Med and Patho

Comprehensive drug profiles for Sumatriptan (Imitrex), Acetaminophen (Tylenol), and others—covering classification, uses, dosages, interactions, adverse effects, nursing implications, and patient teaching. Ideal for nursing and pharmacology study.

Daniel Miller

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6 months ago

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Generic: SumatriptanBrand name : ImitrexClassification: Serotonin receptor agonistTherapeutic use:Treatment of acute migraine and cluster headachesAction: causes vasoconstriction of large intracranial arteriesSafe dosage : PO- 25mg ID, may increase to lOOmg q2h max (300mg/day)SC- 6mgqlh(mx 12mg q 24h)Nasal- 5-20mg in one nostril q2h (max 40mg q 24h)OnsetPeakDuration30 min PO/SC2-4hup to 24h60 rain nasalPatient teaching : should only be used during migraine attack; used for reliefnot prophylaxis. Advise of adverse reactions and administration techniqueGeneric: AcetaminophenBrand name : TylenolClassification: Non-opioid analgesicTherapeutic use:Treatment of mild pain and feverAction; Inhibits prostaglandin synthesis that may serve as mediators of pain andfever, primarily in the CNSSafe dosage : PO- 325-650mg PO Q 4-6 Hr Do not exceed 3g per/dayPpsetPeakDuration30-60 minutes1-3 hours3-8 hoursPatient teaching : long term use can cause liver damage. Many OTC's containacetaminophen, do not use longer then 10 days, avoid alcohol, if not effectiveseek medical care ______________________________________________________Adverse reactions ; Nausea, vomiting, diarrhea, constipationContraindications : Renal impairment, alcohol abusePrecautions : do not take more then 3 grams per 24 hoursInteraction s: Increased risk of bleeding with warfarin, NSAID's, ibuprofenNursing Implications: Complete pain assessment, monitor BP, temperature, OTCuseWhy this patient takes this medication: frequent migraines, pains and achesand feverAdverse reactions : Dizziness, vertigo, Ml, tingling, warm sensation, injectionsite reactionContraindications : hypersensitivity, ischemic heart disease, Prinzmetal'sangina, uncontrolled HTN, concurrent MAOI therapyPrecautions : History of CV disease, child bearing potential, pregnancy,lactation, children < 18yInteractions : ergotamine, lithium, MAOI, SSRINursing Implications: Complete pain assessment, monitor BP one hr. beforeand 1 hr. after initial SC injectionWhy this patient takes this medication: frequent migraines not responsive toOTC medication treatmentDownloaded by Winkle Wong (wkwinkie@gmail.com)

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Pharmacology

Med and Patho

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