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94 Cards in this Set
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KEFLEX (CEPHALEXIN)
Group belong to Used for Teaching |
Group:CEPHALOSPORIN (Cef, ceph)
Used for: Antibacterial, useful for UTI Teach: Ingest buttermilk or YOGHURT to prevent superinfection (MOUTH ULCERS, ANAL/GENITAL discharge) Take complete course of medication Infuse over 30 minutes. |
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Keflex (Cephalexin)
Side effect Antidote: |
Side effect: ANOREXIA, N/V, HA, Itching (RASH), dizziness.
Superinfection: mouth ulcer and anal/genital discharge. Antidote : NAC (N-acetylcysteine) |
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Keflex (Cephalexin)
Max dose Route |
MAX 2000 MG / day
PO, IV |
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Acetominophen (Tylenol)
Group Used for |
Nonopioids (NOT an NSAID = not anti-inflammatory)
Used: Analgesic. relieve PAIN & FEVER in Infant, Child, adult. |
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Acetominophen (Tylenol)
Side effect Adverse effect Monitor |
ANOREXIA
HEPatotoxicity, LEUKOPENIA, THROMBOCYTOPENIA, ANEMIA,OLIGuria, hypoglycemia, Monitor: CBC, I/O, Glucose, Skin, ALT, AST, ALP, PT/PTT. |
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Acetominophen (Tylenol)
Max dose Route |
MAX 4000 mg/day = 4 g/day
PO A (325-650), C (40-400) Excreted in urine |
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OXYCODONE (Opioid)
Group Used for Teaching Antidote |
group Opiate (narcotic) analgesics
Used: Analgesia (euphoria,DROWSIness, detachment from environment, RELAXATION) Teach: Risk for fall. Antidote: Narcan (Nalaxone) (narcotic antagonist) |
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Oxycodone (Opioid)
Side effect Adverse effect |
Side effect: MYOSIS, decreased RESPIRATION, slurred SPEECH, impaired judgment, decrease sexuality & aggressiveness.constipation,
Adverse/Monitor: Slow SHALLOW RESPIRATION, CLAMMY skin, COMA, possible death |
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LYRICA (PEGABALIN)
Group Used for Teaching |
Group : Anti-CONVULSANT
Used: PARTIAL seizures, NEURALGIA ( from DM NEUROPATHY or shingles) (affect calcium channels) Teaching: Do not use while PREGNANT |
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Lyrica (Pegabalin)
Side effect Adverse effect Monitor |
ATAXIA, Shaking or JERKING TWITCHING, Increased appetite, WEIGHT GAIN,edema,
FOLATE Monitor: Blood Glucose, Folate, Fall risk |
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Lyrica (Pegabalin)
Max Dose Route |
MAX 600 MG
A PO: 50-600 mg/day |
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PHENYTOIN (DILANTIN)
Group Used for Monitor Teaching |
Group: Anticonvulsant, HYDANTOIN
Used: prevent TONIC-CLONIC seizures, COMPLEX PARTIAL seizures, Teach: use Medic-Alert bracelet Absorption is reduced in presence of PROTEIN.= take drug 30 minutes before meals. Not use if pregnant & heart block. Do regular DENTAL check up. |
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Phenytoin (Dilantin)
Side effect Adverse effect |
PINK, RED, BROWN URINE, ATAXIA, slurred speech, DIPLOPIA, HYPOtension,
GINGIVAL HYPERPLASIA, NYSTAGMUS, HIRSUISM LEUKOPENIA(=Agranulocytosis),THROMBOCYTOPENIA,ANEMIA, Steven Johnson (TEN=allergy), HEPatitis, depression, Osteoporosis, ventricular fibrillation, encephalopathy. |
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Phenytoin (Dilantin)
Max dose Route Antidote |
MAX 300 MG/day (divided)
Toxic level: 30-50 mcg/ml Route: A PO 100mg, IV 10-15 mg, C PO 4-8 MG/KG/DAY Antidote N/A |
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Levodopa (L-dopa)
Group Used for |
Group: DOPAMINERGIC
Used: PARKINSON - increase MOBILITY, since BBB allows levodopa but not dopamine ( levodopa convert to dopamine = lacking in Parkinson), decrease other symptoms. More efficient with CARBIDOPA. |
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Levodopa (L-dopa)
Side effect Adverse effect |
DYSKINESIA, Orthostatic hypotension
Adverse: phycosi |
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Levodopa (L-dopa)
Max dose Route Monitor Teach |
MAX: 8 tablets
PO 1:10 ratio maint: 25/250 mg tid Monitor: LIVER, KIDNEY (BUN,Creatinie, AST, ALT, ALP) - increased |
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AMANTADINE (SYMMETREL)
Group Used for |
Group: Nonclassified Antiviral originally for PARKINSON
Use: PROPHYLAXIS for FLU A EARLY treatment (delay the need of levodopa.) - decrease Parkinson S/S RIGIDITY, BRADYKINESIA ( Does NOT reduce tremors) Also for drug- induced Parkinson = PSEUDO-Parkinson. |
