Nclex--Medications

Front 1

Antibiotic-- PCN, Amoxicillin, Ampicillin, Augmentin

Back 1

Cross reactors--Do not give with cephalosporins (Ancef, Keflex, Ceclor)

Watch for Thrush

Front 2

Allopurinol (Antigout)

Back 2

-Use: decrease production of uric acid

Increase fluids to 3000cc/day.

Front 3

Colchicine (Antigout)

Back 3

Use: acute gout

STOP IF SIGNS OF N/V = toxicity.

Front 4

Clomid

(ovulation stimulant)

Back 4

Use: increase fertility

Front 5

Actonel, Boniva

(Bisphosphonate)

Back 5

Use: Oseoporosis

Teaching: sit upright for 30 min after to prevent irritation

SE: trouble swallowing, chest pain, severe or worsening heartburn

Front 6

Sudafed

(Adrenergic)

Back 6

Action: anti-sinus

Toxic effect: insomnia, hyperactivitiy

Front 7

Flomax

(Adrenergic Blocker)

Back 7

Use: Relieve s/s of benign prostatic hyperplasia (BPH)

SE: sudden drop in BP

Teach: not to drive or engage in hazordous tasks for the 1st 12 hrs after 1st dose, do not take with Cimetidine or Coumadin

Front 8

Antabuse (Disulfiram)

(Alcohol deterrent)

Back 8

Do not take with alcohol or cough syrup.

Must be off 2 weeks before taking a drink.

Front 9

ASA

(antipyretic, antiplatelet, anti-inflame, analgesic)

Back 9

Avoid citrus foods, check bleeding and ears, do not give to kids.

Front 10

Tylenol

(antipyretic, antiplatelet, anti-inflame, analgesic)

Back 10

Don't give if pt has liver disease, not useful for anti-inflammatory.

Tylenol 1 = 325mg Tylenol & 8mg Codeine

Tylenol 2 = 325mg Tylenol & 15mg Codeine

Tylenol 3 = 325mg Tylenol & 30mg Codeine

Tylenol 4 = 325mg Tylenol & 60mg Codeine

Front 11

Amphojel (Aluminum hydroxide)

(Antacids--fights acid)

Back 11

Aluminum base--SE=constipation and binds phosph.

Mg based--SE= diarrhea, give 30 min after meals

Prevents absorption of other medications.

Front 12

Imdur, Isosorbide

(Antianginal, Vasodilator)

Back 12

Use--angina

Watch for hypertension

Front 13

Valium (Diazepam)

(antianxiety, anticonvulsant)

Back 13

Dose-- 5-10mg

Check for S/S of overdose.

Front 14

Ancef (cefazolin), Keflex (cephalexin), Ceclor

(Antibiotics--Cephalasporines)

Back 14

Thrush in babies, yeast infections in females

Give yogurt to prevent vaginal problems

Check for allergies to PNC

Front 15

Neomycin

(ABX)

Back 15

Not absorbed by gut.

Use: sterilize gut by decreasing E. Coli leading to decrease ammonia levels resulting in improved LOC

Front 16

Tetracycline

(ABX)

Back 16

Avoid--milk products.

Don't give to pregnant women

Front 17

Gentamycin

(ABX, aminoglycoside)

Back 17

Oto/nephron toxicity (c/o ringing in ears & vertigo)

Check I/O and serum creatinine

Don't give to pt with chronic renal failure.

Front 18

Streptomycin

(ABX, aminoglycoside)

Back 18

Check renal and ear function

Front 19

Biaxin

(ABX, erythromycins)

Back 19

use: helicobacter pyloric, gastric ulcer.

Garlic can also be used

Front 20

Zithromax/ Z-max, Zycam, Z-pac

(ABX, erythromycins)

Back 20

Use: URI

Monitor: PT & INR when on Coumadin

DONT take with antacids

super antibiotic--works in 2-3 days

Front 21

Gantrisin

(ABX, sulfa)

Back 21

Avoid--Vitamin C and sun

increase fluids

Front 22

Dilantin

(anticonvulsant)

Back 22

Level 10-20

Children have reg. dental appointments as mouth care is important

level to low= seizures, level to high= ataxia

Monitor renal fxn. Don't give to pregnant women

Front 23

Neurontin

(anticonvulsant)

Back 23

Use: prevent seizures and decrease pain of neuropathy

Front 24

Tegretol

(anticonvulsant)

Back 24

Use: seizures and nerve pain. Check CBC

Avoid infection

slows nerve transmission for seizures

can be used for nerve pain in trigem. neuralgia

Front 25

Topamax

(anticonvulsant)

Back 25

Use: migraine HA

Teach: increase fluids to avoid kidney stones, no driving until effects known, decreased effects of birth control medications.

