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Rn Drugs

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RATIONALES FOR PRESCRIBED MEDICATIONS: Routine meds (scheduled) and any PRN given within past 24 hours DIRECTIONS: add pages as needed to include all you client’s current prescribed meds and PRNs
|classification |frequency | | | |
|Loperamide, Imodium; anti- diarrheal |2 mg PO per loose |Inhibits peristalsis and prolongs transit |Relief of diarrhea |Loose stool |
| |stool PRN up to 20 |time by a direct effect on nerves, reduces| | |
| |mg/day |fecal volume, increases fecal viscosity | | |
|calcium carbonate/ |30 cc PO Q 4hrs PRN |neutralizing the acid in the stomach. |Reduction in gastric acid |Upset GI |
|magnesium carbonate, Mylanta; | | | | |
|mineral/electrolyte supplement | | | | |
|Acetaminophen, Tylenol; analgesics |500 mg PO TID |Inhibits synthesis of prostaglandins |Severs pain reception and reduces fever |Pain, discomfort |
|NTG, Nitrostat; vasodilator, organic |0.4 mg SLQ up to 3x |Increases coronary blood and |Relief or prevention of angina attacks, |Angina |
|nitrate, anti-anginal | |vasodilatation |lowers BP | |
|saccharomyces boulardii lyo, Florastor; |1 cap PO BID for 11 |maintain normal bowel function and promote|maintain normal bowel function and promote|GI prophylaxis due to ABO use |
|probiotic |days |intestinal health |intestinal health | |
|Fludrocortisones, Florinef; |0.2 mg PO daily |Causes sodium reabsorption, hydrogen and |Maintains sodium balance and BP |Orthostatic hypotension |
|corticosteroid | |potassium excretion and water retention | | |
|Polyvinyl alcohol, artificial tears; |2 drops bilat daily |lubricant for the relief of symptoms of |lubricant for the relief of symptoms of |Eye dryness and irritation |
|ocular lubricant | |dry eye and for artificial eyes |dry eye and for artificial eyes | |
|Sertraline, Zoloft; antidepressant |125 mg PO Q AM |Inhibits neuronal uptake of serotonin in |Decreases depression, social anxiety, |Depression and tearful |
| | |CNS |helplessness and panic behavior. | |
|Gabapentin, Gralise; analgesic adjunct |100 mg PO Q hrs. |Unk, may affect amino acids transport |Reduces pain |pain |
|NTG, Nitrostat; vasodilator, organic |0.4 mg SLQ up to 3x |Increases coronary blood and |Relief or prevention of angina attacks, |Chest pain |
|nitrate, anti-anginal | |vasodilatation |lowers BP | |
|classification |frequency | | | |
|Oxycontin-brand name time release form |10 mg PO BID |Bonds to opiate receptors-alters pain |Alters pain perception and response to |Chronic pain treatment |
|or Oxycodone; opioid analgesics | |perception, 12 hr release form |stimuli | |
|Acetaminophen, Tylenol; analgesics |650mg PO PRN Q4 |Inhibits synthesis of prostaglandins |Severs pain reception and reduces fever |Temperature greater than 100 |
|levothyroxine sodium, Synthyroid; |50 mcg PO daily |Replace/supplant endogenous thyroid |Increases metabolism, restores hormonal |Hypothyroidism |
|hormone | |hormones |balance | |
|Mirtazapine, Remeron; antidepressant |22.5 mg PO daily |Potentiates effect of norepinephrine and |Antidepressant effect |Depression and appetite stimulator |
| | |serotonin | | |
|Allopurinol, Zyloprim, Aloprim; |100 mg PO daily |Inhibits production of uric acid |Prevents gouty arthritis |Gout |
|anti-gout agent | | | | |
|Omeprazole, Prilosec; anti-ulcder agent |20 mg PO daily |Binds to enzymes in presence of gastric |Lessen accumulation of gastric acid |GERD |
| | |acid | | |
|morphine sulfate, MSContin (after |15 mg Q 10 hrs |Depresses pain impulse transmission @ |Alters pain perception and response to |Chronic pain |
|Oxycontin gone); opioid analgesics | |spinal cord |stimuli Time release | |
|Donepezil, Aricept; anti-Alzheimer's |5 mg PO daily |Elevates acetylcholine concentration |Slows degradation of acetylcholine |Dementia |
|agent | | |released by neurons | |
|Aggrenox, aspirin and dipyridamole |25mg Aspirin/ |Aspirin reduces substances in the body |reduce the risk of stroke in people who |Resident has Hx of transient ischemic attack or TIA |
