NCLEX-RN Medications
medications, medical, nursing, pharmacology, test preparation & review, pharmacy, reference
cetirizine HCL
Allergy & Asthma medications:
Zyrtec
S/E:
Drowsiness, Fatigue, Dry mouth, Stomach pain, Diarrhea, vomiting
Nursing Considerations:
- Relief of seasonal allergies & perennial allergic rhinitis caused by molds, animal dander
- Avoid alcohol during therapy
cetirizine
fexofenadine
Allergy & Asthma medications: Antihistamine
Allegra
S/E:
- Drowsiness, Dizziness
- Diarrhea, Vomiting
- Pain, swelling
- Cough, dyspnea, hoarseness
- Hives, Rash, Itiching
Nursing considerations:
- Avoid alcohol, CNS depressants
- Notify physician if taking erythromycin or ketoconazole (Nizoral)
- Of taking aluminum mag antacid, take antacid a few hours before or after taking this medication
fexofenadine
hydroxyzine
Allergy & Asthma medications: Antihistamine
Anx, Atarax, Vistaril
S/E:
- Drowsiness, dizziness, HA
- Dry mouth, nose & throat
- Reddening of skin
- Chest congestion
Nursing considerations:
Tx:
- pruritus, pre-op anxiety, post-op N/V
- Potentiate opioid analgesics & Sedation
hydroxyzine
celecoxib
Analgesics: Nonopioid analgesics
Celebrex
- Fatigue
- Anxiety, depression, nervousness, Tachycardia
- N/V, anorexia, back pain
- Angioedema, Hives
- Constipation & or dysuria, jaundice
Nursing considerations:
- Menstrual, acute, chronic arthritis pain
- Can take w/out regard to meals
- Increasing doses does not appear to increase effectiveness
- Do not take if allergic to sulfonamides, ASA, or NSAIDs
celecoxib
naproxen
Analgesics: Nonopioid analgesics
* Aleve (OTC), Anaprox, Anaprox DS, Naprelan, EC-Naprosyn, Naprosyn
- GI bleed, blood dyscrasias, Jaundice
- HA, Tinnitus, Vision changes,
- Nausea, back pain, rash, angioedema, tachycardia
Nursing considerations:
- Mgmt of mild to moderate pain
- Tx- for gouty arthritis, osteoarthritis, RA, dysmenorrhea
- Hypersensitivity for those who have asthma or ASA sensitivity
- Contact dr. if blurred vision, ringing/roaring in ear= poss. toxicity
- Contact dr if black stools, flulike symptoms or changes in urinary pattern, edema, weight gain, blood in urine= poss. kidney damage
- Avoid use with ASA, steroids and alcohol
- May increase risk of MI or stroke
Analgesics: Nonopioid analgesics
naproxen
codeine
Analgesics: Opioid analgesics
*Codeine
S/E:
Drowsiness, sedation, respiratory depression, orthostatic hypotension, syncope & seizures
N/V, anorexia, constipation, dysuria
Hives, angioedema
Nursing considerations:
- Tx of moderate to severe pain & nonproductive cough
- Do not give if respiration's are <12 bpm
- Withdrawal symptoms may occur: N/V, cramps, fever, faintness, anorexia
- Physical dependency may result
codeine
hydrocodone bitartrate & acetaminophen
Analgesics: Opioid analgesics
* Lortab, Vicodin
S/E:
- Dizziness, drowsiness, sedation, impaired mental & physical performance
- Respiratory depression
- Rash, pruritus
- Constipation
Nursing considerations:
- For moderate to moderately severe pain
- If used w/CNS depressants and/or ETOH may result in addictive CNS depression
- May be habit forming
- Use w/caution with patients w/pulmonary considerations
Lortab / Vicodin
hydromorphoone
Analgesics: Opioid analgesics
Dilaudid
S/E
- Drowsiness, sedation, resp. depression, orthostatic hypotension
- HA, ↓ mental status
- N/V, Constipation
- Rash