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Amantadine (Symmetrel)
Side effect Labs |
Side: nausea, dizziness, and insomnia
Labs:elevated: BUN, Creatinine, ALP, LDH, bilirubin, GGT, SGOT, and SGPT. |
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Amantadine (Symmetrel)
Max dose Route Teach |
MAX: 400 MG
PO: 100 mg bid. (Parkinson) PO: 200 mg/day (Flu A) IV: 5 mg/kg/week (Flu A) Teach: Give within 24 HOURS for Flu A. Not for pregnant women. |
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GLIPIZIDE (GLUOTROL)
Group Used for Teaching |
2ND generation SULFONYUREAS (DM)
Control hyperglycemia in DM2 - FEWER side effect, longer duration than 1st generation. Contraindicated in DKA |
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Glipizide (Gluotrol)
Side effect Adverse effect Monitor |
Side effect: DROWSY, HA, N/D, CONFUSION, VISUAL disturbance, anxiety, CONSTIPATION, anorexia, hunger.
Adverse: hypoglycemia, TACHYCARDIA, SEIZURE, Coma, and RESPIRATORY DEPRESSION. Monitor: LOC & GI, Glucose |
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Glipizide (Gluotrol)
Max dose Route Antidote |
MAX: 40 MG/day
PO 2.5-5 mg BEFORE meals daily |
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Metformin (Glucophage)
Group Used for |
Group: NON-SULFONYUREAS
Use: Control hyperglycemia in DM2. Increase glucose transport into skeletal MUSCLE and FATTY tissue. Reduce glucogenesis. |
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Metformin (Glucophage)
Side effect Adverse effect Monitor Teaching |
BITTER & METALLIC taste, ANOREXIA
hypoglycemia, TACHYcardia, seizures, coma, RESPIRATORY DEPRESSION not give 48 hrs after/before IV DYE, LACTIC ACIDOSIS. |
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METFORMIN (GLUCOPHAGE)
Max dose Route Antidote |
MAX : 2510 MG/day
PO intial 510 mg X 3 |
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Humulin 70/30 insulin
Group Used for |
Group: FAST acting Insulin
commercially PREMIXED: 70% INTERMIDIATE NPH and 30 % SHORT acting regular. |
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Humulin 70/30 insulin
Side effect Adverse effect Monitor |
Side effect: Confusion, agitation, TREMORS, HA, FLUSHING , hunger, weakness, lethargy, fatigue, urticaria, red at site, LIPODISTROPHY
Adverse: TACHY-cardia, palipitation, hypoglycemia, rebound hyperglycemia (SOMOGYI effect), SHOCK Monitor: Glucose |
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Lente Insulin
|
Group: INTERMEDIATE acting insulin ( include NPH)
Use: Contain ZINC and protein that prolong action to decrease glucose. Onset: 1-2 hrs, PEAK 6-12 hrs, DURATION 18-24 hrs. |
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HOMATOTROPINE eye drops
Group Use |
Group: ANTICHOLINERGIC - MYDRIATICS (dilate pupil) and CYCLOPLEGIC (loss of accommodation= adjust for clear image)
Use: eye EXAMS and opthalmic SURGERY Similar to atropine ( DILATE pupils, anti-spasmotic), but faster and shorter duration. |
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Homatotropine eye drops
Route Antidote |
2-5 % solution, 1-2 GGT for mydriasis and cyckloplegia ( paralysis of ciliary muscle resulting in loss of accomodation)
Antidote :PHYSOSTIGMINE |
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Penicillin V Potassium (Pen VK)
group Used for |
Group: Penicillin
Use: antibiotic |
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Penicillin V Potassium (Pen VK)
Max Route Teach |
MAX 2000 MG
A PO 125-500 mg q6hr, C PO 15-50 mg/kg Not in RENAL failure. AFTER meals. |
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LEVOTHYROIXINE (SYNTHROID)
Group Use |
Group: Levothyroixine sodium, THYROID hormone
Use: Hyperthyroidism, MYXEDEMA, CRETINISM - increase METABOLIC rate , O2 consumption, and body growth. |
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Levothyroxine (Synthroid)
Teaching Side effect Adverse effect |
Side effect: N/V/D, CRAMPS, tremors, nervousness, INSOMNIA, HA, weight LOSS
Adverse: TACHY-cardia, HYPER-tension, PALPITATIONS THYROID CRISIS, ANGINA, DYSRHTHMIAS, CARDIO-COLLAPS Teach: Contraindicated in MI clients. |
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Levothyroxine (Synthroid)
Max dose Route Antidote Monitor |
MAX : IV 0.1-0.2 MG/day
PO 0.05-0.2 MG/day (50-200 MCG/day) Child >2: PO 5-6 mcg/kg/day or 50-1000 mcg/day. |
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VERSED (MIDOZOLAM)
group used for |
ANESTHETIC
ENDOSCOPIC procedures. CONSCIOUS sedation = responsive to commands |
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Versed (Midozolam)
Teaching Side effect Adverse effect |
Avoid if client have CARDIOPULMONARY disorder.
