Nclex Recongition Of Meds

Front 1

Norepinephrine (levophed)

Back 1

vasoconstrictor,increase BP and CO
tx shock, cardiac arrest

Hint 1

-reflex bradycardia
-monitor urinary output
-infuse with dextrose not saline
-monitor BP

Front 2

Dopamine (Intropin)

Back 2

high dose- vasoconstrictor
low dose- dilates renal and coranary arteries

Hint 2

headache early s/s of excess

Front 3

Epinephrine (Adrenalin)

Back 3

stimulates alpha and beta adrenergic receptors

Hint 3

check dose!!!

Front 4

Isoproterenol (Isuprel)

Back 4

used for heart block, ventricular arrhythmias, and bradycardia
-bronchodilator, used for bronchospasms.

Hint 4

Don't give at hs-interrupts sleep patterns

Front 5

Phenylephrine (Neo-Synephrine)

Back 5

potent alpha 1 agonist
tx hypotension

Hint 5

s/e hypertension

Front 6

Dobutamine hydrochloride (Dobutrex)

Back 6

stimulates beta 1 receptors

Hint 6

s/e hypertension
Don't infuse with other meds
not good w/ alkaline solutions

Front 7

Milrinone (Primacor)

Back 7

positive inotropic agent
relaxes smooth muscle
tx severe HF

Front 8

Sodium nitroprusside (Nitropress)

Back 8

dilates cardiac veins and arteries
decreases preload and afterload
increases myocardial perfussion

Front 9

Diphenhydramine HCI (Benadryl)

Back 9

blocks effects of histamine on brochioles, GI, and blood vessels

Hint 9

s/e photosensitivity

Front 10

Chlordiazepoxide (Librium)

Back 10

antianxiety

Front 11

Diazepam (Valium)

Back 11

antianxiety
benzodiazepine

Front 12

Alprazolam (Xanax)

Back 12

antianxiety
benzodiazepine

Hint 12

CNS depressant
short onset and duration
safer for elderly
don't DC abrubtly

Front 13

Clonazepam (Klonopin)

Back 13

antianxiety
benzodiazepine

Hint 13

CNS depressant
short onset and duration
safer for elderly
don't DC abrubtly

Front 14

Lorazepam (Ativan)

Back 14

antianxiety
benzodiazepine

Hint 14

CNS depressant
short onset and duration
safer for elderly
don't DC abrubtly

Front 15

Oxazepam (Serax)

Back 15

antianxiety
benzodiazepine

Hint 15

CNS depressant
short onset and duration
safer for elderly
don't DC abrubtly

Front 16

Midazalam (Versed)

Back 16

antianxiety
benzodiazepine

Hint 16

CNS drepressant
used for conscious sedation

Front 17

Buspirone (BuSpar)

Back 17

antianxiety
non- benzodiazepine

Hint 17

no abuse potential

Front 18

Hydroxyzline (Vistaril) (Atarax)

Back 18

antianxiety
non- benzodiazepine

Hint 18

can be used long periods of time
produces no dependence

Front 19

Kava

Back 19

herbal antianxiety

Hint 19

not for pregnant woman

Front 20

Melatonin

Back 20

herbal antianxiety

Hint 20

influences sleep-wake cycles

Front 21

priorty for all antianxiety meds

Back 21

watch out for liver disfunction

Front 22

aluminum hydroxide gel (amphojel)

Back 22

antacid

Hint 22

contains sodium, check if pt is on sodium restriction
monitor for phosphate decrease: (fatigue, weakness, tremors, bone pain)
encourage fluids
renal precaution

Front 23

Cacium carbonate (Titralac)

Back 23

antacid

Hint 23

contains sodium, check if pt is on sodium restriction
monitor for phosphate decrease: (fatigue, weakness, tremors, bone pain)
encourage fluids
renal precaution

Front 24

Aluminum hydroxide and magnesium trisilicate

Back 24

antacid

Hint 24

contains sodium, check if pt is on sodium restriction
monitor for phosphate decrease: (fatigue, weakness, tremors, bone pain)
encourage fluids
renal precaution

Front 25

Magnesium hyroxide (milk of magnesia)

Back 25

antacid, saline agent. draws water from plasma to intestines

Hint 25

caution with Renal diseases

Front 26

Aluminum hydroxide and magnesium hydroxide (Maalox)

Back 26

antacid, with slight laxative effect

Hint 26

caution with Renal diseases
encourage fluids

Front 27

General info for antacids

Back 27

s/e: acid rebound btwn doses
constipation, diarrhea
metabolic acidosis

Hint 27

contains sodium!!
absorption of tetracyclines, quinolones, iron, phenothiazides reduce with antacids
Oral contraceptive and salicylates effectiveness decreases with antacid

Front 28

gentamycin (Garamycin)

Back 28

Antibiotics: aminoglycosides
tx gram negative: inhibits protein synthesis

Hint 28

Nephrotoxic- check BUN, cre
Ototoxic-check 8th cranial nerve
Check peak (2hr after med given) and trough (prior to med)

Front 29

Neomycin (Neobiotic)

Back 29

Antibiotics: aminoglycosides
Nephrotoxic
Ototoxic

Hint 29

Opthalmic= remove infective excudate around eyes prior to administration.

Front 30

Streptomycin

Back 30

Antibiotics: aminoglycosides

Hint 30

Nephrotoxic- check BUN, cre
Ototoxic-check 8th cranial nerve
Check peak (2hr after med given) and trough (prior to med)

Front 31

Tobramycin (Tobrax)

Back 31

Antibiotics: aminoglycosides

Hint 31

Nephrotoxic- check BUN, cre
Ototoxic-check 8th cranial nerve
Check peak (2hr after med given) and trough (prior to med)

Front 32

Amikacin (Amikin)

Back 32

antibiotic: aminoglycoside

Hint 32

Nephrotoxic- check BUN, cre
Ototoxic-check 8th cranial nerve
Check peak (2hr after med given) and trough (prior to med)

Front 33

cephalexin (Keflex)

Back 33

antibiotic: cephalosporins 1st gen

Hint 33

inhibits cell wall: bacterial
increases risk for bleeding! (have vit K around)
cross allergy with pencillins
cause false positive Coombs test

Front 34

cefaclor (Ceclor)

Back 34

antibiotic: cephalosporins 2nd gen

Hint 34

inhibits cell wall: bacterial
increases risk for bleeding! (have vit K around)
cross allergy with pencillins
cause false positive Coombs test

Front 35

ceftriaxone (Rocephin)

Back 35

antibiotic: cephalosporins 3rd gen

Hint 35

inhibits cell wall: bacterial
increases risk for bleeding! (have vit K around)
cross allergy with pencillins
cause false positive Coombs test

Front 36

cefepime (Maxipime)

Back 36

antibiotic: cephalosporins 4th gen

Hint 36

inhibits cell wall: bacterial
increases risk for bleeding! (have vit K around)
cross allergy with pencillins
cause false positive Coombs test

Front 37

Ciprofloxacin (Cipro)

Back 37

Antibiotic: fluorquinolones

Hint 37

interfers w/DNA of gram negative
do not give children under 18
avoid caffeine
watch renal and liver
do not give with antacid or irons

Front 38

Levofloxacin (Levequin)

Back 38

Antibiotic: fluorquinolones

Hint 38

interfers w/DNA of gram negative
do not give children under 18
avoid caffeine
watch renal and liver
do not give with antacid or irons

Front 39

Norfloxacin (Noroxin)

Back 39

Antibiotic: fluorquinolones

Hint 39

interfers w/DNA of gram negative
do not give children under 18
avoid caffeine
watch renal and liver
do not give with antacid or irons

Front 40

Vancomycin

Back 40

antibiotic: glycopeptide
cell wall

Hint 40

liver damage
nephrotoxic
ototoxic
can cause "red man syndrome"= give antihistamine
suprainfection: may cause sore throat, fever, etc

Front 41

clindamycin HCI phosphate (Cleocin)

Back 41

antibiotic: lycosamides

Hint 41

liver toxic
given for strep, staph
can cause colitis
give with full glass of water to prevent esophageal ulcers

Front 42

Chlorpromazine Hydrochloride (Thorazine)

Back 42

antipyschotic- traditional, low potency with high sedative effect, no potential for abuse.

Hint 42

s/e: sun sensivity
hypotension.

Front 43

Erythromycin (erythrocin)

Back 43

Macrolide antibiotic
bacterostatic

Hint 43

hepatotoxic
renal problems too
take one hour before or 2-3 hours after meals with full glass of water

Front 44

Azethromycin (Zithromax)

Back 44

Macrolide antibiotic
bacterostatic

Hint 44

hepatotoxic
renal issues too
take one hour before or 2-3 hours after meals with full glass of water

Front 45

Amoxicillin (amoxil)

Back 45

antibiotic: penicillins
for gram positive bacteria

Hint 45

good mouth care/ Watch for change in tongue!
c/s prior to tx/ first dose
take one hour before or 2-3 hours after meals
check for hypersensitivity
renal and hepatic s/e
yogurt if diarrhea develops: watch for loose foul smelling stool

Front 46

Ampicillin (Omnipen)

Back 46

antibiotic: penicillins
for gram positive bacteria

Hint 46

good mouth care/ Watch for change in tongue!
c/s prior to tx/ first dose
take one hour before or 2-3 hours after meals
check for hypersensitivity
renal and hepatic s/e

Front 47

Methicillin

Back 47

antibiotic: penicillins
for gram positive bacteria

Hint 47

good mouth care/ Watch for change in tongue!
c/s prior to tx/ first dose
take one hour before or 2-3 hours after meals
check for hypersensitivity
renal and hepatic s/e

Front 48

Nafcillin (Unipen)

Back 48

antibiotic: penicillins
for gram positive bacteria

Hint 48

good mouth care/ Watch for change in tongue!
c/s prior to tx/ first dose
take one hour before or 2-3 hours after meals
check for hypersensitivity
renal and hepatic s/e

Front 49

Augmentin

Back 49

antibiotic: penicillins
for gram positive bacteria

Hint 49

good mouth care/ Watch for change in tongue!
c/s prior to tx/ first dose
take one hour before or 2-3 hours after meals
check for hypersensitivity
renal and hepatic s/e

Front 50

Sulfisoxazole (Gantrisin)

Back 50

antibiotic: sulfonamides
bateriostatic

Hint 50

s/e: GI allergic rash, and urine crystals
-force fluids
-maintain alkaline urine
-avoid vit C= which acidifies urine

Front 51

Sulfasalazine (Azulfidine)

Back 51

antibiotic: sulfonamides
bateriostatic

Hint 51

-photosensivity
-fluid intake at 3,000ml to avoid urine crystals
-s/e agranulocytosis

Front 52

Trimethoprim/Sulfamethoxazole (Bactrim, Septra)

Back 52

antibiotic: sulfonamides
bateriostatic

Hint 52

-s/e: hyoersensivity, blood dyscrasias
-3,000 ml fluids day= prevents crystal formation.
-get c/s before 1st dose
-NEVER give IM
-IV: give over slowly at 60-90 min.