Front 26

Robaxin (Methocarbomal)

(Muscle Relaxant)

Back 26

SE: dizziness, bradycardia

Teach: taper med, no drinking alcohol, no OTC meds.

Front 27

Paxil

(Antidepressant, SSRI)

Back 27

Use: anxiety

Teach: no driving until use to med`

Front 28

Prozac

(Antidepressant, SSRI)

Back 28

Problems with sleep so give in AM. Requires 6 wks to start working.

*Teach other stress reduction techniques until med is working.

Front 29

Elavil

(Antidepressant, Tricyclic)

Anafranil is also in this category.

Back 29

Needs at least 2 weeks for meds to take effect.

SE: hypotension, dry mouth leading to constipation, give diet high in fiber, take med in PM

Front 30

Avandia

(antidiabetic, Oral)

Back 30

Use: type 2 DM

Check liver studies. SE: ovulation in non-ovulating women.

Front 31

Lidocaine

(Antidysrhythmic)

Back 31

Drug of choice for ventricular dysrhythmias

Front 32

Quinidine

(Antidysrhythmic)

Back 32

Watch for QRS exotic ventricular beats

Front 33

Zofran, Reglan

(Antiemetic)

Back 33

-decrease N/V caused by chemo (zofran)

-Slows emptying of stomach. Take before meals

Front 34

Amphotericin B

(Antifungal)

Back 34

Check creatinine and output

Front 35

Diamox

(antiglaucoma, diuretic)

Back 35

decreases fluid in eye

Front 36

Azulfidine

(antiinflammatory)

Back 36

Treats ulcerative colitis

Front 37

Questran/cholestyramine

(Antilipenic)

Back 37

SE: decrease absorption of Vit. A, D, E, and K. May see bruising.

increase diet of Vit. A, D, E, K foods

Front 38

Lipitor---Advicor, Crestor, Questran, Zocor

(Antilipidemic

Back 38

Don't take when pregnant or nursing. Check liver studies. Can take with or without food.

Decreases cholesterol.

Front 39

Levodopa--Sinemet

(Antiparkinson agent)

Back 39

SE: nystagmus and hypoTN.

Use: decrease tremors and improve gait.

Use TED hose and avoid B6 vitamin.

Front 40

Persantine, Plavix, clopidogrel

(Antiplatelet)

Back 40

Not with Garlic or Coumadin. Never take the 2 together or with ASA.

Front 41

Nebupent

(Antiprotozoal)

Back 41

Pentamidine treats PCP IV, IM and inhaled.

Check for low BP, kidney fan, and temp.

Front 42

Prolixin

(antipsychotic)

Back 42

lasts many weeks after DC

decreases agression

SE: seizures, MMS, MI, hepatitis, resp decrease, ortho. hypoTN.

Teach: stay cool, taper med, no OTC, sunscreen and urine will turn pink.

Front 43

Resperdine

(antipsychotic)

Back 43

Check orthostatic hypotension

Front 44

Thorazine/Stelazine

(Antipsychotic)

Back 44

Use sunscreen. Used for psychotic D/o, non psychotic anxiety and schizo.

Watch for tar dive dyskinesia.

Front 45

Zyprexa/olanzapine

(Antipsychotic)

Back 45

monitor blood sugar, temp and liver enzymes. Not safe for kids.

SEL Neuroleptic Malignant Syndrome, avoid over heating. `

Front 46

Lithium

(antipsychotic, antimanic)

Back 46

Toxic signs: dehydration, N/V. Do not give with lasix. Watch for Pt with stomach cage and not drinking. below therapeutic level you will see mania.

Front 47

Haldol

(antipsychotic)

Back 47

Watch for tar dive dyskinesia and infection. Must use sunscreen. Check WBC can give up to 100mg/day

Front 48

Clozapine/clozaril

(antipsychotic, neuroleptic)

Back 48

Check lab and agrandulosytosis. Watch for infection.

