Download Mosby's Drug Guide for Nursing Students by Linda Skidmore-Roth RN MSN NP PDF

By Linda Skidmore-Roth RN MSN NP

This transportable, student-friendly reference offers details on 50 drug classifications and greater than 4,000 person common and exchange identify medicinal drugs - including 20 new FDA-approved medicinal drugs. Drug monographs are prepared alphabetically for fast reference, and significant facts on interactions and healing results is additionally incorporated to assist hinder error. In all, this full-color reference equips you with the entire details you possibly can have to grasp secure drug management in a large choice of scenarios.

  • Monographs prepared alphabetically through identify allow quickly retrieval of vital information.
  • Comprehensive drug monographs throughout the textual content contain:
      • Generic names
      • Rx or OTC designations
      • Pronunciations
      • U.S. and Canadian alternate names
      • Functional and chemical classifications
      • Pregnancy category
      • Controlled-substance schedule
      • Do-not-confuse drugs
      • Actions
      • Therapeutic outcomes
      • Uses
      • Unlabeled uses
      • Dosages and routes
      • Available forms
      • Adverse effects
      • Contraindications
      • Precautions
      • Pharmacokinetics and pharmacodynamics
      • Drug/herb, drug/food, and lab try interactions
      • Nursing considerations
      • Treatment of overdose

  • Concise, practice-oriented nursing issues include evaluation, implementation, patient/family schooling, and evaluation.
  • IV drug details is highlighted in a single easy-to-find position, less than the Implementation heading, and contains specified issues, Y-site, syringe, and additive compatibilities.
  • High signals medicinal drugs are pointed out via those who pose the best danger for sufferer damage if administered incorrectly.
  • Canadian model names are certain via a maple leaf icon.
  • Nursing alert icons identify issues that require exact attention.
  • Common and life-threatening negative effects are highlighted for simple identification.
  • Do no longer Confuse headings assist you stay away from administering the inaccurate drugs.
  • Tall Man lettering is utilized to simply burdened drug names, as prompt via the FDA.
  • Therapeutic Outcome headings in monographs inspire serious considering and supply a spotlight for the plan of care.
  • Extensive interactions info including lab attempt interferences is included.
  • Flexible, waterproof disguise provides longevity within the medical setting.
  • Safe medicine management Guide in the again of the ebook incorporates a nomogram for calculation of physique floor area.
  • Drug Categories part features nursing diagnoses, normal medicinal drugs, and highlighted key medicinal drugs in each one category.
  • 13 illustrations and an atlas of drugs management show mechanisms or websites of motion for pick out drug classes.
  • Pharmacokinetics and pharmacodynamics in chart shape offer easy accessibility to information.

  • NEW! 20 of the newest FDA-approved medications have been further.
  • NEW! universal medicinal drugs noticeable at the NCLEX examination have been highlighted to aid in review.
  • UPDATED! Black field Warnings include signals to risky and/or life-threatening opposed effects.
  • NEW! hundreds of thousands of recent and up to date drug proof cover the parts of doses, unwanted effects, pharmacokinetics, interactions, and nursing considerations.

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Antacid, hypophosphatemic, antiulcer Chem. :╇ ╉Aluminum product, phos- phate binder Pregnancy category C ACTION: Neutralizes gastric acidity, binds phosphates in GI tract; these phosphates are excreted Therapeutic outcome: Decreased acidity, healing of ulcers; decreased phosphate levels in chronic renal failure USES: Antacid, adjunct in peptic, gastric, duodenal ulcers; hyperphosphatemia in chronic renal failure; reflux esophagitis, hyperacidity, heartburn, stress ulcer prevention in critically ill, GERD Unlabeled uses: GI bleeding CONTRAINDICATIONS: Hypersensitivity to this product or aluminum products 35 GI obstruction, dehydration, renal disease, sodium-restricted diets DOSAGE AND ROUTES Antacid Adult:╇ ╉SUSP PO 600 mg 1 hr after meals, at bedtime; max 6 times/day Hyperphosphatemia Adult:╇ ╉PO 300-600 mg tid Child:╇ ╉PO 50-150 mg/kg/day in 4-6 divided doses GI bleeding (unlabeled) Infant:╇ ╉PO 2-5 ml/dose q1-2hr Child:╇ ╉PO 5-15 ml/dose q1-2hr Available forms: SUSP 320 mg/5 ml, 600 mg/5 ml Implementation • 2 tsp (10 ml) neutralizes 20 mEq of acid PO route • Give laxatives or stool softeners if constipation occurs, especially geriatric • Give after shaking suspension; follow with water to facilitate passage • Tab may be chewed if patient is unable to swallow, drink 8 oz of water after chewing; or by nasogastric tube if patient unable to swallow • Give with 8 oz of water for hyperphosphatemia unless contraindicated • Give 1 hr before or after other medications to prevent poor absorption • Give 15 ml 30 min after meals and at bedtime (esophagitis) NG tube route • May be given as prescribed q1-2hr and given by gastric tube after diluting with water (peptic ulcer) ADVERSE EFFECTS GI: Constipation, anorexia, obstruction, fecal impaction META: Hypophosphatemia, hypercalciuria Pharmacokinetics Absorption Not usually absorbed Distribution Widely distributed if absorbed; crosses placenta Metabolism Unknown Excretion Feces, kidneys (small amounts), breast milk Half-life Unknown Precautions: Pregnancy C, breastfeeding, geriatric, fluid restriction, decreased GI motility, ╇ Canada only Adverse effects: italics = common; bold = life-threatening A 36 alvimopan Pharmacodynamics Onset 20-40 min Peak ½ hr Duration 1-3 hr used for 4-6 wk after symptoms subside or as prescribed • Instruct patient to separate other medications by 2 hr • Teach patient to notify prescriber of black tarry stools, which may indicate bleeding INTERACTIONS Individual drugs Allopurinol, amprenavir, delavirdine, digoxin, gabapentin, gatifloxacin, isoniazid, ketoconazole, penicillamine, phenytoin, quiNIDine, ticlopidine: decreased effect of each of these drugs Drug classifications Anticholinergics, cephalosporins, corticosteroids, H2 antagonists, iron salts, phenothiazines, quinolones, tetracyclines, thyroid hormones: decreased effect of each of these drug classifications Positive therapeutic outcome • Absence of pain, decreased acidity • Increased pH of gastric secretions • Decreased phosphate levels alvimopan (Rx) (al-vi9moe-pan) Entereg Func.

