Hydrocodone - answer✔Brand Name: Hycodan, w/ acetaminophen=Vicodin
Class: antitussive agents (opioid), Opioid analgesics, opioid/non-opioid analgesic combo.
Action: Binds to opiate receptors in CNS to alter pain perception. Depresses the CNS.
Route/Dosage: PO: 5-10 mg q 4-6 hrs. prn
Side Effects: confusion, sedation, euphoria, hallucinations, hypotension, constipation,
dependence
Nursing Implications: Use caution if resp. is <10/min. Prolonged use can lead to physical
dependence or tolerance.
Teaching: avoid driving. cough/turn/breathe deeply q. 2 hrs. Do not take with alcohol.
levothyroxine - answer✔Brand Name: Synthroid
Class: Hormones (TH)
Action: Increases BMR; restores normal hormonal balance
Route/Dosage:PO: Hypothyroidism- 75-125 mcg/day
Side Effects: insomnia, irritability, nervousness, CARDIOVASCULAR COLLAPSE,
arryhthmias, tachycardia
Nursing Implications: assess pulse & BP
Teaching: take at the same time q day, reassess thyroid function every year.
cephalexin (first generation cephalosporin) - answer✔Brand Name: Keflex
Class: Anit-infective; cephalosporin
Action: Binds to bacterial cell walls causing cell death, mostly on gram positve bacteria
Route/Dosage: PO 250-500 mg q 6 h
Side Effects: seizures, diarrhea, rash, anaphylaxis
Nursing Implications: Obtain specimen sample to determine dosage. Monitor for signs of
anaphylaxis and bowel function.
Teaching: Teach pt. about signs of superinfection (furry overgrowth on tongue, loose stools,
allergy) and notify dr. if fever/diarrhea develop.
amlodipine - answer✔Brand Name:Norvasc
Class: antihypertensive; calcium channel blocker
Action: Inhibits calcium entry into myocardial muscle tissue & dialates blood vessels ---> lower
BP
Route/Dosage: 5-10 mg q day PO
Side Effects: headache, peripheral edema, angina, palpitations
Nursing Implications: Monitor BP/pulse and I & O. Assess for signs of CHF.
Teaching: Grapefruit juice increases effects. Caution patient to use good dental hygeine and
avoid long amts. of time in the sun.
Albuterol - answer✔Brand Name: PROVENTIL® HFA
Class: bronchodilator
Action: relaxes airway muscles to improve breathing
Route/Dosage: IH/120 mcg per puff or PO
Side Effects: an allergic reaction, chest pain or irregular heartbeats.
Nursing Implications: monitor the pt. if they have hypertension, epilepsy; diabetes;
hyperthyroidism; liver disease; or kidney disease. Monitor respiration quality.
Teaching: wait 2 min. b/t puffs,
pioglitozone - answer✔Brand Name: Actos
Class: antidiabetic; thiazolidinediones
Action: improves insulin sensitivity by acting as an agonist at receptor sites
Route/Dosage: 15-30 mg q day PO
Side Effects: CHF, edema, increased liver enzymes and increased likliness of hand/foot fracture
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