Front 49

AZT/Retovir & Norvir

(antiretroviral)

Back 49

Aids, give to pregnant women only after 14th week. Monitor CBC (AZT)

treat HIV (Norvir)

Front 50

Baclofen

(antiplasmatic)

Back 50

For MS

SE: muscle rigidity or weakness, dyspnea, high fever, hypo/hyperTN

Front 51

Propylthiouracil/PTU

(antithyroid)

Back 51

Must have frequent blood tests. Used for hyperthyroid conditions (Graves). Blocks TSH, T3 and T4

Outcome: normal VS.

Front 52

Valtrex

Back 52

Treats Herpes. Toxic to kidneys

Front 53

Symmetrel/amantadine

(antiviral, antiparkinsonian)

Back 53

Use: viral flue and decrease S/S of parkinson's

Front 54

Neupogen/filgrastim

(Biologic modifier)

Back 54

improves immune system. patient may have less infections

Front 55

Evista

(Bone reab.inhibitor)

Back 55

SE: pain, redness or swelling in legs, hands or feet. unexplained uterine bleeding or breast abnormalities.

Front 56

Fosamax

(Bone reab. inhibitor)

Back 56

Use: osteoporosis in postmenopausal women.

Teach: remain upright for 30 min. after taking.

SE: trouble swallowing, chest pain, or severe or worsening heartburn

Front 57

Boniva

(Bone reab. inhibitor)

Back 57

Take in AM-1hr before eating and with water.

Stop if dysphagia, painful swallowing, or heartburn.

Front 58

Singular

(Bronchodilator)

Back 58

prevent asthma attacks and prophylaxis

Front 59

Aminophylline/Theophylline

(Bronchodilator, spasmolytic)

Back 59

Avoid coffee, tea, chocolate, and cola. Give with care to patient with heart disease

Toxicity-Adult = tachycardia, child=nervousness

Front 60

Os Cal

(Calcium supplement)

Back 60

Needs a lot of water

Front 61

Dig

(Cardiac glycoside, antidysrhythmic)

Back 61

level too low= SOB, decrease output, increase edema.

level too high= N/V, yellow green vision, bradycardia & anorexia.

The amount of free med is what causes toxicity d/t low serum protein. NEVER GIVE IS K <3.5

Front 62

Ritalin

(cerebral stimulant)

Back 62

Use: ADD to decrease activity. When given to elderly will increase activity level. Check CBC

Front 63

Fluorocytosine/5 FU

(Chemo agent)

Back 63

SE: N/V and decrease bone marrow function

Front 64

Prostigmin

(Cholinergic Stimulant)

Back 64

prevents aspiration in myasthenia gravis pt

Front 65

Nitroglycerin

(Coronary vasodilator, antianginal)

Back 65

Keep away from heat, store in dark place, take before stress expect HA

Front 66

Pancrelipase/Viokase

(Digestant, Pancreatic Enzyme)

Back 66

Take every time Pt. eats. Use: Pancreatitis, cystic fibrosis

Front 67

Lasix

(diuretic)

Back 67

Check K and monitor EKG. LASTS SIX HOURS. Schedule activities for 6 hrs after the med was taken.

Work: decreases circulating colume, will have low specific gravity. DONT GIVE WITH BUMEX or with ICP or Glaucoma.

Front 68

Mannitol

Back 68

Use: ICP and glaucoma pt.

Pt. LOC will improve and vitals will return to normal

Front 69

Atropine

(dry secretions)

Back 69

Do not give to patient with glaucoma

Use: to dry secretions before surgery.

Front 70

K CL Potassium

(Electrolyte)

Back 70

Check I/O, serum creatinine and abnormal pulse (if IV runs too fast)

Front 71

Mg Sulfate

(Electrolyte, anticonvulsant, laxative)

Back 71

Give: IV to prevent seizures in pregnant women and alcoholics in detox. PO for laxative.

Watch for toxicity, decrease reflexes, outputs and resp.

ANTIDOTE: Ca Gluconate

Front 72

Ipecac Syrup

(Emetic)

Back 72

Pt must be awake. Don't give with milk or carbonated beverages.

