CLASSIFICATION MAJOR SIDE EFFECTS NURSING ACTIONS
Analgesics (opioid) Sedation, confusion, nausea and Check BP and resp before giving;
vomiting, agitation, decrease BP, do not give if resp below 12 or if
decrease respiration, dependence BP below 100/60; keep rails up;
give with food or antiemetic if
causes nausea
Antihypertensives Decrease BP and decrease P Check BP and P before giving;
hold if BP below 100/60 or P
below 60
Anti-infectives Allergic hypersensitivity; direct Check allergies before giving; be
(antibiotics) toxicity; superinfection alert to cross-over sensitivities
(penicillin and cephalosporins);
culture blood or wound before
giving drug
Tetracycline Calcium and iron decrease Do not administer within 3 hours
absorption of ingestion of dairy food, iron,
and antacids
NSAIDS GI ulcers and bleeding, tinnitus, Give with food; watch for occult or
HA, hematuria, rash frank bleeding
Diuretics
Non-potassium sparing Hypokalemia; hypotension, Check K levels before giving;
tachycardia; dehydration monitor BP and P; monitor I&O;
teach high potassium foods to eat
Potassium sparing Hyperkalemia; dehydration Teach patient to avoid high
potassium foods; monitor K levels;
monitor I&O
Insulin Hypoglycemia; irritability; Check fingerstick blood sugar
tremors; HA; convulsions level before giving; watch for
reactions at peak times, causing
FSBS to drop
Laxatives Diarrhea; dehydration; cramping Check when patient had last BM
before giving
Common Cardiac Medications
ACE Inhibitors Used to reduce high blood pressure. Helps to increase
Accupril, lisinopril, captopril the "pumping strength" of the heart muscle.
Angiotensin II Receptor Blockers
Losartan, Olmesartan,
Telmisartan,
Valsartan,
Beta Blockers May be prescribed for several reasons:
Atenolol, metoprolol, carvedilol To slow a rapid heart beat
To prevent and treat the rapid, abnormal heartbeats that
may occur after cardiac surgery
To treat angina (it slows the heart rate, reducing the
need for oxygen).
These medications may lower blood pressure slightly
Calcium Channel Blockers Helps to get rid of extra fluid that may accumulate after
Amlodipine surgery or as a result of a heart condition.
Used to
help reduce high blood pressure.
diltiazem
Diuretics Helps to get rid of extra fluid that may accumulate after
surgery or as a result of a heart condition. Also used to
help reduce high blood pressure.
Potassium-sparing
Spironolactone Potassium-wasting
Furosemide, HCTZ