Oxygenation Medication Table PDF

Oxygenation Medication Table Paxlovid (nimatrelvir/ritonavir) Class/Action Contraindication(s) Adverse Effects Nursing Considerations Antiviral: protease Hypersensitivity, severe Hypertension Labs to monitor: assess inhibitors re...

Oxygenation Medication Table Paxlovid (nimatrelvir/ritonavir) Class/Action Contraindication(s) Adverse Effects Nursing Considerations Antiviral: protease Hypersensitivity, severe Hypertension Labs to monitor: assess inhibitors renal or hepatic Stevens Johnson BUN, creatinine in Nimatrelvir inhibits impairment syndrome, toxic clients with possible SARS-CoV-2 main Safety not determined epidermal necrolysis renal impairment protease preventing in children or during Abdominal pain, (diabetics) prior to viral replication; lactation diarrhea, NV administering ritonavir inhibits Use cautiously with Myalgia metabolism of moderate renal Headache Nursing considerations: nirmatrelvir increasing impairment, pregnancy Hypersensitivity Administered orally the plasma reactions Assess BP prior to concentrations starting treatment & do Indications: treat mild to not start if uncontrolled moderate COVID-19 in hypertension patients at high risk for progression to severe Client Education: take disease as directed & complete entire prescription; if you miss a dose, take as soon as remember, but do not double doses; you may experience headache, myalgia, NVD & can take OTC meds for relief; contact HCP Isoniazid Class/Action Contraindication(s) Adverse Effects Nursing Considerations Antimycobacterial Hypersensitivity Hypersensitivity Labs to monitor: Assess Interferes with lipid & Severe renal or hepatic reaction BUN, creatinine, LFTs nucleic acid synthesis in disease Bone marrow prior to starting; actively growing suppression monitor CBC, LFTs tubercle bacilli Hepatitis during Indicated for treatment Peripheral neuropathies of TB as part of Nausea, vomiting Nursing considerations: combination therapy; Fever Administered orally prophylactic treatment Gynecomastia of household members Lupus syndrome Client Education: part of of client recently combination therapy for diagnosed with TB TB; take as directed & complete entire prescription; contact HCP if you experience jaundice or tingling in your fingers/toes; bone marrow suppression education; take with food to decrease nausea; for males, may notice enlarged breasts; Diphenhydramine Class/Action Contraindication(s) Adverse Effects Nursing Considerations Antihistamine – blocks Pregnancy & lactation Bradycardia Labs to monitor: BUN, effects of histamine at Use with caution with Drowsiness, sedation, creatinine, LFTs prior to H1 receptor sites renal or hepatic dizziness administering with reducing allergic impairment; history of Epigastric distress history of renal or response arrhythmias Thickening of bronchial hepatic impairment Seasonal and perennial secretions allergic rhinitis, allergic Urinary frequency Nursing Considerations: conjunctivitis, Rash Administered orally, IM, uncomplicated urticaria, or IV - and angioedema Assess HR & notify HCP if 100 or sustained palpitations, CP; change positions slowly if dizzy; rinse mouth following inhaler use; notify HCP Budesonide Class/Action Contraindication(s) Adverse Effects Nursing Considerations Pregnancy & lactation Irritability, headache Labs to monitor: Inhaled steroid – Not for emergency use Sore throat, hoarseness, decreases inflammation Use with caution in dry mouth Nursing considerations: in the airways clients with respiratory Rebound congestion assess BS prior to & Indicated for prevention infection Local infection – after use & treatment of asthma, laryngeal or tracheal Administered via inhaler treatment of chronic fungal infection – not a rescue steroid-dependent Hypersensitivity medication & if asthma, as adjunct with Long term: glaucoma, administer with bronchodilator cataracts, decreased bronchodilator, bone density administer the bronchodilator first Client education: how to use inhaler; may cause sore throat, hoarseness, dry mouth so rinse mouth after each use; notify HCP for