Adverse: RESP-iratory and CARDIO-vascular DEPRESSION. |
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Versed (Midozolam)
Max dose Route Antidote Monitor |
max: ?
IV Antidote :Narcan NALAXON Monitor: respiration and cardio. |
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HYDROCODONE (Opioid)
group Use |
group: Opioid
Use: ANALGESIC and ANTITUSSIVE ( cough suppressant) - relief moderate to severe pain & cough. |
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Hydrocodone (Opioid)
Side effect adverse effect |
?
|
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MALEATE (Timoptic)
Group Use |
Group: MIOTIC, CHOLINERGIC and BETA-Adrenergic BLOCKER.
Use: GLAUCOMA. Reduce IOP by reducing production of aqueous humor |
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Maleate (Timoptic)
Side effect: Monitor: Antidote |
Side effect: BLURRED vision - decreases with use.
Monitor: VS in beginning. Concurrent use of similar drugs must be individualized. Antidote : GLUCAGON ( for beta-blocker overdose) |
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Maleate (Timoptic)
Route |
0.25-0.5 % Solution initially 1 gt bid, Maint 1 GT/day
|
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Tetracycline
Group Used for |
Group: anti-infective against MYCOPLASMA. (Gram POSITIVE bacterio-STATIC)
Use: CLAMYDIA, GONNORHEA, Syphilis, ANTHRAX, chronic BRONCHITIS, Acne (For PENICILLIN ALLERGIC patients) |
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Tetracycline
Side effect Adverse effect |
PHOTOSENSITIVITY, blood DYSCRASIA,
HEP-atotoxicity, BENIGN IC hypertension,PANCREATITIS, ESOPHAGITIS |
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Tetracycline
Max dose Route Monitor |
MAX: 2000 MG
A PO 250-500 mg q6hr |
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METRONIDAZOLE (FLAGYL)
Group Use |
Antiprozoal, Bacteria-CIDAL ANAEROBIC
anti-ULCER :PYLORI, infections in RESPIRATORY tract, BONE, CNS, SEPTICEMIA, gynecologic, ENDOCARDITIS. Acne Rosacea. PROPHYLACTIC in COLORECTAL SURGERY |
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Metronidazole (Flagyl)
Side effect Adverse effect |
Side effects:
SEIZURES, dizziness, HA, tearing, ABDominal PAIN, dry mouth, FURRY tongue, unpleasant taste Adverse: LEUKOPENIA, PHLEBITIS, peripheral NEUROPATHY. |
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Metronidazole (Flagyl)
Route Max |
MAX: 4 gram
7.5 mg/KG q6hr |
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Morphine Sulfate
Group Use |
group: Opioid analgesics
use; severe pain, PULMONARY EDEMA, MI pain produce GENERALIZED CNS depression |
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Morphine Sulfate
Side effect |
Side effect: Confusion, sedation, HYPOtension, constipation, N/V, urinary retention, HA, Hallucinations, MIOSIS (pupil constriction), physical dependence, FLUSHING, ITCH, SWEAT.
|
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Morphine Sulfate
Route |
PO, IM, SQ, IV, EPIDURAL RECTAL suppository.
