Davis's Drug Guide for Nurses (13th Edition) by April Hazard Vallerand, Cynthia A. Sanoski

By April Hazard Vallerand, Cynthia A. Sanoski

SAFETY FIRST!

Davis’s Drug consultant for Nurses®, 13th Edition grants the entire details you want to administer medicinal drugs correctly around the lifespan—well-organized monographs for 1000's of usual and hundreds of thousands of trade-name medications.

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Extra resources for Davis's Drug Guide for Nurses (13th Edition)

Example text

May exaggerate the effects of succinylcholine-type muscle relaxation during anesthesia. May decrease therapeutic effects of anticholinergics. NURSING IMPLICATIONS Assessment ● Assess cognitive function (memory, attention, reasoning, language, ability to perform simple tasks) throughout therapy. ● Monitor nausea, vomiting, anorexia, and weight loss. Notify health care professional if these side effects occur. Potential Nursing Diagnoses ● ● ● Disturbed thought process (Indications). Imbalanced nutrition: less than body requirements.

Symptoms will depend on area of involvement. Lab Test Considerations: Monitor prothrombin time (PT) or international normalized ratio (INR) with warfarin therapy, activated partial thromboplastin time (aPTT) with full-dose heparin therapy and hematocrit, and other clotting factors frequently during therapy. Monitor bleeding time throughout antiplatelet therapy. Prolonged bleeding time, which is time and dose dependent, is expected. Toxicity and Overdose: If overdose occurs or anticoagulation needs to be immediately reversed, the antidote for heparins is protamine sulfate; for warfarin, the antidote is vitamin K (phytonadione [AquaMEPHYTON]).

Before beginning any teaching, however, always assess the patient’s current knowledge by asking if he or she is familiar with the medication, how it is taken at home, what precautions or followup care is required, and other questions specific to each drug. Based on the patient’s current knowledge level and taking into consideration factors such as readiness to learn, environmental and social barriers to learning or adherence, and cultural factors, discuss the following: 1. Generic and brand names of the medication.

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