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69 Cards in this Set
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Metformin hydrochloride (Glucophage)
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Anti-diabetic
Type 2 diabetes Must be held for 48 hours before and after receiving iodinated contrast to prevent renal failure |
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Niacin (Niaspan)
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Vitamin B3/antilipemic
LDL and Triglyceride level reduction, and to raise HDL levels. Flushing may occur. Monitor liver enzymes-however, less hepatotoxic than other meds in this family |
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Rifampin (Rifadin)
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Anti-tubercular (tb)
Adjunct tx for TB Avoid alcohol, diabetics should monitor glucose. decreases effectiveness of oral contraceptives |
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Adenosine (Adenocard)
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Antidysrhythmic
Terminates paroxysmal SVT Short half-life. Administered by RAPID IV Bolus as close to the heart as possible |
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Pantoprazole Sodium (Protonix)
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Anti-ulcer, Proton Pump Inhibitor
tx GERD: IV or PO Instruct pts receiving warfarin to report any signs of bleeding. |
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Oxytocin (Pitocin)
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Causes contractions of the uterus
Prevent post-partum hemorrhage |
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Fentanyl (Duragesic)
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Analgesic/Anesthesia adjunct
Patch used to tx acute post op pain or moderate to severe chronic pain Change patch q 72 hours |
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Methotrexate sodium (Mexate)
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Antineoplastic, antipsoriatic, antirheumatic
Tx of RA and severe psoriasis unresponsive to other tx. Increased r/o bleeding and infection Monitor CBC and WBC, increased bleeding, anemia, and S&S of infection |
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Palvizumab (Synagis)
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Antibody
Given to high risk infants to prevent RSV Recommended to be given 28-30 days apart |
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Methylprednisolone sodium succinate (SoluMedrol)
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Anti-inflammatory, glucocorticoid
Tx inflammatory responses and dx Must not be stopped suddenly, can cause adrenal insufficiency |
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Raloxifene hydrochloride (Evista)
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Selective estrogen receptor modulators
Prevent or tx osteoporosis in postmenopausal women and decrease the r/o invasive breast cancer May cause blood clots or pul emboli |
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Atorvastatin calcium (Lipitor)
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Antihyperlipidemic
Reduce lipid levels Monitor for Rhabdomylosis and elevated liver enzymes. Avoid grapefruit Report extreme muscle pain or fatigue |
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Latanoprost (Xalatan)
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Optical drops
Reduce intraocular hypertension or chronic open angle glaucoma. Report ocular reactions |
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Ziprasidione hydrochloride (Geodon)
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Antipsychotic
Tx acute manic or mixed episodes of bipolar disorder Increased mortality in elderly pts w dementia related psychosis |
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Indomethacin (Indocin)
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Antigout, anti-inflammatory, antirheumatic
Relieves symptoms of gout, RA, osteoarthritis, and to tx significant PDA. Use w caution in pts with a hx of a GI bleed |
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Montelukast (Singulair)
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Bronchodilator/leukotriene receptor antagonist
Prevent or tx asthma and seasonal allergies It is not utilized for an acute asthma attack |
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Mometasone furoate (Nasonex)
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Antiasthmatic, glucocorticoid nasal spray
Manage symptoms of allergic rhinitis and to maintain asthma control Contraindicated if <2 of age |
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Metronidazole (Flagyl)
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Antibiotic, antiprotozoal
Anaerobic and protozoal infections. Drug of choice for C. difficille No alcohol |
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Epoetin alfa (Epogen)
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Antiemic
Stimulates production of RVC's Monitor bone pain |
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Sildenafil citrate (Viagra)
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Antihypertensive and anti-impotence
Erectile dysfunction Take one hour before desired sexual activity Nitrate therapy is Contraindicated secondary to portetially fatal hypotension |
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Estrogen (Premarin)
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Conjugated estrogen/Ovarian hormone replacement
Tx vasomotor menopausal symptoms and decrease progression of osteoporosis |
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Linezolid (Zyvox)
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Antibiotic
VRE, community and hospital acquired pneumonia caused by Staphylococcus aureus, and MRSA Instruct pts to avoid foods w tyramine! Notify dr if severe diarrhea occurs |
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Gabapentin (Neurontin)
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Anticonvulsant
Tx partial seizures and manage neuralgia Monitor for suicidal tendencies |
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Methadone hydrochloride (Methadose)
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Synthetic opiate agonist
