Question

Please help

Drug name

1. Albuterol

2. Apixaban

3. Bumetanide

4. Bupropion

5. Diltiazem

6. Acetaminophen

7. Fluticasone

8. Melatonin

9. Olodaterol

10. Levofloxacin

Please answer these question below for each drug

1.. Medication classification (specify)

2. Indications(Why is this prescribed for this patient?)

3. Most Common Major Side Effects (Maximum of 5)

4. List 5 Nursing Considerations for your patient.

(Labs to check, side effects to monitor for, patient teaching

Answer 1

Ans1) Albuterol

Class: Sympathomimetic bronchodilator

Indication:Albuterol is indicated for the treatment of bronchospasms associated with: asthma, COPD, allergic reactions, and toxic inhalation.

Major side effects:Tachycardia, hypertension, dizziness, tremors, headache, and arrhythmias.

Nursing consideration:

- pregnancy safety: category
- albuterol may precipitate angina pectoris and dysrhythmias
- albuterol should be used with caution in patients with dm, hyperthyroidism, prostatic hypertrophy, seizure disorder, or cardiovascular disorder
- in prehospital emergency care, albuterol should be administered only via inhalation

2. Apixaban

Class: Factor Xa antagonist

Indication:

• Non-valvularAtrial Fibrillation (Stroke prevention)
• Prevention of DVT/PE in Hip or Knee Replacement
• Treatment of DVT/PE

Major side effects:

- bleeding, nausea

Nursing consideration:

- predictable drug interactions (metabolised via CYP 450)
- 75% is metabolised by the liver, the rest being renally excreted
- no need for therapeutic monitoring
- currently no available antidote

3) Bumetanide

Class: Diuretic

Indication:

- CHF
- Acute pulmonary edema
- Edema unresponsive to other diuretics
- Patient allergic to furosemide

Major side effects:

1. DIZZINESS
2. Hypotension
3. MUSCLE CRAMPS
4. WEAKNESS
5. IMPAIRED HEARING
6. Hyoeruricemia
7. Hypochloremia
8. Hyponatremia
9. HYPOKALEMIA
10. Azotemia

Nursing consideration:

- Store in a cool, dry place away from sunlight and chlidren

- Monitor daily weight, I & O, vitals, skin turgor and edema for fluid volume status. Assess for volume depletion (dehydration): dizziness, orthostatic hypotension, tachycardia, and muscle cramping, thirst, rapid pulse. Monitor serum electrolytes & replace as indicated. Avoid night doses to ↓nocturia.

4) Bupropion:

Class: - Atypical antidepressant

Indications:

- diminish depression
- depression with seasonal affective disorder
- treat ADHD in adults

Off label: treat ADHD in adults, to increase sexual
desire in women and treatment of nicotine addiction

Major side effects:

CNS: SEIZURES, SUICIDAL IDEATION
CV: CARDIAC DYSRHYTHMIAS
GI: Constipation
INTEG: STEVENS-JOHNSON SYNDROME

Nursing consideration:

Hepatic/renal function
Increased risks of seizures
Mental status: suicidal tendencies, increased in psychiatric symptoms

Assistance with ambulation during beginning therapy because of sedation occurs
Safety measures, primarily for geriatric patients.

*Therapeutic effects may take 2-4 weeks
Use caution when driving, performing activities that require alertness
*Avoid alcohol--alcohol may increase risk for seizures
*Notify prescriber if urinary retention occurs
Suicidal ideas, behaviors, hostility, depression may occur