Flashcards
OSCA MED PREP
Cards in this deck (6)
- 1ONDANSETRON - for nausea, emesis and post radiation sickness.Action: Serotonin receptor blocker, blocks serotonin production in the medulla /vomiting centre - inhibits vomit signals
Side Effects: dizziness, tachycardia, fever, headaches, SOB and weakness
Route: IV BOLUS
Considerations: VIP Score/monitor cannula, monitor HR, Sit patient up + provide emesis bag, assess for effectiveness - 2METOCLOPRAMIDE - for nausea, vomiting, radiation sickness, GERD, gastro, heartburn and migrainesAction: Blocks the dopamine receptor in the brain stem and inhibits the signal to the medulla/vomiting centre
Side effects: Headaches, dizziness, fatigue, agitation, diarrhoea, trouble sleeping.
Route: IM Injection
Considerations: monitor liver function, sit patient up+provide emesis bag, assess for effectiveness, - 3HEPARIN - prophylaxis treatment for thromboembolic disordersAction: anticoagulant - prevents blood clots (thrombins) because heparin binds to and activates antithrombin in the blood which interacts with Factor Xa and therefore inhibits conversion of prothrombin to thrombin (clotting)
Side effects: Hypotension, Tachycardia, dizziness, jaundice, nausea, indigestion, headaches and excessive bleeding
Route: Subcut
Considerations: Monitor HR and BP, Monitor for bleeding, make sure patient is sitting up. - 4WARFARIN - for treatment of blood clots, DVT, pulmonary embolismAction: Warfarin interferes with the production of vitamin K in the liver which stops blood cells sticking together too quickly, suppresses/slows clotting factors.
Side effects: bruising, heavy menstruation, nose bleeds/bleeding gums, pink or brown urine and dark stools
Route: Subcut
Considerations: Doctor to monitor INR (2.0-3.0) nurse to ensure documentation, monitor for bleeding, monitor BP and RR + HR, do not interchange medication brand name - only use what is prescribed. Educate PT on ADRs, refer to dietitian. - 5MEROPENEM - antibiotic for UTI's, abdominal or gyno infections, meningitis, septicemia, febrile neutropeniaAction: Meropenem penetrates the bacterial cell wall and interferes with cellular components leading to bacterial cell death
Side effects: Headaches, Upset tummy, nausea, vomiting, constipation or diarrhoea.
Route: IV BURETTE
Considerations: Monitor for IV reactions, Monitor cannula site, Monitor BP, dyspnoea, urticaria. - 6HYOSCINE BUTYLBROMIDE - for GIT spasms, digestive crampsAction: blocks the actions of the ganglions in the PNS - blocks neural transmission ...... relaxes the smooth muscle and relieves cramps and spasms
Side effects: Dry mouth, tachycardia, reduction of sweating, rash, itchiness, nausea, difficulty passing urine
ROUTE: IM INJECTION (IMI)
Considerations: Pain assessment/assess effectiveness, give patient fluids, Monitor BP and HR, fluid balance chart for urinary output,
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- Nursing Flashcards on OSCA MED PREP , created by Hayleigh Carlson on 23/07/2020.
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- Hayleigh Carlson
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