Front 53

Doxyycycline (Vibramycin)

Back 53

antiobiotic: tetracyclines
bacteriostatic

Hint 53

photosensitivity
NO milk products or antacids
Use additional birth control
check tongue for Monillia infection
Note expiration date=becomes highly nephrotoxic
Do not take with meals

Front 54

Minocycline (Minocin)

Back 54

antiobiotic: tetracyclines
bacteriostatic

Hint 54

photosensitivity
NO milk products or antacids
Use additional birth control
check tongue for Monillia infection
Note expiration date=becomes highly nephrotoxic
Do not take with meals

Front 55

Tetracycline (Panmycin)

Back 55

antiobiotic: tetracyclines
bacteriostatic

Hint 55

photosensitivity
Do not give on pregnacy=will discolor primary teeth!!!
NO milk products or antacids
Use additional birth control
check tongue for "black hairy"
Note expiration date=becomes highly nephrotoxic
Do not take with meals

Front 56

Nitrofurantoin (furadantin)

Back 56

anti-infective: bacteria
GI med that fight UTI's

Hint 56

take with food or milk
avoid antacids
watch for resp issues

Front 57

phenazopyridine (pyridium)

Back 57

pain reliever for GI
spasmolytic

Hint 57

take with meals
will turn urine BRIGHT ORANGE
s/e : h/a, vertigo

Front 58

Oxybutynin (Ditropan)

Back 58

anticholinergics
used to reduce bladder spasms and tx urinary incontinence

Hint 58

increase fluid and fiber
s/e:
Blurred vision
Dry mouth
Constipation
Urinary retention

Front 59

Hyoscyamine (Anaspaz)

Back 59

anticholinergics
used to reduce bladder spasms and tx urinary incontinence

Hint 59

increase fluid and fiber
s/e:
Blurred vision
Dry mouth
Constipation
Urinary retention

Front 60

Proppantheline (Pro-Banthine)

Back 60

anticholinergics
-used to reduce bladder spasms
-tx urinary incontinence
-used for peptic ulcers tx

Hint 60

-increase fluid and fiber
-Give night's dose, 2hr after last meal
-30min ac
-s/e:
Blurred vision
Dry mouth
Constipation
Urinary retention

Front 61

Darifenacin (Enablex)

Back 61

anticholinergics
used to reduce bladder spasms and tx urinary incontinence

Hint 61

increase fluid and fiber
s/e:
Blurred vision
Dry mouth
Constipation
Urinary retention

Front 62

Solifenacin (Vesicare)

Back 62

anticholinergics
used to reduce bladder spasms and tx urinary incontinence

Hint 62

increase fluid and fiber
s/e:
Blurred vision
Dry mouth
Constipation
Urinary retention

Front 63

Tolterodine (Detrol)

Back 63

anticholinergics
used to reduce bladder spasms and tx urinary incontinence

Hint 63

increase fluid and fiber
s/e:
Blurred vision
Dry mouth
Constipation
Urinary retention

Front 64

Sildenafil (Viagra)

Back 64

tx erectile disfunction

Hint 64

-Never take with nitrates and alpha blockers= risk for severe hypotension.
-take 1 hr before sex
-Do not drink grapefruit juice
s/e: hypotension, priapism, h/a, flushing

Front 65

Vardenafil (Levitra)

Back 65

tx erectile disfunction

Hint 65

-Never take with nitrates and alpha blockers= risk for severe hypotension.
-take 1 hr before sex
-Do not drink grapefruit juice
s/e: hypotension, priapism, h/a, flushing

Front 66

Tadalafil (Cialis)

Back 66

tx erectile disfunction

Hint 66

-Never take with nitrates and alpha blockers= risk for severe hypotension.
-take 1 hr before sex
-Do not drink grapefruit juice
s/e: hypotension, priapism, h/a, flushing

Front 67

Finasteride (Proscar, Propecia)

Back 67

Testosterone inhibitors
Proscar: tx benign prostatic hyperplasia
Propecia: tx male hair loss

Hint 67

s/e: decreased libido
impotence
breast tenderness
PregWoman: AVOID contact with crushed drug or pt's semen= will affect male fetus.

Front 68

Action of anticholinergics

Back 68

-competes with acetylcholine at receptor sites in autonomic nervous system
-causes: cycloplegia (relax ciliary muscles), mydriasis (dilation of pupils), brochodialtion, decreases broncho secretions, decreases GI motility and GI secretions.
-DO NOT give if pt has glaucoma!!!!
s/e:

Hint 68

Blurred vision
Dry mouth
Urinary retention
Heart Rate Changes (?)

Front 69

Belladonna

Back 69

anticholinergics

Front 70

Atropine sulfate

Back 70

anticholinergics, used for bradycardia

Hint 70

check hx of: glaucoma, HTN, asthma
-give 30 min prior to meals
- make sure pt pees before giving
-expect increase HR and resp.rate
-avoid heat!!-persperation in decreased.

Front 71

Iproproprium (Atrovent)

Back 71

anticholinergics used for brochospasms and long term tx of asthma

Front 72

Tiotropium (Spiriva)

Back 72

anticholinergics used for brochospasms and long term tx of asthma

Hint 72

given in powder form

Front 73

Iprotropium plus albuterol (Atrovent, DuoNeb)

Back 73

anticholinergics used for brochospasms and long term tx of asthma
s/e?

Hint 73

-increase fluids, bulk foods, and exercise
-taper before d/c
-orthostatic hypotension precautions

Front 74

Benztropine (Cogentin)

Back 74

anticholinergics: used for parkinson's disease
s/e?

Hint 74

-increase fluids, bulk foods, and exercise
-taper before d/c
-orthostatic hypotension precautions

Front 75

Trihexyphenydil (Artane)

Back 75

anticholinergics: used for parkinson's disease
s/e?

Hint 75

-increase fluids, bulk foods, and exercise
-taper before d/c
-orthostatic hypotension precautions

Front 76

Scopolamine (Transderm-Scop)

Back 76

anticholinergics: used for motion sickness
s/e?

Hint 76

Do not use in acute angle glaucoma!

Front 77

Enoxaparin (Lovenox)

Back 77

anticoagulant
low weight heparin

s/e?

Hint 77

less allergic than heparin
SQ, never given IV or IM
does not require lab test monitoring

Front 78

heparin

Back 78

anticoagulant
-blocks conversion of fibrinogen to fibrin
- used for preventative and tx of thromboembolic disorders.

Hint 78

-Monitor PTT: 1.5 to 2.5 x the control(~20-45)= highest is 112.5 & lowest is 30.
Monitor platlet count
IV: use pump, duration 2-6 hours
NEVER IM
SQ: duration 8-12
s/e:
hemorrhage, anemia, thrombocytpenia (Low-platlets), fever

Front 79

heparin antidote

Back 79

protamine sulfate w/in 30 min

Front 80

Warfarin (Coumadin)

Back 80

anticoagulant
-interferes with liver synthesis of vit K-dependent clotting factors
-used for pulm. emboli, DVT, MI, atrial dysrhymmias, valve replacements

Hint 80

Monitor PT: 1.5 to 2.5 x the control(~9-12)= highest is 30 & lowest is 13.5.
INR at 2-3
duration: 3-5 days
Avoid venous stasis
Avoid foods high in Vit k: greens, pork, yogurt, cheese, fish
s/e: hemorrhage, diarrhea, rash, fever

Front 81

Warfarin (Coumadin) antidote

Back 81

vit K, whole blood, or plasma

Front 82

Lepirudin (Refludan)

Back 82

anticoagulant
tx heparin induced thrombocytopenia (low platelets)
Also, d/c heparin

Front 83

dipyridamole (Persantine)

Back 83

anticoagulant
keeps the platelets in your blood from coagulating (clotting) around new valve

given adjunct coumadin post op vlave replacement and adjunct to aspirin to reduce repeat stroke or TIA

Front 84

anticoagulant: should avoid what
1.procedures?
2. meds?
3. herbs
4. vitamins

Back 84

1. NO IM's!! risk for cuts, injuries
2. ASA-containing products and NSAIDs, Plavix
3. a. Ginkgo, Ginger, Garlic?
b. Anise, chamomile?
c. Ginseng and alfalfa?
d. black haw?
4. a.Vit C
b. Vit E

Hint 84

a. Ginkgo, Ginger, Garlic increases bleeding with Coumadin
b. Anise, chamomile=interfers with action
c. Ginseng and alfalfa decrease action
d. black haw increases
4. a Vit c decreases warfarin's effect
b. Vit E increases warfarin's effect

Front 85

General info about all anticonvulsants?

Back 85

-decreases flow of calcium and sodium across neuronal membranes
-s/e?
-tolerance develops
-Don't d/c abrubtly
-caution use with MAO's= lowers siezure threshold

Hint 85

s/e:
Cardio depression
resp depression
aplastic anemia (bone marrow does not produce sufficient new cells to replenish blood cells)
agranulocytosis (failure of the bone marrow to make enough
white blood cells=low WBC)

Front 86

Clonazepam (Klonopin)

Back 86

benzodiazepine
anticonvulsant

Hint 86

don't d/c abrubtly

Front 87

Diazepam (Valium)

Back 87

benzodiazepine
anticonvulsant
-long term withdrawal s/s?

Hint 87

-IV push- not exceed 2mg/min
-increases CNS depression with alcohol
-s/s of withdrawal: vomiting, sweating, cramps, tremors, convulsions.

Front 88

Fosphenytoin (Cerebyx)

Back 88

anticonvulsant
used for tonic clonic, status epilepticus

Hint 88

highly protein bound
-Contact HCP if rash develops!

Front 89

levetiracetam (Keppra)

Back 89

anticonvulsant

Hint 89

s/e: suicidal ideation

Front 90

pheytoin sodium (Dilantin)

Back 90

anticonvulsant
s/e: ?

Hint 90

s/e: gingival hypertrophy, GI upset, nystagmus (involuntary eye movement), hirsutism, lethargy
-take with water or meals=reduces GI upset
-Red/brown or pink discoloration of seat and urine occurs
-IV admin can cause cardiac arrest
-NEVER mix tubinwith other drugs or dextrose
-Increase Vit D and exposure to sun

Front 91

phenobarbital (Luminal)

Back 91

anticonvulsant
-Barbiturate, long-acting, Sedative and hypnotic
-early toxicity s/s?

Hint 91

-early s/s of toxicity= nystagmus
-if IV= watch VS!
-folic acid supplements need to be taken for long term use

Front 92

primidone (Mysoline)

Back 92

anticonvulsant

Hint 92

theuraputic responcse may take up to 2 weeks
-shake supension well

Front 93

Magnesium sulfate

Back 93

anticonvulsant
also used for:
-tx eclampsia/ hypertension on pregnancy
-magnesium deficiency in pts with hypocalcemia or on TPN (s/s of hypomag are: tetany, positive Chvostek and Trousseau signs, convulsions,generalized weakness, anorexia, hypokalemia hypocalcemia)
-uterine tetany as a myometrial relaxant.
-

Hint 93

Monitor I&O
prior to dose, check reflexes (knee jerks)!!
VS monitored, especially if on TPN

Front 94

Valproic acid (Depakote)

Back 94

anticonvulsant

Hint 94

-good for use in young children
-Do not take with carbonated beverage
-take with food
-Monitor platelets, bleeding time, and liver function

Front 95

Carbamazepine (Tegretol)

Back 95

-anticonvulsant &trigeminal neuralgia
-also tx bipolar disorder (mood stabilzer)
s/e: myelsuppression (low RBC production), ataxia-(failure of muscular coordination)

Hint 95

-photosensivitiy
-take with meals
-Monitor CBC's and I&O's
-supervise ambulation

Front 96

Ethosuximide (Zarontin)

Back 96

anticonvulsant

Hint 96

monitor weight weekly
monitor behavioral changes

Front 97

Gabapentin (Neurontin)

Back 97

anticonvulsant-
also used to tx posttherpetic neuralgia

Hint 97

monitor weight weekly
monitor behavioral changes

Front 98

Lamotrigine (Lamictal)

Back 98

anticonvulsant

Hint 98

-take divided doses with meals or just afterward to decrease adverse effects.
-life-threatening rash wen given with valproic acid

Front 99

Topiramate (Topamax)

Back 99

anticonvulsant

Hint 99

-adjunct therapy for intractable partial seizures
-increased risk for renal calculi
-STOP drug immediately if eye problems occur-could lead to permanent damage!

Front 100

Phenezline sulfate (Nardil)

Back 100

Antidepressants: Monoamine oxidase inhibitors

Hint 100

Do not take with SSRI's
-d/c 10 days before general anesthesia
-lowers seizure threshold
-can cause urinary retention
-avoid caffine, antihistamines, amphetamines
-takes 3-4 wks to work
-avoid tricyclics until 3wks after stopping MAOs
-s/e: HTN crisis taken with foods containing tyramine or OTC drugs, photosensitivity, weight gain, sexual disfunction, ortho hypotension.

Front 101

General info for Monoamine oxidase inhibitors (MAO's)
1. action?
2. s/e?
3. herbal precautions?

Back 101

1. interferes with monoamine oxidase, allowing for increased neurotransmitters (epi, norepi, serotonin)
2. HTN crisis taken with foods containing tyramine or OTC drugs, photosensitivity, weight gain, sexual disfunction, ortho hypotension.
3. ginseng= potentiates MAO
ma huang or ephedra= avoid with MAO
brewer's yeast w/MAO= increases BP

Hint 101

-Not 1st line drug
-Do not take with SSRI's
-d/c 10 days before general anesthesia
-lowers seizure threshold
-can cause urinary retention
-avoid caffine, antihistamines, amphetamines
-takes 3-4 wks to work
-avoid tricyclics until 3wks after stopping MAOs

Front 102

Food which contain tyramine

Back 102

aged cheese, bologna, pepperoni, salami, figs, bananas, raisins, beer, red wine.

Front 103

s/s of hypertensive crisis:

Back 103

h/a, sweating, palpitations, stiff neck, intracranial hemorrhage

Front 104

isocarboxazid (Marplan)

Back 104

Antidepressants: Monoamine oxidase inhibitors

Hint 104

Do not take with SSRI's
-d/c 10 days before general anesthesia
-lowers seizure threshold
-can cause urinary retention
-avoid caffine, antihistamines, amphetamines
-takes 3-4 wks to work
-avoid tricyclics until 3wks after stopping MAOs
-s/e: HTN crisis taken with foods containing tyramine or OTC drugs, photosensitivity, weight gain, sexual disfunction, ortho hypotension.

