Nursing considerations for filgrastim

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Nursing considerations for filgrastim. Filgrastim is approved to reduce the chance of infection in patients with: Neutropenia caused by some types of chemotherapy, including: Chemotherapy for acute myeloid leukemia. Myeloablative chemotherapy before a bone marrow transplant in patients with non- myeloid cancer. Myelosuppressive chemotherapy in patients with non-myeloid cancer.

Pegfilgrastim, a long-acting granulocyte colony-stimulating factor (G-CSF), is commonly used to prevent febrile neutropenia (FN), a potentially life-threatening complication, following myelosuppressive chemotherapy. The FDA label for pegfilgrastim specifies that it should not be administered 14 days before or within 24 h of administration of myelosuppressive chemotherapy, precluding the use of ...

Another study examining the possible benefit of filgrastim among 1058 breast cancer patients reported that 18.5% and 42% of patients receiving filgrastim required a dose reduction or treatment delay, respectively . In comparison to prior reports, 300 ug of filgrastim for patients in our study with weights <85 kg seemed to produce a …The active substance is tbo-filgrastim. GRANIX 300 mcg/0.5 mL: Each prefilled syringe contains 300 mcg of tbo-filgrastim in 0.5 mL solution with a blue plunger in: Pack of 1 with a safety needle guard in blister: NDC 63459-910-11. Packs of 10 with a safety needle guard in blisters: NDC 63459-910-15.Filgrastim and pegfilgrastim are used to assist recovery in patients with low white blood cell counts. This article explores the dosing, efficacy, cost, and clinical considerations of filgrastim and pegfilgrastim in neutropenia care. Increased knowledge of the medications may contribute to positive patient outcomes.The recommended dose is 5 to 10 mcg/kg per day. Filgrastim is administered intravenously or subcutaneously (under the skin) for 6 to 14 days. Filgrastim vials should not be shaken since the drug may be damaged, and bubbles may form that can prevent some of the drug from being drawn up into the syringe at the time of injection.For neonates, 15–20 mg/kg in divided doses of 5–10 mg/kg is recommended. Phenytoin and phenytoin sodium, oral. Children not previously treated: Initially, 5 mg/kg/day in two to three equally divided doses. Subsequent dosage should be individualized to a maximum of 300 mg/day. Daily maintenance dosage is 4–8 mg/kg. epoetin alpha (Epogen, Procrit) classification. hematopoietic growth factor. epoetin alpha (Epogen, Procrit) side effects. HTN, pure red cell aplasia, seizures if BP & Hct rise rapidly, HA, fever, nausea, diarrhea, edema, BBW: ↑ risk for cardiovascular and thromboembolic events. epoetin alpha (Epogen, Procrit) nursing considerations.

Nursing Management. There are a couple of nursing management and considerations that nurses have to keep in mind when taking care of a client with leukemia. Radiation and Chemotherapy. These are primarily given to decrease the abnormally high number of white blood cells. Radiation and chemotherapy will technically restart the entire system of ...Subcutaneous. Do not administer filgrastim in the period 14 d before or 24 h after cytotoxic chemotherapy. Use only one dose per vial; do not reenter the vial. Prior to injection, filgrastim may be allowed to reach room temperature for a maximum of 6 h. Discard any vial left at room temperature for >6 h. Aspirate prior to injection to avoid ...Nursing Interventions. Client Education. Carina Carino Leukopoietic -- Growth Factors: Documenting Effectiveness of FilgrastimTherapy. Glycoprotein filgrastim binds to and stimulates immature neutrophils to divide and differentiate. Also activates mature neutrophils. iv subq injection. cytotoxic durgsDosing Considerations. Direct administration of the prefilled syringe to patients requiring . 