesthesia during surgical procedures
Prolonged paralysis ,Bronchospasm/respiratory depression, Apnea
Monitor ECG, heart rate, and BP throughout administration. Observe for residual muscle weakness and respiratory distress during the recovery period. Monitor infusion site frequently.
IV Push
Nicardipine
for the treatment of hypertension, including hypertensive urgency and hypertensive emergency
lowers blood pressure by relaxing the blood vessels so the heart does not have to pump as hard
Headache, upset stomach, dizziness or lightheadedness,excessive tiredness, flushing.
Monitor BP carefully during titration period
IV
Sugammadex
for the reversal of neuromuscular blockade induced by rocuronium bromide and vecuronium bromide in adults and pediatric patients aged 2 years and older undergoing surgery.
creates a concentration gradient which favors movement of rocurionium from the neuromuscular junction into the plasma, which quickly reverses rocuronium- induced neuromuscular blockade.
vomiting, dry mouth, tachycardia, dizziness and hypotension
Monitor ECG, heart rate, and BP throughout administration. Observe the patient for residual muscle weakness and respiratory distress during the recovery period
IV Push
Medication: What is it for? What is its action? Side Effects Nursing Implications (Vital signs, labs, assessments)
Administration Techniques (example: IV push)
Alteplase
indications for alteplase include pulmonary embolism, myocardia l infarction with ST- segment elevation (STEMI), ischemic stroke when given within 3 hours of the start of symptoms
converts plasminogen to the proteolytic enzyme plasmin, which lyses fibrin as well as fibrinogen
Bleeding from puncture sites and wounds,bleeding gums,coughing up blood,difficulty with breathing or swallowing,dizziness,headache .
closely monitored for signs of bleeding or hemorrhage.
IV
Milrinone
cardiac support in patients with acute heart failure, pulmonary hypertension, or chronic heart failure.
inhibits the degradation of cyclic adenosine monophosphate (cAMP)
chest pain; a light-headed feeling, like you might pass out; or. low potassium level-- leg cramps, constipation, irregular heartbeats, fluttering in your chest, increased thirst or urination
Fluid and electrolyte changes and renal function should be carefully monitored during therapy with milrinone. Improvement in cardiac output with resultant diuresis may necessitate a reduction in the dose of diuretic.
IV
NSG 430 Medication Education Worksheet
Course: Adult Health Nursing II (NSG-430)
University: Grand Canyon University