Front 105

tranylcypromine (Parnate)

Back 105

Antidepressants: Monoamine oxidase inhibitors

Hint 105

Do not take with SSRI's
-d/c 10 days before general anesthesia
-lowers seizure threshold
-can cause urinary retention
-avoid caffine, antihistamines, amphetamines
-takes 3-4 wks to work
-avoid tricyclics until 3wks after stopping MAOs
-s/e: HTN crisis taken with foods containing tyramine or OTC drugs, photosensitivity, weight gain, sexual disfunction, ortho hypotension.

Front 106

General info for SSRI's (Selective Serotonin Reuptake inhibitors
1. actions?
2. s/e?

Back 106

1. inhibits CNS uptake of serotonin, acts like a stimulant.
2. s/e: h/a, nervousness, insomnia, anxiety, tremor, dry mouth, GI upset, taste changes, rash, URI, painful menstrations, sexual disfunction, weight loss, palpations, bradycardia

Watch out for???

Hint 106

-Take in AM= reduces insomnia
-Suicide precautions
-Take 4 wks to work
-Monitor weight
-Mouth care
-Do NOT give with MAO=risk for serotonin syndrome
-increase effect of digoxin, coumadin, valium
-Monitor for thrombocytopenia, leukopenia, anemia

Front 107

Fluoxetine (Prozac)

Back 107

SSRI

Hint 107

h/a, nervousness, insomnia, anxiety, tremor, dry mouth, GI upset, taste changes, rash, URI, painful menstrations, sexual disfunction, weight loss, palpations, bradycardia

-Take in AM= reduces insomnia
-Suicide precautions
-Take 4 wks to work
-Monitor weight
-Mouth care
-Do NOT give with MAO=risk for serotonin syndrome
-increase effect of digoxin, coumadin, valium
-Monitor for thrombocytopenia, leukopenia, anemia

Front 108

Paroxetine (Paxil)

Back 108

antidepressant: SSRI

s/e?

Hint 108

s/e: palpitations, bradycardia n/v, diarrhea or constipation, increased or decreased appetite, urinary retention
-Take in am= reduces insomnia
-takes 4 wks to work
-potentiates the effect of digoxin, coumadin, valium
-don't give with MAO's= serotonin syndrome
-good mouth care

Front 109

Sertraline hydrochloride (Zoloft)

Back 109

antidepressant: SSRI

s/e?

Hint 109

s/e: palpitations, bradycardia n/v, diarrhea or constipation, increased or decreased appetite, urinary retention
-Take in am= reduces insomnia
-takes 4 wks to work
-potentiates the effect of digoxin, coumadin, valium
-don't give with MAO's= serotonin syndrome
-good mouth care

Front 110

Citalopram (Celexa)

Back 110

antidepressant: SSRI

s/e?

Hint 110

s/e: palpitations, bradycardia n/v, diarrhea or constipation, increased or decreased appetite, urinary retention
-Take in am= reduces insomnia
-takes 4 wks to work
-potentiates the effect of digoxin, coumadin, valium
-don't give with MAO's= serotonin syndrome
-good mouth care

Front 111

Venlafaxine (Effexor)

Back 111

antidepressant: SSRI

s/e?

Hint 111

s/e: palpitations, bradycardia n/v, diarrhea or constipation, increased or decreased appetite, urinary retention
-Take in am= reduces insomnia
-takes 4 wks to work
-potentiates the effect of digoxin, coumadin, valium
-don't give with MAO's= serotonin syndrome
-good mouth care

Front 112

s/s of serotonin syndrome?

Back 112

* Agitation
* fast heart beat
* Diarrhea
* Heavy sweating not due to activity
* Fever
* Mental status changes such as confusion or hypomania
* Muscle spasms (myoclonus)
* Overactive reflexes (hyperreflexia)
* Shivering
* Tremor
* Uncoordinated movements (ataxia)

=happens cause too much serotonin

Front 113

General info about antidepressants: tricyclics
1. action?
2. s/e?

Back 113

1. inhibits presynaptic uptake of norepinephrine and serotonin: anticholinergic action at CNS.
2. s/e= sedation, anticholinergic effects (dry mouth, blured vision, constipation, urinary retention), confusion
Photosensitivity
Orthostatic hypotension
Bone marrow depression

nursing care?

Hint 113

take 2-6 wks to work
suicide risk 10-14 days later
given at night to promote sleep and decrease s/e in day
ortho hypo precaution
Do not stop abrubtly
avoid sun, sunscreen
avoid sedation things=alcohol, OTC, etc.
increase fluids
use sugarless candy for dry mouth

Front 114

Amitriptyline hydrochloride (Elavil)

Back 114

antidepressants: tricyclics
s/e= sedation, anticholinergic effects (dry mouth, blured vision, constipation, urinary retention), confusion
Photosensitivity
Orthostatic hypotension
Bone marrow depression

Hint 114

take 2-6 wks to work
suicide risk 10-14 days later
given at night to promote sleep and decrease s/e in day
ortho hypo precaution
Do not stop abrubtly
avoid sun, sunscreen
avoid sedation things=alcohol, OTC, etc.
increase fluids
use sugarless candy for dry mouth

Front 115

Imipramine (Tofranil)

Back 115

antidepressants: tricyclics
s/e= sedation, anticholinergic effects (dry mouth, blured vision, constipation, urinary retention), confusion
Photosensitivity
Orthostatic hypotension
Bone marrow depression

Hint 115

take 2-6 wks to work
suicide risk 10-14 days later
given at night to promote sleep and decrease s/e in day
ortho hypo precaution
Do not stop abrubtly
avoid sun, sunscreen
avoid sedation things=alcohol, OTC, etc.
increase fluids
use sugarless candy for dry mouth

Front 116

Desipramine hydrochloride (Norpramin)

Back 116

antidepressants: tricyclics
s/e= sedation, anticholinergic effects (dry mouth, blured vision, constipation, urinary retention), confusion
Photosensitivity
Orthostatic hypotension
Bone marrow depression

Hint 116

take 2-6 wks to work
suicide risk 10-14 days later
given at night to promote sleep and decrease s/e in day
ortho hypo precaution
Do not stop abrubtly
avoid sun, sunscreen
avoid sedation things=alcohol, OTC, etc.
increase fluids
use sugarless candy for dry mouth

Front 117

Doxepin (Sinequan)

Back 117

antidepressants: tricyclics
s/e= sedation, anticholinergic effects (dry mouth, blured vision, constipation, urinary retention), confusion
Photosensitivity
Orthostatic hypotension
Bone marrow depression

Hint 117

take 2-6 wks to work
suicide risk 10-14 days later
given at night to promote sleep and decrease s/e in day
ortho hypo precaution
Do not stop abrubtly
avoid sun, sunscreen
avoid sedation things=alcohol, OTC, etc.
increase fluids
use sugarless candy for dry mouth

Front 118

Nortriptyline (Pamelor)

Back 118

antidepressants: tricyclics
s/e= sedation, anticholinergic effects (dry mouth, blured vision, constipation, urinary retention), confusion
Photosensitivity
Orthostatic hypotension
Bone marrow depression

Hint 118

take 2-6 wks to work
suicide risk 10-14 days later
given at night to promote sleep and decrease s/e in day
ortho hypo precaution
Do not stop abrubtly
avoid sun, sunscreen
avoid sedation things=alcohol, OTC, etc.
increase fluids
use sugarless candy for dry mouth

Front 119

General info about antidepressants: Heterocyclics

Back 119

used for depression & smoking cessation
action: does not inhibit MAO, has some anticholinergic effects, alters effects of serotonin on CNS
s/e?

Hint 119

s/e= dry mouth, nausea,
may require gradual reduction before d/c
avoid other sedative meds up to 1 wk after end of therapy.

Front 120

Bupropion (Wellbutrin, Zyban)

Back 120

antidepressants: Heterocyclics

s/e?

Hint 120

s/e= dry mouth, nausea, insomnia, agitiation

Front 121

Trazodone (Desyrel)

Back 121

antidepressants: Heterocyclics

s/e?

Hint 121

s/e= dry mouth, nausea, sedation, orthostatic hypotension

Front 122

St. John's Wart

Back 122

herbal antidepressant

1. s/e?
2. nursing consideration?

Hint 122

s/e= diziness, hypertension, allergic reaction, phototoxicity

nursing= Avoid with MAOI (2 wks seperartion)
interacts with SSRIs
d/c 1-2 wks before surgery
-avoid alcohol
-avoid sun

Front 123

Lispro (Humalog)

Back 123

rapid acting insulin
onset?
time of adverse reaction?
when given?

Hint 123

onset= 5-15min
time of adverse reaction= midmorning(trembling, weakness)
when given=?

Front 124

Aspart (Novolog)

Back 124

rapid acting insulin
onset?
time of adverse reaction?
when given?

Hint 124

onset= 5-15min
time of adverse reaction= midmorning(trembling, weakness)
when given=?

Front 125

Regular (Humulin R, Novolin R, Iletin II R)

Back 125

short acting insulin
onset?
time of adverse reaction?
when given?

Hint 125

onset= 30-60min
time of adverse reaction=midmorning, midafternoon: weakness, fatigue
when given=20-30 min before meals
-Clear solution, can be given with other insulins
-ONLY insulin in IV form!!!

Front 126

Isophane (NPH)

Back 126

Intermediate acting insulin
onset?
time of adverse reaction?
when given?

Hint 126

onset= 2-4 hrs
time of adverse reaction=early evening: weakness, fatigue
when given= can be given after meals
-White and cloudy

Front 127

Lente

Back 127

Intermediate acting insulin
onset?
time of adverse reaction?
when given?

Hint 127

onset= 2-4 hrs
time of adverse reaction=early evening: weakness, fatigue
when given= can be given after meals
-White and cloudy

Front 128

Ultralente

Back 128

Long acting insulin
onset?
time of adverse reaction?
when given?

Hint 128

onset= 6-8 hr
time of adverse reaction= early morning: headache, confusion
when given: used to control fasting blood glucose levels

Front 129

Glargine (Lantus)

Back 129

Very long acting
onset?
time of adverse reaction?
when given?

Hint 129

onset= 1hr
time of adverse reaction=?
when given=at bedtime
-maintains blood glucose levels regardless of meals
-Cannot me mixed with other insulins!!!

Front 130

herbs that increase blood glucose?

Back 130

bee pollen
ginkgo biloba
glucosamine

Front 131

herbs that decrease blood glucose?

Back 131

basil
bay leaf
chromium
echinacea
garlic
ginseng

Front 132

Glimepiride (Amaryl)

Back 132

oral hypogylcemic agents:
Sulfonylureas

Hint 132

-pt has some pancreas beta cell function: stimulates release of insulin
-take with food if GI upset

Front 133

Gliipizide (Glucotrol)

Back 133

oral hypogylcemic agents:
Sulfonylureas

Hint 133

-pt has some pancreas beta cell function: stimulates release of insulin
-take with food if GI upset

Front 134

Glyburide (Micronase)

Back 134

oral hypogylcemic agents:
Sulfonylureas

Hint 134

-pt has some pancreas beta cell function: stimulates release of insulin
-take with food if GI upset

Front 135

Metformin (Glucophage)

Back 135

oral hypogylcemic agents:
Biguanides

Hint 135

-no effect on beta cells: decreases glucose production by liver
-not given if renal impairment
-Don't give with alpha glucosidase inhibitors

Front 136

Acarbose (Precose)

Back 136

oral hypogylcemic agents:
alpha glucosidase inhibitors

Hint 136

-delays digestion of carbs
-must take immediately before meal

Front 137

Miglitol (Glyset)

Back 137

oral hypogylcemic agents:
alpha glucosidase inhibitors

Hint 137

-delays digestion of carbs
-must take immediately before meal

Front 138

Rosiglitazone (Avandia)

Back 138

oral hypogylcemic agents:
thaizolidinediones

Hint 138

-decreases insulin resisitance and inhibits gluconeogenesis
-may restart ovulation in perimenopause
-Need liver function tests: hard on liver!!

Front 139

Pioglitazone (Actos)

Back 139

oral hypogylcemic agents:
thaizolidinediones

Hint 139

-decreases insulin resisitance and inhibits gluconeogenesis
-may restart ovulation in perimenopause
-Need liver function tests: hard on liver!!

Front 140

Repaglinide (Prandin)

Back 140

oral hypogylcemic agents:
meglitinides

Hint 140

-increases pancreatic insulin release
- med should NOT be taken if skipped meal!!!

Front 141

General info about about oral hypogylcemic agents

Back 141

s/e?
nursing considerations?