6 mg ... History of serious allergic reactions to pegfilgrastim or filgrastim. Cautions Splenic rupture . ... Caution should be exercised when administered to a nursing female. Pregnancy Categories. A: Generally acceptable. ...The most common side effect with Nivestim (seen in more than 1 patient in 10) is musculoskeletal pain (pain in the muscles and bones). Other side effects may be seen in more than 1 patient in 10, depending on the condition that Nivestim is being used for. For the full list of all side effects reported with Nivestim, see the package leaflet.Filgrastim does not increase the number of platelets in the blood, but it may increase the risk of splenic rupture, as more white blood cells can enlarge the spleen. The client should have their platelet count and spleen size monitored regularly and report any signs of bleeding or abdominal pain. ... our nursing education contents will empower ...PHYSICAL THERAPY IMPLICATIONS + + + Examination and Evaluation + + Monitor signs of hypersensitivity reactions, especially signs of serum sickness such as muscle aches, joint pains, fever, and skin rash. Notify physician or nursing staff immediately if these reactions occur. Watch for and report signs of leukopenia (fever, sore throat, signs of ...Mobilisation of peripheral blood progenitor cells, used following adjunctive myelosuppressive chemotherapy (to improve yield) (specialist use only) By subcutaneous injection. Adult. 150 micrograms/m 2 daily until neutrophil count stable in acceptable range, to be started 1-5 days after completion of chemotherapy, for timing of leucopheresis ...

Find information on Filgrastim (Granix, Neupogen) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.Pegfilgrastim is a man-made version of a certain natural substance made by your body. It is used to help your body make more white blood cells. White blood cells are important to help you fight ...Hydrocortisone is a corticosteroid used for its anti-inflammatory and immunosuppressive effects. Its anti-inflammatory action is due to the suppression of migration of polymorphonuclear leukocytes and reversal of increased capillary permeability. It may also be used as replacement therapy in adrenocortical insufficiency.Veklury is administered via intravenous infusion for a total treatment duration of 3 days. Although Veklury is an approved alternative treatment of mild-to-moderate COVID-19 in adults and pediatric patients (12 years of age and older weighing at least 40 kg) with positive results of direct SARS-CoV-2 viral testing, and who are at high risk for ... What are three (3) nursing considerations for this medication? Answer Key Administer filgrastim via intermittent IV bolus, continuous IV, subcutaneous infusion, or subcutaneous injection. Do not agitate the vial of medication. Find information on Filgrastim (Granix, Neupogen) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.

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Step 1. Ans:- When caring for a neutropenic client receiving filgrastim (a medication that stimulates the pr... View the full answer Step 2. Unlock. Step 3. Unlock. Answer. Unlock. Previous question Next question.Filgrastim requires an interprofessional healthcare team approach, including clinicians, nurses, and pharmacists. Although it has uses in other fields of medicine, its …TBO-FILGRASTIM (GRANIX) Nursing Considerations. View the FULL Outline. When you start a FREE trial you gain access to the full outline as well as: SIMCLEX (NCLEX Simulator) 6,500+ Practice NCLEX Questions; 2,000+ HD Videos; 300+ Nursing Cheatsheets; Start Free Trial "Would suggest to all nursing students . . . Guaranteed to ease the stress!"CLASS: beta blockers. -ACTION: blocks stimulation of beta1 (myocardial)-adrenergic receptors; Decreased BP, HR, frequency of CP attacks, and rate of cardiovascular deaths. -SIDE EFFECTS: fatigue, weakness, BRADYCARDIA, HF, PULMONARY EDEMA, erectile dysfunction. -Monitor BP, ECG, and pulse frequently; Monitor I&O ratios and daily weights; Assess ...

