RN COMPREHENSIVE PREDICTOR LATEST UPDATED
VERSION: GRADED A+
Fluticasone/salmeterol (Advair)
contains corticosteroid and bronchodilator
Long acting agonist that promotes relaxes smooth muscle over 12 hours
NOT an emergency drug for asthma
Education: after inhalation, rinse mouth with water without swallowing (reduce risk of candidiasis),
avoid smoking, and receive pneumococcal and flue vaccines if there is a risk of infection.
Albuterol, Atrovent, Ipratopium, & sole-medrol
rescue asthma drugs
•Albuterol & Atrovent: short acting beta agonist
•Ipratopium: anticholinergic agent
•Solu-medrol: steroid to control underlying inflammation (NOT immediate)
Admin q 20 mins
NORMAL to have tremors and palpitations
Capasaicin (Zostrix)
over the counter analgesic used for minor pain.
Education: wait at least 30 mins after massaging cream into hands before washing them to ensure
adequate absorption
Avoid contact with eyes, nose, and mouth (contains pepper contents)
wear gloves when applying
avoid HEATING pads (vasodilation increases absorption and can cause a chemical burn)
Expected findings: burning, stinging, or erythema and will subside in a week, and can be
used with tylenol or NSAIDs to effectively treat osteoarthritis pain
Use regularly [3 to 4 times a day] for week to months.
Montelukast (singulair)
given with beta agonist and steroid (fluticasone or budesonide) to provide long term asthma control
Tobramycin
antibiotic
, mostly used with aerosolized form to treat cystic fibrosis [CF] exacerbation when pseudomonas is the
predominant organism causing the lung infection
Rifaximin
antibiotic
used with hepatic encephalopathy related to increased ammonia levels
Meperidine (Demerol)
Opioid
contraindicated in patients with sickle cell disease related to large frequent doses can cause toxic
metabolite (tremors that lead to seizure)
Most effective PCA
morphine or hydromorphone (Dilaudid)
Clopidogrel (PLavix)
antiplatelet
I.V complications Interventions
Infiltration: apply cold compress and elevate
Catheter embolus: apply tourniquet
Extravasation: aspirate med
Hematoma: apply light pressure
Phlebitis: apply warm compress
Naproxen (Naprosyn)
NSAID
Ginko Biloba
can increased risk for bleeding!
Vancomycin
antibiotic
Nephrotoxic (BUN & creatinine)
Monitor trough levels before the 4th dose (normal is between 15 to 20)
Promethazine
VERSION: GRADED A+
Fluticasone/salmeterol (Advair)
contains corticosteroid and bronchodilator
Long acting agonist that promotes relaxes smooth muscle over 12 hours
NOT an emergency drug for asthma
Education: after inhalation, rinse mouth with water without swallowing (reduce risk of candidiasis),
avoid smoking, and receive pneumococcal and flue vaccines if there is a risk of infection.
Albuterol, Atrovent, Ipratopium, & sole-medrol
rescue asthma drugs
•Albuterol & Atrovent: short acting beta agonist
•Ipratopium: anticholinergic agent
•Solu-medrol: steroid to control underlying inflammation (NOT immediate)
Admin q 20 mins
NORMAL to have tremors and palpitations
Capasaicin (Zostrix)
over the counter analgesic used for minor pain.
Education: wait at least 30 mins after massaging cream into hands before washing them to ensure
adequate absorption
Avoid contact with eyes, nose, and mouth (contains pepper contents)
wear gloves when applying
avoid HEATING pads (vasodilation increases absorption and can cause a chemical burn)
Expected findings: burning, stinging, or erythema and will subside in a week, and can be
used with tylenol or NSAIDs to effectively treat osteoarthritis pain
Use regularly [3 to 4 times a day] for week to months.
Montelukast (singulair)
given with beta agonist and steroid (fluticasone or budesonide) to provide long term asthma control
Tobramycin
antibiotic
, mostly used with aerosolized form to treat cystic fibrosis [CF] exacerbation when pseudomonas is the
predominant organism causing the lung infection
Rifaximin
antibiotic
used with hepatic encephalopathy related to increased ammonia levels
Meperidine (Demerol)
Opioid
contraindicated in patients with sickle cell disease related to large frequent doses can cause toxic
metabolite (tremors that lead to seizure)
Most effective PCA
morphine or hydromorphone (Dilaudid)
Clopidogrel (PLavix)
antiplatelet
I.V complications Interventions
Infiltration: apply cold compress and elevate
Catheter embolus: apply tourniquet
Extravasation: aspirate med
Hematoma: apply light pressure
Phlebitis: apply warm compress
Naproxen (Naprosyn)
NSAID
Ginko Biloba
can increased risk for bleeding!
Vancomycin
antibiotic
Nephrotoxic (BUN & creatinine)
Monitor trough levels before the 4th dose (normal is between 15 to 20)
Promethazine
