By Jones and Bartlett Publishers
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Additional resources for 2011 Nurse's Drug Handbook
Monitor vital signs and continuous ECG tracings during treatment. PATIENT TEACHING • Teach about possible adverse reactions, including bleeding and hypersensitivity reactions, which may cause rash, urticaria, and dyspnea. • Tell patient to prevent injury from falls by maintaining bed rest and from bleeding by keeping limb immobile while catheter sheath is in place. d. O. R. TABLETS Contraindications Adults. d. Hypersensitivity to acamprosate or its com- Mechanism of Action Chronic alcoholism may alter the balance between excitation and inhibition in neurons in the brain; acamprosate restores it.
Usual: 200 to 800 mg daily. d. for severe hypertension or hypertension that isn’t well controlled with usual dosage. To treat premature ventricular arrhyth- mias TABLETS Adults. d. Usual: 600 to 1,200 mg daily. DOSAGE ADJUSTMENT Maximum of 800 mg daily for elderly patients. 73 m2. 73 m2. O. 5 hr Mechanism of Action Inhibits stimulation of beta1 receptors in the heart, decreasing cardiac excitability, heart rate, cardiac output, and myocardial oxygen demand. Acebutolol also decreases kidneys’ release of renin, which helps reduce blood pressure.
Expect to treat severe thrombocytopenia with platelet transfusions if needed. • Monitor patient for hypersensitivity reactions, such as rash, pruritus, wheezing, and dysphagia from laryngeal edema. If such reactions occur, stop infusion and notify prescriber immediately. If anaphylaxis occurs, give epinephrine, antihistamines, and corticosteroids, as prescribed. • Obtain platelet count 2 to 4 hours after initial bolus and every 24 hours during therapy as ordered. Expect platelet function to return to normal within 48 hours after therapy ends.