Methotrexate Nursing Considerations. Methotrexate was the first anticancer drug developed 50 years ago. It is an antimetabolite drug that interferes with the growth of cells, therefore used as a chemotherapeutic agent for cancers. It is also used in many other chronic inflammatory diseases, such as psoriatic arthritis and the maintenance phase ...Despite obvious benefits, the main drawback to filgrastim therapy is its short t½ of 3 to 4 hours. Patients must endure daily 5-µg/kg injections for up to 10 days during chemotherapy treatment ...Find information on Filgrastim (Granix, Neupogen) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.Nursing Interventions. Client Education. Matilda Hjaertstroem Filgrastim Therapy 26 Leukopoietic Growth Factors. Leukopoietic growth factors stimulate the bone marrow to increase production of neutrophils. IVboluss continous IVs subcutaneous infusions subcutaneous injection. calculated bymcm/km; IVinfusion ovr 15 -30 min; Duration of therapy ...Approach Considerations. Medical care for patients with neutropenia is mostly supportive and is based on the etiology, severity, and duration of the neutropenia. Fever and infections occurring as complications of neutropenia require specific treatment; see Antimicrobial Agents in Neutropenic Cancer Patients. Surgical care is not usually ...1 INDICATIONS AND USAGE Brinzolamide ophthalmic suspension 1% is a carbonic anhydrase inhibitor indicated in the treatment of elevated intraocular pressure in patients with ocular hypertension or open-angle glaucoma. Brinzolamide ophthalmic suspension is a carbonic anhydrase inhibitor indicated for in the treatment of elevated intraocular ...Pain and anxiety are additional symptom management considerations. Filgrastim-associated back pain should be managed with appropriate analgesic support. Anti-anxiolytics in conjunction with complementary therapies may be used to effectively manage anxiety and pain. ... The Oncology Nursing Society (ONS) is a professional association that ...Common reasons for peg-G treatment were: convenience, patient dislike of injections, or poor response to filgrastim. Table 1 summarizes peg-G exposures: All of the patients responded to peg-G with an increase in ANC over their baselines, but detailed pharmacodynamics to show the patterns of the rise and fall of the counts were not available. As ...These are vital nursing interventions done in patients who are taking local anesthetics: Prepare emergency equipment to maintain airway and provide mechanical ventilation if needed. Ensure that patients receiving spinal anesthesia or epidural anesthesia are well hydrated and remain lying down for up to 12 hours after the anesthesia to minimize ...PhosLo¬Æ is a phosphate binder indicated for the reduction of serum phosphorus in patients with end stage renal disease. ( 1 ) View Our Nursing Pharmacology Course. References: https://open.fda.gov/. Other Pharm Resources. HYDROXYPROGESTERONE CAPROATE (Makena) Nursing Considerations.

Safety Considerations. Overall safety profile of tbo-filgrastim in the clinical trial program was similar to that of Neupogen™. Serious adverse events were reported in the range of 14.1% to 30.4%. Severe adverse events were reported in 17.4% to 40.1%. Deaths during study were not due to the study drug. Updated December 2014.

Auxiliary nurses are also referred to as health care assistants, and they provide assistance to doctors and nurses in hospitals, doctor’s offices, nursing homes and medical clinics...Special considerations in chemotherapy-related neutropenia. ... Filgrastim, which was approved by the US Food and Drug Administration in 1991, was the first recombinant human G-CSF to enter the market, and its availability altered the management of agranulocytosis. Filgrastim has been shown to shorten the period to recovery and the duration of ...Filgrastim - Med template. Med template. Course. Heath Care Concept III (RNSG 1538) 208 Documents. Students shared 208 documents in this course. University ... Nursing Interventions Client Education. AI Quiz. AI Quiz. Download. 0 0. Was this document helpful? 