Hint 141

s/e= anorexia, nausea, diarrhea, allergic skin reactions, hypoglycemia
nursing consid=
take before breakfast
monitor serum glucose
avoid alcohol
teach about dx
good skin care

Front 142

Glucagon

Back 142

med that reverses hypoglycemia

-give SQ or IM
-onet 8-10min lasts 12-27 min
-may repeat in 15 min if needed

Hint 142

-give carbs asap orally to prevent secondary hypoglycemic reactions
-IV must be given of pt fails to respond

Front 143

Bismuth subsalicyalte
(Pepto-bismol, kaopectate)

Back 143

antidiarreheal

s/e: darkening of stools and tongue

Hint 143

-give 2-3 hours before or after other meds
-encourage fluids
-call MD if not resolved
-don't give more than 2 days if kids <3 yrs or fever present
-monitor for salicylate toxciity
-Avoid use before x-ray- radiopaque

Front 144

Diphenoxylate hydrochloride and atropine sulfate (Lomotil)

Back 144

antidiarreheal

Hint 144

-onset in 45-60 min

Front 145

Iopermide (Imodium)

Back 145

antidiarreheal

Hint 145

-monitor kids for CNS effects

Front 146

Optium alkaloids (Paregoric)

Back 146

antidiarreheal

Hint 146

-d/c as soon as stool controlled, has narcotic dependece.

Front 147

General info about antidiarrheals

Back 147

-don't give if ab pain of unknown origin present
-has anticholingeric effects- watch for urinary retention
-watch out for constipation

Front 148

Trimethobenzamide HCI (Tigan)

Back 148

antiemetic

Hint 148

-Give deep IM

Front 149

Prochlorperizine dimaleate (Compazine)

Back 149

antiemetic

Hint 149

=check CBC and liver function
-protect from sun
-s/e: ortho hypo
diplopia
photosensitivty

Front 150

Odansetron (Zofran)

Back 150

antiemetic

Hint 150

-give 30 min prior to chemo
-s/e: h/a, sedation, tansient elevations of liver enzymes

Front 151

Thiethyperazine maleate (Torecan)

Back 151

antiemetic

Hint 151

-give deep IM
-stay in bed for 1 hour after given
-protect from sun
-s/e: photosensitive
trasient leukopenia
extrapyramidal s/s
ortho hypo
anticholinergic effects

Front 152

Metoclopramide (Reglan)

Back 152

antiemetic

Hint 152

-monitor BP
-avoid driving
-take before meals
-used with tube feeding to reduce aspiration
-give 30 min prior to chemo
-s/e: extrampyramindal effects
dystonic reaction
restlessness
anixety
drowsiness

Front 153

Meclizine (Antivert, Bonine)

Back 153

antiemetic

Hint 153

-Do not give with GLAUCOMA
-avoid driving
-s/e: anticholingeric
excitiation, restlessness

Front 154

Dimenhydrinate (Dramamine)

Back 154

antiemetic

Hint 154

-avoid driving
-s/e: drowsiness, hypotension, blirred vision

Front 155

Promethazine (Phenergan)

Back 155

antiemetic

Hint 155

-used for motion sickness
-take 1/2 to 1 hour prior to traveling
-avoid driving, alcohol, CNS depressants
-s/e: anticholnergic

Front 156

Droperidol (Inapsine)

Back 156

antiemetic

Hint 156

-observe extrampyramidal s/s: dystonia, extended neck, flexed arms, tremor, restlessness, hyperactivity, anxiety= which can be reversed with anticholnergics.

Front 157

General info about anitemetics

Back 157

-blocks dopamine, increase GI motility
-s/e: anticholinergic, drowsiness, sedation
-if used for viral infectionmay cause Reye's syndrome in pts <21 yrs
-ginger often given, watch out for bleeding

Front 158

Amphotericin B (Fungizone)

Back 158

antifungal
nickname "amphoterrible"
s/e:?
-meticulous care and observation of injection site!!

Hint 158

s/e: GI upset
hypokalemia
CNS disturbances in vision, hearing
peripheral neuritis
seizures
Renal, hepatic, cardiac, blood abnormalities
-report febrile reaction or any changes in nervous!!!

Front 159

Nystatin (Mycostatin)

Back 159

antifungal

s/e?

Hint 159

s/e: mild GI distress, hypersensitivity

-d/c if any reddness, swelling, or irritation.
-good oral, vaginal, skin hygiene!

Front 160

Flucanozal (Diflucan)

Back 160

antifungal

Hint 160

-give after hemodialysis
-drug excreted unchnged by kidneys, dose reduced if creatinine clearance is affected by renal failure!

Front 161

General info about antifungals

Back 161

-used for fungal infections: candidiasis, oral thrush, histoplasmosis
-s/e?
-nurse action?

Hint 161

-s/e= hepatotoxic
thrombocytopenia
leukopenia
pruritis
-give with food
small meals
check hepatic function!
take full course of therapy!

Front 162

colchicine (Colsalide)

Back 162

antigout
also: anaglesic, anti-inflammatory
-used for acute gout with use of NSAIDs

Hint 162

s/e: GI upset, angranulocytosis, peripheral neuritis
-check CBC
-check I&O
-give with meals

Front 163

Probenecid (Benemid)

Back 163

antigout
-used for chronic gout
-reduces uric acid

Hint 163

s/e: nausea, constipation, skin rash
-check BUN, renal function tests
-encourage fluids
-give with milk, food, antacids
**alkaline urine helps prevent renal stones

Front 164

Allopurinol (Zyloprim)

Back 164

antigout
-block formation of uric acid

Hint 164

-check CBC, renal function tests
-encourage fluids
-give with meals
**alkaline urine helps prevent renal stones
**AVOID ASA because it inactivates drug!

Front 165

general info about antigout meds

Back 165

-decrease uric acid production and reabsorbtion
s/e?
nursing action?

Hint 165

s/e: aplastic anemia
agranulocytosis
renal calculi
GI irritation
nursing action: monitor for renal calculi!!

Front 166

Chlorpheniramine maleate (Chlor-Trimeton)

Back 166

antihistamine

Hint 166

-take before onset of s/s
-s/e: drowsiness, dry mouth

Front 167

Diphenhydramine HCI (Benadryl)

Back 167

antihistamine

Hint 167

-avoid alcohol
-give with food
-use sunscreen
-s/e: drowsiness, dry mouth, nausea, photosensitive

Front 168

Promethazine HCI
(Phenergan)

Back 168

antihistamine

Hint 168

-give with food
-use sunscreen
-s/e: drowsiness, dry mouth, photosensitive, agranulocytosis
-prior to giving IV, check for patency of vein=extravasation will cause necrosis

Front 169

Loratadine (Claritin)

Back 169

antihistamine

Hint 169

-reduce dose or give every other day for pts with renal or liver disfunction
-s/e: drowsiness

Front 170

Cetirizine (Zyrtec)

Back 170

antihistamine

Hint 170

-reduce dose or give every other day for pts with renal or liver disfunction
-s/e: drowsiness

Front 171

Fexofenadine (Allegra)

Back 171

antihistamine

Hint 171

-reduce dose or give every other day for pts with renal or liver disfunction
-s/e: drowsiness

Front 172

General info about antihistamines

Back 172

-blocks the effects of histamine at H1 receptor sites, anticholinergic, antipruritic effects

-give with food
-good skin care
-give candy for mouth
-avoid driving, etc, alcohol

Hint 172

s/e;
drowsiness/sedation
depression
nightmares
bronchospasm
alopecia
dry mouth

Front 173

Clolestryramine (Questran)

Back 173

Antilipemic
bile acid sequestrants
-increase bile acid in feces, decreases cholesterol

Hint 173

-give 1 hour before or 4-6 hour after other meds to avoid blocking absorbtion.
-report constipation ASAP!!
s/e:
ab pain, bloating, fat-soluble vit deficiency, rash, constipation

Front 174

Colestipol (Colestid)

Back 174

Antilipemic
bile acid sequestrants
-increase bile acid in feces, decreases cholesterol

Hint 174

-give 1 hour before or 4-6 hour after other meds to avoid blocking absorbtion.
-report constipation ASAP!!
s/e:
ab pain, bloating, fat-soluble vit deficiency, rash, constipation

Front 175

Lovostatin (Mevacor)

Back 175

antilipemic
HMG-CoA reductase inhibitors (statins)
-decrease LDL levels, cause peripheral vasodilation

Hint 175

-take with food
-call MD if muscle pain especially with fever and/or malaise
-take at night
-caution with pt with liver problems
s/e: myopathy, increased liver enzyme levels

Front 176

Pravastatin (Pravachol)

Back 176

antilipemic
HMG-CoA reductase inhibitors (statins)
-decrease LDL levels, cause peripheral vasodilation

Hint 176

-take with food
-call MD if muscle pain especially with fever and/or malaise
-take at night
-caution with pt with liver problems
s/e: myopathy, increased liver enzyme levels

Front 177

Simvastatin (Zocor)

Back 177

antilipemic
HMG-CoA reductase inhibitors (statins)
-decrease LDL levels, cause peripheral vasodilation

Hint 177

-take with food
-call MD if muscle pain especially with fever and/or malaise
-take at night
-caution with pt with liver problems
s/e: myopathy, increased liver enzyme levels

Front 178

Atorvastatin (Lipitor)

Back 178

antilipemic
HMG-CoA reductase inhibitors (statins)
-decrease LDL levels, cause peripheral vasodilation

Hint 178

-take with food
-call MD if muscle pain especially with fever and/or malaise
-take at night
-caution with pt with liver problems
s/e: myopathy, increased liver enzyme levels

Front 179

Fluvastatin (Lescol)

Back 179

antilipemic
HMG-CoA reductase inhibitors (statins)
-decrease LDL levels, cause peripheral vasodilation

Hint 179

-take with food
-call MD if muscle pain especially with fever and/or malaise
-take at night
-caution with pt with liver problems
s/e: myopathy, increased liver enzyme levels

Front 180

Rosuvastatin (Crestor)

Back 180

antilipemic
HMG-CoA reductase inhibitors (statins)
-decrease LDL levels, cause peripheral vasodilation

Hint 180

-take with food
-call MD if muscle pain especially with fever and/or malaise
-take at night
-caution with pt with liver problems
s/e: myopathy, increased liver enzyme levels

Front 181

Niacin (Niacor, Niaspan)

Back 181

antilipemic
Nicotonic acid
-decreases total cholesterol, LDL, triglycerides, increases HDL

Hint 181

-flushing will occur, reduces after 2wk
-s/e:
flushing, hyperglycemia, gout, upper GI distress, liver damage
-avoid alcohol!!

Front 182

Fenofibrate (Tricor)

Back 182

antilipemic
folic acid derivatives
decreases total cholesterol, VLDL, triglycerides

Hint 182

-give before meals
-call MD if muscle pain occurs!!!
-s/e: ab pain, increased risk fo gall bladder dx, myalgia, swollen joints

Front 183

Gemfibrozil (Lopid)

Back 183

antilipemic
folic acid derivatives
decreases total cholesterol, VLDL, triglycerides

Hint 183

-give before meals
-call MD if muscle pain occurs!!!
-s/e: ab pain, increased risk fo gall bladder dx, myalgia, swollen joints

Front 184

herbs used to tx high cholesterol:

Back 184

flax seed: decreases absorbtion of other meds
garlic: increases bleeding, increases hypoglycemic effects of insulin
green tea: has stimulant effect
soy

Front 185

general info about antilipemics

Back 185

inhibits cholesterol and triglycerides synthesis, decreases serum cholesterol and LDL

-nursing consid?

