NURS 361 Drug Card Guidelines Amiodarone

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School

St. John's University *

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Course

4533

Subject

Nursing

Date

Nov 24, 2024

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doc

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1

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NURS 361 Adults in Transition Practicum Medication/Drug Card Guidelines Medication information in the form of a drug card will be completed on a weekly basis for clinical and simulation. Use the drug book in Coursepoint+ for valuable resources on medication information. During pre-clinical prep time, you must complete drug cards for each of your patient’s medications scheduled to be given at 0800 and 0900. Depending on your patient assignment and other medications scheduled, your clinical instructor may ask you to complete drug cards for medications after 0900 as well. Include nursing actions or implications of giving the medication such as vital signs to monitor, lab values to check, dosage calculation to be completed. Be prepared to answer why YOUR patient is taking this drug and how it will impact YOUR patient! You may limit your drug information to adult/older adult specifications. Pediatric information is not necessary. The following information is to be included for your medications: Classification of Drug: Antidysrhythmic Trade Name of Drug: Cordarone Generic Name of Drug: Amiodarone Dose: (N/A for simulation) 200 PEG daily @ 0830 Purpose: Ventricular Fibrillation, Pulseless ventricular tachycardia, and Ventricular tachycardia with and without a pulse Action: -Slows sinus rate, prolongs PR and QT intervals, decreases peripheral vascular resistance.-Prolongs action potential and refractory period. Side Effects/Adverse Effects: Hypotension, bradycardia, nausea, vomiting Contraindications: (include drug-drug interactions) Known hypersensitivity to the drug action in use with patients taking: beta-blockers, calcium channel blockers, and anticoagulants. Toxic effect if mixed with digoxin Grapefruit juice may increase levels and risk for toxicity Nursing Considerations: (include vital signs or labs to monitor, dosage calculation needed, patient teaching, dietary implications, etc.) I&O; monitor: electrolytes, K+ liver functions, AST, ALT, bilirubin, alkaline phosphatase, dehydration, hypovolemia. Giving loading dose in a hospital setting w/ continuous ECG
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