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52 Cards in this Set

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Anti-Rheumatic

Methotrexate ( amethopeterin)

Methotrexate Dose and Frequency

7.5 mg weekly

Methotrexate (amethopeterin) action and use

Interfers with cell sythesis and treats some cancers and RA

Methotrexate (amethopeterin) side effects

1. Occult blood


2. Bloody urine


3. Joint pain


4. Anemia

Methotrexate (amethopeterine) contraindications and medicines

1. Renal disease


2. OB lactation


1. Aspirin


2. Nexium

Methotrexate (amethopeterine) nursing considerations


1. S/S of gout


2. S/S of pulmonary toxicity


3. Monitor vitals


4. Monitor I and O

Miotic Opthalmic

Pilocar (Pilocarpine Hydrochloride)

Pilocar (pilocarpine hydropchloride) dose and side effects

1-2 gtts TID QID


1. Flushing


2. Sweating


3. Tremors


4. Salivating

Pilocar (pilocarpine hydropchloride) action and use

Decrease intraoccular eye fluid - decreasing intraoccular eye pressure for tx of glaucoma

Pilocar (pilocarpine hydropchloride) contraindications and medicines

1. Untreated asthma


2. Closed angled glaucoma


1. Abilify


2. Pseudoephederine

Pilocar (pilocarpine hydropchloride) Nursing Considerations

1. Asses oral mucosa for dryness


2. May cause some visual changes


3. Increase fluid intake


4. Use lowest dose possible

Diuretic

Lasix (furosemide)

Lasix (furosemide) dose and frequency

20 - 80 mg daily

Lasix (furosemide) action

Inhibits reabsorbtion of water and salt into the body. Decreases edema for HTN and RD

Lasix (furosemide) side effects

1. Aplastic Anemia


2. Dehydration


3. Chest pain


4. Tinnitus

Lasix (furosemide) contraindications and medicines

1. Hypersensativity


2. Anuria


1. Gentamicin


2. Lithium

Lasix (furosemide) nursing considerations

1. Monitor I & O


2. Monitor weight


3. Monitor BP and P


4. Watch for increase fall risk in geriatric patients

Proton pump inhibitor

Prilosec ( omeprazole)

Prilosec ( omeprazole) dose and frequency

20 - 40 mg daily

Prilosec ( omeprazole) action

Decrease gastric acid production. For heart burn, GERD and gastric ulcers

Prilosec (omeprazole) side effects

1. Abdominal Pain


2. Fatigue


3. Drowsiness


4. Itching

Prilosec ( omeprazole) contraindications and medicines

1. Lactation


2. Liver Disease


1. Warfrin


2. Digoxin

Prilosec ( omeprazole) nursing considerations

1. Administer before meals


2. Do not crush.


3. Avoid alcohol


4. Using drug may mask a disease process.

Analgesic anticonvulsant

Lyrica (pregabalin)

Lyrica (pregabalin) dose and frequency

300mg TID

Lyrica (pregabalin) action

Binds to calcium channels. Used to treat seizures, diabetic periphreal pain

Lyrica (pregabalin) side effects

1. SI


2. Dizziness


3. Drowsiness


4. Edema

Lyrica (pregabalin) contraindications and medicines

1. Depression


2. Lactation


1. Antacids


2. Ambien


Lyrica (pregabalin) nursing considerations

1. Monitor behavioral changes


2. Asses for seizure activity


3. Give with food


4. Monitor for Migraines

Anti- Diabetic Lantus

( insulin glargine)

Lantus (insulin glargine) onset, peak and duration

Onset - 1 hour


P - None


D - 24 hours

Lantus (insulin glargine) dose and frequency

2 - 100 units Sub Q daily

Lantus (insulin glargine) action

Decreases blood glucose levels by stimulating glucose uptake

Lantus (insulin glargine) side effects

1. Pain


2. Swelling


3. Itching


4. Redness

Lantus (insulin glargine) contraindications and medicines

1. Hypoglycemia


2. Infection


1. Beta blockers


2. Alcohol

Lantus (insulin glargine) nursing considerations

1. S/S of hypoglycemia


2. Monitor weight


3. Monitor blood glucose levels q 6 hours


4. Monitor for hyperglycemia

Anti-diabetic Glipizide

Glucotrol XL

Glipizide ( Glucotrol XL ) dose and frequency

5 - 15mg daily

Glipizide ( Glucotrol XL ) action

Control blood glucose levels in type 2 diabetes. Stimulates the release of insulin

Glipizide ( Glucotrol XL ) side effects

1. Aplastic anemia


2. Hypoglycemia


3. Increased appetite


4. Hepatitis

Glipizide ( Glucotrol XL ) contraindications and medicines

1. Type 1 diabetes


2. Pregnant or Lactation


1. NSAIDS


2. glatifloxcin

Glipizide ( Glucotrol XL ) onset, peak and duration

O - 15 to 30 mins


P - 1 to 3 hours


D - 24 hours

Glipizide ( Glucotrol XL ) nursing considerations

1. S/S of hypoglycemia


2. WAtch for increased stress


3. Advise patient to wear a medical alert braclet


4. There is an increase risk of CV events

Anti-Diabetic Levemir

Levemir ( insulin detemir)

Levemir ( insulin detemir) onset, peak and duration

O - unknown


P - 6 to 8 hours


D - 6 to 23 hours

Levemir ( insulin detemir) dose and frequency

10 units QD or BID SQ

Levemir ( insulin detemir) action

Regulates blood glucose levels by binding to insulin receptors

Levemir ( insulin detemir) side effects

1. Edema


2. Weight gain


3. Prutitus


4. Rash

Levemir ( insulin detemir) contraindictions and medicines

1. Insulin pump


2. Hepatic impairment


1. ACE inhibitors


2. MAO inhibitors

Levemir ( insulin detemir) nursing considerations

1. Monitor blood glucose levels


2. Monitor weight


3. Do not mix with other insulins


4. S/S of hypoglycemia

Signs and Symptoms of hyperglycemia

1. Polyuria


2. Polyphasia


3. Polydipsia

S/S of hypoglycemia

1. Confusion


2. Shakiness


3. Irritability


4. Anxiety