0 0. Save Share. Filgrastim - Med template. Course: Heath Care Concept III (RNSG 1538)Tell your medical caregiver if you feel dizzy, nauseated, light-headed, itchy, sweaty, or have a headache, chest tightness, back pain, trouble breathing, or swelling in your face. Filgrastim may cause serious side effects. Call your doctor at once if you have: easy bruising, unusual bleeding, purple or red spots of your skin or under your skin;Subcutaneous. Do not administer filgrastim in the period 14 d before or 24 h after cytotoxic chemotherapy. Use only one dose per vial; do not reenter the vial. Prior to injection, filgrastim may be allowed to reach room temperature for a maximum of 6 h. Discard any vial left at room temperature for >6 h. Aspirate prior to injection to avoid ...Centers for Medicaid and Medicare Service propose a rule that would kill the ban on mandatory arbitration clauses in nursing home contracts. By clicking "TRY IT", I agree to receiv...Mar 1, 2024 · inflammation of your blood vessels - numbness or tingling, skin rash, fever, headache, body aches, night sweats, weight loss, feeling or weak or tired; or. kidney problems - swelling, urinating less, feeling tired or short of breath. Common Neupogen side effects may include: fever, pain, cough, trouble breathing; Study with Quizlet and memorize flashcards containing terms like The nurse administers filgrastim (Neupogen) to the client. The nurse explains that this drug is used in the treatment of: a) Acute lymphoblastic leukemia. b) Neutropenia, or neutropenia secondary to chemotherapy. c) Clients with Hodgkin's disease who are having bone marrow transplants. d) Hodgkin's lymphoma., The client receiving ...Ondansetron Nursing Pharmacology. Ondansetron is a medication that is most commonly used to prevent nausea and vomiting, primarily caused by cancer treatments like chemotherapy and radiation therapy. It is also used to prevent nausea and vomiting in post-operative patients. Ondansetron is classified as a serotonin 5-HT3 …Top 300 - Spring 2024 (P2) 61 terms. liud255. Preview. Respiratory Pharmacology Quiz Chapter 11. 35 terms. briannajane9. Preview. Study with Quizlet and memorize flashcards containing terms like Brand name, Therapeutic class, Pharmacologic class and more.

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Examples of nursing philosophies include fostering a healing environment for patients, treating others with compassion and respect, and advocating for patient rights. A nursing phi...Find information on Filgrastim (Granix, Neupogen) in Davis's Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF.inflammation of your blood vessels - numbness or tingling, skin rash, fever, headache, body aches, night sweats, weight loss, feeling or weak or tired; or. kidney problems - swelling, urinating less, feeling tired or short of breath. Common Zarxio side effects may include: fever, pain, cough, trouble breathing;Pegfilgrastim. David T. Kurtz, in xPharm: The Comprehensive Pharmacology Reference, 2008 Introduction. Pegfilgrastim is a covalent conjugate of recombinant methionyl human G-CSF (Filgrastim) and monomethoxypolyethylene glycol. Filgrastim is a water-soluble 175 amino acid protein with a molecular weight of approximately 19 k D. Pegfilgrastim is produced by adding a 20 kD mono ...Feb 10, 2024 · Filgrastim is a biosynthetic (recombinant DNA origin) hematopoietic agent that principally affects the proliferation and differentiation of neutrophils within the bone marrow and possibly other sites (e.g., spleen). 2. Filgrastim and tbo-filgrastim are structurally and pharmacologically similar drugs that contain a related drug substance. The most reliable, and often the only, sign is fever. Teach patients to monitor their temperature and seek medical attention immediately for temperatures of 100.4º F (38º C) or higher. Neutropenic fever, usually defined as a single temperature greater than 100.4º F and an ANC of less than 500/mm3, is a medical emergency.Pegfilgrastim is a man-made version of a certain natural substance made by your body. It is used to help your body make more white blood cells. White blood cells are important to help you fight ...Medicine Matters Sharing successes, challenges and daily happenings in the Department of Medicine Nadia Hansel, MD, MPH, is the interim director of the Department of Medicine in th...Start studying filgrastim (neupogen). Learn vocabulary, terms, and more with flashcards, games, and other study tools. ….

