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NSG 223 Medication Activity
Course: Medical-Surgical Nursing II (NSG 223)
249 Documents
Students shared 249 documents in this course
University: Herzing University
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Medication Generic Name Nitroglycerin Medication Brand Name(s) Nitro-Bid___________________
Ordered Dosage ______0.4mg________ Frequency ____PRN_________ Form ______ORAL__________
Therapeutic Class: Vasodilator-antianginal___________ Reason(s) Given: Prevents anginal attack____________
Medication Generic Name: Hydrochlorothiazide Medication Brand Name(s): Microzide
Ordered Dosage _____25mg_________ Frequency ____Q12hrs______ Form ______Oral__________
Therapeutic Class: Diuretic Reason(s) Given: hypertension.
Nursing Considerations/Patient Teaching:
- Monitor vital signs, drug intensity, reaction,
and duration of drug.
- Drug can cause headaches.
- Abrupt discontinuation can cause coronary
artery spams.
Pre-Administration Assessment Focus:
- Take apical pulse to make sure apical pulse
is above 60BPM.
- Assess for chest pain (time/type/duration)
- Assess for orthostatic blood pressure.
- Complete vital signs
- Pain assessment
-
Contraindications/Precautions/ Side
Effects/Adverse Reactions
- Hypersensitivity to nitrates
- Patients with severe anemia
- Side effects: headache, hypotension,
pharyngitis, nausea, dyspnea, contact
dermatitis.
Post-Administration Evaluation Focus:
- Evaluate for prevention of anginal pain and
absence of chest pain.
- Vital sign changes
- Adverse reaction to medication
Nursing Considerations/Patient Teaching:
- Assess vitals.
- Hypersensitivity to sulfonamides and
hypertension.
- S/s of metabolic alkalosis and hypokalemia
- Pregnant and breast feeding patients
Pre-Administration Assessment Focus:
- Assess vital signs and heart rate to make
sure its above 60 BPM.
- Allergy to drug
- Fluid/Electrolyte balance
Contraindications/Precautions/ Side
Effects/Adverse Reactions
- Sulfonamides, dizziness, fatigue, weakness,
hypokalemia, nausea, anorexia, orthostatic
hypotension.
- Pancreatitis, hepatitis, uremia, renal failure,
thrombocytopenia
Post-Administration Evaluation Focus:
- Assess for therapeutic response to
decreases blood pressure.
- Vital signs differential.
- Look for any adverse reactions.