I was disappointed when reviewing the items as it really does make a difference for certain things to be in color. Read "140 Must Know Meds Demolish Nursing Pharmacology" by Jon Haws RN CCRN available from Rakuten Kobo. Overall. For those who are not aware, Pharmacology makes up almost 15% of the NCLEX exam. The adrenal glands excrete steroid hormones that play a role in increasing blood sugars, immune suppression, and metabolism of fat, protein, and carbohydrates, as well as decreasing bone formation, Methylprednisone (solu-medrol) --> Therapeutic class, Methylprednisone (solu-medrol) --> Pharmacological class, Methylprednisone (solu-medrol) --> Nursing considerations, prevention of nausea, vomiting, hiccups, migraines, gastric stasis, accelerates gastric emptying by stimulating motility, Metoclopramide (Reglan) --> Therapeutic class, Metoclopramide (Reglan) --> Pharmacological class, Metoclopramide (Reglan) --> Nursing considerations, tachy arrhythmias, HTN, angina, prevention of MI, heart failure management, may be used for migraine prophylaxis, blocks the stimulation of beta1 receptors in the SNS, does not usually effect on beta2 receptors (cardioselective), Metoprolol (Lopressor) --> Therapeutic class, Metoprolol (Lopressor) --> Pharmacological class, Metoprolol (Lopressor) --> Nursing considerations, intra-abdominal infections, gynecoligical infections, skin infections, bone and joint infections, CNS infections, septicemia, endocarditis, amebic liver abscess, peptic ulcer disease, inhibits DNA and protein synthesis in bacteria, bactericidal, Metronidazole (Flagyl) --> Pharmacological class, Metronidazole (Flagyl) --> Nursing considerations, DO NOT TAKE WITH ALCOHOL-DISULFIRAM REACTION, sedation, conscious sedation, anesthesia, status elipeticus, acts to produce CNS depression, may be mediated by GABA, Midazolam (Versed) --> Pharmacological class, Midazolam (Versed) --> Nursing considerations, assess level of sedation during and for 2-6 hours following, prevent or treat asthma, manage seasonal allergies, prevent exercise-induced bronchoconstriction, disrupts the effects of leukotrienes which effect airway edema, smooth muscle constriction, and cellular activity, Montelukast (Singulair) --> Therapeutic class, allergy, cold and cough remedies, bronchodilators, Montelukast (Singulair) --> Pharmacological class, Montelukast (Singulair) --> Nursing considerations, Morphine (MS Contin) --> Therapeutic class, Morphine (MS Contin) --> Pharmacological class, Morphine (MS Contin) --> Nursing considerations, pain, analgesia during labor, sedation before surgery, supplement to balance anesthesia, alters perception and response to pain, causes CNS depression, Nalbuphine (Nubain) --> Therapeutic class, Nalbuphine (Nubain) --> Pharmacological class, Nalbuphine (Nubain) --> Nursing considerations, non steroidal anti-inflammatory agents, nonopioid analgesics, antipyretics, Naproxen (Aleve) --> Pharmacological class, Naproxen (Aleve) --> Nursing considerations, blocks calcium transport resulting in inhibition of contraction causing systemic vasodilation, Nifedipine (procaccia) --> Therapeutic class, Nifedipine (procaccia) --> Pharmacological class, Nifedipine (procaccia) --> Nursing considerations, use caution in heart block, decreased blood pressure, Nitroprusside (Nitropress) --> Indication, peripheral vasodilation of arteries and veins decreasing preload and after load, Nitroprusside (Nitropress) --> Therapeutic class, Nitroprusside (Nitropress) --> Pharmacological class, Nitroprusside (Nitropress) --> Nursing considerations, monitor HR, BP, and EKG continuously during therapy, treatment of severe hypotension