Front 73

Zantac and Tagamet

(H2-Histamine antagonist Rec)

Back 73

Use: ulcers, take with or without food. (Zantac)

Give before food or with food to decrease HCL (Tagamet)

Front 74

Iron

(Hemantinic)

Back 74

Take with vit. C to increase absorption.

SE: may cause false positive for blood in stool

Front 75

Epogen

(Hormone)

Back 75

Use: Stimulate bone marrow to make RBC.

outcome--pt has decrease SOB and color is better

Front 76

Lantus

(insulin)

Back 76

Take at same time every day. Can take with or without food. 24hr insulin. Do not mix with regular insulin or any other insulin.

Front 77

Lactalose

(Laxative, Ammonia Detoxicant)

Back 77

Desired effect- decrease ammonia leading to increase LOC. if increase level, give PRN dose of Lactalose.

Laxative for Cirrhosis

Front 78

Parnate

(MAOI(

Back 78

Treats depression

Watch diet.

Front 79

Acutane

(Isotretinoin)

Back 79

Use: Acne

Pt will have red peeling face for 2 weeks after treatment. SE: depression, psychosis, decrease wrinkles

Front 80

Pyridium

(nonopioid analgesic)

Back 80

decreases S/S of UT. D/C when s/s are gone.

Front 81

Motrin

(NSAID)

Back 81

MAX DOSE--2400mg/24hrs

Front 82

Feldene

(NSAID)

Back 82

do not give with ASA. Check for bleeding. Takes 2 weeks for pain relief.

Front 83

Codeine

(opiate)

Back 83

SE: constipation. monitor bowel movements. only med for head injuries.

Diet: high in fiber

Front 84

Demerol

(opiate)

Back 84

25-100mg dose

Front 85

Morphine

(opiate)

Back 85

Check BP and RR. Dose 2-10mg. Don't give with kidney stones, gall stones, increase ICP, myasthenia gravis, or pancreatitis.

done sprinkle capsules or crush EXL. watch for seizures, shock, bradycardia, Resp. problems. Taper drug.

Front 86

Danazol

(ovulation suppressant)

Back 86

treats endometriosis

Front 87

Methergine

(oxytocic)

Back 87

Increases vasoconstriction. Check BP.

Expect: uterus will be hard and there will be pain or cramps.

Front 88

Pitressin/Vasopressin

(pituitary hormone)

Back 88

use: DI

ActionL decreases u/o, SG<1.010=not enough med. SG >1.025= too much med. Do not give with lasix.

Measure specific gravity

Front 89

Kayxelate

(K-removing resin)

Back 89

takes 6-8hrs to work

Front 90

Aldactone

(K-sparing diuretic)

Back 90

Don't give with renal failure. Check output

Front 91

Carafate

(Protectant, antiulcer)

Back 91

Must be given on empty stomach, 1 hr before food.

Front 92

Protonix

(PPI)

Back 92

use: GERD. watch for loose skin.

Front 93

Aricept

(reversible cholinesterase inhibitor)

Back 93

for Alzheimer's--take HS.

Front 94

Brethine

(smooth muscle relaxer)

Back 94

Use: asthma pt and to stop premature labor

Front 95

Betamethasone

(Steroid)

Back 95

SE: increase blood sugar so check moms BS and it requires 24hrs to work

Front 96

Steroids

Back 96

Take on full stomach. Avoid live viruses (OPV and Varicella) and infections. Check BS, increase dose with stress.

D/C slowly

Front 97

Streptokinase

(thrombolytic enzyme)

Back 97

Check PT & PTT.

Use: MI, CVA, and PE. Must start within 6 hrs.

Front 98

Syntrhoid

(Thyroid hormone)

Back 98

Lifelong if after thyroidectomy or for hypothyroid.

Teach: report sign of overdose (increase HR)

Avoid: Stimulants (coffee, tea..)

Front 99

Vitamin

Back 99

Vitamin K- given IM to babies. don't give with coumadin. Give IM, IV will cause shock

Niacin- Take after food to reduce flushing

Vit. B6- given to TB pt to decrease neuritis when taking INH. DONT use with levodopa

Front 100

Chantix, Zyban

(stop smoking)

Back 100

SE: N/V, sleep disturbance, constipation, gas, depressed mood or suicidal thoughts.