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42 Cards in this Set

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Drugs that end in:
-zosin, -losin
alpha-1 adrenergic blockers
SE are dizziness, weakness may occur when changing position. Should teach pt to change position slowly and lie down if dizziness occurs. GI upset may occur, teach pt to eat smaller more frequent meals. Should tell the pt to report FREQUENT faintness or dizziness.
Drugs that end in:
-mycin
Aminoglycosides
teach pt to take full course of drugs and drink plenty of fluids
can cause ototoxicity and nephrotoxicity
they may report these SE..RINGING IN EARS, headache, dizziness, N/V, loss of appetite. They should report pain at the injection site and severe headache, dizziness, loss of hearing, changes in urine pattern, difficulty breathing, rash or skin lesions
Drugs that end in:
-pril
ACE Inhibitors
DO NOT take with food (take 1 hr ac or 2 hrs pc)
DO NOT give to pregnant women (will cause serious fetal defects)
Less effective in African American
blocks aldosterone - not retaining na and is retaining k
These drugs will give a false pos. for urine acetone
Patient may experience GI upset, appetite loss, dizziness fast heart rate, change in taste.
Teach pt to report sore throat, fever, chills swelling of hands and feet, chest pain and irregular heart beats swelling of face and eyes lips tongue difficulty breathing
Drugs that end in:
-sartan
Angiotensin II Receptor Blockers
Teach pt they must use an alternate method to birth control while using these drugs. May experience dizziness, nausea, abdominal pain, symptoms of URI, cough.
Report fever, chills, dizziness and pregnancy
Drugs that end in:
-tryptan
Anti-migraine
shouldnt take while pregnant
Contact MD IMMED. if you experience chest pain or pressure that doesnt go away, Report feelings of heat flushing tiredness, sickness swelling of lips and eyelids. SE you may experience are: dizziness and drowsiness, numbness feelings of tightness or pressure
Drugs that end in:
-vir
Anti-virals
SE pt may experience are n/v/d, loss of appetite,HA, dizziness.
REPORT: difficulty urinating, skin rash, or freq. recurrences.
Drugs that end in:
-barbital
Barbiturates
Teach pt that these drugs make you drowsy and less anxious dont try to get up after receiving this drug and they may experience drowsiness, dizziness , impaired thinking, hangover, ...AVOID DRIVING. GI upset, dreams(nightmares) diff. concentrating, fatigue.
Report severe dizziness, drowsiness, and weakness and pregnancy
Drugs that end in:
-pam, -lam
middle has either -azo- or -aze-
Benzodiazepine
SE are same as barbiturates: drowsiness, dizziness etc.
REPORT: SEVERE drowsiness, dizziness, swelling in extremities, diff. voiding, palpitations
Drugs that end in:
-olol
Beta blockers
Less effective in African Americans
Pt may experience dizziness, drowsiness, light headed, blurred vision, n/v, loss of appetite, impotence, depression.
REPORT: diff. breathing, night cough, swelling of extremities, slow pulse, confusion, depression, rash and sore throat
Who needs vitamin B6?
those with tuberculosis
Who needs vitamin B12?
Those with pernicious anemia
Who needs vitamin B1?
Those with alcoholism
Who needs vitamin B9 (or folic acid)?
Pregnant women or any woman capable of being pregnant
What is important to remember about Antabuse?
Pt cannot have ANY alcohol in ANY form (NO otc's, no inhalation of paint thinners)
Be VERY careful
what changes urine to a brown color?
nitrofurantoin
drugs where you need to avoid sun exposure
saquinavir (antiretroviral)
haldol
nizoral (for candidiasis)
foscavir is toxic to the...
kidneys
frequent side effects of pentamidine are
leukopenia, thrombocytopenia, and anemia
**routinely assess for infection**
didanosine can cause...
pancreatitis
**watch serum amylase levels!**
drugs to be taken on an empty stomach
idinavir
when should antiretrovirals be started?
if cd4 <500
or if s/s hiv appear
what is the pain med of choice with acute pancreatitis?
demerol

morphine causes spasms in the sphincter of Oddi
when is indocin contraindicated?
with acute gastritis and any other GI issues

this NSAID can cause GI ulceration
what does cimitedine (tagamet) do?
it is an H2 receptor antagonist
it DECREASES stomach acid secretion
what do antacids do?
neutralizes the pH of the stomach acid
what does sucralfate (carafate) do?
it promotes healing by coating the ulcer
what does omeprazole (prilosec) do?
it INHIBITS gastric acid secretion
what type of medication should be avoided with PUD?
ibuprofen
sever, unrelenting pain in the epigastric area that radiates to the back is indicative of what?
acute pancreatitis
when should you take salycylates?
after meals
what is the therapeutic range for serum phenytoin (Dilantin)?
10-20
depakote can cause fatal...
hepatotoxicity
acetazolamide
carbonic anhydrase inhibitor
used for increased ICP to decrease CSF production
flagyl + alcohol =
antabuse-like symptoms (N/V, H/A, cramps, flushing)
if aspirin during sickle-cell crisis...
can cause hemorrhage
how should you take kaopectate with other meds?
separate by atleast an hour --> it absorbs other meds
keflex should be taken with yogurt and acidophilus milk because...
it maintains the normal flora of the GI
(keflex destroys bacteria)
if myasthenia gravis, always give the med....
ON TIME

(delaying may decrease ability to swallow)
digoxin + low K =
dig toxicity
what IV fluid should you start a pt on in order to wean them off TPN?
10% dextrose

or something as hypertonic as TPN
-statin drugs
antilipidemic

inhibits liver's ability to produce cholesterol

most common SE: GI upset

**assess for muscle pain/tenderness (obtain cpk baseline; may d/c drug)

contraindicated in active liver disease and PG

check liver tests after a few weeks
what should you worry about clozaril (clozapine)?
agranulocytosis
(for atypical)

sore throat, fever, mouth sores

get weekly WBCs