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24 Cards in this Set

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  • Back

Antacids

Aluminum hydroxide


Calcium carbonate


Magnesium hydroxide (Milk of Mag)



Systemically neutralize acid.


Take 1-2 hours after eating or other meds

Antidysrhythmics

lidocaine


flecainide


propranolol (also a beta blocker - bronchospasm!!)


amiodarone


verapamil


diltiazem

Adrenergics

For: hypovolemic shock, cardiac arrest, anaphylaxis, bronchodilation



Epinephrine


Dobutamine


Dopamine



Anticholinergic effects

Anti-anxiety agents

CNS depressors!



librium, ativan (lorazepam), valium (diazepam), versed, klonopin, xanax (alprazolam)



BENZO = "pams"



visteril, buspar (non-benzo)

Aminoglycosides

Antibiotic



Gentamycin, neomycin, streptomycin



ototoxicity & nephrotoxicity (ears look like kidneys)

Cephalosporins

Antibiotic



cephalexin (Keflex), cefaclor (celcor), ceftriaxone, cefepime



Bone marrow depression & rash



TAKE WITH FOOD, CROSS ALLERGY W/ PENICILLIN

Fluoroquinolones

Antibiotic



ciprofloxacin, levofloxacin, norfloxacin



Take 1 hr before or 2 hrs after meals


Probenecid helps cipro work better

macrolides

Antibiotic



erythromycin, zithromax



s/e: confusion



Take 1 hr before or 2 hrs after meals


Increases the effectiveness of coumadin and theophylline!!

Penicillins

Antibiotic



amoxicillin, ampicillin, penicillin



s/e: Stomatitis



CROSS ALLERGY WITH CEPHALOSPORINS


Take 1 hr before or 2 hrs after meals

Sulfondamides

Antibiotic



sulfisaxazole, sulfasalazine



s/e: peripheral neuropathy, photosensitivity



TAKE WITH FOOD


Mouth care


Protect from sun exposure

Tetracyclines

Antibiotic



doxycycline, tetracycline



s/e: Discoloration of primary teeth if taken by mother during pregnancy


Photophobic reactions



SUNBLOCK


do not take with antacids, milk, or iron

Genitourinary meds

For UTIs



Furadantin: antiinfective


**asthma attacks**



Give with food or milk


Monitor respiratory


take with cranberry juice



Pyridium: UTI analgesic


**turns urine orange**


Antiimpotence

Viagra, levitra, cialis -- VASODILATORS



**Never take with nitrates!!**


**Do not take with alpha blockers**


**Do not take with grapefruit juice**

Anticholinergics

dilate pupils, bronchodilation, decrease secretions, decrease GI motility



Pro-banthane, atropine sulfate, scopolomine, cogentin



s/e: blurred vision, dry mouth, urinary retention



**monitor urine output**


**contraindicated with glaucoma**

Anticoagulants

Heparin


*Monitor PTT (normal 20-45 sec)


*Therapeutic 1.5-2.5 x's normal


*sub-q or IV


*Antagonist = protamine sulfate



Coumadin


*PO


*Monitor PT and INR (normal PT 9-12.5, normal INR 2.0-3.5)


*Antagonist = vitamin K



**AVOID 3 G's with BOTH!!**

Anticonvulsants

Dilantin (phenytoin) - never mix with other meds


Depakote (divalproex) - no carbonated beverages


tegretol (carbemezepine)


klonopin (clonazepam)



s/e: *respiratory depression*


*gingival hypertrophy



**do not discontinue abruptly**


**caution with MAOI & antipsychotics - lowers seizure threshold**


**take with food**


**may turn urine pink!!**

Antidepressants:



MAOIs

phenelzine sulfate (nardil)


Marplan


Parnate



s/e: hypertensive crisis with tryamine foods (aged cheese, liver, yogurt, beer, sour cream, pickled products)



**avoid tryamine foods**


**3-4 weeks to become effective**


**no cold medication**

Antidepressants:



SSRIs

prozac, paxil, zoloft, lexapro, celexa



s/e: anxiety!



**suicide precautions**


**4 weeks to become effective**


**take in the morning!!**


**turns urine pink!**

Antidepressants:



Tricyclics

amitriptyline (Elavil)


impiprimine



s/e: anticholinergic effects


sedation


postural hypotension



**suicide precautions**


**2-6 weeks to work**


**take at night**


**wean over time**

Antidepressants:



Heterocyclics

Wellbutrin (buproprion)


trazodone



s/e: Wellbutrin - agitation


Trazodone - sedation



Insulin

Rapid: Humalog, Novolog


Onset 15 min. / peak 30 min-2 hours



Short-acting: Regular, Humalin-R, Novolin-R


Onset 30-60 min / peak 1 -5 hours



Intermediate: NPH, Humulin-N


Onset 2 hours / peak 6 -12 hours



Long-acting: Lantus


Onset 3 - 4 hours / continuous (no peak)


Oral hypoglycemics

Metformin, glipizide



**avoid alcohol**



Aspirin, alcohol, sulfonamides, oral birth control, MAOIs - interfere with anti diabetic meds and cause hypoglycemia

Antidiarrheals

Kaopectate, lomotil, imodium



s/e: constipation, anticholinergic effects



**contraindicated with abdominal pain**


**give 2 hours before or 3 hours after other meds**

Antiemetics

Compazine (prochlorparazine)


Reglan (metoclopramide)


Antivert (meclizine)



s/e: sedation, anticholinergic effects