Medication Administration Guidelines

Acetaminophen (Tylenol) = Liver disease Aminoglycosides = Ototoxicity Amitriptyline (Elavil) = Narrow-angle glaucoma Carbamazepine (Tegretol) = Bone marrow depression

Digoxin = Visual disturbances Diazepam (Valium) = Sedation Doxepin = Blurred vision Lithium = Twitching

Glucocorticoids = Blood sugars Phenobarbital = Neurologic status Magnesium sulfate = Respiratory rate Propranolol (Inderal) = Blood sugar

<p>Amitriptyline (Elavil) = 2 to 6 weeks Diazepam (Valium) = 1 to 2 weeks Lithium = 1 to 3 weeks Doxepin = Varies</p> Signup and view all the answers

<p>Salicylate = Tinnitus Quinidine = Cardiotoxicity Theophylline = Seizures Mafenide acetate = Painful on application</p> Signup and view all the answers

<p>Silver sulfadiazine = Buttered on burn wound Mafenide acetate = Open exposure method Lidocaine (Xylocaine) = Applied topically Valproic acid = Oral administration</p> Signup and view all the answers

<p>Aminoglycosides = Nephrotoxicity Propranolol (Inderal) = Bradycardia Doxepin = Dry mouth Phenobarbital = Staggering</p> Signup and view all the answers

<p>Warfarin = Regular INR monitoring Carbamazepine = Carry a medical alert Glucocorticoids = Do not abruptly discontinue Lithium = Maintain sodium intake</p> Signup and view all the answers

<p>Diazepam (Valium) = CNS depressants contraindicated Digoxin = Uncontrolled arrhythmias contraindicated Phenobarbital = Comatose patients contraindicated Doxepin = Narrow angle glaucoma contraindicated</p> Signup and view all the answers

<p>1 ounce = 30cc 1 teaspoon = 5cc 1 tablespoon = 15cc 1 milligram = 1000 mcg</p> Signup and view all the answers

<p>Verify doctor's order = When client questions a new medication Check identification band = Ensures the right person receives medication Do not leave medication unattended = Prevent assumption of medication intake Hold medication if systolic BP &lt; 100 = For blood pressure lowering medications</p> Signup and view all the answers

<p>Enteric-coated tablets = Do not crush Long-acting tablets = Do not crush Soft foods for swallowing = Pudding preferred over liquids Aspirin with meals = To reduce stomach irritation</p> Signup and view all the answers

<p>Hearing loss = Aspirin overdose Dizziness = Aspirin overdose False urine glucose test = Diabetes on Aspirin Risk of bleeding = Anticoagulants with Aspirin</p> Signup and view all the answers

<p>Do not use aspirin for 5 days before surgery = Including dental surgery Do not give aspirin to children = Risk of Reye’s syndrome Avoid chewable aspirin after surgery = For tonsil removal or tooth extraction Aspirin may increase hypoglycemic reaction = For oral anti-diabetic medication</p> Signup and view all the answers

<p>Aspirin with meals = Reduces stomach irritation Aspirin overdose symptoms = Confusion Anticoagulants with aspirin = Increases bleeding risk Aspirin causing low blood glucose = May affect diabetes management</p> Signup and view all the answers

<p>Enteric-coated = Protects from stomach acid Extended release = Sustained action over hours Soft food = Easier to swallow for some Systolic BP = Blood pressure reading to watch</p> Signup and view all the answers

<p>Verify medication = If client has concerns Check ID = To ensure patient safety Hold medication = If client’s heart rate is &lt; 60 Aspiring side effects = Symptoms like seizures and difficulty breathing</p> Signup and view all the answers

<p>Aspirin = Take with 8-ounce glass of milk Medication under concern = Recheck before administration BP medications = Hold if systolic BP &lt; 100 Heart rate medications = Hold if heart rate &lt; 60</p> Signup and view all the answers

<p>Aspirin and children = Risk of Reye’s syndrome Aspirin overdose symptoms = Ringing or buzzing in ears Diabetics on aspirin = May cause false test results Chewable aspirin = Avoid after dental surgery</p> Signup and view all the answers

<p>Prednisone = May cause euphoria and monitor for infection Isoniazid = Vitamin B6 deficiency and GI upset Levodopa-Carbidopa = Watch for orthostatic hypotension Lithium = Toxicity begins at 1.4 mEq/L</p> Signup and view all the answers