Hint 185

-meds should be used wit diet teaching, physical activity, stop smoking
-monitor lipids every 6 wk suntil normal, then every 4-6 months

Front 186

Captopril (Capoten)

Back 186

antihypertensives- tx of HTN, CHF
ACE inhibitors (Angiotensin converting enzyme)
-blocks ACE in lungs from converting angio1 to angio2 (powerful vasoconstrictor): decreasing BP, decreasing aldosterone secretion, causing sodium and fluid loss

Hint 186

-report SWELLING of FACE, lightheadedness asap!
-give 1 hour before or 2 hours after meals
-small, frequent meals
-frequent mouth care
-change postions slowly
-can be used with thiazide diuretics
-s/e: dizziness, ortho hypo

Front 187

Enalapril (Vasotec)

Back 187

antihypertensives- tx of HTN, CHF
ACE inhibitors (Angiotensin converting enzyme)
-blocks ACE in lungs from converting angio1 to angio2 (powerful vasoconstrictor): decreasing BP, decreasing aldosterone secretion, causing sodium and fluid loss

Hint 187

-report SWELLING of FACE, lightheadedness asap!
-give 1 hour before or 2 hours after meals
-small, frequent meals
-frequent mouth care
-change postions slowly
-can be used with thiazide diuretics
-s/e: dizziness, ortho hypo

Front 188

Lisinopril (Zestril, Prinivil)

Back 188

antihypertensives- tx of HTN, CHF
ACE inhibitors (Angiotensin converting enzyme)
-blocks ACE in lungs from converting angio1 to angio2 (powerful vasoconstrictor): decreasing BP, decreasing aldosterone secretion, causing sodium and fluid loss

Hint 188

--report SWELLING of FACE, lightheadedness asap!
-give 1 hour before or 2 hours after meals
-small, frequent meals
-frequent mouth care
-change postions slowly
-can be used with thiazide diuretics
-s/e: dizziness, ortho hypo

Front 189

Benazepril (Lotensin)

Back 189

antihypertensives- tx of HTN, CHF
ACE inhibitors (Angiotensin converting enzyme)
-blocks ACE in lungs from converting angio1 to angio2 (powerful vasoconstrictor): decreasing BP, decreasing aldosterone secretion, causing sodium and fluid loss

Hint 189

-give 1 hour before or 2 hours after meals
-small, frequent meals
-frequent mouth care
-change postions slowly
-can be used with thiazide diuretics
-s/e: ortho hypo, tachycardia, MI, proteinuria, rash, persistant dry non-productive cough, peripheral edema

Front 190

Fosinopril (Monopril)

Back 190

antihypertensives- tx of HTN, CHF
ACE inhibitors (Angiotensin converting enzyme)
-blocks ACE in lungs from converting angio1 to angio2 (powerful vasoconstrictor): decreasing BP, decreasing aldosterone secretion, causing sodium and fluid loss

Hint 190

-give 1 hour before or 2 hours after meals
-small, frequent meals
-frequent mouth care
-change postions slowly
-can be used with thiazide diuretics
-s/e: ortho hypo, tachycardia, MI, proteinuria, rash, persistant dry non-productive cough, peripheral edema

Front 191

Quinapril (Accupril)

Back 191

antihypertensives- tx of HTN, CHF
ACE inhibitors (Angiotensin converting enzyme)
-blocks ACE in lungs from converting angio1 to angio2 (powerful vasoconstrictor): decreasing BP, decreasing aldosterone secretion, causing sodium and fluid loss

Hint 191

-give 1 hour before or 2 hours after meals
-small, frequent meals
-frequent mouth care
-change postions slowly
-can be used with thiazide diuretics
-s/e: ortho hypo, tachycardia, MI, proteinuria, rash, persistant dry non-productive cough, peripheral edema

Front 192

Ramipril (Altace)

Back 192

antihypertensives- tx of HTN, CHF
ACE inhibitors (Angiotensin converting enzyme)
-blocks ACE in lungs from converting angio1 to angio2 (powerful vasoconstrictor): decreasing BP, decreasing aldosterone secretion, causing sodium and fluid loss

Hint 192

-give 1 hour before or 2 hours after meals
-small, frequent meals
-frequent mouth care
-change postions slowly
-can be used with thiazide diuretics
-s/e: ortho hypo, tachycardia, MI, proteinuria, rash, persistant dry non-productive cough, peripheral edema

Front 193

Atenolol (Tenormin)

Back 193

antihypertensive: Beta-Adrenergic Blocker
-decreases excitabilty of heart, reduces cardiac workload and O2 consumption, decreases release of renin, lowers BP
-s/e?

Hint 193

-do not d/c abrubtly
-take with meals
-for DM pts: blocks normal s/s of hypoglycemia: monitor blood gluocose
-check APICAL pulse, <60 hold drug and call MD
-s/e: bradycardia, hypotension, brochospasm

Front 194

Nadolol (Corgard)

Back 194

antihypertensive: Beta-Adrenergic Blocker
-decreases excitabilty of heart, reduces cardiac workload and O2 consumption, decreases release of renin, lowers BP

Hint 194

-do not d/c abrubtly
-take with meals
-for DM pts: blocks normal s/s of hypoglycemia: monitor blood gluocose
-teach pt to check pulse before each dose
-check APICAL pulse before giving: <60 hold
-s/e: bradycardia, hypotension, HF

Front 195

Propranolol (Inderal)

Back 195

antihypertensive: Beta-Adrenergic Blocker
-decreases excitabilty of heart, reduces cardiac workload and O2 consumption, decreases release of renin, lowers BP

Hint 195

-do not d/c abrubtly
-take with meals
-for DM pts: blocks normal s/s of hypoglycemia: monitor blood gluocose
-teach pt to check pulse before each dose
-s/e: hypotension, brochospasm, bradycardia, depression, weakness

Front 196

Metoprolol (Lopressor)

Back 196

antihypertensive: Beta-Adrenergic Blocker
-decreases excitabilty of heart, reduces cardiac workload and O2 consumption, decreases release of renin, lowers BP

Hint 196

-do not d/c abrubtly
-take with meals
-for DM pts: blocks normal s/s of hypoglycemia: monitor blood gluocose
-teach pt to check pulse before each dose
-check APICAL pulse before giving: <60 hold
-s/e: bradycardia, hypotension, HF, depression

Front 197

Acebutolol (Sectral)

Back 197

antihypertensive: Beta-Adrenergic Blocker
-decreases excitabilty of heart, reduces cardiac workload and O2 consumption, decreases release of renin, lowers BP

Hint 197

-do not d/c abrubtly
-take with meals
-for DM pts: blocks normal s/s of hypoglycemia: monitor blood gluocose

Front 198

Carvedilol (Coreg)

Back 198

antihypertensive: Beta-Adrenergic Blocker
-decreases excitabilty of heart, reduces cardiac workload and O2 consumption, decreases release of renin, lowers BP

Hint 198

-do not d/c abrubtly
-take with meals
-for DM pts: blocks normal s/s of hypoglycemia: monitor blood gluocose

Front 199

Pindolol (Visken)

Back 199

antihypertensive: Beta-Adrenergic Blocker
-decreases excitabilty of heart, reduces cardiac workload and O2 consumption, decreases release of renin, lowers BP

Hint 199

-do not d/c abrubtly
-take with meals
-for DM pts: blocks normal s/s of hypoglycemia: monitor blood gluocose

Front 200

Nifedipine (Procardia)

Back 200

antihypertensive: Calcium Channel Blocker
-reduces workload of left ventricle
-coronary vasodilator

Hint 200

-Monitor BP
-assist with ambulation at start of therapy.
-contact MD if BP <90/60
s/e: hypotension
dizziness
GI distress
Liver disfunction
jitteriness

Front 201

Verapamil (Calan)

Back 201

antihypertensive: Calcium Channel Blocker
-reduces workload of left ventricle
-coronary vasodilator

Hint 201

-avoid grapefruit juice
-Monitor BP
-assist with ambulation at start of therapy.
-contact MD if BP <90/60
s/e: hypotension
dizziness
GI distress
Liver disfunction
jitteriness

Front 202

Diltiazem (Cardizem)

Back 202

antihypertensive: Calcium Channel Blocker
-reduces workload of left ventricle
-coronary vasodilator

Hint 202

-Monitor BP
-assist with ambulation at start of therapy.
-contact MD if BP <90/60
s/e: hypotension
dizziness
GI distress
Liver disfunction
jitteriness

Front 203

Amlodipine (Norvasc)

Back 203

antihypertensive: Calcium Channel Blocker

Hint 203

-Monitor BP
-assist with ambulation at start of therapy.
-contact MD if BP <90/60
s/e: hypotension
dizziness
angina
Liver disfunction
AV block
bradycardia
perpheral edema

Front 204

Felodipine (Plendil)

Back 204

antihypertensive: Calcium Channel Blocker

Hint 204

-Monitor BP
-assist with ambulation at start of therapy.
-contact MD if BP <90/60
s/e: hypotension
dizziness
angina
Liver disfunction
AV block
bradycardia
perpheral edema

Front 205

general info about antihypertensive: Calcium Channel Blocker
1. action?

Back 205

-slows impulse conduction, depresses myocardial contractility, dilation of cornary arteries, decreases cardiac workload and energy consumption, increases O2 of myocardial cells

Hint 205

-don't give for heart block
-monitor for signs of HF
--contact MD if BP <90/60
-assist with ambulation at start of therapy.

Front 206

Candesartan (Atacand)

Back 206

antihypertensive: Angiotensin II Receptor Antagonists: (ACE blockers/ ARB)

Hint 206

s/e: angioedema, renal failure, ortho hypo
-instruct client about postion changes
-monitor for edema
-tell pt to call MD if edema occurs

Front 207

Eprosartan (Teveten)

Back 207

antihypertensive: Angiotensin II Receptor Antagonists: (ACE blockers/ ARB)

Hint 207

s/e: angioedema, renal failure, ortho hypo
-instruct client about postion changes
-monitor for edema
-tell pt to call MD if edema occurs

Front 208

Irbesartan (Avapro)

Back 208

antihypertensive: Angiotensin II Receptor Antagonists: (ACE blockers/ ARB)

Hint 208

s/e: angioedema, renal failure, ortho hypo
-instruct client about postion changes
-monitor for edema
-tell pt to call MD if edema occurs

Front 209

Losartan (Cozaar)

Back 209

antihypertensive: Angiotensin II Receptor Antagonists: (ACE blockers/ ARB)

Hint 209

s/e: angioedema, renal failure, ortho hypo
-instruct client about postion changes
-monitor for edema
-tell pt to call MD if edema occurs

Front 210

Valsartan (Diovan)

Back 210

antihypertensive: Angiotensin II Receptor Antagonists: (ACE blockers/ ARB)

Hint 210

s/e: angioedema, renal failure, ortho hypo
-instruct client about postion changes
-monitor for edema
-tell pt to call MD if edema occurs

Front 211

Doxazosin (Cardura)

Back 211

antihypertensive: Alpha 1-adrenergic blocker
s/e: ortho hypo
reflex tachycardia
nasal congestion
impotence

Hint 211

-give 1st dose at bedtime
-change positions slowly- b/c ortho hypo s/e
-Monitor BP, weight, BUN/creat edema

Front 212

Prazosin (Minipress)

Back 212

antihypertensive: Alpha 1-adrenergic blocker

antihypertensive: Alpha 1-adrenergic blocker
s/e: ortho hypo
reflex tachycardia
nasal congestion
impotence

Hint 212

-give 1st dose at bedtime
-change positions slowly- b/c ortho hypo s/e
-Monitor BP, weight, BUN/creat edema

Front 213

Terazosin (Hytrin)

Back 213

antihypertensive: Alpha 1-adrenergic blocker

antihypertensive: Alpha 1-adrenergic blocker
s/e: ortho hypo
reflex tachycardia
nasal congestion
impotence

Hint 213

-give 1st dose at bedtime
-change positions slowly- b/c ortho hypo s/e
-Monitor BP, weight, BUN/creat edema

Front 214

Clonidine (Catapres)

Back 214

antihypertensive: Centrally acting Alpha-adrenergics
-stimulates alpha receptors in medulla, decreasing rate of force of contraction, decreasing cardiac output.
-s/e?

Hint 214

s/e: drowsiness, dizziness, dry mouth, h/a, dermatitis, severe rebound hypertension.
-Don't d/c abruptly
-apply patch to non-hairy area!!

Front 215

Methyldopa (Aldomet)

Back 215

antihypertensive: Centrally acting Alpha-adrenergics
-stimulates alpha receptors in medulla, decreasing rate of force of contraction, decreasing cardiac output.

Hint 215

s/e: drowsiness, dizziness, bradycardia, hemolytic anemia, fever, ortho hypo.
-monitor CBC
-monitor liver function
-take at hs to min drowsiness
-change postions slowly

Front 216

Hydralazine (Apresoline)

Back 216

antihypertensives: direct acting vasodilators
-relaxes smooth muscle in vessels=lowers peripheral resistance

Hint 216

-give with meals
-observe mental status
-check for weight gain, edema
s/e: lupus erythematous-like syndrome,
h/a, palpitations, edema, tachycardia

Front 217

Minoxidil

Back 217

antihypertensives: direct acting vasodilators
-relaxes smooth muscle in vessels=lowers peripheral resistance

Hint 217

-teach pt to check pulse
-check APICAL pulse before giving
-monitor weight gain, I&O
-s/e: tachycardia, angina pectoris, edema, increase in body hair.

Front 218

herbs that interact with antihypertensive drugs:

Back 218

Ma-huang (ephedra) = decreases effect of med, increases HTN with beta blockers
Black cohosh=increases hypo effects
Goldenseal=counteracts effects

Front 219

Lithium

Back 219

med for bi-polar disorder
-controls manic episodes
-normal target level: 1-1.5mEq/L
-s/s of toxicity?