and shock, increase blood pressure and cardiac output by stimulating alpha-adrenergic receptors in the blood vessels, demonstrates minor beta activity, Norepinephrine (Levophed) --> Therapeutic class, Norepinephrine (Levophed) --> Nursing considerations, MONITOR BP CONTINUOUSLY IF POSSIBLE OR EVERY COUPLE OF MINUTES, Nystatin (Mycostatin)--> Therapeutic class, Nystatin (Mycostatin)--> Pharmacological class, Nystatin (Mycostatin)--> Nursing considerations, schizophrenia, mania, depression, anorexia nervosa, nausea/vomiting related to chemotherapy, Olanzapine (Zyprexa) --> Therapeutic class, Olanzapine (Zyprexa) --> Pharmacological class, Olanzapine (Zyprexa) --> Nursing considerations, GERD, ulcers, Zollinger-Ellison syndrome, reduce the risk of GI bleed in critically ill patients, heart burn, prevents the transport of H ions into the gastric lumen by binding to gastric parietal cells, decreases gastric acid production, Omeprazole (Prilosec) --> Therapeutic class, Omeprazole (Prilosec) --> Pharmacological class, Omeprazole (Prilosec) --> Nursing considerations, blocks effects of serotonin on vagal nerve and CNS, Ondansetron (Zoran) --> Therapeutic class, Ondansetron (Zoran) --> Pharmacological class, Ondansetron (Zoran) --> Nursing considerations, ADMINISTER SLOWLY OVER 2-5 MINUTES- FATAL QT PROLONGATION AND VTACH, RESPIRATORY ARREST, binds to opiate receptors in CNS altering the perception and sensation of pain, Oxycodone (Oxycontin) --> Therapeutic class, Oxycodone (Oxycontin) --> Pharmacological class, opioid agonists, opioid agonists/nonopioid, analgesic combinations, Oxycodone (Oxycontin) --> Nursing considerations, may cause RESPIRATORY DEPRESSION, constipation, confusion, sedation, hallucinations, urinary retention, Oxytocin (Pitocin) --> Pharmacological class, Oxytocin (Pitocin) --> Nursing considerations, pancreatic insufficiency, ductal abstruction, replacement of pancreatic enzymes: lipase, amylase, protease, Pancrelipase (Creon) --> Therapeutic class, Pancrelipase (Creon) --> Pharmacological class, Pancrelipase (Creon) --> Nursing considerations, GERD, heartburn, reduce risk of GI bleed in critically ill patients, prevents the transport of H ions into the gastric lumen of binding to gastric parietal cells, decreases gastric acid production, Pantoprazole (Protonix) --> Therapeutic class, Pantoprazole (Protonix) --> Pharmacological class, Pantoprazole (Protonix) --> Nursing considerations, major depressive disorder, OCD, anxiety, PTSD, Paroxetine (Paxil) --> Pharmacological class, Paroxetine (Paxil) --> Nursing considerations, Phenazopyridine (Pyridium) --> Indication, provides analgesia to the urinary tract mucosa, Phenazopyridine (Pyridium) --> Therapeutic class, Phenazopyridine (Pyridium) --> Pharmacological class, Phenazopyridine (Pyridium) --> Nursing considerations, tonic clonic seizures, arrhythmias, neuropathic pain, interferes with ion transport, shortens action potentials and decreases automaticity blocks sustained high frequency repetitive firing of action potentials, Phenytoin (Dilantin) --> Therapeutic class, Phenytoin (Dilantin) --> Pharmacological class, Phenytoin (Dilantin) --> Nursing considerations, Procainamide (procainamide) --> Indication, wide variety ventricular and atrial arrhythmias, PAC, PVC, Tach, post cardioversion, decreases excitability and slows conduction velocity through the heart, Procainamide (procainamide) --> Therapeutic class, anti-arhythmic (Class IA NA channel blocker), Procainamide (procainamide) --> Nursing considerations, MAY CAUSE VENTRICULAR ARRHYTHMIAS, SEIZURE, SYSTOLE, HEART BLOCK, 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