|
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BENZOTROPINE MESYLATE (CONGENTIN)
Group Use |
group: ANTICHOLINERGIC-
Use: Anti-PARKINSON including drug induced EXTRA-PYRAMIDAL effects (EPS)= MOTION PROBLEMS. (akinesia (inability to initiate movement) and akathisia (inability to remain motionless)).and ACUTE DYSTONIC. Reduce RIGIDITY & TREMORS by restoring natural balance of NT. |
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Benzotropine Mesylate (Cogentin)
Teach: Max Route |
MAX: A PO 1-2 mg /day
Give WITH meals or AFTER meals. |
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HYDROCODONE (Opioid)
group Use |
group: Opioid
Use: Analgesic and ANTISTUSSIVE ( cough suppressant) - relief moderate to severe pain & cough. |
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Hydrocodone (Opioid)
Side effect adverse effect |
N/A
|
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Maleate (Timoptic)
Group Use |
Group: Miotic, Cholinergics and Beta-Adrenergic Blockers.
Use: glaucoma. Reduce IOP by reducing production of aqueous humor |
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Maleate (Timoptic)
Side effect: Monitor: |
Side effect: Blurred vision ( decreases with use.
Monitor: VS in beginning. Concurrent use of similar drugs must be individualized. |
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Maleate (Timoptic)
Route |
0.25-0.5 % Solution initially 1 gt bid, Maint 1gt/day
|
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Tetracycline
Group Used for |
Group: anti-infective against mycoplasma. (Gram positive bacteriostatic)
Use: Clamydia, Gonorrhe, Syphilis, Anthrax, chronic bronchitis, Acne (For penicillin-allergic patients) |
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Tetracycline
Side effect Adverse effect |
Side effect: N/V/D,photosensitivity, rashes, blood dyscrasia, hypersensitivity reaction.
Adverse:hepatotoxicity, Benign IC hypertension,pancreatitis, esophagitis |
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Tetracycline
Max dose Route Monitor |
A PO 250-500 mg q6hr
Max: 2000 mg |
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Metronidazole (Flagyl)
Group Use |
group: Antiprozoal, Bacteriacidal against anaerobic organism.
Use: anti-ulcer cause by pylori, infections in respiratory tract, Bone, CNS, septicemia, gynecologic, endocarditis. Acne Rosacea. Prophylactic in colorectal surgery. |
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Metronidazole (Flagyl)
Side effect Adverse effect |
Side effects: Seizures, dizziness, HA, tearing, abdominal pain, anorexia, N/D/V, dry mouth, furry tongue, unpleasant taste
Adverse: leukopenia, phlebitis, peripheral neuropathy. |
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PILOCARPINE (ISOPTO CARPIN)
group used for |
Group: DIRECT acting CHOLINERGIC
Used:Induce MIOSIS (CONSTRICTS) or decrease IOP in GLAUCOMA |
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Pilocarpine (Isopto carpin)
side effect adverse Antidote |
BLURRED vision, EYE PAIN, HA, eye IRRITATION, BROW pain, Stinging & burning, increased SALIVATION & PERSPIRATION, TREMOR,
RETINAL detachment,, DYSPNEA, HYPER-tension, TACHY-cardia, bronchoSPASM, corneal abrasion, ATROPINE ( Cholinergic overdose) |
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Propofol (Dirpivan)
Group Use |
group: IV anesthetic, FAST onset.
Use:Induction of anesthetic, used with general anesthesia, |
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Propofol (Dirpivan)
Side effect Adverse effect |
HYPO-tention,
RESPiratory DEPRESSION |
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Salicylate Acid (ASA)
Group Use |
Group: NON-Opioid analgesic
Use: Anti-PYRETIC for inflammatory disorders including RA, OSTEOARTHRITIS. For MILD-MODERATE PAIN, FEVER and INFLAMMATION. |
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Salicylate Acid (ASA)
Side effect Max Route |
Side effect: TINNITUS, HA, HYPERVENTILATION, agitation, mental confusion, lethargy, D, diaphoretic.