Hint 219

-increase fluids 2,500-3,000 ml/day
-check serum 2-3x wk at start, then monthly while on maintenance. test/draw in AM!
-takes 1-2 wks to work
-s/s of toxicity: vomiting, diarrhea, drowsiness, muscular weakness, ataxia

Front 220

Carbamazepine (Tegretol)

Back 220

med for bi-polar disorder
-mood stabilzer
-used for seizures and trigeminal neuralgia

Hint 220

-obtain baseline urinaylsis, BUN, liver function, CBC
-shake oral susp
-NG tube=mix with equal amounts of NS or D5, then flush
-take with food
-drowsiness appears in 3-4days
s/e: vertigo, ataxia, CHF, aplastic anemia

Front 221

Divalproex sodium (Depakote)

Back 221

med for bi-polar disorder
-mood stabilzer
-used for siezures

Hint 221

-monitor liver function, platelet count at starting med and during
-monitor blood levels
-take with food
-teach client about s/s of liver disfuntion: fever, malaise
-s/e: toxic hepatitis, thrombocytopenia, pancreatitis, sedation

Front 222

General info about bipolar meds
action?
s/s severe toxcitiy?
s/e?

Back 222

action=reduces catecholamines released into synapse and increases uptake of norepineephrine, serotonin
s/s toxicity=exagerated reflexes, seizures, coma
s/e: GI upset, tremors, polydipsia, polyuria

Front 223

Busulfan (Myleran)

Back 223

antineoplastic agent: alkylating agent
-interfers with rapidly producing DNA

Hint 223

-s/e: bone marrow supression
-Check CBC
-causes stomatitis- requires extra fluids to flush system

Front 224

Chlorambucil (Leukeran)

Back 224

antineoplastic agent: alkylating agent
-interfers with rapidly producing DNA

Hint 224

-monitor for infection
-avoid IM when platelets are low
s/e: n/v, bone marrow suppresion, sterilty
-encourage fluids

Front 225

Cisplatin platinol -AQ

Back 225

antineoplastic agent: alkylating agent
-interfers with rapidly producing DNA

Hint 225

-encourage fluids
-check hematopoietic function weekly.

Front 226

Cyclophosphamide (Cytoxan)

Back 226

antineoplastic agent: alkylating agent
-interfers with rapidly producing DNA

Hint 226

-monitor for infection
-give antiemetics
-report hematuria
-force fluids
-se: alopecia, bone marrow suppresion, hemorrhagic cystitis, dermatitis, hyperclamia, hypoglycemia, amenorrhea.

Front 227

Cytarabine (ARA-C)

Back 227

antineoplastic agent
antimetabolites- "fool cells"-so cell division is halted.
s/e: n/v, hemo abnormalities, rash, weight loss

Hint 227

-force fluids, good oral care

Front 228

Fluorouracil (5-FU)

Back 228

antineoplastic agent
antimetabolites- "fool cells"-so cell division is halted.
s/e: n/v, diarrhea, bone marrow suppression, GI ulceration, alopecia, liver disfunction, stomatitis

Hint 228

-monitor for infection
-avoid extravasation

Front 229

Pemetrexed (Alimta)

Back 229

antineoplastic agent
antimetabolites- "fool cells"-so cell division is halted.
s/e: n/v, diarrhea, bone marrow suppression, GI ulceration, alopecia, liver disfunction, stomatitis

Front 230

Mercaptopurine (6-MP)

Back 230

antineoplastic agent
antimetabolites- "fool cells"-so cell division is halted.
s/e: n/v, diarrhea, bone marrow suppression, alopecia, liver disfunction, ab bleeding

Hint 230

-check liver!

Front 231

Methotrexate (MTX)

Back 231

antineoplastic agent
antimetabolites- "fool cells"-so cell division is halted.
s/e: n/v, bloody diarrhea, bone marrow suppression, GI ulceration, alopecia, liver disfunction, stomatitis

Hint 231

-good mouth care, avoid alcohol
-monitor live and renal function

Front 232

hydroxyurea (Hydrea)

Back 232

antineoplastic agent
antimetabolites- "fool cells"-so cell division is halted.
s/e: n/v, diarrhea, bone marrow suppression, GI ulceration, liver disfunction, rash

Hint 232

-teach ot to report toxic GI s/s ASAP

Front 233

Bleomycin (Blenoxane)

Back 233

antineoplastic agent:
antitumor antibiotics- interfers with DNA and RNA synthesis

Hint 233

-monitor for septicemic reactions
-monitor for s/s of extravasation at injection sites

Front 234

Dactinomycin (Actinomycin D)

Back 234

antineoplastic agent:
antitumor antibiotics- interfers with DNA and RNA synthesis

Hint 234

-monitor for septicemic reactions
-monitor for s/s of extravasation at injection sites

Front 235

Doxorubicin (Adriamycin)

Back 235

antineoplastic agent:
antitumor antibiotics- interfers with DNA and RNA synthesis

Hint 235

-monitor for septicemic reactions
-monitor for s/s of extravasation at injection sites

Front 236

Tamoxifen (Nolvadex)

Back 236

antineoplastic agent: hormonal agents
used in breast cancer
-antiestrogen= competes with estrogen to bind to estrogene receptor sites on malignant cells

Hint 236

-causes transient fall in WBC or platelets, hypercalcemia, bone pain
-monitor serum Calcium
-check CBC

Front 237

Leuprolide (Lupron)

Back 237

antineoplastic agent: hormonal agents
used in breast cancer
-progestin=causes tumor cell regression by unknown mechanisms

Front 238

Testolactone (Teslac)

Back 238

antineoplastic agent: hormonal agents
-androgen= used for palliation in advanced breast cancer

Front 239

Vinblastine (Velban)

Back 239

antineoplastic agent: vinca alkaloids
-interfers with cell division

Hint 239

s/e: n/v, loss of reflexes, bone marrow depression
-Avoid IV inflitration and extravasation
-IV can cause bronchospasm
-give antiemtic prior
-Zyloprim given to help excrete uric acid

Front 240

Vincristine (Oncovin)

Back 240

antineoplastic agent: vinca alkaloids
-interfers with cell division

Hint 240

s/e: n/v, loss of reflexes, bone marrow depression
-Avoid IV inflitration and extravasation
-check reflexes
-give antiemtic prior
-Zyloprim given to help excrete uric acid

Front 241

General info about antineoplastic agents

Back 241

1. bone marrow suppression
2. n/v
3. altered immune response
4. impaired oral mucosa, stomatis
5. Fatigue

Hint 241

1. monitor bleeding, avoid IM, avoid rectal temp
2. small frequent meals, antiemtics
3. handwashing, timely reports in changes in VS indicating infection
4. oral hygiene
5. encourage rest

Front 242

Trihexyphenidyl (Artane)

Back 242

antiparkinson med
-blocks acetocholine at cerebral synaptic sites

Hint 242

-monitor Intraocular pressure, don't give with glaucoma
-assist with ambulation
-give with food
-avoid OTC meds, foods with vit B6, alcohol

Front 243

Benztropine mesylate (Cogentin)

Back 243

antiparkinson med
-supresses tremor of parkinison

Hint 243

-monitor Intraocular pressure, don't give with glaucoma
-assist with ambulation
-give with food
-avoid OTC meds, foods with vit B6, alcohol

Front 244

Levodopa (l-dopa)

Back 244

antiparkinson med
-precursor of dopamine

Hint 244

-monitor Intraocular pressure, don't give with glaucoma
-assist with ambulation
-give with food
-avoid OTC meds, foods with vit B6, alcohol

Front 245

bromocriptine mesylate (Parodel)

Back 245

antiparkinson med

Hint 245

-monitor Intraocular pressure, don't give with glaucoma
-assist with ambulation
-give with food
-avoid OTC meds, foods with vit B6, alcohol

Front 246

Pergolide (Permax)

Back 246

antiparkinson med

Hint 246

-monitor Intraocular pressure, don't give with glaucoma
-assist with ambulation
-give with food
-avoid OTC meds, foods with vit B6, alcohol

Front 247

Carbidopa-Levodopa (Sinemet)

Back 247

antiparkinson med

Hint 247

-don't use with MAO inhibitors
-monitor Intraocular pressure, don't give with glaucoma
-assist with ambulation
-give with food
-avoid OTC meds, foods with vit B6, alcohol

Front 248

Amantadine (Symmetrel)

Back 248

antiparkinson med

Hint 248

-monitor Intraocular pressure, don't give with glaucoma
-assist with ambulation
-give with food
-avoid OTC meds, foods with vit B6, alcohol
-don't give if epilepsy, arterioscerosis

Front 249

general info about anti-parkinson meds

Back 249

s/e: ataxia, confusion, psychosis, hemolytic anemia, n/v, ortho hypo, anticholingeric effects

Hint 249

-monitor urinary retention
-avoid vit B6, alcohol, OTC drugs
-avoid glaucoma pts

Front 250

Adenosine diphosphate (ADP) receptors antagonists

Back 250

antiplatelets

Hint 250

-s/e gi upset, hemorrhage
-watch out for bruises, bloddy or black stools
-inform dentist, careful brushing
-elderly higher risk for OTOTOXICITY
-contact HCP prior to OTC use
-avoid garlic, gingko, ginger.

Front 251

Ticlodipine (Ticlid)

Back 251

antiplatelets

Hint 251

-s/e gi upset, hemorrhage
-watch out for bruises, bloddy or black stools
-inform dentist, careful brushing
-elderly higher risk for OTOTOXICITY
-contact HCP prior to OTC use
-avoid garlic, gingko, ginger.

Front 252

Copidrogel (Plavix)

Back 252

antiplatelets

Hint 252

-s/e gi upset, hemorrhage
-watch out for bruises, bloddy or black stools
-inform dentist, careful brushing
-elderly higher risk for OTOTOXICITY
-contact HCP prior to OTC use
-avoid garlic, gingko, ginger.

Front 253

Glycoprotein IIb and IIIa receptor antagonists

Back 253

antiplatelets

Hint 253

-s/e gi upset, hemorrhage
-watch out for bruises, bloddy or black stools
-inform dentist, careful brushing
-elderly higher risk for OTOTOXICITY
-contact HCP prior to OTC use
-avoid garlic, gingko, ginger.

Front 254

Eptifibatide (Integrilin)

Back 254

antiplatelets

Hint 254

-s/e gi upset, hemorrhage
-watch out for bruises, bloddy or black stools
-inform dentist, careful brushing
-elderly higher risk for OTOTOXICITY
-contact HCP prior to OTC use
-avoid garlic, gingko, ginger.

Front 255

Abciximab (ReoPro)

Back 255

antiplatelets

Hint 255

-s/e gi upset, hemorrhage
-watch out for bruises, bloddy or black stools
-inform dentist, careful brushing
-elderly higher risk for OTOTOXICITY
-contact HCP prior to OTC use
-avoid garlic, gingko, ginger.

Front 256

Salicylates (Aspirin) (ASA)

Back 256

antiplatelets

Hint 256

-s/e gi upset, hemorrhage
-watch out for bruises, bloddy or black stools
-inform dentist, careful brushing
-elderly higher risk for OTOTOXICITY
-contact HCP prior to OTC use
-avoid garlic, gingko, ginger.

Front 257

Haloperidol (Haldol)

Back 257

antipsychotic
traditional

Hint 257

high incidence for extrapymidal effects

Front 258

Fluphenazine (Prolixin)

Back 258

antipsychotic
traditional

Front 259

Perphenazine (Trilafon)

Back 259

antipsychotic
traditional

Hint 259

-can help control severe vomiting

Front 260

Chlorpromazine (Thorazine)

Back 260

antipsychotic
traditional

Hint 260

-no risk for abuse
-photoensitive

Front 261

Risperidone (Risperdal)

Back 261

antipsychotic
atypical

Hint 261

-1st line drug b/c low EPS, and low anticholinergic effects

Front 262

Quetiapine (Seroquel)

Back 262

antipsychotic
atypical

Hint 262

-1st line drug b/c low EPS, and low anticholinergic effects

Front 263

Ziprasidone (Geodon)

Back 263

antipsychotic
atypical

Hint 263

-low risk for weight gain

Front 264

Aripiprazole (Abilify)

Back 264

antipsychotic
atypical

Front 265

Clozapine (Clorzaril)

Back 265

antipsychotic
atypical

Front 266

Olanzapine (Zyprexa)

Back 266

antipsychotic
atypical

Front 267

nursing considerations with anitpsychotic meds?

Back 267

1. be aware that med lowers seizure theshold
2. slows growth rate in children
3. avoid alcohol
4. monitor GI motility and urinary retention
5. with antiHTN/nitrates, can cause hypoTN.
6. elderly higher risk for dehydration
7. avoid sun exposure
8. takes 4-6 wks to work
9. encourage fluid intake
10. may cause false positive preg. tests
11.DO NOT mix with caffeine or apple juice
12. Use 60ml dilution for every 5ml of med.

Front 268

Akathisia

Back 268

-motor restlessness, inability to sit or stand still, foot tap, pace
-extrapyramidal s/e of antipsychotics

Front 269

Dyskinesia

Back 269

abnormal voluntary movements
s/e of antipyschotics
extrapyramidal

Front 270

Acute dystonic reaction
1. early s/s
2. late s/s?

