NUR 426 Lecture 10: Medications Related to Women
Document Summary
Ibandronate (boniva: pamidronate (aredia, risedronate (actonel), zoledronic acid (zometa) Nursing care: monitor cardiac/renal/hepatic function, monitor for mental status changes, monitor for hyperglycemia in diabetic patients, monitor i&o, encourage patient to stop smoking, teach patient to refrain from grapefruit products, teach patient to report breast lumps/vaginal bleeding. Im (lg. muscle, rotate sites), transdermal, implant, buccal, nasal gel: wash hands carefully after use of gel to prevent transmission to others, androgens: nursing implications. Men: assess for acne, priapism, increased facial/body hair, gynecomastia, peripheral edema; Adverse effects: cholestatic hepatitis/jaundice; hypercholesterolemia ( ldl; (na+/h2o retention); growth of prostate cancers. Hdl); polycythemia, edema hypercalcemia; heart failure, hypertension, cardiac disease, liver disease, renal disease. Monitor for jaundice, weight gain, edema, liver enzymes; cholesterol levels, hg/hct. Interactions: anticoagulants (pt/inr), antidiabetic agents (glucose), hepatotoxic agents (increased hepatotoxicity) Identify persons at high risk for anabolic steroid abuse and educate about potential risks. Some studies found increased incidence cardiovascular events (mi, stroke, death) and others have not;