any respiratory infection; may result in glaucoma, cataracts with long term use – have periodic eye exams; may cause decreased bone density Zafirlukast Class/Action Contraindication(s) Adverse Effects Nursing Considerations Leukotriene receptor Use with caution in Hepatotoxicity Labs to monitor: LFTs antagonist – blocks pregnancy & lactation, Headache, dizziness, receptors for hepatic, or renal disease nausea Nursing considerations: leukotrienes resulting in Generalized pain Administer orally at decreased edema & Fever, infections (URI) regular intervals on airway inflammation Rash empty stomach Indicated for prevention Neuropsychiatric events & long-term treatment Client education: may of asthma in adults & cause headache, children >5 years of age dizziness, nausea or generalized pain; contact HCP if develop fever or symptoms of respiratory tract infection; take on an empty stomach; may cause changes in mood – contact HCP for depression or thoughts of suicide Beractant Class/Action Contraindication(s) Adverse Effects Nursing Considerations Lung surfactant None as this is an Patent ductus arteriosus Labs to monitor: WBC Indications: replace emergency drug Intraventricular with differential surfactant missing in hemorrhage infants with RDS Bradycardia, Nursing considerations: hypotension Administered Pneumothorax, intratracheal – do not pulmonary air leak, suction after pulmonary hemorrhage, administration; monitor apnea heart rate, breath Infection, sepsis sounds, respiratory rate during & following administration; assess heart sounds for murmur Parent education: infant may develop an infection following treatment – notify HCP for fever, cough, difficulty feeding Ferrous Sulfate Class/Action Contraindication(s) Adverse Effects Nursing Considerations Iron preparation – Known allergy, Nausea, vomiting, Labs to monitor: elevates serum iron hemochromatosis diarrhea, constipation, hemoglobin, hematocrit, concentrations (excessive iron), dark stools reticulocyte count, Prevention & treatment anemias that are not Toxicity – stomach pain, serum ferritin of iron deficiency due to iron deficiency, fever, nausea, vomiting, anemia, dietary peptic ulcer, colitis diarrhea (early); Nursing considerations: supplement of iron cyanosis, drowsiness, Administered PO on tachycardia, seizures, empty stomach with full coma, metabolic glass of water acidosis, hepatic injury (late) Patient education: stools Antidote – chelating may become dark in agent (deferoxamine) – color; take on an empty given IM, SQ, or IV – stomach with full glass binds molecules in iron of water, but if GI upset preventing it from occurs may take with damaging cells food; eat a diet high in iron Folic Acid Class/Action Contraindication(s) Adverse Effects Nursing Considerations Folic acid – required for Allergy Allergic reactions Labs to monitor: nucleoprotein synthesis Pain & discomfort at hemoglobin, hematocrit & maintenance of injection site normal erythropoiesis Nursing considerations: Treatment of Administered PO, SQ, megaloblastic anemia IM, IV due to folate deficiency, malabsorption, or Patient education: nutritional deficiency; return to HCP for prevention of neural periodic assessment of tube defects in fetus hematocrit; may experience discomfort at injection site – sites should be rotated; diet high in folic acid Hydroxocobalamin Class/Action Contraindication(s) Adverse Effects Nursing Considerations Vitamin B12 – used for Allergy Itching, transitory Labs to monitor: growth, cell exanthema hemoglobin, hematocrit, reproduction, Mild diarrhea serum electrolytes hematopoiesis, & Anaphylactic reaction (particularly potassium) nucleoprotein & myelin Heart failure, pulmonary synthesis edema Nursing considerations: Used to treat vitamin B Hyperkalemia monitor for anaphylaxis 12 deficiency, & Pain at injection site Administered IM pernicious anemia Parent education: will receive an injection daily for 5-10 days then monthly for life if used for pernicious anemia; instruct client to contact HCP for weight gain, peripheral edema, productive cough (may indicate HF, pulmonary edema)