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23 Cards in this Set

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Acetylcysteine (Mucomyst)
antedote for poisoning [hepatotoxic OD] with acetaminophen (PO w/I 24 hrs)
Prevents or lessens liver damage
Dilute in fruit juice or other beverage
Will make nasal and bronchial secretions watery and facilitate coughing
antiemics
Hormones
Darepoetin
epoetin
antiemics
Iron Supplements
Ferros fumarate, gluconate, sulfate, iron dextran, iron polysaccharide, iron sucrose, sodium ferric gluconate complex
w/OJ, not milk, tarry stools, constipation, stains teeth.
antianginals
Nitrates
Prevent and treat attacks
Dilate coronary arteries, cause systemic vasodilation
End in –ate except nitroglycerin
Many forms, including sublingual
antianginals
Calcium Channel Blockers
prophylactic
Dilate coronary arteries, some also slow HR
End in –ine; except diltiazem and verapamil
antianginals
Beta Blockers-
prophylactic
Decrease myocardial oxygen consumption via decrease in heart rate
End in -olol
Benzodiazepenes
anti-anxiety
End in –am
Alprazolam (Xanax)
Diazepam (Valium)
Lorazepam (Ativan)
Midazolam (versed)
Depress CNS
Daytime drowsiness/ alcohol potentiates
Tolerance/potential for physical dependence
antiarrhythmics
Advise to take pulse before and hold for pulse <50
Don’t crush, open, break or chew
Lidocaine Amiodorone
Fosphenytoin Diltiazem
Phenytoin Verampamil
Propafenone Atropine
Esmolol Digoxin
bronchodilators - acute
albuterol
epi
levalbuteral (Xopenex)
bronchodilaters - chronic
Metaproterenol [Alupent]
Pirbuterol [Maxair]
Salmeterol (long)
Terbutaline [po, SC, IV]
Theophylline
Formoterol (long)
Aminophylline [po/IV]
how to use bronchodilators
Always use bronchodilator FIRST and allow 5 minutes before other medications
antiasthmatics - corticosteroids
Beclomethasone (Qvar)
Betamethasone (Celestone)
Budesonide (Pulmicort)
Cortisone
Dexamethasone
Flunisolide (Aerobid)
Fluticasone (Flovent)
Hydrocortisone
Methylprednisolone
Mometasone
Prednisolone
Prednisone
Triamcinolone
ALL DECREASE INFLAMMATION
PROPHYLACTIC- NOT FOR ACUTE ATTACKS
anticholinergics - action, outcomes
dry things up.
May give prior to intubation
^ HR, Decrease N/V, Dry mouth, Dilation pupils, Decrease GI motility, Resolution of signs of Parkinson’s
Atropine-anticholinergics
Bradyrythmias- given for slow heart rate, will ^ HR.
Ipratropium- anticholinergics
Bronchospasm (inhalation) and rhinorrhea (nasal)
Scopolomine - anticholinergics
apply patch at least 4 hours before travel. PO 30 min before meal.
Heparin
Monitor aPTT with full-dose heparin therapy and HCT and other clotting factors through treatment
Overdose antidote is protamine sulfate
Enoxaprin (lovenox)- SC
- low molecular weight
Coumadins
Warfarin
Monitor PT/ INR- 2-3
Antidote for overdose is Vitamin K
warfarin - diet
Review foods high in Vitamin K with pts. On warfarin. Consistent intake is necessary- fluctuation will cause fluctuation in PT and dose adjustment necessary.
Miglitol - antidiabetic
delays digestion of ingested carbs, thus lowering blood glucose and may be combined with sulfonylureas.
Sulfonylureas, nateglinide, repaglinide, and metformin - antidiabetics
lower blood glucose by stimulating endogenous insulin secretion by beta cells of pancreas and increasing sensitivity to insulin at receptor sites
Pioglitizone and rosiglitazone - antidiabetics
increase insulin sensitivity
ace inhibitors - anti hypertensives
teaching
Teach how to take BP
Change position slowly
Watch OTC cold meds
Not advised during pregnancy
Take even when not feeling well to avoid rebound hypertension
Always tell MD if side effects > outcome