|salicylates; |200 |that cause pain, fever, and inflammation. |have had blood clots or TIA | |
|antiplatelet agent |mg PO daily |Dipyridamole keeps platelets in your blood| | |
| | |from sticking together to form clots | | |
|calcium carbonate/ |33 cc PO Q 4hrs PRN |neutralizing the acid in the stomach. |Reduction in gastric acid |For heartburn |
|magnesium carbonate, Mylanta; | | | | |
|mineral/electrolyte supplement | | | | |
|Acetaminophen, Tylenol; analgesics |325-650mg PO PRN Q4 |Inhibits synthesis of prostaglandins |Severs pain reception and reduces fever |Pain, discomfort, temperature greater than 100 |
|Guaifenesin, Robitussin; expoctorant |10 cc PO Q 4hrs PRN |Reduce viscosity of tenacious secretions |Resident able to cough up sputum to clear |Cough and respiratory infection. |
| | |by increasing respiratory tract fluids |lungs and breather better | |
|classification |frequency | | | |
|levothyroxine sodium, Synthyroid; |25 mcg PO daily |Replace/supplant endogenous thyroid |Increases metabolism, restores hormonal |Hypothyroidism |
|hormone | |hormones |balance | |
|Oseltamivir, Tamiflu; antiviral |75 mg PO dailyx14 |Inhibits enzyme neuraminidase, which may |Reduce duration or prevent flu symptoms | Precautionary: Resident may have influenza |
| | |alter virus particle aggregation and | | |
| | |release | | |
|Levofloxacin, Levaquin; antibiotics |250 mg PO dailyx7 |Inhibit bacterial DNA synthesis by |Reduce duration or prevent bacterial |Precautionary: Resident may have infection |
| | |inhibiting DNA gyrase |infection | |
|albuterol and ipratropium, Duoneb |NEB QID PRN |relax muscles in the airways and increase |Allow resident to breathe easier, slow |Resident has very labored respirations |
|Inhalation; bronchodilators | |air flow to the lungs |respiration rate. | |
|Metronidazole, Flagyl; antibiotic |500 mg PO BIDx7 |Disrupts DNA and protein synthesis |Reduce duration or prevent bacterial |Precautionary: Resident may have infection |
| | | |infection | |
|Lorazapam, Ativan Benzodiazepines | |Depresses CNS by potentiating GABA, | |Decrease anxiety |
| | |relaxes skeletal muscles, anticonvulsant | |Provide sedation, amnesia |
| | | | |Conscious sedation |
| | | | |Supplemental IV sedation |
| | | | |Post op agitation/anxiety |
|Diazepam, Valium (Benzodiazepines | |Depress CNS, sedative effect, decease | |Decrease anxiety |
| | |seizure, skeletal muscle relaxation | |Provide sedation, amnesia |
| | | | |Conscious sedation |
| | | | |Supplemental IV sedation |
| | | | |Post op agitation/anxiety |
|Midazelam, Versed | | | |Decrease anxiety |
|Benzodiazepines-conscious sedation | | | |Provide sedation, amnesia |
| | | | |Conscious sedation |
| | | | |Supplemental IV sedation |
| | | | |Post op agitation/anxiety |
|Fentanyl, Duragesic Narcotics/opioid | |Binds to opiate receptors in CNS, alters | |Relieve pain and discomfort |
|analgesics | |perception an response to pain, depresses | | |
| | |CNS | | |
|Atropine sulfate, Atropine | |competitive inhibitor of acetylcholine @ | |Decrease secretion of saliva, gastric juices and prevent |
|anticholinergics | |muscarinic receptor sites. | |bradycardia |
| | |The increase of sympathetic activity seen | | |
| | |with atropine administration is due to the| | |
| | |drug’s parasympatholytic effects. In the | | |
| | |setting of | | |
| | |symptomatic bradycardias, atropine | | |
| | |decreases vagal | | |
| | |effects on the heart resulting in | | |
| | |increased chronotropy & dromotropy (with | | |
| | |little or no inotropic effects). | | |
| | |It is postulated that in some cases, | | |
| | |asystole may be a result of a sudden & | | |
| | |massive increase in vagal tone. Despite | | |
| | |clear scientific | | |
| | |evidence of atropine’s effectiveness in | | |
| | |this instance, we still administer | | |
| | |atropine because there is little evidence | | |
| | |that it is harmful in | | |
| | |this setting. It is used in | | |
| | |cholinergic exposures | | |
