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ATI/NCLEX Medication List
Generic (Brand) Clue Speaker Notes
Hydromorphone 1. This analgesic C Class: Opioid agonist
(Dilaudid) is used for a Indications: Moderate to severe pain.
client with SE: Respiratory depression, nausea
moderate to
severe pain. Ask: What should the nurse do if the client has a respiratory rate of 10
while on IV Hydromorphone?
Answer: Stop hydromorphone ; contact the provider
[have naloxone on hand if needed, oxygen 2L/BNC]
Insulin detemir 2. This Class: Long acting insulin [ Onset 1-2 hours, duration up to 24 hours]
(Levemir) medication Indication: Type 1 & 2 diabetes mellitus.
replaces a SE: Nausea, vomiting, hypoglycemia,
missing
pancreatic Ask: Is detemir given prior to meals to control postprandial blood
hormone. glucose?
Answer: No, peak time is 6-8 hours. [May be taken in evenings]
Metformin 3. This Class: Oral anti-diabetic; [biguanide]
(Glucophage) medication Indication: Type 2 diabetes
may cause a SE: Anorexia, nausea, and diarrhea.
buildup of lactic
acid in the [Toxicity results in lactic acidosis. Glucophage is held 48 hours before and
body. after iodinated contrast dye because the dye may cause renal failure, which
would increase the harm from lactic acidosis.]
• Ask: Is hypoglycemia an expected effect?
• Answer: It is a rare occurrence unless combined with other
medications that lower glucose.
Methylergonovine 4. This Class: Ergot Alkaloid
(Methergine) medication Indication: Postpartum bleeding.
might be used SE: Nausea, headache; [life-threatening] hypertension
postpartum for a
woman who
delivered twins. • Ask: What places a woman at risk for postpartum hemorrhage?
• Answer: Uterine atony, laceration, impaired maternal clotting,
retained placenta fragments
Common causes of uterine atony include:
▪ Multiple gestation pregnancy (twins, large baby - over-
stretched uterus)
▪ Long labor, grand multipara (overworked uterus)
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