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40 Cards in this Set

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Side effect of atorvastatin (Lipitor) and fenofibrate (TriCor)
muscle pain (myopathy)
always a risk with fenofibrate, increased when combined with statin
side effect of Niacin/lovastatin (Advicor)
facial flushing
aspirin 1/2 hour before will reduce
(take w/ low fat snack to increase absorption)
contraindication to taking hydromorphone (Dilaudid)
benign prostatic hypertrophy may increase risk of acute urinary retention - monitor for this
smoking + contraceptives = increased risk for...
venous and arterial thromboembolism
hold furosemide (Lasix) if BP is below
85/60
therapeutic level of phenytoin (Dilantin)
10-20 mcg/mL (above this level is toxic)
(anti-seizure med)
take with a meal to avoid stomach upset
target blood glucose level before meal and bed
90-130 mg/dL before meal
100-140 mg/dL before bed
adverse effects of clindamycin (Cleocin)
*fever/watery stools = pseudomembranous colitis
weight loss
N/V
vaginitis
alendronate (Fosamax)
use, how to take
prevent osteoporosis
take 30 minutes before breakfast with full glass of water, remain in upright position for 30 minutes after taking (can cause eosphageal ulcerations)
ergotamine (Ergostat) + sumatriptan (Imitrex) = side effect
cold pale extremities; can cause ischemia
side effect of propranolol (Inderal) to notify physician about
pulse rate less than 60 bpm (withhold)
lightheadness may also be a side effect
beta blocker
mesalamine (Asacol) teaching
maintenance med for IBD, take daily for 3-6 weeks
side effects of baclofen (Lioresal)
*shallow respirations
constipation
nausea
difficulty sleeping
reliable signs of hypoglycemia while on propranolol (Inderal) hypertension
fatigue, sweating, hunger
(tachycardia is not)
signs of acute hemolytic reaction to blood transfusion
low back pain (hemolyzed cells through kidneys)
also increased respirations and tachycardia
adverse effect of hydrochlorothiazide (Hydrodiuril)
hypokalemia (may have excessive postassium excretion)
where to place scopolamine patch - what is it for
motion sickness
behind ear
signs of theophylline toxicity
tachycardia, vomiting, anorexia
chlorpromazine hydrochloride (Thorazine) antagonist
benztropine mesylate (Cogentin)
inhibits absorption of cirprofloxacin (Cipro)
iron
oprelvekin (Interleukin-11) uses
increases platelet count (22,000/mm3 too low)
filgrastim (Neupogen) given to stimulate
luekocytes (WBC)
erythropoietin given to increased
RBC counts (hemoglobin)
contraindication to taking atropine
glaucoma (can increase intraocular pressure)
Procainamide (Pronestyl)
antiarrhythmic in severe cases only
need CBC with
felodipine (Plendil)
avoid grapefruit juice - inhibits metabolism = +risk of toxicity
gentamicin (Garamycin) contraindication
chronic renal insufficiency
penicillin G potassium IVPB & gentamicin (Garamycin) IVPB - how to give together
cannot give at same time
penicillin takes 60 minutes
gentamicin takes 30-60 minutes
alendronate (Fosamax) teaching points
take on an empty stomach
do not take with antacid - inhibits absorption
remain upright for at least 30 minutes after taking
call dr if heartburn occurs
sign of digoxin toxicity
vomitting
side effects of captopril (Capoten); hypertension
joint pain = systemic lupus erythematosus like syndrome
impotence, epigastric pain, dizziness
side effects of paroxetine (Paxil)
insomnia, fatigue, sweating, tremors, drowsiness - will decrease over time
side effect of triamterene (Dyrenium)
hyperkalemia = inhibits sodium=potassium exchange, results in potassium retention & sodium excretion
cross sensitivity with sulfonamide antibiotics (Trimethoprim/sulfamethoxazole (Bactrim)
tlotbutamide (Orinase) = sulfonylureas
lab values to monitor for patient on methylpresnisolone (Solu-Medrol)
WBC (increased risk for infection), potassium, blood glucose (can increase)
increased BUN indicates
renal impairment (can result in magnesium toxicity)
side effect of metorolol (Lopressor); beta blocker
increased edema (myocaridal contractility is suppressed)
indication of vancomycin (Vancocin) toxicity
decreased hearing = ototoxic
side effect of transdermal nitrate
orthostatic hypertension (results from relaxed vascular smooth muscle)
side effect of colchicine
abdominal pain = GI tract damage