What class of medication is amitriptyline and why is this medication

used as an adjuvant medication for pain?

-Tricyclic antidepressant, and its is used as an adjuvant medication for pain
due to its sedation effects, also it helps relax muscles and help with the
anxiety or depression resulting from the pain
A client has been prescribed niacin. What is this medication used for
and what are three (3) adverse effects of this medication?
-Niacin is an atilipemic that helps decrease LDL and triglycerides and
increase HDLs. Adverse effects may be Hyperglycemia, hepatoxicity, facial
flushing
A client has been prescribed intranasal calcitonin (Miacalcin) for the
treatment of osteoporosis. What client education should be
provided by the nurse to prevent nasal dryness and irritation?
-Instruct Clients to alternate nostrils daily, and to conduct inspection of nasal
mucosa for ulcerations
A client has been prescribed leuprolide (Lupron) for the treatment of
prostate cancer. What are three (3) potential adverse effects of
leuprolide and nursing interventions/client education related to
these effects?
-hot flushes or decreased libido, and gynecomastia: warn patient on these
possible effects and that they may be transient.
-Decreased bone density: increase calcium and vit. D intake, weight-bearing
exercises,
-Arrhythmias: monitor for arrhythmias and assess breath sounds
A client has been prescribed sulfasalazine (Azulfidine) for the
treatment of irritable bowel syndrome. What are potential adverse
effects of this medication?
-Agranulocytosis, hemolytic and macrocytic anemia, nausea, cramps, rash,
arthralgia
A critical care client is in need of adenosine (Adenocard). What is
the indication of this medication and how is this medication
administered?

-it is contraindicated for 2nd and 3rd degree heart block, av block, atrial flutter
and a. fib.
-interacts with caffeine,
-very shorth half-life, adverse reaction are short, less than a 1 min.
-administer IV bolus, flushed with saline after administration
A client asks the nurse why she is prescribed bethanechol
(Urecholine). What therapeutic effect and indication for the client
can the nurse identify this medication therapy?
-This medication is a stimulant of certain receptors of the GU tract that will
aid nonobstructive urinary retation for post-op or postpartum patients. May
help in gastroesophageal reflux. The client will want to report symptoms of
complications such as sweating, tearing, urinary urgency, slow heart rate and
hypotension
A client has been prescribed sumatriptan (Imitrex) for the treatment
of migraines. What are three (3) contraindications to this
medication?
- Liver failure
-ischemic heart disease,
-MI
A client has been prescribed sucralfate (Carafate) for the treatment
of peptic ulcer disease. What information regarding administration
of sucralfate should the nurse provide?
-In order to prevent constipation, an increase in dietary fiber and fluids is
encouraged. At least 1,500 ml/day if fluid intake is permissible.
-Asses renal function
-May interfere with absorption of digoxin, warfarin, and cipro. (allow 2hr
between admin. Of these meds and sucralfate)
-Antacids interfere with the absorption of sucralfate and should not be
administered within 30 mins of sucralfate.
A client has been prescribed the disease-modifying antirheumatic
drug hydroxychloroqine for the treatment of rheumatoid arthritis.
Identify one (1) points the nurse should reinforce teaching on
regarding this medication.
-plaquenil can cause retinal damage leading to blindness. A baseline eye
exam should be conducted and follow-up eye exams every 6 months with an

ophthalmologist.
-if blurred vision occurs, medication should be stopped and the provider
should be seeked.