FEVER: PO 7-8 G/day MI prevention: PO 80-325 MG/ day |
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NEURONTIN (GABA-PENTIN)
Group Use |
Group: Anti-CONVULSANT
Use: PARTIAL seizure, Promote GABA release. |
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Neurontin (Gabapentin)
Side effect teaching |
GI upset
take WITH food. D/C GRADUALLY to avoid occurrence of seizures. |
|
Neurontin (Gabapentin)
Route Max |
MAX: 2400 MG/day
A PO 900-1800 mg/day in 3 divided doses. |
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CARB-FAMAZE-PINE (TEGRETOL)
Group use |
BARBITUATE: PHENO-barbital
Anti-CONVULSANTt. TONIC-CLONIC, MIXED & COMPLEX-PARTIAL seizures. pain in TRIGEMINAL NEURALGIA or DM NEUROPATHY. |
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Carbfamazepine (Tegretol)
Side effect |
Side effect: ATAXIA, Drowsy, fatigue, SEDATION, VERTIGO, BLURRED vision, NYSTAGMUS, corneal apacities, edema, hypertension, hypotension, chills, fever,
Adverse: PNEUMONITIS, HYPONATREMIA, CHF, agranulocytosis, HEP-atic failure, thrombocytopenia,SYNCOPE |
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Carbfamazepine (Tegretol)
Route Max |
MAX 1 GRAM/day
A PO 200mg bid, range is 600-1200 mg/day. |
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NYSTATIN (MYCOSTIN)
Group Use |
Group: POLYENE
Use: Anti-FUNGAL, INTESTINAL infection, CANDI-diasis, |
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Nystatin (Mycostatin)
Route Max Antidote |
A PO 500 thou-1000 thou UNITS
|
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DOXY-CYCLINE (VIBRAMYCIN)
group use |
Group: TETRACYCCLINE
Use: antiinfective ; GONNORHEA, Syphilis ,for PENICLLIN-RESISTANT patients |
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CYCLO-GYL eye drop
group use |
group: CYCLOPLEGIC MYDRIATICS
use: preparation for cycloplegic REFRACTION. management of UVEITIS. |
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Cyclogyl (eye drop)
Side effect Adverse Teach |
DRUNK"
unusual BEHAVIOR, FLUSHING, hallucinations, slurred SPEECH, drowsiness, SWOLLEN STOMACH, TACHY-cardia, DRY mouth BLURRED vision, PHOTOPHOBIA Teach: CAUTION in GLAUCOMA clients, SYSTEMIC absorption can cause anticholinergic effect = side effects. |
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Demerol (MEPERIDINE)
Group Use Teach |
Group: narcotic anagesics
GI procedures. Has NO anti-tussive (cough) properties. GOOD PREGNANCY since doesn't diminish uterine contractions and less neonatal respiratory depression. |
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Demerol (Meperidine)
Withdrawal symptoms= Side effect Adverse |
Withdrawal symtpoms: watery EYES, DILATED pupils, runny nose, yawning, TREMORS, pain, CHILLS, fever, diaphoretic, N/V/D, abdominal CRAMPS.
Adverse:SLOW, SHALLOW RESP-iration, CLAMMY skin, CONSTRICTED pupils, coma. |
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Demerol (Meperidine)
Route |
IM 50-100 mg onset: 15-45 minutes
IV 25-50 mg inset: 5 minutes PO |
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FLEXERIL
group use teach |
group: CYCLO-BENZA-PRINE
Use: CNS acting muscle RELAXANT SHORT TERM treatment of muscle spasm. Teach: Not effective for relieving cerebral or spinal cord disease. Tale with FOOD OR MILK to decrease GI upsets. |
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Flexeril
Route max |
MAX 60 MG/day
A PO 10 mg tid. maint 20-40 mg/day |
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SOMA
group use |
relaxant
: Csn acting muscle RELAXANT, ACUTE MUSCLE PAIN. |
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Soma
Side effect Adverse Teach |
Side effect: DROVSY, Dizzy, LIGHT-HEADED, HA
Adverse: CNS DEPRESSION Teach: Do NOT use ALCOHOL, SEDATIVE-HYPNITICS, BARBITUATES, or TCA's = CNS depression. |
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Soma
Route |
A PO 350 mg
C> 5 years PO 25 mg |
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ROBAXIN
group use |
Group: METHO-CARBAMOL
Use: ACUTE muscle SPASM related to TETANUS. SEDATION = CNS depressant. |
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Robaxin
Side effect teach |
Side effect: GREEN, BROVN or BLAC URINE, drowsiness.
Teach: AVOID ALCOHOL, CNS DEPRESSANT |
|
Robaxin
Route Max |
MAX 3 GRAM/day
PO ,IM, IV : |
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SKELAXIN
|
Group: META-XALONE
Use: CNS acting muscle RELAXANT, for ACUTE PAINFUL muscle SPASTICITY. MAX A PO 800 MG /day Divided 3-4 times) |