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34 Cards in this Set
- Front
- Back
Prednisone - classification
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corticosteroid
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Prednisone - possible drug interactions
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contraindicated in pt's with systemic fungal infection or TB
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Prednisone - indication
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- tx allergic reaction
- anti-inflammatory - immune suppressive |
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Prednisone - ADEs
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- HTN
- DM - delayed wound healing - gastric ulcers - cushing's - osteoporosis - mood swings |
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Prednisone - monitor
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- BP
- BG - sxs's of infection |
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Prednisone - nursing care
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patient education
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Prednisone - route of admin and dose ranges
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PO, 5-60 mg qd divided BID, QID, decreasing the dose each day
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Xanax (alprazolam) - classification
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Benzodiazepine
Anxiolytic CNS depressant |
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Xanax (alprazolam) - indication
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- anxiety
- panic disorders |
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Xanax (alprazolam) - ADE
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- sedation
- respiratory depression |
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Xanax (alprazolam) - monitor
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CNS DEPRESSANT!
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Xanax (alprazolam) - nursing care
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- Romazicon is antidote
- taper to d/c |
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Xanax (alprazolam) - routes of admin and dose ranges
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PO, 0.25-2mg TID/QID
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Dilantin (phenytoin) - classification
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anti-seizure
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Dilantin (phenytoin) - possible drug interactions
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- Do not mix with D5NS, D5W, LR, or 1/2NS
- Schedule IV |
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Dilantin (phenytoin) - indication
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seizures - tx or prevention, status epilepticus
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Dilantin (phenytoin) - ADE
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- gingival hyperplasia
- drowsiness - fatigue |
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Dilantin (phenytoin) - monitor
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dental checks q 3-6 months
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Dilantin (phenytoin) - nursing care
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educate pt to not stop meds
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Dilantin (phenytin) - route admin and dose ranges
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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 |
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Phenothiazine (thorazine chlorpromazine) - classification
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- antipsychotic
- antiemetic |
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Phenothiazine (thorazine chlorpromazine) - possible drug interactions
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CNS depressant so avoid concomitant use of other CNS depressants
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Phenothiazine (thorazine chlorpromazine) - indication
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- psychosis
- N/V - intractable hiccoughs |
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Phenothiazine (thiazine chlorpromazine) - ADE
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- CNS depressant
- postural hypotension - sedation - extrapyramidal effects - leutropenia - avoid contact with skin |
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Phenothiazine (thiazine chlorpromazine) - monitor
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- WBC count
- safety 2nd to sedation - BP |
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Phenothiazine (chlorpromazine) - nursing care
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can be a chemical restraint, if so - need an order
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Phenothiazine (thiazine chlorpromazine) - route of admin and dose ranges
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- PO, 200-800 mg/d, best given before bed
- IM 25-50 mg |
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Cytoxan (cyclophosphamide) - classification
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- antineoplastic
- alkylating agent - works by interfering with DNA replication |
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Cytoxan (cyclophosphamide) - possible drug interactions
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- aminoglycosides = nephrotoxicity
- furosemides = ototoxicity |
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Cytoxan (cyclophosphamide) - indication
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- treats cancer
- chemotherapy |
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Cytoxan (cyclophosphamide) - ADE
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- N/V
- alopecia - BM suppression - GI toxicity - hemorrhagic cystitis |
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Cytoxan (cyclophophamide) - monitor
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- CBC
- platelets - K - I&O, renal function - tinnitus, auditory function |
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Cytoxan (cyclophosphamide) - nursing care
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- hydration
- prevent hypokalemia - give antiemetic |
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Cytoxan (cyclophosphamide) - route of admin and dose ranges
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IV, 40-50 mg/kg in divided doses
PO, 1-5 mg/kg |