<p>Ibuprofen = Take with food or antacids to reduce stomach upset Theophylline = Give with food to prevent GI upset Digoxin = Assess the heart rate before administration Heparin = Do not aspirate or massage the injection site</p> Signup and view all the answers

<p>Methadone = Heroin detoxification and maintenance Zidovudine = Treat bone marrow problems Coumadin = Long term anticoagulant therapy Amitriptyline = Used as an antidepressant</p> Signup and view all the answers

<p>Dilantin = Causes gingival hyperplasia Warfarin = Use electric razor to avoid cuts Isoniazid = Avoid Swiss cheese and tuna NSAIDs = Monitor elderly for high blood pressure</p> Signup and view all the answers

<p>Theophylline toxicity = Dizziness and vomiting Lithium toxicity = Diarrhea and muscle weakness Iron supplements = Constipation and black stools Digoxin toxicity = Visual disturbance (green halo sign)</p> Signup and view all the answers

<p>Heparin = Protamine sulfate Opioid overdose = Narcan (Naloxone) Warfarin = Vitamin K Benzodiazepine overdose = Flumazenil</p> Signup and view all the answers

<p>Morphine = Monitor for bradypnea Aminophylline = Hypotension is common Prednisone = May elevate blood glucose Isoniazid = Hepatitis symptoms like jaundice</p> Signup and view all the answers

<p>Prednisone = Monitor potassium levels Lithium = Monthly blood level checks Zidovudine = Monitor for fever or chills Coumadin = Monitor for signs of bleeding</p> Signup and view all the answers

<p>Iron supplements = Take with food to reduce upset Steroids = Avoid infections due to immunocompromised state MAOIs = Avoid tyramine-rich foods Digoxin = Monitor heart rate before administration</p> Signup and view all the answers

<p>Regular insulin = Can be given intravenously and is clear NPH insulin = Cloudy and has an onset of 1 to 1 ½ hours Lente insulin = Cloudy and peaks between 8-12 hours 70/30 insulin = Contains 70 units of intermediate insulin and 30 units of regular insulin</p> Signup and view all the answers

<p>Drawing up mixed dosage = Regular insulin should be withdrawn first Injection site rotation = Prevents lipodystrophy at the injection site Storage of in-use vials = Should not be refrigerated to prevent local irritation Air injection technique = Inject air into the NPH vial first before regular insulin</p> Signup and view all the answers

<p>Black cohosh = Increases antihypertensive effects Garlic = Suppresses platelet aggregation Ginger root = Potential risk of bleeding with anticoagulants Ginkgo = Increases the risk of bleeding when taken with aspirin</p> Signup and view all the answers

<p>Regular insulin = Onset of 30 minutes to 1 hour NPH insulin = Peaks in 4 to 12 hours Lente insulin = Peaks between 8-12 hours Insulin in use = May be left at room temperature for up to 4 weeks</p> Signup and view all the answers

<p>100 units in U100 syringe = Each milliliter contains 100 units Only syringe type for insulin = Insulin syringes are the only type used Administration for heparin = Insulin syringes are not used for heparin Intravenous use = Regular insulin can be given intravenously</p> Signup and view all the answers

<p>In-use insulin vials = Should not be refrigerated Cold insulin = Causes local irritation at the injection site Mixing NPH and Lente = Should be thoroughly mixed by rolling gently Sliding scale coverage = Administered based on glucose levels</p> Signup and view all the answers

<p>Regular insulin = Acts in 30 minutes NPH insulin = Onset in 1 to 1 ½ hours Lente insulin = Peaks between 8-12 hours 70/30 insulin = Has a mix of regular and intermediate insulin</p> Signup and view all the answers

<p>Salicylates = May cause hypoglycemia when taken with insulin Antihypertensive medications = Should not be used with black cohosh Ginkgo = Increases bleeding risk with anticoagulants Garlic = Suppresses platelet aggregation with aspirin</p> Signup and view all the answers

<p>Regular insulin = Clear solution NPH insulin = Cloudy appearance Lente insulin = Cloudy due to zinc precipitate Insulin in use = Should be kept at room temperature</p> Signup and view all the answers

<p>Injection site must not be massaged = Prevents irritation at the site Sliding scale coverage = Short term management based on glucose levels Air injection order = Inject air into NPH before regular Fatty masses at injection site = Caused by not rotating injection sites</p> Signup and view all the answers

One ounce equals 30 cubic centimeters (cc).

One teaspoon is equal to 5 cc, and one tablespoon is equal to 15 cc.

1 milligram (mg) contains 1,000 micrograms (mcg).