| | |as a direct antidote for the poison. | | |
|Omeprazole, Prilosec, pantoprazole, | |decrease gastric acid secretions | |treat erosive esophagitis (damage to the esophagus from |
|Protonix Lansoprazole, Prevacid, | | | |stomach acid), and other conditions involving excess stomach|
|anti-ulcer, proton pump inhibitors | | | |acid such as Zollinger-Ellison syndrome. not for immediate |
| | | | |relief of heartburn symptoms. |
|Scopolamine patch | |Increase gastric emptying and decrease | | |
|Phenergan (Promethazine)* | |N/V. | | |
|Metoclopramide (Reglan) | | | | |
|Compazine* | | | | |
|Droperidol (Inapsine) | | | | |
|Zofran, antiemetics | | | | |
|Bisacodyl, Dulcolax, stimulant laxative |PO |works by increasing the movement of the | |treat constipation. It may also be used to clean out the |
| | |intestines, helping the stool to come out.| |intestines before a bowel examination/surgery |
|Clindamycin, Cleocin, anti-infective | |Inhibits protein synthesis of bacteria. Do| |treat serious infections caused by bacteria, skin, |
| | |not take clindamycin together with | |Respiratory tract, Septicemia, Gyno infections, |
| | |erythromycin | |osteomyelitis, Intra-ab infections. endocarditis prophylaxis|
|classification |frequency | | | |
|Dalteparin, Fragmin, anticoagulant, (low|SQ |acts by enhancing the inhibition of Factor| |helps prevent the formation of blood clots. |
|molecular weight heparin) | |Xa and thrombin by antithrombin | |used together with aspirin to prevent blood vessel |
| | | | |complications in people with certain types of angina (chest |
| | | | |pain) or heart attack. used to prevent a type of blood clot |
| | | | |called deep vein thrombosis (DVT), which can lead to blood |
| | | | |clots in the lungs (pulmonary embolism). A DVT can occur |
| | | | |after certain types of surgery, or in people who are |
| | | | |bed-ridden due to a prolonged illness. |
|Docusate Sodium, Colace; laxative, stool|100 mg PO |Increases water and fat penetration in |Soften stool, eases passage of hard stool |Acute constipation r/t opioids |
|softener | |intestine | | |
|Heparin, Hep-Lock, Hep Lock U/P, Heparin| |inhibits reactions that lead to the | |anticoagulant (blood thinner) that prevents the formation of|
|Sodium ADD-Vantage, anticoagulant | |clotting of blood and the formation of | |blood clots. treat and prevent blood clots in the veins, |
| | |fibrin clots | |arteries, or lung. Heparin is also used before surgery to |
| | | | |reduce the risk of blood clots |
|hydromorphone hydrochloride, Dilaudid | |Binds to opiate receptors in CNS, alters | |Relieve pain and discomfort |
|Narcotics/opioid analgesics, benzo | |perception an response to pain, depresses | | |
| | |CNS | | |
|Insulin NPH/Regular/Lispro) | | | | |
|Lorazepam, Ativan, anethetic adjunct, |PO, Injection, IV |Depress CNS, sedative effect, decease | |relieve anxiety |
|anti-anxiety, sedative/hyponotic | |seizure | | |
|Methadone, Dolophine, Methadose, |Opioid analgesics |Binds to opiate receptors in CNS, alters | |Sever pain, suppress withdrawal symptoms in opioid detox |
|Methadose Sugar-Free | |perception and sensation of pain and | | |
| | |depress CNS | | |
|Metoclopramide, Metozolv ODT, Reglan, | |Blocks dopamine receptors in chemoreceptor| |Prevent chemo emesis, treat post -surgical and diabetic |
|antiemetic | |trigger zones, stimulates motility of | |gastric stasis, manage GI reflux, prevent post-op N/V |
| | |upper GI and speed gastric emptying | | |
|Morphine, AVINza, Kadian, MS Contin, | |Binds to opiate receptors in CNS, alters | |Relieve pain and discomfort |
|MSIR, Oramorph SR Narcotics/opioid | |perception an response to pain, depresses | | |
|analgesics | |CNS | | |
|Ondansetron, Zofran, antiemetic, | |blocks the actions of chemicals in the | |used to prevent nausea and vomiting that may be caused by |
| | |body that can trigger nausea and vomiting.| |surgery or by medicine to treat cancer (chemotherapy or |
| | | | |radiation). |
|classification |frequency | | | |
