NCLEX-PN Medications to KnowSUMMARY 2022

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NCLEX-PN Medications to Know(SUMMARY 2022)

• Heparin Anticoagulant;Monitor pt's lab work-PTT. Antidote is prot-

amine sulfate

• Lovenox (Enoxa-

parin sodium) Anticoagulant, Given to patients with increase risk of DVT

Monitor the PLT count *Normal PLT count:

150,000-400,000

• Plavix (Clopidogrel); This antiplatelet drug prolongs bleeding

time, so it should be watched. Avoid aspirin

• Tylenol (Aceta-

minophen) Analgesic; Antipyretic; liver toxicity with high doses; <4000mg/day; liver patient <2000mg/day

Antidote: acetylcysteine (Mucomyst)

• Lithium Antimanic ; a primary drug in manic depression (bipolar);

0.8-1.2 mEq/L; monitor blood levels.

• Vancomycin Antibiotic; Treats MRSA, C diff; Ototoxic, nephrotoxic; In-

fuse slowly (60 min) to avoid red man syndrome; CDC 12-step program

• Gentamycin Aminoglycoside, Antibiotic; Neurotoxicity, nephrotoxicity,

ototoxicity. Slow IV/IM Synergistic when combined with a B-lactam (Sepsis); carefully monitor client's taking furosemide (lasix).

• Dilaudid (Hydro-

morphone)

• Morphine

Narcotic Analgesic; CNS Depressant Assess for s/s of CNS depressant

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NCLEX-PN Medications to Know(SUMMARY 2022)

(MS Contin); opioid; CNS depressant, constipation, con- fusion, hypotension, urinary retention, tolerance; monitor respiration, pain, teach fall precaution, constipation, bright room. Should be withheld if the respirations <10/12

Antidote: Narcan

• Valium (Diazepam); Benzodiazepine; Antianxiety; potentiates

GABA, abuse potential, tolerance. SE: CNS effects (seda-

tion, dizzy, confusion) Muscle relaxant.

• Ativan (Lorazepam); Antianxiety; Antiseizure; Benzodiazepine;

CNS depressant (sedation), blackout, respiratory depres- sant; assess fall, monitor respiration if on other CNS de- pressant.

• Lipitor (Atorvastatin); Antihyperlipidemic; MONITOR LIVER EN-

ZYMES, ASSESS FOR MUSCLE PAIN AND TENDER -

NESS, REPORT TO DR IF PRESENT; Statin

• Prednisone (Deltasone); Antiinflammatory; Corticosteroid; An-

tileukemic drug; Administer before 9 AM to mimic normal peak corticosteroid blood levels; Increase dosage during stress; Taper doses; Do not give live virus vaccines

• Protonix (Pantoprazole Sodium); PPI;

• Altace (ramipril); antihypertensive ACE Inhibitor

• Vasotec (Enalapril); ACE inhibitor; Antihypertensive

• Zovirax Acyclovir (Antiviral) treats growth and spread of herpes

virus

• Metaprolol (Lopressor); Selective beta blocker for Beta 1. Decrease

rate and contractility. Doesn't affect respiration"

• Crestor (Rosuvastatin); Antihyperlipidemic

• Aspirin

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NCLEX-PN Medications to Know(SUMMARY 2022)

(Acetylsalicylic Acid); Do not give together with other anti- coagulants. Stop taking Aspirin some days before surgery.Do not give to children with viral infection (Reye syndrome)

• Ibuprofen Take with food or milk; contraindicated for people with GI

ulcers

• Dilantin (phenytoin); 10-20 mcg/dL; Causes gum hyperplasia. Ad-

vice client to visit dentist frequently

• Predisone (Deltasone); Causes Cushing like symptoms. Common

side effects are immunosupression(monitor client for in- fection), hyperglycemia

• Coumadin (warfarin);Monitor pt's lab work--PT, INR. Antidote is Vita-

min K

• Cogentin (benztropine); Used to treat EPS

• Sinemet levodopa/carbidopa; Drug is effective when tremors are

not observed

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27. Theophylline S/I for this drug: must get blood level drawn . Should be

between 10-20. Used for sympatopmatic relief of, pre- vention of bronchial asthmas and bronchospasm. Side effects--Tachycardia

• Digoxin (Lanoxin): Signs of toxicity: Pt will complaint of visual

change in colors. Side effects - most common is bradycar- dia. Monitor apical rate before giving. Less than 60 hold and call physician. Electrolytes - monitor potassium levels.

Antidote: digibind digoxine immune fab

• Magnesium Sul- Anticonvulsant Treatment for HTN, pre-ecclampsia, and

fate hypomagnesium. SE incl. RR depression, arrhythmias, hypotension, hyporelfexemia. Monitor BP, for deep tendon

reflex and respiratory depression Antidote: Ca gluconate

• calcium glu- Magnesium sulfate antedote

conate

• Hydrochloth- Thiazides; Monitor potassium levels. Monitor pt wt

iazide

• Lasix (Furosemide) Loop Diuretic; Monitor potassium levels.

Watch for sulfa allergy. Onset of 5-10 min

• Aldactone (spironolactone); A potassium sparing diuretic; is used to

decrease ascites and pleural effusion.

• Lithium Carbon- A chemical used to counteract mood swings of bipolar

ate disorder; (0.8 to 1.5mEq). Adequate fluid and salt intake is important. Monitor blood levels.