Serious allergic reactions. ZARXIO can cause serious allergic reactions. These reactions can cause a rash over your whole body, shortness of breath, wheezing, dizziness, swelling around your mouth or eyes, fast heart rate, and sweating. If you have any of these symptoms, stop using ZARXIO, and call your doctor or get emergency help right away.Meningeal leukemia: Give methotrexate intrathecally in cases of lymphocytic leukemia as prophylaxis. 12 mg/m2 intrathecally at intervals of 2–5 days and repeat until cell count of CSF is normal. Lymphomas: Burkitt’s tumor, stages I and II: 10–25 mg/day PO for 4–8 days. In stage III, combine with other neoplastic drugs.Colony-stimulating factor: A colony-stimulating factor is a protein that tells your cells what to do. G-CSF can tell an early form of a blood cell (stem cell) to become a neutrophil. It can tell a neutrophil to multiply so that you have more neutrophils. G-CSF triggers cell changes within the spongy tissue inside your bones called bone marrow.A client receiving chemotherapy has a serum neutrophil level of less than 2,300/mm3. The nurse should expect to complete which collaborative and nursing interventions? Select all that apply. a. Administer filgrastim 5 mg/kg/day intravenously. b. Prepare client for administration of whole-blood transfusion. c.Pharmacology Indication. Filgrastim is indicated to decrease the incidence of infection‚ as manifested by febrile neutropenia‚ in patients with nonmyeloid malignancies receiving myelosuppressive anti-cancer drugs associated with a significant incidence of severe neutropenia with fever. 8 Filgrastim is indicated for reducing the time to neutrophil …Filgrastim. This information from Lexicomp explains what you need to know about this medication, including what it’s used for, how to take it, its side effects, and when to call …Ferrous sulfate: Standard iron preparation against which other oral iron preparations are usually measured. Corrects erythropoietic abnormalities induced by iron deficiency but does not stimulate erythropoiesis. May reverse gastric, esophageal, and other tissue changes caused by lack of iron. Ferrous gluconate: Claimed to cause less gastric ...Pegfilgrastim or short-acting G-CSF should be given for all cycles of chemotherapy in patients receiving chemotherapy or targeted agents with a FN risk of 20% of greater. For patients with a FN ...Descriptions. Tbo-filgrastim injection is used to treat severe neutropenia (low white blood cells) that is caused by cancer medicines. It is a synthetic (man-made) form of a substance that is naturally produced in the body called a colony stimulating factor. Tbo-filgrastim helps the bone marrow to make new white blood cells.Clipboard Health, a company developing a platform to match healthcare workers with shifts at health facilities, has raised $80 million in venture capital. Clipboard Health, an app-... Nursing considerations for filgrastim, Ackley and Ladwig's Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care We love this book because of its evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning., Ethical practice is a foundation for nurses, who deal with ethical issues daily. Ethical dilemmas arise as nurses care for patients. These dilemmas may, at times, conflict with the Code of Ethics or with the nurse's ethical values. Nurses are advocates for patients and must find a balance while delivering patient care., What is common side effect of filgrastim? rash, hives, itching, swelling of the face, eyes, or mouth, wheezing, shortness of breath. unusual bleeding or bruising, purple markings under the skin, red skin. decreased urination, dark or bloody urine, swelling of the face or ankles. painful, urgent, or frequent urination., Ch 56: Hematopoetic Agents. For which patient would the nurse question an order for administration of filgrastim (Neupogen)? Filgrastim stimulates the growth of bone marrow cells and should be used with caution in patients with cancers originating from the bone marrow. This drug may cause enhanced tumor growth., Three nursing considerations for filgrastim are: 1) do not agitate the vial, 2) monitor CBC twice a week, 3) Do not freeze-store in the refrigerator. Discard if left at room temp more than 24hrs. 10. A nurse is caring for a client