|Oxycodone, OxyContin, Roxicodone, |5-10 mg PO Q 4 hrs |Bonds to opiate receptors-alters pain |Alters pain perception and response to |Breakthrough pain, decreases moderate to severe pain |
|Oxecta; opioid analgesics | |perception |stimuli | |
|Sennosides, Senna; stimulant laxative |1 tabs PO |Stimulates peristalsis, soften feces by |Softens feces, eases passage of hard stool|Constipation Acute constipation r/t immobilty Acute |
| |Daily PRN |increasing water in gut. | |constipation r/t opioids |
|Vancomycin, Vancocin, antibiotic/ | |Binds to bacterial cell wall and results | |used to fight susceptible bacteria in the body that cause |
|anti-infective | |in death | |serious infections. used to treat infections of the |
| | | | |intestines that cause colitis (inflammation of the large |
| | | | |intestine). |
|Warfarin, Coumadin; anticoagulant |1.5 mg PO daily |Interferes with Vit K synthesis and |Thins blood prevents thromboembolic events|Afib |
| | |clotting | | |

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...The statement “Having good friends and a good family are more important than having a prestigious job or a successful career” means that money isn’t necessary for anyone to feel fulfilled. I agree with this statement because money isn’t everything. Many celebrities have tons of money and fame but are not necessarily happy. Robin Williams, for example, seemed to be very happy and had much money but was found dead due to an overdose of prescription drugs. Everyone thinks money is the way to happiness but in the case of Robin Williams, may he rest in peace, we can see that money doesn’t necessarily mean happiness. This example goes to show that money isn’t necessary for fulfillment. In contrast, one may argue that without money you aren’t important because money is power but they are wrong because your level of importance to one individual may vary from that of another. In essence money isn’t needed for anyone to feel satisfied. Another reason to agree with this statement is that good friends and family make you feel joyful; for instance, people are found to be the happiest when spending time with friends and family. This demonstrates that friends and family help us feel satisfied with life and are always there to support us. Nevertheless, others may claim that a successful career is more important because your friends and family will not always be there to support you financially but they are wrong because they will be there to help, it’s just not their duty to handle your......

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...In: Other Topics Mock Code Cardiopulmonary Arrest PNCI - Learner Robert Johnson Age: 60 Weight: 70 kg Base: Stan D. Ardman Patient History Past Medical History: Hypertension well-controlled by medication, hypercholesterolemia and obesity; minor car accident three weeks ago in which he sustained whiplash Allergies: No known drug allergies Medications: Lopressor (metoprolol), Zocor (simvastatin) Code Status: Full Code Social/Family History: Married with two adult children who live locally; Does not smoke, drink or use illicit drugs Handoff Report Situation: The patient is a 60-year-old male in room 425 on the Orthopedic Unit who is recovering from an anterior-posterior interbody fusion of L4 – L5 performed two days ago. His has had an uneventful recovery. He is in his room eating breakfast. Background: Hypertension, hypercholesterolemia and obesity. The hypertension has been well controlled by his medication. He is wearing a soft neck collar for support following a minor car accident three weeks ago in which he sustained whiplash. The patient has no known drug allergies and is awake and alert. Assessment: Vital signs: HR 87, BP 128/62, RR 18, SpO2 has been 98% on room air, Temp 37.1oC Cardiovascular: No telemetry; HR regular Respiratory: Clear in both lung fields GI: Advanced to full liquid diet and tolerating it well GU: Voiding clear, yellow urine Extremities: Pink, warm and with adequate turgor; Movement is strong in all...

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