Lanoxin

digoxin

Classification: cardiac glycoside

Side Effects: nausea, vomiting, anorexia, bradycardia 

Nursing Implications: monitor apical pulse 1 full minute prior to administration.  Withhold if <60.  Monitor therapeutic plasma level

Lasix

furosemide

Classification: diuretic

Side Effects: hypokalemia (muscle cramping, abd pain, weakness), hypovolemia (weight loss, increased HR and Pulse, decreased BP, dry mucous membranes

Phenergan

promethazine

Classification: antihistamine, sedative/hypnotic, antiemetic

Side Effects: confusion, sedation

Nursing Implications: assess for profound sedation and provide safety, administer deep IM.

Levaquin

levofloxacin

Classification: antiinfective, QUINOLONE

Side Effects: diarrhea, stomach cramps

Nursing Implications: Instruct patient to continue med until gone, even if feeling better.  Assess for infection

Proventil

albuterol

Classification: bronchodilator

Side Effects: nervousness, restlessness, tremor

Nursing Implications: do not exceed recommended dose, may cause paradoxical, bronchospasm, or loss of effectiveness of med.  Rinse mouth with water after each inhalation dose.

Classification: hormone

Side Effects: hypoglycemia, lypodystrophy

Nursing implications: encourage to follow prescribed diet and exercise.  Do not inject in the same site for at least one month 

Glucophage

metformin

Classification: antidiabetic

Side Effects: hypoglycemia, abdominal bloating and diarrhea

Nursing Implications: monitor serum glucose and glycosylated hemoglobin.  Observe for s/s of hypoglycemic reaction

Demerol

meperidine

Classification: opioid analgesic

Side Effects: hypotension, sedation

Nursing Implications: assess blood pressure, pulse and respiratory rate before and during administration. Document narcotic inventory

K-Dur, Micro-K

potassium chloride

Classification: electrolyte

Side Effects: cardiac arrhythmias and ECG changes (tall-peaked T waves=hyperkalemia)

Nursing Implications: assess for hypokalemia (weakness, fatigue, arrhythmias).  Assess for hyperkalemia ( fatigue, muscle weakness, paresthesia, and tall T waves.

Ativan

lorazepam

Classification: antianxiety agent

Side Effects: drowsiness, lethargy, dizziness

Nursing Implications: Assess degree and manifestations of anxiety.  Recommended for short term use, dependence may occur.  Avoid alcohol or other CNS depressants.