Antimigraine agent Chem. 5 mg Implementation • Swallow tabs whole; do not break, crush, or chew tabs, without regard to food • Provide quiet, calm environment with decreased stimulation from noise, bright light, excessive talking ADVERSE EFFECTS CNS: Tingling, hot sensation, burning, feeling of pressure, tightness, numbness, dizziness, sedation, headache, anxiety, fatigue, cold sensation, seizures CV: Flushing, palpitations, tachycardia, coronary artery vasospasm, MI, ventricular fibrillation, ventricular tachycardia EENT: Throat, mouth, nasal discomfort; vision changes GI: Nausea, xerostomia INTEG: Sweating MS: Weakness, neck stiffness, myalgia RESP: Chest tightness, pressure Pharmacokinetics Absorption Well absorbed (~70%) Distribution 35% protein bound Metabolism Liver (metabolite); metabolized by MAO-A, CYP2D6, CYP3A4 Excretion Urine, feces Half-life 3-4 hr Pharmacodynamics Onset Unknown Peak 1-3 hr Duration 3-4 hr ╇ Nurse Alert Individual drugs Ergot: increased vasospastic effects, avoid concurrent use Erythromycin, itraconazole, ketoconazole, ritonavir: increased plasma concentration of almotriptan, avoid concurrent use in renal/ hepatic disease Drug/herb Feverfew: avoid use St.

9% NaCl (20 ml), then elevate arm • Store at room temperature; sol should be clear; discard unused product ╇ Nurse Alert GI: Nausea, metallic taste RESP: Dyspnea, chest pressure, hyperventilation, bronchospasm (asthmatics) Pharmacokinetics Absorption Complete bioavailability Distribution Erythrocytes, cardiovascular endothelium Metabolism Liver, converted to inosine and adenosine monophosphate Excretion Kidneys Half-life 10 sec Pharmacodynamics Onset Rapid Peak Unknown Duration 1-2 min INTERACTIONS Individual drugs Caffeine, theophylline: decreased effects of adenosine CarBAMazepine: increased heart block Digoxin, verapamil: increased ventricular fibrillation Dipyridamole: increased effects of adenosine Smoking: increased tachycardia Drug/herb Ginger: increased effect Green tea, guarana: decreased effect NURSING CONSIDERATIONS Assessment • Assess cardiopulmonary status: pulse, respiration, ECG intervals (PR, QRS, QT); check for transient dysrhythmias (PVCs, PACs, sinus tachycardia, AV block) • Assess respiratory status: rate, rhythm, lung fields for crackles, watch for respiratory depression; bilateral crackles may occur in CHF patient; if increased respiration, increased pulse occurs, product should be discontinued Key NCLEX® Drug albumin, human 5% • Assess CNS effects: dizziness, confusion, paresthesias; product should be discontinued Patient/family education • Tell patient to report facial flushing, dizziness, sweating, palpitations, chest pain Evaluation Positive therapeutic outcome • Normal sinus rhythm • Diagnosis of perfusion defect albumin, human 5% (Rx) (al-byoo9min) Albumarc, Albuminar-5, Albutein 5%, Buminate 5%, Plasbumin-5 albumin, human 25% (Rx) Albuminar-25, Albutein 25%, Buminate 25%, Plasbumin-25 Func.

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