1 gram contains 1000 milligrams (mg).

Always double-check any medication if the client expresses concern or doubt.

If a client questions a new medication, verify the doctor's order.

To ensure the right person receives medication, check their identification band. If unavailable, use photo ID from the patient's chart.

Medications that lower blood pressure should be held if the client's systolic BP is below 100 or as directed.

Medications that slow heart rate should be held if the adult client's heart rate is below 60.

Do not crush enteric-coated tablets. The coating protects the stomach from the medicine or vice versa.

Insulin syringes are specifically designed for drawing up insulin, ensuring accurate dosage and safe administration.

Regular insulin, known for its rapid action, can be given intravenously for immediate blood sugar control.

NPH and Lente insulin contain a zinc precipitate, giving them a cloudy appearance.

70/30 insulin is a premixed formulation containing 70% intermediate-acting (NPH) and 30% regular insulin.

Regular insulin has a relatively quick onset and peak, making it ideal for managing immediate blood sugar spikes.

NPH insulin, an intermediate-acting insulin, has a longer onset and peak compared to regular insulin.

Lente insulin, another intermediate-acting insulin, reaches its peak effect around 8-12 hours after injection.

To ensure proper mixing and uniform dosage, always roll NPH and Lente insulin vials gently between your palms before drawing up the medicine.

Although insulin in use can be left at room temperature for up to 4 weeks, it is important to check the expiration date for optimal effectiveness.

When mixing regular and intermediate-acting insulin, always withdraw the regular insulin first to avoid contamination or dilution.

A medication used to treat burns, applied topically with a light dressing. It's applied once or twice a day.

This medication is also used for burns and is applied topically with an open exposure method, meaning the wound is exposed to air. It's applied 3-4 times daily.

This medication is contraindicated in patients with liver disease due to the risk of hepatic necrosis, which is damage to liver cells.

This medication is known for its ear toxicity, kidney toxicity, and potential neurological problems. It's crucial to monitor patients for these side effects.

Contraindicated in patients with narrow-angle glaucoma and potentially fatal when used with MAO inhibitors. It can cause drowsiness, sedation, lethargy, dry mouth, blurred vision, hypotension, and tachycardia.

This medication is contraindicated in patients with bone marrow depression and can cause drowsiness, dizziness, and ataxia. Patients should use sun screen and carry medical alert information.

This medication is contraindicated in patients with narrow-angle glaucoma and CNS depression. It can cause drowsiness and dizziness.

This medication is contraindicated in patients with cardiogenic shock, 2nd and 3rd degree heart blocks, and sick sinus syndrome. It can cause signs and symptoms of congestive heart failure.

Contraindicated in patients with CNS depression and narrow-angle glaucoma. It can cause sedation, ataxia, dizziness, and slurred speech. Start seeing therapeutic effects within 1-2 weeks.

This medication is contraindicated in patients with uncontrolled ventricular arrhythmias and AV block, and can cause anorexia, nausea, vomiting, visual disturbances, bradycardia, and other arrhythmias.

Chlorothiazide, also known as hydrochlorothiazide, is a thiazide diuretic used to treat high blood pressure and fluid retention. One of its side effects is a decrease in potassium levels.

Prednisone is a corticosteroid used to treat various inflammatory conditions. It can cause an increase in blood glucose levels and a decrease in potassium levels due to its effect on metabolism.

Prednisone, a corticosteroid, can have mood-altering effects, including euphoria.

Prednisone, a corticosteroid, can suppress the immune system, making patients more susceptible to infections. Close monitoring is essential during Prednisone therapy.

Abruptly stopping Prednisone can lead to withdrawal symptoms and potentially dangerous rebound effects. It should be tapered off gradually.

Iron supplements are best taken with food or immediately after meals to reduce stomach upset.

Ibuprofen, a nonsteroidal anti-inflammatory drug (NSAID), is contraindicated for people with a history of stomach ulcers. It can irritate the stomach lining.

Isoniazid (INH) is used in combination with other drugs, primarily Rifampin, to treat tuberculosis. A significant side effect is vitamin B6 deficiency, which can cause various symptoms.

Theophylline (Theo-Dur) is a bronchodilator, primarily used to treat asthma and other respiratory conditions by relaxing bronchial smooth muscle. Signs of toxicity include dizziness, vomiting, agitation, and an increased heart rate.

Methadone is an opioid antagonist used primarily in heroin detoxification and maintenance treatment. Like other opioids, it can cause respiratory depression, so respiratory assessment is crucial.