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31 Cards in this Set
- Front
- Back
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Coumadin (warfarin) - classification
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oral anticoagulant (the best at preventing venous clot formation)
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Coumadin (warfarin) - possible drug interactions
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- diet high in vitamin K lessens effects
- multiple drug interactions |
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Coumadin (warfarin) - indications
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Prevention in hi risk or hx of:
- DVT - pulmonary emboli - a. fib - mechanical heart valve replacement |
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Coumadin (warfarin) - ADEs
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bleeding
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Coumadin (warfarin) - monitor
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- PT
- INR |
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Coumadin (warfarin) - nursing care
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- antidote is vitamin K
- PT/INR must be checked regularly |
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Coumadin (warfarin) - route of admin & dose ranges
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- PO 2-15 mg based on PT or INR (best)
- INR therapeutic levels: 2.0-3.0 - PT norm: 12-13s, PT therapeutic: 1.5-2 x norm = 18-26s |
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Faragmin (dalteparin) - classification
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- anticoagulant
- low molecular heparin - best at preventing venous clot formation |
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Faragmin (dalteparin) - indication
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prevention of DVT
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Faragmin (dalteparin) - ADEs
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thrombocytopenia
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Faragmin (dalteparin) - monitor
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does not require monitoring aPTT
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Faragmin (dalteparin) - route of admin & dose ranges
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SC, 2500-5000 IU qd
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Aminophylline - classification
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- methylxanthines
- bronchodilators |
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Aminophylline - indication
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- asthma
- chronic bronchitis - emphysema |
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Aminophylline - ADEs
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- CNS excitement
- tachycardia - tremors - seizures - insomnia - N |
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Aminophylline - monitor
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therapeutic levels: 10-20 mg/L
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Aminophylline - nursing care
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- HR
- O2-sat - RR - breath sounds - use of accessory mm - color - push fluids |
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Aminophylline - route of admin and dose ranges
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- IV/PO loading dose: 6-7 mg/kg
- IV maintenance dose: 0.4-0.6 mg/kg/hr - PO maintenance dose: 3.125 mg/kg q6h |
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Aminoglycosides (gentamycin sulfate) - classification
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- antibiotic
- bactericidal |
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Aminoglycosides (gentamycin sulfate) - possible drug interactions
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- do not mix with PCN
- give 2h apart |
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Aminoglycosides (gentamycin sulfate) - indication
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- gram negative bacilli infections
- kanamycin and neomycin given PO as part of pre-op bowel prop |
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Aminoglycosides (gentamycin sulfate) - ADE
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- ototoxicity (CNXIII)
- nephrotoxicity |
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Aminoglycosides (gentamycin sulfate) - monitor
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- peak (4-12 mg/L)
- trough (1-2 mg/L) - renal and auditory function |
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Aminoglycosides (gentamycin sulfate) - nursing care
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- check C&S
- asess hearing - tinnitus - BUN, Pcr - urine output |
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Aminoglycosides (gentamycin sulfate) - route of admin and dose ranges
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IV: 3-6 mg/kg/day q8h
dose often based on lean body wt and serum Pcr mix in 50-200 mL of NS or D5W infuse over 30m-2h |
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Septra trimethoprim/ sulfamethoxazole - classification
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- antibiotic
- bacteriostatic - sulfonamide |
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Septra trimethoprim/ sulfamethoxazole - possible drug interactions
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not for pregnant women, lactating mothers, or children <2mos --> kernicterus
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Septra trimethoprim/ sulfamethoxazole - indication
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UTI
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Septra trimethoprim/ sulfamethoxazole - ADE
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- crystalluria
- stone formation |
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Septra trimethoprim/ sulfamethoxazole - nursing care
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BS and hypoglycemia
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Septra trimethoprim/ sulfamethoxazole - route of admin and drug doses
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160 mg PO bid
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