who has refused his morning medications., Nursing Interventions Client Education Felicia Ahl Filgrastim colony stimulating factors A glycoprotein, filgrastim binds to and stimulates immature neutrophils to divide and differentiate. Also activates mature neutrophils. IV, subcut Simultaneous use with antineoplastics may have adverse effects on, nursing considerations for filgrastim -hypersensitivity to filgrastim/E.coli derived proteins -malignancy with myeloid characteristics -pre-existing cardiac disease -splenic rupture -acute respiratory distress, Filgrastim is generally used for patients with curable cancers whose chemotherapy carries more than a 1 in 5 (20%) chance of developing neutropenic fever. It may also be used for lower risk chemotherapy in patients who have weak immune systems, poor organ function, or a history of low neutrophil count or neutropenic fever., Nursing is one of the most rewarding careers around. The role involves assisting doctors care for patients and providing treatment. There are many routes nurses can take, including..., Tbo-filgrastim is a prescription medicine: used in people with certain types of cancer (non-myeloid malignancies), who are receiving chemotherapy that affects the bone marrow. given to help decrease the length of time that the number of certain white blood cells (neutrophils) are very low (severe neutropenia)., Filgrastim side effects. Get emergency medical help if you have signs of an allergic reaction: hives, sweating, rash, dizziness, fast heart rate, wheezing, difficult breathing, swelling of your face, lips, tongue, or throat.. Filgrastim can cause a serious lung problem called acute respiratory distress syndrome (ARDS) and a rare but serious side effect called capillary leak syndrome., Biosimilar filgrastim (Nivestim) is a 175-amino acid protein recombinant methionyl human G-CSF, with a molecular weight of 18,800 Da, that is produced in Escherichia coli . The active substance is non-glycosylated protein, containing an N-terminal methionyl extension. It stimulates the proliferation, differentiation and activation of late ..., Avoid lying down for 30 min after taking drug. Males with osteoporosis: 10 mg/day PO. Prevention of osteoporosis: 5 mg/day PO or 35 mg PO once a week. Paget’s disease: 40 mg/day PO in AM with full glass of water, at least 30 min before the first beverage, food, or medication of the day for 6 mo; may retreat after 6-mo treatment-free period., A. Filgrastim is a medication that is given to cancer patients to stimulate the growth of the white blood cells in order to make the patients less vulnerable to diseases. It increases the production of neutrophils in the bone marrow. The following nursing interventions are appropriate to safely administer filgrastim and provide patient safety ..., FILGRASTIM-SNDZ (ZARXIO) Nursing Considerations. ... LIDOCAINE HYDROCHLORIDE (Lidenzal 1%) Nursing Considerations. View the FULL Outline. When you start a FREE trial you gain access to the full outline as well as: SIMCLEX (NCLEX Simulator) 6,500+ Practice NCLEX Questions; 2,000+ HD Videos;, Cost and benefit considerations G-CSF is an expensive drug. The cost of G-CSF (filgrastim) for the recommended minimum 10-day schedule for prevention of febrile neutropenia after cancer chemotherapy is A$1504 or $2407 per cycle depending on which of the two vial sizes (300 and 480 micrograms/vial) is used., Neulasta® stimulates the growth of neutrophils, a type of white blood cell, which are important immune cells that fight infection caused by bacteria, viruses or fungus. Neutrophils can be damaged by chemotherapy and leave patients susceptible to severe infection. Neulasta® works by binding to areas on immature blood cells, which stimulates ..., The most reliable, and often the only, sign is fever. Teach patients to monitor their temperature and seek medical attention immediately for temperatures of 100.4º F (38º C) or higher. Neutropenic fever, usually defined as a single temperature greater than 100.4º F and an ANC of less than 500/mm3, is a medical emergency., inflammation of your blood vessels --numbness or tingling, skin rash, fever, headache, body aches, night sweats, weight loss, feeling or weak or tired; or. kidney problems --swelling, urinating ... , Decrease in