Term
| 0.9% Sodium Chloride Flush |
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Definition
| IV Flush | | | Irritation at injection site. Watch for signs of phlebitis or infiltration (tenderness, warmth, redness, swelling, pain). |
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Term
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Definition
| Antiinfective | | PO | Assess: sensitivity reaction, S/S of infection (WBC, fever); C&S; allergic reactions and anaphylaxis; bowel pattern; overgrowth of infection (perineal itching, fever, redness, pain, drainage, rash, diarrhea, change in cough); for cardiac function; renal function. Increase fluid intake to 2L a day to prevent crystalluria. | WBC, glucose, lymphocytes, creatinine, BUN, Temp., HR. |
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Term
| K-Dur(potassium chloride) 20 mEq |
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Definition
| Electrolyte | | PO | Assess: ECG for peaking T waves, low R, depressed RST, prolonged P-R interval, wide QRS; hyperkalemia. Monitor K level; I&O (watch for decreased output); cardiac status (rate, rhythm). | K level, HR, ECG. |
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Term
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Definition
| Antilipidemic | | PO | Assess: lipid profile at 6-8 wks and 6mo.; hepatic studies q1-2 mo. During 1st year (AST, ALT, LFT may increase); rhabdomyolysis (tenderness, increase CPK level); renal studies. | LDL, HDL, AST, ALT, LFT, BUN, creatinine. |
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Term
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Definition
| Antidiabetic | | PO | Assess: hypo/hyperglycemic reaction after meals; blood glucose; CBC baseline and throughout. | Glucose, CBC. |
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Term
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Definition
| Antidiabetic | | PO | Assess: hypoglycemic reaction (sweating, weakness, dizziness, anxiety, tremors, hunger); hyperglycemic after meals; lactic acidosis (malaise, myalgia, abdominal distress). | CBC, AST, LDH, BUN, creatinine, glucose, blood pH, ketones, electrolytes, lactate, pyruvate. |
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Term
| Humulin R(regular insulin) |
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Definition
| Antidiabetic |
| Subcut | Assess: fasting blood glucose, urine ketons, hypoglycemic reaction at peak time (sweating, weakness, dizziness, chills, confusion, headache, rapid weak pulse, tachycardia, memory lapses, staggering gait, tremors, hunger), for hyperglycemia (acetone breath, polyuria, polydipsia, flushed skin, lethargy) | Glucose, urinalysis, HR. |
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Term
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Definition
| Antihypertensive | | PO | Assess: I&O, weight, BP and P q4h and before administration (notify MD if <50 bpm); baseline renal/hepatic studies. | BP, HR, BUN, creatinine, AST, ALT. |
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Term
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Definition
| Antianginal |
| PO | Assess: pain (duration, time started, and activity before, character), tolerance if taken over long time, headache, lightheadedness, decreased BP (may indicate need for decreased dose). | BP, P, RR. |
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Term
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Definition
| Calcium channel blocker, antianginal, antihypertensive | | PO | Assess: anginal pain (loc,intensity, duration, char., alleviating/aggrevating factors), cardiac status, potassium, renal/hepatic studies periodically. | BP, P, RR, ECG, BUN creatinine, AST, ALT, K level. |
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Term
| Lortab(hydrocodone/acetaminophen) |
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Definition
| Nonopioid analgesic | | PO | Assess: pain (intensity, loc., type, other char.), CNS changes (dizziness, hallucinations, euphoria, LOC, pupil reaction), allergic reaction, cough and respiratory dysfunction (notify MD if <10/min), need for pain med., physical dependence. | LOC, RR. |
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Term
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Definition
| Opioid analgesic | | IV | Assess: pain, bowel status, I&O, CNS changes, allergic reaction, respiratory dysfunction (notify MD if <12). | BP, P, RR, LOC. |
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Term
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Definition
| Antiretroviral | PO | SE: N/V/D, flatulence, abdominal pain, change in body fat distribution, hepatomegaly with steatosis, arthralgia, myalgia, lactic acidosis. NC: renal, liver function. | BUN, creatinine, AST, ALT, bilirubin, phosphorus |
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Term
| Kaletra(lopinavir/ritonavir) |
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Definition
| Antiretroviral | PO | SE: blood in stools, abnormal bleeding and bruising, jaundice, seizures, angioedema. NC: assess sign of infection, anemia, bowel patterns, rash, administer w/ food or Ensure, taken around clock. | AST, ALT, viral load, CD4, C&S |
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Term
| Benadryl(diphenhydramine) |
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Definition
| Antihistamine | IV | SE: thrombocytopenia, agranulocytosis, hemolytic anemia, anaphylaxis.NC: I&O, wheezing, bronchial secretion, deep IM, undiluted if IV, give 25mg/1min. | CBC, RR |
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