Does the mnemonic prompt learning knowledge in nursing practice?

1. Choose 3 medications from the below list for this Medication Assignment, one from each column.
DILTIAZEM, METOPROLOL, FUROSEMIDE
2. Create a Medication guide for the 3 medications Review the rubric for scoring criteria.
CITATION #2
EXAMPLE:

Verapamil (Calan, Covera-HS, Isoptin SR, Verelan):
Verapamil is a class IV anti-dysrhythmic, antihypertensive, and antianginal. The drugs works a calcium channel blocker, treating and/or managing chronic angina, hypertension, and supraventricular tachycardia. Slow calcium channels in cell membranes are blocked by the inhibition of calcium movement into coronary and vascular smooth-muscle cells, decreasing intracellular calcium levels. Decreased intracellular calcium levels allow, inhibition of smooth-muscle cell contractions; interruption of reentry circuits in AV nodal reentrant tachycardias; slowing of AV conduction time and prolonged AV nodal refractoriness; decreased myocardial oxygen demand by relaxing coronary and vascular smooth muscle, which reduces peripheral vascular resistance and decreases systolic and diastolic pressures.

Nursing Considerations:
• Drug available in tablet, extended release (E.R.) capsules, and IV injection.
o Different routes and doses vary among individual patients.
• Pregnancy Category C
•Adverse Effects:
o Headache
o Flushed skin
o Constipation
o Hypotension
o Bradycardia
o Extra caution needed in patients with heart failure (HF)
• Contraindicated in patients with:
o AV heart block
o Sick sinus syndrome
o Severe hypotension
o Bleeding aneurysm
o Intracranial surgery
o Cardiogenic shock
o Heart failure (HF)
• Drug-Drug Interactions:
o Increased digoxin blood levels
o Use with other antihypertensives increases risk for hypotension
o NOT to be used with high doses of statins due to increased risk of myopathy
o Increased bleeding time with use of aspirin
• Drug can increase blood alcohol level and effects on central nervous system (CNS)
• Caution should be taken to assure compatibility of drug with IV solutions
• ASSESS PATIENT BEFORE, DURING, and AFER TREATMENT FOR BRADYCARDIA AND HYPOTENSION.
• Patient Education:
o Patient should be taught and educated how to take pulse either manually or with machine before taking drug, and NOT to take if pulse is lower than 50 beats per minute.

2. Analyze a created mnemonic, found online, and submit your responses to the mnemonic analysis questions. This mnemonic must relate to a medication classification, specific medication, or topic covered in Unit 1, Unit 2 or Unit 3. The mnemonic you found and your analysis will be posted in the discussion forum to share with your peers. For this assignment, you will be graded on your response to questions, and you must appropriately cite the mnemonic you choose.
ANALYSIS QUESTIONS:

Why did you select the mnemonic you did?

Where did you search to find the mnemonic you choose? List all the sites.

Is the information in the mnemonic accurate? (You will need to verify the accuracy of the information)

Is the information in the Mnemonic current? What year was it created?

What reference did you use to verify the information was correct? Cite this reference in APA. Is this a reliable reference?

How would you describe this mnemonic assists you in learning?

Does the mnemonic prompt learning knowledge in nursing practice? Does it help you?

Identify one element in the mnemonic you chose that you would like to change, and describe how you would change it and why? Be specific.
CITATION #2

MNEMONIC SELECTED: Lidocaine Toxicity: “SAMS”
Lidocaine is a class IB antiarrhythmic used as a second-line agent and after myocardial infarction. The therapeutic drug range for lidocaine is 1.5-5.0 mcg/mL. While generally safe, lidocaine can be toxic if administered inappropriately, and in some cases may cause unintended reactions even when properly administered. Lidocaine toxicity is seen at levels greater than 5 mcg/mL. Remember the mnemonic SAMS for signs and symptoms of lidocaine toxicity.

S: Slurred speech
A: Altered central nervous system
M: Muscle twitching
S: Seizures

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