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118 Cards in this Set
- Front
- Back
*anti-psychotics
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NO SUN!
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*Clonid
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gyn med, increases ovulation time and eggs
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*haldol
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used for elderly ↓ risk for falling, s/e low sedative effects, high extrapyramidal
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*lithium
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increase pt sodium intake to prevent toxicity
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*mag sulfate
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s/e hypoactive DTR, blurred vision
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*narcan
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used for opiates only
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*NSAIDs
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NVD, occult bleeding, dizziness, confusion
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*phenergan
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vesicant
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*thorazine
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high sedative effect, hypotension, no abuse possible, used for EtOH w/d, extrapyramidal effects
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1 yr to 3yrs stage
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"I WANNA DO IT" autonomy v. shame and doubt
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12 to 20 yrs
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"WHO AM I?" identity v. role confusion
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20 to 35 yrs
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"IM IN LOVE" intimacy v. isolation
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3 to 6yrs
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"LET ME TRY" initiative v. guilt, imitative behavior
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35 to 65 yrs
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"DO OR DIE" generativity v. stagnation
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6 to 12 yrs
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"LOVE HOMEWORK" industry v. inferiority
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65+ yrs
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Integrity v. despair
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addisonian crisis
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Mr ADDISONIAN ADRENAL ↓ adrenal hormones (↓ BP, dehydrated, weak, no weight (hypoglycemic), no hair, no emotion, dark skin, meta acid!
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alcohol withdrawl
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tremors, anorexia, hallucinations, anxiety
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apraxia
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loss of purposeful movements
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ASTs, ALTs
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8-20mg/dL
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autonomic dysreflexia
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hyperreflexia, bradycardia, goose pimples, sweating, HA
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birth to 1 yr stage
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trust v. mistrust
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bladder control
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achieved 18-24 mo
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buerger's disease
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obstructed BV, s/s pale, cold, pain, skin ∆
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calcium
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9-11, children lower
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caloric intakes
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avg adult 1800-3000kcal/day
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cephalosporin
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s/e is overgrowth of organisims (tongue!)
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checking facial muscles
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CN7 + tongue
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checking hearing
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CN8
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checking smell
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CNI
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checking vision
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CN2, CN3(oculomotor), CN4 (trochlear, eyes down)
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creatinine
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0.6-1.5, kids lower
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cushings disease
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MR CUSHINGS ADRENAL ↑ adrenal hormones (↑ BP, ↑ blood volume, ↑ weight (hyperglycemic), moon face, hairy women, meta alka! NO TEMP OR EMOTIONAL CHANGES
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depression
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AM activites
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DI
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DRY!!! dehydrated and dumping urine
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duodnal ulcer
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pain after meals, helped with food
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Fe levels
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15mg/day
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gastric ulcer
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pain before meals, not eased with food, vomiting common "GET THE FOOD OUT"
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glaucoma
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visine (vasoconstrictor) contraidicated
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grain =
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60mg
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graves disease
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HYPERthyroidism, ↑ BMR, NO HEAT, skinny, diarrhea, mental unstable, tachycardic, fine soft hair
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HDL
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≥ 40, keep em high!
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Hemophlia
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sex-linked, father will give to both daughters, mother will give to daughter and son
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Hgb
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11-18, children lower
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hypercalcemia
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↓ reflexes, ↓ muscle strength, constipation
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hypocalcemia
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pos trousseau sign, dysrhythmias
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ivp's
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meds discontinued, given enema
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jaw movement
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CN5
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LDL
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≤ 100, keep it low!!
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meniere syndrome
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balance disorder, s/s tinnitus, vertigo, poss hearing loss
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metabolic acidosis
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pH < 7.35 and HCO3 < 22, smaller HCO3 number and smaller pH number, same!!
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metabolic alkalosis
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pH >7.45 and HCO3 > 26, larger HCO3 and larger pH, same!
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MG
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assess muscle strength @ end of the day
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Miller Abbott tube
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for intestinal decompression
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myxedma
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HYPOthyroidism, NO COLD, obesity, constipation, no sweat, brady, dry skin & hair, reproductive probs, sensitive to narcs
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narcotic withdrawl
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sweating, agitation, panic, hallucinations
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NPO
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infants - 3hrs is adequate
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PIV
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not in joint, can be displaced
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PKU
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one test, after protein consumption, before 7 days post birth
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platlets
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100-400k
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pre-eclampsia s/s
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mild - 140/90, edema, severe- HA, epigastric pain, Hemolysis, Elev Liver, Low Platlets
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PT/PTT
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9-12s (coumadin)/20-39s (heparin)
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radioactive chemo
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Rad dept handles only, keep forcepts, emergency equipt in room, keep linen in room until d/c
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RBC levels
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3.2-6.2, children lower
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respiratory acidosis
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pH < 7.35 and CO2 > 45, opposites
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respiratory alkalosis
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pH > 7.45 and CO2 < 35, opposites
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thyroid storm
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↑ temp, pulse, BP, NVD, seizures Tx: cooling blanket, PTU
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total cholesterol
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≤ 200
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ultrasound
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check for GA
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uti
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no alkaline foods
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WBC levels
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5-10k for adults, 5-13k for kids
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amniophylline
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strong brochodilator, given IV for ER
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bipolar
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when physically aggressive, give meds!!