Manage opioid detoxification, and maintain opioid abstinence. May be used to tx severe or chronic pain. Not intended to treat acute pain |
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Insulin detemir (Levemir)
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Long acting insulin
Duration 24 hours If prescribed once daily should be administered w evening meal or HS. If prescribed BID should be administered w morning meal and evening meal or 12 hours after morning dose |
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Piperacillin/tazobactam (Zosyn)
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Antimicrobial
Combination of Piperacillin/tazbactam Increased bleeding, noted w concurrent use of anticoagulant |
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Lisdexamfetamine dimesylate (Vyvanse)
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CNS Stimulant
ADHD PO Only once daily in AM |
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Warfarin Sodium (Coumadin)
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Anticoagulant
Prevent thromboembolic events r/t A-Fib Monitor INR |
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Aripiprazole (Abilify)
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Atypical Antipsychotic
Management of schizophrenia and acute manic or mixed episodes in bipolar dx. Adjunct to tx depression or irritability associated w autism |
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Memamtine (Namenda)
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Antidementia
Mod-Severe dementia such as Alzeimer's Drugs that increase pH can decrease the clearance of this drug leading to toxicity |
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Ceftazidime (Fortaz)
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Antibiotic
Contranindicated w a sensitivity to cephalosporin's Incompatible w vancomycin; flush thoroughly bt meds |
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Risperdal (Actonel)
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Bone Resorption Inhibitor
TX of Pagets disease, and to prevent osteoporosis Take in morning one hour prior to consuming any food or drink. Take w full glass of water and DO NO EAT, drink or recline for a minimum of 30 minutes after taking to prevent esophagitis |
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Diltiazem hydrochloride (Cardizem)
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Antidysrhythmic IV (calcium channel blocker)
Sloes atrial fib, flutter, and to terminate SVT. May be administered IV or PO |
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Dutasteride (Avodart)
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BPH agent
Symptomatic BPH Contents absorbed through the skin. Females of child bearing age should not handle the capsule |
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Varenicline (Chantix)
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Nicotinic blocker
Smoking cessation Monitor for suicidal or homicidal ideation, and/or depression |
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Methylergonovine meleate (Methergine)
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Postpartum Hemorrhage
Causes uterine contractions Contraindicated in pts w htn and cardiac disease. Check prior to administration |
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Pregabalin (Lyrica)
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Analgesic, Anticonvulsant
Relief of neuropathic pain, fibromyalgia, and adjunct therapy to manage partial seizures |
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Clopidogrel bisulfate (Plavix)
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Platelet aggregation inhibitor
Used to reduce atherosclerotic events such as MI and CVA. Prolongs bleeding time |
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Levothyroxine sodium (Synthroid)
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Thyroid hormone replacement
Tx of hypothyroidism and myxedema coma |
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Cefepime hydrochloride (Maxipime)
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Antibiotic
Used often for complicated UTIs, skin and soft tissue infections, and febrile neutropenic pts. 4th Generation cephalosporin Contraindicated for pts hypersensitive to cephalosporins. Potentially nephrotoxic and ototoxic monitor for diarrhea |
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Gentamicin Sulfate (Gentamicin)
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Antibiotic
Bacterial infections DO NOT GIVE through same IV line as other medications. Inactivation of this med can occur |
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Risperidone (Risperdal)
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Antipsychotic
Mang of psychotic disorders, tx bipolar mania, and irritability symptoms associated w autism The oral solution should NOT be mixed with cola or tea |
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Donepezil hydrochloride (Aricept)
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Antidementia
Utilized to tx mild to severe Alzheimer's Administered HS use cautiously in pts w bladder obstruction, COPD and asthma Monitor for bradycardia |
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Lidocaine hydrochloride (Lidocaine)
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Antidysrhythymic/local anesthetic
Ventricular dysrhythmias IV therapy of this drug usually d/c within 24 hours |
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Nebivolol hydrochloride (Bystolic)
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Beta blocker
Decreases HR, cardiac output, and myocardial contractility Contraindicated in pts w bronchospastic disease |
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Oxycodone hydrochloride (OxyContin)
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Analgesic, Narcotic schedule 2 Controlled Substance
Pain control for mod to severe pain. Highly addictive and frequently abused Must be swallowed whole and protected from light |
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Hydromorphone hydrochloride (Dilaudid)
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Analgesic
