NUR 211 Pharmacology
- This medication is for the detoxification/maintenance and treatment of opioid addiction
Answer Methadone
- Adverse side effects of methadone
Answer Sedation, orthostatic hypotension, diaphoresis, facial flushing, constipation, dizzy, N&V
- Nursing implications for Methadone
Answer · Pt should be in recumbent position before med admin by IV
· Obtain VS before giving med · If RR < 12 hold · Assess for voiding, bm, and check vs often if giving IV · Avoid alcohol · Do not stop taking abruptly · May produce drug dependence · Cause dry mouth, drowsiness · Watch for respiratory depression Watch for alertness
- This medication treats Wernicke's encephalopathy and Periphera neuritis
Answer -
Thiamine
- Adverse side effects of Thiamine
Answer IV - warmth. Pruritis, uritcaria, weakness, diaphoresis, nausea, tightness in throat, angioedema, pulmonary edema
- Nursing implications for Thiamine 1 / 2
Answer
· Improved sense of well-being
· Weight gain · Reversal of deficiency symptoms( altered mental status, peripheral neuropathy, hyporeflexia, nystagmus, ataxia Urine may appear bright yellow
- This med is for Rheumatoid Arthritis and Systemic Lupus Erythematosus Anti-
inflammatory; alters the immune response to an acceptable level
Answer
- Methotrexate
- Adverse/Side Effects of Methotrexate
Answer GI toxicity Hepatoxicity
Pulmonary toxicity Hematologic toxicity Dermatalogic toxicity
- Nursing implications for Methotrexate
Answer Assess pain and range of motion Question about possible pregnancy
Antiemtics may help with N&V Monitor CBC, BMP, LFT, UA, CXR, Monitor for hematologic toxicity- fever, sore throat, signs of local infection, unusual bruising Symptoms of anemia( excessive fatigue, weakness)
Well hydrated Avoid crowds and infection, watch out for immunizations Report persistent nausea
- This med is indicated for for reducing signs and symptoms of RA, keeping joint damage
from getting worse, and improving physical function in patients with moderately to severely active rheumatoid arthritis. Can be taken with methotrexate or used alone.
Answer Etanercept (Enbrel)
- Adverse.Side Effects of Etanercept
- / 2