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EMG
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measure impulses in muscles, non invasive
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RhoGAM
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given to Rh- mom with Rh+ baby AND NEGATIVE COOMBS test
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canes
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cane goes first, up with the good, down with the bad
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ACE inhibitors
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"-pril"s, NO FOOD, antihypertensive
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OCD
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avoid or alleviate increased anxiety, does not want to but feels compelled
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Foley irrigation
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to remove clots!
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gullian-baire
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makes paralyzing gloves and socks, from immunizations or viral
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VEAL CHOP
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accelerations, head compression OK, cord and placenta, place on left side w/ O2!
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babinski
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gone at 1 yr
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moro - scare, tonic neck, palmar
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gone at 4 mo
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digoxin and toxicity
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hypokalemia can cause,
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hypoparthyroidism
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Chvostek and Trousseau's, ↓ Ca, muscular irritability, RESPIRATORY SPASMS
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hyperparathyroidism
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Cardia issues
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estimating EDC
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minus 3 mo and add 7 days from 1st day of period, naegele rule
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*MAOI
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no tyramine foods or SSRI, if hypertensive crisis (tachy, HA, vomit), give antihypertensive
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cold stress
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skin mottling, acrocyanosis, irregular resps
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*dopamine
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FOR SHOCK low dose- dialates coronary arts high dose- vasoconstricts, HA sign of tox
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*adrenergics
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for shock , cardiac arrest -- ↑ PR, flow to heart, bronchodilation (norepi, dopamine, epi, phenyl, dobutamine)
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*anti-anxietys or benzos
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"CNS DEPRESSANT, ! Sedation, hepatic dysfnx, decrease effective with caffiene, smoking
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*anti-dysrhythmics
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watch ↓ HR and ↓ BP and CNS effects, "-ides", "-lols", "-ones"
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*beta-blockers "-lols"
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watch for brochospasms, fatigue and sleep disturbances
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*no sun drugs
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amiodarone, corvert, dofetilide, sulfa drugs, tetracyclines, MAOIs
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*calan, cardizem
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antidysrhythmics, watch for orthostatic hypotension, report cardia hx
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*aminoglycosides
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"-mycins" except Vanc, OTO & NEPHRO, NVD (tobrax, neomycin, gent, amakin), check peaks and troughs
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*cephalosporins
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cross sensitive with penicillins, false pos Coombs test
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*penicillins
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NOT WITH FOOD, cross sentitive with cephalosporins
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*sulfonamides
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peripheral neuropathy, keep urine alkaline, no vit C, no sun
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*tetracyclines
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no sun, no milk, give btw meals, poss tooth decay, hairy tongue?,
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*fluroquinolones
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CIPRO, not for under 18yr, before or after antacid or iron
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*macrolides
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ZITHROMAX, ERYTHROMYCIIN
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*glycopeptides
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VANC!!! HEPATOTOXIC , watch IVs, RED MANS --> give benedryl
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*lincosamides
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CLINDAMYCIN, give with water!
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*no grapefruit juice
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statins, antianxiety, ACE inhibitors, anticonvulsants
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*anticholinergics
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toxicity: mad as a hatter, red as a beet, hot as a hare, dry as a bone "-priums"
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*topamax
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no hormonal contraceptives
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*SSRIs
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"NO MAOIs, monitor blood cells, takes 4 wks to work
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*tricyclics
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"-nils", NO SUN, takes 3wks, anticholinergic effects
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*heterocyclics
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for smoking cessation
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*st johns wort
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no sun or MAOIs
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*rapid acting insulin
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lispro, aspart; starts 15 min, peaks 1hr, lasts 6hrs, rxn in mid-morning
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*short acting insulin
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humulin, novolin; starts 60 min, peaks 3hrs, lasts 6 hrs, rxn in mid-morning, afternoon
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*intermediate insulin
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NPH, lente; starts 4hrs, peaks 12 hrs, lasts 20 hrs, rxn early evening
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*long acting insulins
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ultralente; starts 8 hrs, peaks 16hrs, lasts 30 hrs, rxn nest morning
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*very long acting insulins
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lantus; starts 1 hr, NO PEAK, lasts 24hrs
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*lomotil
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GI drug, decreased peristalsis, anticholinergic effects
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