Opioid derivative used to relieve mod to severe pain Monitor resp, administered orally, IV, IM or subQ |
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Levofloxacin (Levaquin)
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Antibiotic
Acute infections, prevent exacerbation of chronic infections. may be administered IV or PO Use cautiously w CNS disorders and renal insufficiency. Monitor glucose if taking oral hypoglycemic agents. R/O acute tendon rupture |
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Vancomycin hydrochloride (Vancocin)
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Antibiotic
Drug of choice for MRSA and severe C. Diff Do not infuse through IV line that other meds have been administered through Must be infused over at least one hour If infused rapidly hypotension or transient "red man" syndrome |
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Lanoxin (Digoxin)
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Antidysrhythmic, Inotropic Cardiac Glycoside
HF, atrial flutter, a fib, and paroxysmal atrial tachycardia Assess apical pulse for a full minute before administering |
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Propranolol hydrochloride (Inderal)
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Antidysrhythmic
Mang of htn and dysrhythmias PO or IV |
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Esomeprazole Magnesium (Nexium)
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Antiulcerative
GERD, and reduce r/o gastric ulcer Administer cautiously to pts taking diazepam, digoxin, and warfarin. Decreases the absorption of these drugs |
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Venlafaxine hydrochloride (Effexor)
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SNRI seratonin norepinephrine reuptake inhibitor, antidepressant
Mang of depression, anxiety, or social anxiety Interactions can occur w Cimetidine, MAOI, and Warfarin |
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Lithium carbonate (Eskalith)
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Antidepressant, antimanic
Bipolar affective disorder, and to prevent bipolar depression Monitor levels, avoid high sodium foods; can cause decreased therapeutic effects |
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Enoxaparin sodium (Lovenox)
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Antithrombotic
Prevent DVTs in pts w an increased risk. Also, administered with unstable angina and mang of STEMI Administered subQ or IV |
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Dabigatran etexilate (Pradaxa)
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Direct thrombin inhibitor
A-fib to reduce the r/o stroke or systemic emboli Swallow capsule whole |
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Varicella vaccine (Virivax)
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Immunization
for chicken pox (varicella Monitor for allergies |
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Furosemide (Lasix)
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Antihypertensive, diuretic
Reduce edema in heart and renal failure, and to manage htn Monitor for hypokalemia Ototoxicity can occur w long term use or high doses |
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Amiodarone hydrochloride (Cordarone)
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Antidysrhythmic 3
Prophylaxis and tx of v tach and SVT Serious toxicities that can affect the lungs and vision Available in PO and IV |
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Phenytoin (Dilantin)
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Anticonvulsant
Seizure disorders IV form must be given in N/S Do not administer to pts of Asian descent secondary to a potentially fetal dermatological reaction. Contraindicated with sinus bradycardia or any type of SA block |
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Insulin aspart (Novalog)
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Rapid acting, should be administered 5-10 min a.c. Can be mixed w other insulin types
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Budesonide/formoterol (Symbicort)
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Glucocorticoid/LABA long acting inhaled Beta 2 agonists combination inhaler
Provided in MDI (metered dose inhaler) for use by pts 12 yrs and older Inhalations 2ce daily |
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Fluticazone (Advair)
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Conbination inhaler
Anti-inflammatory, and long acting bronchodilation. intended for long-term maintenance of asthma |
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Methylphenidate hydrochloride (Concerta)
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CNS Stimulant
ADHD and narcolepsy Contraindicated w hx of serious cardiac dx, anxiety, glaucoma, and Tourett's syndrome |
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Eztimibe/simvastatin (Vytorin)
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Combination drug
TX of hypercholesterolemia and hyperlipidemia Allows for a lower dose of simvastatin Instruct to report severe muscle pain or fatigue |
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Nitroglycerin (Nitro Sublingual)
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Antianginal, vasodilator
Prevent or treat angina Rapid onset 1-3 min. Max dose 3 tab or 10mg. Call 911 after first dose if unrelieved in 5 min. Educate pts to avoid the use of erectile dysfunction meds |
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Insulin (Regular Insulin)
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Insulin dependent diavetes mellitus and hyperkalemia
ONLY INSULIN THAT CAN BE ADMINISTERED IV!!!! |
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Haloperidol (Haldol)
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Antipsychotic
Psychotic dx and mang of non psychotic dx such as Tourett's syndrome Monitor for Neutropenia and extrapyramidal symptoms |
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Zolpidem tartrate (Ambien)
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Anxiety, sedative-hypnotic
Short term insomnia Rapid onset Administered immediately prior to H.S. Can produce abnormal behaviors during sleep with no recall |