edema. Decrease in abdominal girth and weight. Increase in urinary output. Decrease in BP. Find information on Furosemide (Furoscix, Lasix) in Davis’s Drug Guide including dosage, side effects, interactions, nursing implications, mechanism of action, half life, administration, and more. Davis Drug Guide PDF., Filgrastim is used to prevent or reduce the risk of infections while you are being treated with cancer medicines. This medicine is also used to help the bone marrow recover after a bone marrow transplantation, for a process called peripheral blood progenitor cell collection in cancer patients, and to improve survival in cancer patients who have ..., Oct 5, 2022 · What is common side effect of filgrastim? rash, hives, itching, swelling of the face, eyes, or mouth, wheezing, shortness of breath. unusual bleeding or bruising, purple markings under the skin, red skin. decreased urination, dark or bloody urine, swelling of the face or ankles. painful, urgent, or frequent urination. , It is used to lower the chance of getting an infection in people with bone marrow problems caused by chemo. It is used to raise the number of white blood cells in certain patients. It is used in patients who have been exposed to certain doses of radiation. It may be given to your child for other reasons. Talk with the doctor. , Dosages :Adjust dosage according to the one-stage PT to achieve and maintain 1.5-2.5 times the control value or prothrombin activity 20%-30% of normal; PT ratio of 1.3-1.5 or INR of 2-3. IV use is reserved for situations in which oral warfarin is not feasible. Dosages are the same for oral and IV forms., Antineoplastic Agents, Phytogenic. Topotecan. Topotecan (Hycamtin, SmithKline Beecham, Philadelphia, PA) was approved by the U.S. Food and Drug Administration in 1996 for use in relapsed ovarian cancer and in 1999 for platinum-sensitive small-cell lung cancer. Hematologic toxicity has been the predominant side effect associated with its use., , Wait 1-5 min between inhalations to avoid overdose. Inhalation (nebulization) Place 8-15 drops into the nebulizer reservoir. Place nebulizer nozzle into partially opened mouth. Patient inhales deeply while bulb is squeezed one to three times. If no relief in 5 min, give 2-3 additional inhalations., Drug Name Generic Name : fluvoxamine maleate Brand Name: Apo-Fluvoxamine (CAN), ratio-Fluvoxamine (CAN) Classification: SSRI Pregnancy Category C Dosage & Route Available forms : Tablets—25, 50, 100 mg ADULTS Initially, 50 mg PO hs. Increase in 50-mg increments at 4-7 day intervals. Usual range, 100-300 mg/day. Divide doses over 100 mg/day and give larger dose hs. If symptoms do not ..., 1. Hypotension (low blood pressure). This is a common side effect of lisinopril and may cause dizziness, lightheadedness, and fainting. 2. Hyperkalemia (high levels of potassium in the blood). This can be a serious side effect of lisinopril and may cause weakness, fatigue, and abnormal heart rhythms. 3., Nursing Diagnosis. Based on the data gathered, the nursing diagnoses appropriate for the patient with asthma include: Ineffective airway clearance related to increased production of mucus and bronchospasm. Impaired gas exchange related to altered delivery of inspired O2. Anxiety related to perceived threat of death., Ackley and Ladwig’s Nursing Diagnosis Handbook: An Evidence-Based Guide to Planning Care. We love this book because of its evidence-based approach to nursing interventions. This care plan handbook uses an easy, three-step system to guide you through client assessment, nursing diagnosis, and care planning., Drug Name Generic Name : clonidine hydrochloride Brand Name: Antihypertensives: Apo-Clonidine (CAN), Catapres, Catapres-TTS (transdermal preparation), Dixarit (CAN), Duraclon, Novo-Clonidine (CAN), Nu-Clonidine (CAN) Analgesic: Duraclon Classification: Antihypertensive, Sympatholytic (centrally acting), Central analgesic Pregnancy Category C Dosage & Route Adults Oral therapy Individualize ..., Call your doctor right away if you have swelling or puffiness and are urinating less often, trouble breathing, feeling of fullness, dizziness, or feeling faint. This medicine lowers the number of some types of blood cells in your body. Because of this, you may bleed more easily. Wash your hands often.