Back 270

=abnormal muscle tone
s/e of antipyschotics: extrapyramidal
1. early s/s= tightening of jaw. stiff neck, swollen tongue
2. swollen airway, oculogyric crisis= is reversible.

Front 271

parkinson syndrome/ psuedoparkinsonism

Back 271

s/e of antipyschotics
extrapyramidal
=shuffling gait, rigid muscles, excessive salvation, tremors, mask-like face, motor retardation

Hint 271

med mgmt: give benzotropine (Cogentin)
or trihexyphenidyl (Artane)

Front 272

Tardive dyskinesia

Back 272

s/e of antipyschotics
extrapyramidal
=involuntary movements of mouth, tongue, trunk, extremities, chewing motions, sucking, tongue thrusting. May be irreversible!

Front 273

Neuroleptic malignant syndrome

Back 273

s/e of antipyschotics
seriuos!!, not reversible
s/s: ridigty, fever, sweating, autonomic dysfunction(dsyrthymias, fluctuations in BP), confusion, seizures, coma
1. -what nurse does?

Hint 273

1. Immediately D/C antipsychotic!
control hyperthermia, hydration, give Dantroline (muscle relaxant for the rigidity) Bromocriptine used for CNS toxicity

Front 274

Atropine psychosis

Back 274

s/e of antipyschotics
s/s: 1. "Red as a beet" skin hot to touch w/out fever
2. "Dry as a bone" dehydration
3. "Mad as hatter"- AMS

-what does nurse do....

Hint 274

-reduce med or d/c med
-stay with pt while confused for safety

Front 275

Major s/e effects of antipsychotics (8)

Back 275

1. extrapyramidal (5)
2. Anticholinergic
3. sedative
4, hypotensive- ortho hypo
5. phototoxic
6. neuroleptic malignant syndrome
7. atropine psychosis
8. discolors urine pink to red brown.

Front 276

tylenol (Acetaminophen)

Back 276

antipyretic
antiinflammatory
antiprostaglandin activity in hypothalamus reduces fever, causes peripheral vasodilation

Front 277

Salicylates (asiprin, ASA)

Back 277

antipyretic
antiinflammatory
antiprostaglandin activity in hypothalamus reduces fever, causes peripheral vasodilation

Hint 277

-DO NOT under 21 ys =risk for Reye's syndrome
-give with milk, food, water
-don't give if pt has bleeding disorder

Front 278

Methimazole (Tapazole)

Back 278

antithyroid
tx hyperthyroidism, thyrotoxic crisis
-ihibits synthesis of thyroid hormone

Hint 278

-check CBC
-check hepatic function
-give with meals
-Report fever, sore throat to MD

Front 279

Propylthiouracil (PTU)

Back 279

antithyroid
tx hyperthyroidism, thyrotoxic crisis
-ihibits synthesis of thyroid hormone

Hint 279

-check CBC
-check hepatic function
-give with meals
-Report fever, sore throat to MD

Front 280

Lugol's iodine solution

Back 280

antithyroid
tx hyperthyroidism, thyrotoxic crisis
-used 2 wks prior to surgery= decreases vasularity, decreases hormone release
-only effective for short period of time

Hint 280

-stains teeth
-dilute in water, juice
-give after meals

Front 281

Potassium iodine (SSKI)

Back 281

antithyroid
tx hyperthyroidism, thyrotoxic crisis
-used 2 wks prior to surgery= decreases vasularity, decreases hormone release

Hint 281

-stains teeth
-dilute in water, juice
-give after meals

Front 282

how is sodium effect lithium

Back 282

lithium a med for bi-polar manic phase
-alkali metal salt acts like sodium ions in the body; excretion of lithium depends on normal sodium levels; sodium reduction causes marked lithium retention, leading to toxicity

Front 283

bacterial meningitis vs. viral meningitis?
what precautions?

Back 283

bacterial is worse. Has cloudy CSF, and high WBC
-viral is less severe, clear CSF, and normal high WBC's
-droplet precautions

Front 284

Miller-abbott tube
function?
what is it used to tx?

Back 284

Miller-Abbott tube provides for intestinal decompression; intestinal tube is often used for treatment of paralytic ileus.
-tube would be placed in an area of reduced peristalsis and would slowly work past an obstruction

Front 285

Levin or Salem Sump
function?

Back 285

-Prevents fluid and gas accumulation in the stomach
-decompresses the stomach

Front 286

PKU
what does it test?
When should it be done?

Back 286

genetic disorder caused by a deficiency in liver enzyme phenylalanine hydroxylase. Body cannot metabolize the essential amino acid phenylalanine. This allows phenyl acid to accumulate in the blood. If not recognized, resultant high levels of phenyl ketone in the brain cause mental retardation.
THINK: protein
2. BEST time to test is after the infant has ingested enough protein (i.e. breast milk) to test the infant’s blood. NO LATER THAN 7 days

Front 287

Zidovudine (AZT)

Back 287

antivirals

Front 288

Levothyroxine (Synthroid, Levothroid)

Back 288

thyroid replacement med. Tx hypothyroidism

Hint 288

report chest pain, SOB, palpations to MD. Withold if pulse is >100

Front 289

Liothyronine sodium (Cytomel)

Back 289

thyroid replacement med. Tx hypothyroidism

Hint 289

take same time everyday. Take in AM. Withhold if pulse is >100

Front 290

General info about thyroid replacement meds

Back 290

tx hypothyroidism. Enhances anticoagulants (prolongs PTT). Decreases action of insulin, & digitalis. Monitor weight (>2lbs wk=bad). Avoid OTC drugs

Front 291

Isoniazid (INH)

Back 291

antiTB- 1st line agents

Hint 291

liver toxic. Check for s/s of hepatitis. Works in 2-3wks.

Front 292

Ethambutol (EMB)

Back 292

antiTB- 1st line agents

Hint 292

a

Front 293

Rifampin (RIF, Rifadin)

Back 293

antiTB- 1st line agents

Hint 293

a

Front 294

Streptomycin

Back 294

antiTB- 1st line agents

Hint 294

a

Front 295

Para-amino salicyclic acid (PAS)

Back 295

ant-TB- 2nd line agents

Hint 295

a

Front 296

Pyrazinamide (PZA)

Back 296

ant-TB- 2nd line agents

Hint 296

a

Front 297

Dextromethoorphan hydromide (Benylin DM, Pertussis ES, Vicks formula 44)

Back 297

anttussive/expectorant

Hint 297

a

Front 298

Guaifensin (Robitussin)

Back 298

anttussive/expectorant

Hint 298

a

Front 299

Acyclovir (Zovirax)

Back 299

antivirals

Hint 299

a

Front 300

Ribavarin (Virazole)

Back 300

antivirals

Hint 300

a

Front 301

Zidovudine (AZT)

Back 301

antivirals

Hint 301

a

Front 302

Zalcitabine (HIVID)

Back 302

antivirals

Hint 302

a

Front 303

Didanosine (Videx)

Back 303

antivirals

Hint 303

a

Front 304

Famiciclovir (Famvir)

Back 304

antivirals

Hint 304

a

Front 305

Ganciclovir (Cytonvene)

Back 305

antivirals

Hint 305

a

Front 306

Amantadine (Symmetrel)/Rimantadine (Flumadine)

Back 306

antivirals

Hint 306

a

Front 307

Oseltamivir (Tamiflu)

Back 307

antivirals

Hint 307

a

Front 308

Zanamivir (Relenza)

Back 308

antivirals

Hint 308

a

Front 309

Methylphidate (Ritalin)

Back 309

Attention deficit, hyperactivity disorder med

Hint 309

a

Front 310

Dextroamphetamine sulfate (Dexedrine)

Back 310

Attention deficit, hyperactivity disorder med

Hint 310

a

Front 311

Alendronate (Fosamax)

Back 311

Bone-reabsorbtion inhibitors (Biophosphonates)

Hint 311

a

Front 312

Risedronate (Actonel)

Back 312

Bone-reabsorbtion inhibitors (Biophosphonates)

Hint 312

a

Front 313

Ibandronate (Boniva)

Back 313

Bone-reabsorbtion inhibitors (Biophosphonates)

Hint 313

a

Front 314

Aminophyline (Truphylline)

Back 314

Bronchodilators/leukotriene-receptor blockers

Hint 314

a

Front 315

Terbutaline sulfate (Brethaire)

Back 315

Bronchodilators/leukotriene-receptor blockers

Hint 315

a

Front 316

Ipatropium bromide (Atrovent)

Back 316

Bronchodilators/leukotriene-receptor blockers

Hint 316

a

Front 317

Tiotropium (Spiriva)

Back 317

Bronchodilators/leukotriene-receptor blockers

Hint 317

a

Front 318

Albuterol (Proventil)

Back 318

Bronchodilators/leukotriene-receptor blockers

Hint 318

a

Front 319

Salmeterol (Serevent)

Back 319

Bronchodilators/leukotriene-receptor blockers

Hint 319

a

Front 320

Epinephrine (Adrenline, Primatene mist)

Back 320

Bronchodilators/leukotriene-receptor blockers

Hint 320

a

Front 321

Montelukast sodium (Singulair)

Back 321

Bronchodilators/leukotriene-receptor blockers

Hint 321

a

Front 322

Zafirlukast (Accolade)

Back 322

Bronchodilators/leukotriene-receptor blockers

Hint 322

a

Front 323

Zileuton (Zyflo)

Back 323

Bronchodilators/leukotriene-receptor blockers

Hint 323

a

Front 324

Acetylcysteine (Mucomyst)

Back 324

Bronchodilators/xanthines

Hint 324

a

Front 325

Cromolyn sodium (Intal)

Back 325

Bronchodilators/xanthines

Hint 325

a

Front 326

Salmeterol (Serevent)

Back 326

Bronchodilators/xanthines

Hint 326

a

Front 327

Montelukast sodium (Singulair)

Back 327

Bronchodilators/xanthines

Hint 327

a

Front 328

Acetazolamide (Diamox)

Back 328

Carbonic anhydrase

Hint 328

a

Front 329

Digoxin (Lanoxin)

Back 329

cardiac glycosides

Hint 329

a

Front 330

Sucralfate (Carafate)

Back 330

cytoprotective agent

Hint 330

a

Front 331

Hydochlorothiazide (Hydrodiuril)

Back 331

Thiazide diuretic

Hint 331

a

Front 332

Chlorothiazide (Diuril)

Back 332

Thiazide diuretic

Hint 332

a

Front 333

Spironalactone (Aldactone)

Back 333

poatassium sparing diuretic

Hint 333

a

Front 334

Furosemide (Lasix)

Back 334

loop diuretic

Hint 334

a

Front 335

Ethacrynic acid (Edeecrin)

Back 335

loop diuretic

Hint 335

a

Front 336

Bumetamide (Bumex)

Back 336

loop diuretic

Hint 336

a

Front 337

Mannitol

Back 337

osmotic diuretic

Hint 337

a

Front 338

Chlorthalidone (Hygroton, Thalitone)

Back 338

diuretic

Hint 338

a

Front 339

Calcium carbonate (Os-CAL)

Back 339

electrolytes and replacement solutions

Hint 339

a

Front 340

Calcium chloride

Back 340

electrolytes and replacement solutions

Hint 340

a

Front 341

Magnesium Chloride (Slow Mag)

Back 341

electrolytes and replacement solutions

Hint 341

a

Front 342

Potassium chloride (K-Dur, slow-K, Micro-k)

Back 342

electrolytes and replacement solutions

Hint 342

a

Front 343

Potassium gluconate (Kaon liquid)

Back 343

electrolytes and replacement solutions

Hint 343

a

Front 344

sodium chloride

Back 344

electrolytes and replacement solutions

Hint 344

a

Front 345

ferrous sulfate (Feosol)

Back 345

iron preparations

Hint 345

a

Front 346

Iron dextran (Imferon)

Back 346

iron preparations

Hint 346

a

Front 347

Calcium

Back 347

mineral

Hint 347

a

Front 348

Vitamin D (ergocalciferol)

Back 348

mineral

Hint 348

a

Front 349

Sodium Fluoride

Back 349

mineral

Hint 349

a

Front 350

Potassium (K-Lor)

Back 350

mineral

Hint 350

a

Front 351

Methlcellulose (Tearisol)

Back 351

eye meds

Hint 351

a

Front 352

Polyvinyl alcohol (liquifilm tears)

Back 352

eye meds

Hint 352

a

Front 353

Tetrahydrozoline (visine, murine plus)

Back 353

eye meds

Hint 353

a

Front 354

Timolol maleate (Timoptic)

Back 354

eye meds

Hint 354

a

Front 355

Levobunolol (Betagan)

