GASTROENTERITIS

MEDS
QUESTION COUMADIN AND FUROSEMIDE
Generic Name Classification Action/purpose Side/adverse Nursing cons &
effects teaching

Metoprolol Beta-blocker -Blocks -hypotension -HR <60 or BP

sympathetic -masks <90 HOLD
response hypoglycemia -umbrella
-lowers HR and -bronchoconstric -careful w/ other
BP tion meds that lower
-used for HTN BP
and CHF -check glucose
more frequently

Digoxin Cardiac -Inc heart -N/V -apical pulse 1

glycoside contractility -cramps, min, HR <60 =
-dec HR constipation HOLD
-used for heart -visual -K+ >3.5
failure disturbances -Dig level <2

Furosemide Loop diuretic Removes -hypokalemia -check BP & K+

fluid/diuresis -dehydration level
-used for CHF to -hyponatremia -take in am
improve resp -ototoxicity -daily weight
function and -include K+ rich
reduce edema foods
-check K+ level
 -change
positions slowly
-avoid things
with additive
effects

Coumadin Anticoagulant Prevents clot Bleed risk No cont sports,

formation use soft
ANT: VIT K ADVERSE: gi toothbrush,
bleed, dark tarry electric razor
stool
-therapeutic INR
2-3

Phenytoin Antiepileptic For epilepsy and CNS effects -Avoid CNS

seizure (nystagmus, depressants
sedation, ataxia, -don’t operate
double vision) machinery
-gingival
hyperplasia
-pink/brown
urine

Insulin Used for type II Allow glucose to -weight gain -check glucose
diabetics enter cells (also -redness/swellin before meals
K+) to lower g @ site and at bedtime
blood glucose Hypoglycemia: -if glucose level
levels lethargy, is >110/120
confusion (follow sliding
scale guidelines)

Vitamin K Hemostatic, Promotes -monitor INR

fat-soluble hepatic -monitor for
vitamin synthesis of bleeding
clotting factors -don’t give IM
II, VII, IX, and X -may interfere
with ASA
Used for
reversal of
coumadin
toxicity (fatal
bleeding)

INSULIN
Type Onset Duration Specific to type

Rapid acting 5-15min 1.5 mean (1-2hrs) Must give with food
(-log, lispro, asparte)
 Regular 30min 3 mean (2-4) Can give intravenous
(-lin)

NPH (intermediate, 60min 6 mean (4-8) Roll- don’t shake

cloudy)

Long-acting (Levemir, 60-120min Basal rate Can’t mix

-lantus)

NURSING DIAGNOSIS
Nursing Diagnosis Evidence Interventions

Ineffective airway clearance
r/t fluid volume deficit, thick -elevate HOB
secretions unable to -encouraging coughing &
expectorate, RR 24 deep breathing
-neb treatment
-suction trach
-monitor lungs, O2 sats

Fluid volume deficit
r/t N/V/D for 2 days, inability -administer IVF as prescribed
to hold down oral fluids -auscultate lungs
-monitor u/o
-strict I&O
-daily weight

PRIORITIZATION OF SKILLS
1. Don proper PPE before entering room, introduce self, identify pt
2. Elevate HOB
3. Suction trach
4. Encourage to TCDB (turn, cough, deep breath)
5. Perform abbreviated assessment
6. Start IV
7. Administer vit. K
8. Start NS at 100ml/hr
9. Potassium 20 mEq/L w/ secondary tubing on pump 25 mL/hr
10. Insert NGT, place on CLWS
11. Rocephin 500 mg IVPB-NOT AVAILABLE FROM PHARMACY YET
12. Administer other meds

SKILLS
● Maintain O2 sats 90%/Trach suctioning
● IV catheter
● Start NS @ 100 ml/hr
● Vit K mg IVP stat
● IV push med
● NGT and attach to CLWS
● Administration via NGT
● Insulin administration