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