Back 355

eye meds

Hint 355

a

Front 356

Proparacaine HCI (Alcaine)

Back 356

eye meds

Hint 356

a

Front 357

Tetracaine HCI, cocaine (Pontocaine)

Back 357

eye meds

Hint 357

a

Front 358

Gentamycin (Garamycin)

Back 358

eye meds

Hint 358

a

Front 359

Tobramycin (Tobrex)

Back 359

eye meds

Hint 359

a

Front 360

Prednisolone acetate (Ocu-pred)

Back 360

eye meds

Hint 360

a

Front 361

Idoxuridine (Herplex, Stoxil)

Back 361

eye meds

Hint 361

a

Front 362

Dipivefrin HCI (Propine)

Back 362

eye meds

Hint 362

a

Front 363

Flurbiprofen (Ocufen)

Back 363

eye meds

Hint 363

a

Front 364

Cortisone acetate

Back 364

glucocorticoids

Hint 364

a

Front 365

Hydrocortisone (Solu-Cortef)

Back 365

glucocorticoids

Hint 365

a

Front 366

Dexamethasone (Decadron)

Back 366

glucocorticoids

Hint 366

a

Front 367

Methylprednisolone (Solu-Medrol)

Back 367

glucocorticoids

Hint 367

a

Front 368

Prednisone (Deltrasone)

Back 368

glucocorticoids

Hint 368

a

Front 369

Beclomethasone

Back 369

glucocorticoids

Hint 369

a

Front 370

Betamethasone

Back 370

glucocorticoids

Hint 370

a

Front 371

Budesonide (Pulmicort)

Back 371

glucocorticoids

Hint 371

a

Front 372

Montelukast sodium (Singulair)

Back 372

leukotriene-receptor blockers

Hint 372

a

Front 373

Zafirlukast (Accolate)

Back 373

leukotriene-receptor blockers

Hint 373

a

Front 374

Zileuton (Zyflo)

Back 374

leukotriene-receptor blockers

Hint 374

a

Front 375

Fludrocortisone acetate (Florinef)

Back 375

mineralocorticoids

Hint 375

a

Front 376

Deferoxamine mesylate (Desferal mesylate)

Back 376

heavy metal antagonists

Hint 376

a

Front 377

Dimercaprol (BAL in oil)

Back 377

heavy metal antagonists

Hint 377

a

Front 378

Edetate calcium disodium (EDTA) (Calcium disodium, Versenate)

Back 378

heavy metal antagonists

Hint 378

a

Front 379

Cyclosporine (Sandimmune)

Back 379

immunosupressants

Hint 379

a

Front 380

Cascara

Back 380

laxative and stool softeners

Hint 380

a

Front 381

Bisacodyl (Dulcolax)

Back 381

laxative and stool softeners

Hint 381

a

Front 382

Phenolphthalein (Feen-A-Mint)

Back 382

laxative and stool softeners

Hint 382

a

Front 383

Mineral Oil

Back 383

laxative and stool softeners

Hint 383

a

Front 384

Docusate (Colace)

Back 384

laxative and stool softeners

Hint 384

a

Front 385

Milk of magnesia

Back 385

laxative and stool softeners

Hint 385

a

Front 386

Psyllium hydrophillic mucilliod (Metamucil)

Back 386

laxative and stool softeners

Hint 386

a

Front 387

Polyethylene glycol and electrolytes (Colyte)

Back 387

laxative and stool softeners

Hint 387

a

Front 388

Pilocarpine (Isopto-Carpine, Pilocar)

Back 388

miotic eye med (for open angle glaucoma)

Hint 388

a

Front 389

Carachol (Carbacel)

Back 389

miotic eye med (for open angle glaucoma)

Hint 389

a

Front 390

Edrophonium (Tensilon)

Back 390

musculoskeletal meds (for Myathenia gravis)

Hint 390

a

Front 391

Neostigmine (Prostigmin)

Back 391

musculoskeletal meds (for Myathenia gravis)

Hint 391

a

Front 392

Pyridostigmine bromide (Mestinon)

Back 392

musculoskeletal meds (for Myathenia gravis)

Hint 392

a

Front 393

Alendronate sodiumm (Fosamax)

Back 393

musculoskeletal meds (for osteoporosis, Paget's)

Hint 393

a

Front 394

Glucosamine

Back 394

musculoskeletal meds (antirheumatic)

Hint 394

a

Front 395

Atropine sulfate (Isopto-Atropine)

Back 395

mydriatic and cyclopegic eye med

Hint 395

a

Front 396

Cyclopentolate (Cyclogyl)

Back 396

mydriatic and cyclopegic eye med

Hint 396

a

Front 397

Morohine Sulfate

Back 397

narcotic (opioid anagesics)

Hint 397

a

Front 398

Codeine

Back 398

narcotic (opioid anagesics)

Hint 398

a

Front 399

Methadone (Dolophine)

Back 399

narcotic (opioid anagesics)

Hint 399

a

Front 400

Propoxyphene (Darvon)

Back 400

narcotic (opioid anagesics)

Hint 400

a

Front 401

Merperidine (Demerol)

Back 401

narcotic (opioid anagesics)

Hint 401

a

Front 402

Hydromorphine (Dilaudid)

Back 402

narcotic (opioid anagesics)

Hint 402

a

Front 403

Oxycodone (Percodan)

Back 403

narcotic (opioid anagesics)

Hint 403

a

Front 404

Hydrocodone/Acetaminophen (Vicodin)

Back 404

narcotic (opioid anagesics)

Hint 404

a

Front 405

Nitroglycerin (Nitro-Bid, Nitrostat, Transderm-Nitro0

Back 405

nitrates/ antianginals

Hint 405

a

Front 406

Isosorbide (Isordil, Sorbitrate)

Back 406

nitrates/ antianginals

Hint 406

a

Front 407

Ibuprofen (Motrin)

Back 407

NSAID

Hint 407

a

Front 408

Indomethacin (Indocin)

Back 408

NSAID

Hint 408

a

Front 409

Naproxen (Anaprox, Naprosyn)

Back 409

NSAID

Hint 409

a

Front 410

Celecoxib (Celebrex)

Back 410

NSAID

Hint 410

a

Front 411

Ketorolac (Toradol)

Back 411

NSAID

Hint 411

a

Front 412

Calcitonin (Calcimar)

Back 412

med for Paget's disease

Hint 412

a

Front 413

Etidronate disodium (EHDP)

Back 413

med for Paget's disease

Hint 413

a

Front 414

Mithramycin (Mitharcin)

Back 414

med for Paget's disease

Hint 414

a

Front 415

Reteplase (Retavase)

Back 415

thrombolytic med used to tx MI's/stroke w/in 6(?) hrs after s/s

Hint 415

a

Front 416

Alteplase (Activase)

Back 416

thrombolytic med used to tx MI's/stroke w/in 6(?) hrs after s/s

Hint 416

a

Front 417

Tissue plasminogen activator (t-PA)

Back 417

thrombolytic med used to tx MI's/stroke w/in 6(?) hrs after s/s

Hint 417

a

Front 418

Anistreplase (Eminase)

Back 418

thrombolytic med used to tx MI's/stroke w/in 6(?) hrs after s/s

Hint 418

a

Front 419

Streptokinase (Streptase SK)

Back 419

thrombolytic med used to tx MI's/stroke w/in 6(?) hrs after s/s

Hint 419

a

Front 420

Cimetide (Tagamet)

Back 420

ulcer med- H2 antagonist

Hint 420

a

Front 421

Ranitidine (Zantac)

Back 421

ulcer med- H2 antagonist

Hint 421

a

Front 422

Sucralfate (Carafate)

Back 422

ulcer med- H2 antagonist

Hint 422

a

Front 423

Famotidine (Pepcid)

Back 423

ulcer med- H2 antagonist

Hint 423

a

Front 424

Nizatidine (Axid)

Back 424

ulcer med- H2 antagonist

Hint 424

a

Front 425

Omeprazole (Prilosec)

Back 425

ulcer med- antisecretory agent

Hint 425

a

Front 426

Lansoprazole (Prevacid)

Back 426

ulcer med- antisecretory agent

Hint 426

a

Front 427

Rabeprazole (AcipHex)

Back 427

ulcer med- antisecretory agent

Hint 427

a

Front 428

Esomeprazole (Nexium)

Back 428

ulcer med- antisecretory agent

Hint 428

a

Front 429

Pantoprazole (Protonix)

Back 429

ulcer med- antisecretory agent

Hint 429

a

Front 430

Misoprostol (Cytotec)

Back 430

ulcer med- prostagladin analogs

Hint 430

a

Front 431

Cyanocobalamin (Vit B12)

Back 431

vitamin

Hint 431

a

Front 432

Folic acid (Fovite)

Back 432

vitamin

Hint 432

a

Front 433

Ethinyl, Estradiol, Norgestrel (Ovral)

Back 433

women health med- contraceptive

Hint 433

a

Front 434

Levonorgestrel (Norplant)

Back 434

women health med-contraceptive

Hint 434

a

Front 435

Estradiol (Estrace)

Back 435

estrogen

Hint 435

a

Front 436

Estrogens conjugated (Premarin)

Back 436

women health med-estrogen

Hint 436

a

Front 437

Medroxyprogestrone acetate (Provera, Depo-Provera)

Back 437

women health med-progestins

Hint 437

a

Front 438

Terazosin (Hytrin)

Back 438

men's health med-for prostatic hypperplasia, decrease in urinary urgency

Hint 438

a

Front 439

Tamsulosin (Flomax)

Back 439

men's health med-for prostatic hypperplasia, decrease in urinary urgency

Hint 439

a

Front 440

Finasteride (Proscar)

Back 440

men's health med-for prostatic hypperplasia, slows prostatic growth

Hint 440

a

Front 441

Dutasteride (Avodart)

Back 441

men's health med-for prostatic hypperplasia, slows prostatic growth

Hint 441

a

Front 442

Sildenafil (Viagra)

Back 442

anti-impotence agent

Hint 442

a

Front 443

Vardenafil (Levitra)

Back 443

anti-impotence agent

Hint 443

a

Front 444

Tadalafil (Cialis)

Back 444

anti-impotence agent

Hint 444

a

Front 445

Saw palmetto

Back 445

herbal urinary antiseptic tx prostatic begnin hyerplasia

Hint 445

a

Front 446

Echinacea

Back 446

used for colds, wound healing, UTI

Hint 446

a

Front 447

Garlic

Back 447

reduces cholesterol, decrease BP. (increase anticogaulants effects

Hint 447

a

Front 448

Ginseng

Back 448

increase stamina, stimulant to immune and nervous system

Hint 448

a

Front 449

Evening primrose oil

Back 449

anti-inflammatory, sedative. Used for premenstral and menopausal problems

Hint 449

a

Front 450

Chondroitin

Back 450

used for arthitis cause it’s a cartilage systhesis

Hint 450

a

Front 451

Glucosamine

Back 451

used for arthitis cause it’s a cartilage systhesis

Hint 451

a

Front 452

Capsicum/Cayenne Pepper

Back 452

anagelsia, improves blood circulation, used for arthritis, boel probs, nerve pain, PVD, used as personal defense spray

Hint 452

a

Front 453

Feverfew

Back 453

anagelsia. Used for migraines, fever and menstral probs

Hint 453

a

Front 454

Flaxseed

Back 454

laxative, anticholesterol

Hint 454

a

Front 455

Ginger

Back 455

antiemtic, antioxidant, digestive aid, and antiinflammatory

Hint 455

a

Front 456

Licorice

Back 456

soothes expectorant, antiinflammatory. Used for coughs, colds, stomach pains, ulcers

Hint 456

a

Front 457

Saw plametto

Back 457

mild diuretic, used for BPH, increasing sexual vigor, cyctitis

Hint 457

a

Front 458

Chamomile

Back 458

sedative, hypnotic, antiinflammatory. Used for stress, anxiety, GI disorders

Hint 458

a

Front 459

Kava

Back 459

sedative, anti-axiety, insomnia

Hint 459

a

Front 460

Melatonin

Back 460

hormone form pineal gland. Used for insomnia.

Hint 460

a

Front 461

St.John's Wort

Back 461

antidepressant, sedative, antimicrobial. Used for depression, sleep disorders, promotes healing

Hint 461

a

Front 462

Valerian

Back 462

sedative. Used for insommnia, restlessness, anxiety

Hint 462

a

Front 463

Gingko

Back 463

enhances cerbral and peripheral blood flow, antidepressant. Used for dementia, veritgo, depression, and sexual dysfunction

Hint 463

a

Front 464

Hawthorn

Back 464

antianginal, antiarrhythmic, vasodialotor. Used for mild HF, HTN

Hint 464

a

Front 465

Eucalyptus

Back 465

decongestant, antiinflammatory, antimicrobial.

Hint 465

a