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34 Cards in this Set

  • Front
  • Back
Prednisone - classification
corticosteroid
Prednisone - possible drug interactions
contraindicated in pt's with systemic fungal infection or TB
Prednisone - indication
- tx allergic reaction
- anti-inflammatory
- immune suppressive
Prednisone - ADEs
- HTN
- DM
- delayed wound healing
- gastric ulcers
- cushing's
- osteoporosis
- mood swings
Prednisone - monitor
- BP
- BG
- sxs's of infection
Prednisone - nursing care
patient education
Prednisone - route of admin and dose ranges
PO, 5-60 mg qd divided BID, QID, decreasing the dose each day
Xanax (alprazolam) - classification
Benzodiazepine
Anxiolytic
CNS depressant
Xanax (alprazolam) - indication
- anxiety
- panic disorders
Xanax (alprazolam) - ADE
- sedation
- respiratory depression
Xanax (alprazolam) - monitor
CNS DEPRESSANT!
Xanax (alprazolam) - nursing care
- Romazicon is antidote
- taper to d/c
Xanax (alprazolam) - routes of admin and dose ranges
PO, 0.25-2mg TID/QID
Dilantin (phenytoin) - classification
anti-seizure
Dilantin (phenytoin) - possible drug interactions
- Do not mix with D5NS, D5W, LR, or 1/2NS
- Schedule IV
Dilantin (phenytoin) - indication
seizures - tx or prevention, status epilepticus
Dilantin (phenytoin) - ADE
- gingival hyperplasia
- drowsiness
- fatigue
Dilantin (phenytoin) - monitor
dental checks q 3-6 months
Dilantin (phenytoin) - nursing care
educate pt to not stop meds
Dilantin (phenytin) - route admin and dose ranges
IV slowly, no more than 50 mg/ min
IV loading dose, 10-15 mg/kg
Then, 100 mg IV/PO q 6-8h
PO, 100 mg BID-QID
Only mix with NS
Phenothiazine (thorazine chlorpromazine) - classification
- antipsychotic
- antiemetic
Phenothiazine (thorazine chlorpromazine) - possible drug interactions
CNS depressant so avoid concomitant use of other CNS depressants
Phenothiazine (thorazine chlorpromazine) - indication
- psychosis
- N/V
- intractable hiccoughs
Phenothiazine (thiazine chlorpromazine) - ADE
- CNS depressant
- postural hypotension
- sedation
- extrapyramidal effects
- leutropenia
- avoid contact with skin
Phenothiazine (thiazine chlorpromazine) - monitor
- WBC count
- safety 2nd to sedation
- BP
Phenothiazine (chlorpromazine) - nursing care
can be a chemical restraint, if so - need an order
Phenothiazine (thiazine chlorpromazine) - route of admin and dose ranges
- PO, 200-800 mg/d, best given before bed
- IM 25-50 mg
Cytoxan (cyclophosphamide) - classification
- antineoplastic
- alkylating agent
- works by interfering with DNA replication
Cytoxan (cyclophosphamide) - possible drug interactions
- aminoglycosides = nephrotoxicity
- furosemides = ototoxicity
Cytoxan (cyclophosphamide) - indication
- treats cancer
- chemotherapy
Cytoxan (cyclophosphamide) - ADE
- N/V
- alopecia
- BM suppression
- GI toxicity
- hemorrhagic cystitis
Cytoxan (cyclophophamide) - monitor
- CBC
- platelets
- K
- I&O, renal function
- tinnitus, auditory function
Cytoxan (cyclophosphamide) - nursing care
- hydration
- prevent hypokalemia
- give antiemetic
Cytoxan (cyclophosphamide) - route of admin and dose ranges
IV, 40-50 mg/kg in divided doses
PO, 1-5 mg/kg