Question

For each medication below list the following information

Classification

Mechanism of action

Purpose/ use

Significant Side Effects / Adverse Reactions

Nursing Implications

Levothyroxine	50 mcg	PO	Every day
Thiamine (vit B)	5 mg	PO	Every day
folic acid	0.5 mg	PO	Every day
Insulin-Correction Factor	140-189 = 3 units 181-220 = 6 units 221-260 = 9 units 260-300 = 12 units Greater than 301= 12 units	SQ	Before meals and HS
Lispro insulin	10 unit	SQ	Before meals
Lantus insulin	20 units	SQ	HS
Citalopram	20 mg	PO	Every day
25% Albumin	50 g	IV	Once a day for 2 days

Answer 1

Levothyroxine

Classification

• It is classified as a hormone medication
• It replaces the thyroid hormone

Action

It is used to treat hypothyroidism. It produces more thyroid hormone or replace them

Purpose

To treat hypothyroidism. It is also used with surgery and radioactive iodine therapy to treat thyroid cancer.

Side-effects

• Weight loss
• Increased appetite
• Excessive sweating
• Heat sensitivity
• Anxiety
• Hyperactivity

Nursing implications

• Ensure that patient taking the medication with full glass of water
• DO NOT use it for weight loss .
• Use with caution in patient with cardiovascular diseases
• Periodic blood test is essential

Thiamine (vit B)

Classification

It is also known as vitamin B1.it is found in many vitamin B complex products.

Action

• it treats thiamine deficiency
• It treats Wernicke-Korsakoff syndrome (WKS).

Purpose

• To treat deficiency of thiamine
• It is used to treat brain disorder known as Wernicke-Korsakoff syndrome (WKS).

Side-effects

• Anaphylaxis
• Sweating
• Skin swelling
• Discoloration of skin
• Itching
• Hives

Nursing implications

• look for different vitamin deficiencies
• Food rich with carbohydrates may increase the need of thiamine

Folic acid

Classification

It is best classified as vitamin B11.

Action

• it helps to prevent DNA changes that can lead to cancer
• It helps to produce new and healthy cells

Purpose

• To treat folic acid deficiencies
• To treat anemias
• Helps to form red blood cells

Side-effects

• Nausea
• Vomiting
• Diarrhea
• Abdominal cramps
• Seizures

Nursing implications

• Close medical supervision is required
• Adjustment of dosage is required if there's any side-effects