IBUPROFEN

(eye-byoo’proe-fen)
Advil, Amersol , Children’s Motrin, Haltran, Ibuprin, Junior Strength Motrin Caplets, Medipren, Motrin, Nuprin, Pediaprofen, Pamprin-IB, Rufen, Trendar
Classifications: central nervous system agent; nsaid (cox-1); analgesic; antipyretic
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Monitor for therapeutic effectiveness. Optimum response generally occurs within 2 wk (e.g., relief of pain, [...]

INSULIN (REGULAR)

(in’su-lin)
Humulin R, Novolin R, Regular Insulin, Pork Regular Iletin II, Regular Purified Pork Insulin, Velosulin, Velosulin BR, Velosulin Human
Classifications: hormone and synthetic substitute; antidiabetic agent; insulin
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Note: Frequency of blood glucose monitoring is determined by the type of insulin regimen and health [...]

ISOSORBIDE DINITRATE

(eye-soe-sor’bide)
Coronex , Dilatrate-SR, Iso-Bid, Isordil, Isotrate, Novosorbide , Sorbitrate, Sorbitrate SA
Classifications: cardiovascular agent; nitrate vasodilator
Prototype: Nitroglycerin
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Monitor effectiveness of drug in relieving angina.
Note: Headaches tend to decrease in intensity and frequency with continued therapy but may require [...]

LEVOFLOXACIN

(lev-o-flox’a-sin)
Levaquin, Iquix, Quixin
Classifications: antiinfective; antibiotic; quinolone
Prototype: Ciprofloxacin
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Lab tests: Do C&S test prior to beginning therapy and periodically.
Withhold therapy and report to physician immediately any of the following: Skin rash or other signs of a [...]

LOPERAMIDE

(loe-per’a-mide)
Imodium, Imodium AD, Kaopectate III, Maalox Anti-diarrheal, Pepto Diarrhea Control
Classifications: gastrointestinal agent; antidiarrheal
Prototype: Diphenoxylate HCl with atropine sulfate
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Monitor therapeutic effectiveness. Chronic diarrhea usually responds within 10 d. If improvement does not occur within this time, it is unlikely that [...]

MEFENAMIC ACID

(me-fe-nam’ik)
Ponstan, Ponstel
Classifications: central nervous system agent; analgesic; nsaid; antipyretic
Prototype: Ibuprofen
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Assess patients who develop severe diarrhea and vomiting for dehydration and electrolyte imbalance.
Lab tests: With long-term therapy (not recommended) obtain periodic complete blood counts, Hct and [...]

MEROPENEM

(mer-o’pe-nem)
Merrem
Classifications: antiinfective; carbapenem antibiotic
Prototype: Imipenem
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Lab tests: Perform C&S tests prior to therapy. Monitor periodically liver and kidney function.
Determine history of hypersensitivity reactions to other beta-lactams, cephalosporins, penicillins, or other drugs.
Discontinue drug and [...]

METFORMIN

(met-for’min)
Fortamet, Glucophage, Glucophage XR, Riomet
Classifications: hormones & synthetic substitutes; antidiabetic agent; biguanides
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Lab tests: Obtain baseline and periodic kidney and liver function tests; drug contraindicated in the presence of renal or hepatic insufficiency. Monitor blood [...]

METOCLOPRAMIDE HYDROCHLORIDE

(met-oh-kloe-pra’mide)
Clopra, Emex , Maxeran , Maxolon, Reglan
Classifications: gastrointestinal agent; prokinetic agent (gi stimulant)
Pregnancy Category: B
NURSING IMPLICATIONS
Assessment & Drug Effects

Report immediately the onset of restlessness, involuntary movements, facial grimacing, rigidity, or tremors. Extrapyramidal symptoms are most likely to occur in children, young adults, [...]

METOPROLOL TARTRATE

(me-toe’proe-lole)
Apo-Metoprolol, Betaloc , Lopressor, Norometoprol , Toprol XL
Classifications: autonomic nervous system agent; beta-adrenergic antagonist (sympatholytic); antihypertensive
Prototype: Propranolol
Pregnancy Category: C
NURSING IMPLICATIONS
Assessment & Drug Effects

Take apical pulse and BP before administering drug. Report to physician significant changes in rate, rhythm, or quality of pulse or variations in [...]

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