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85 Cards in this Set
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Advair
inhaled dry powder Anti-asthmatic anti-inflammatory corticosteroid LABA- not rescue |
rinse mouth after use
teach how to use discus do not take with milk allergies decrease use slowly. watch for angioedema, bs changes k levels |
rinse mouth after use
teach how to use discus do not take with milk allergies decrease use slowly. watch for angioedema, bs changes k levels |
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Albuterol
metered dose inhaler Beta-agonist Bronchodilator Treatment of asthma quick acting, lasts 8 hrs- not rescue |
tolerance may develop
angina, tachycardia, hypok, hyperglycemia, palpitations prime unit pre use |
tolerance may develop
angina, tachycardia, hypok, hyperglycemia, palpitations prime unit pre use |
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Prednisone
po, deep im Take with Food Corticosteroid, systemic, intermediate acting anti inflammatory Carry Med ID |
mood changes, peptic ulceration, osteoporosis, decreased healing, abnormal swelling, thromboembolism, muscle wasting
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mood changes, peptic ulceration, osteoporosis, decreased healing, abnormal swelling, thromboembolism, muscle wasting
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Rifampin
po empty stomach iv dilute 6mg/1ml- run 100ml/30min Antitubercular Rifamycins |
orange/red body fluids
emphasize continued therapy no alcohol, watch liver watch for flu like symptoms |
orange/red body fluids
emphasize continued therapy no alcohol, watch liver watch for flu like symptoms |
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Solumederol (methyprednisolone)
po take with food im deep gluteal iv push 1.8mg/kg over 1+ min. 2mg/kg over 15-30 min more than 15mg/kg over 1hr Intermediate acting systemic corticosteroid antinflammatory, autoimmune suppression organ rejection prevention |
poor wound healing, weight gain, mood changes,
avoid grapefruit juice do not stop med suddenly |
poor wound healing, weight gain, mood changes,
avoid grapefruit juice do not stop med suddenly |
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Lasix (furosemide)
po- onset 60 min- take with food im or iv onset 5 min do not push over 4mg/min Loop diuretic decreases blood pressure by increasing renal secretions of h2o, nacl, mg, ca, k |
ototoxic, tinnitus, dizziness, digoxin toxicity, falls precautions, take early in the day, use sunscreen, nsaids may decrease effects of lasix
monitor K levels, hold if low |
ototoxic, tinnitus, dizziness, digoxin toxicity, falls precautions, take early in the day, use sunscreen, nsaids may decrease effects of lasix
monitor K levels, hold if low |
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Singulair (montelukast)
po Leukotriene modifier Allergy cold and cough remedy, bronchodilator |
suicidal thoughts, agitation, aggression, anxiety, depression
take in the evening full effect may take weeks |
suicidal thoughts, agitation, aggression, anxiety, depression
take in the evening full effect may take weeks |
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Aldactone (spironolactone)
po Diuretic (Potassium sparing) |
hyperkalemia
monitor i/o weight take at same time every day, avoid salt subsititutes ask hcp abt otc cold med use |
hyperkalemia
monitor i/o weight take at same time every day, avoid salt subsititutes ask hcp abt otc cold med use |
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Kayexalate
po or retention enema Hypokalemic, electrolyte modifier |
monitor for digoxin toxicity
constipation, frequent lab tests to monitor effectiveness |
monitor for digoxin toxicity
constipation, frequent lab tests to monitor effectiveness |
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Renagel (severlamer)
po- take with meals Electrolyte modifier (phosphate binder) |
gi side effects-
other meds 1hr before or 3hrs after |
gi side effects-
other meds 1hr before or 3hrs after |
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Clonidine (catapres)
po transdermal epidural Antihypertensive (centrally acting adrenergics) |
drowsiness, dry mouth
take at the same time each day stop over 2-4 days |
drowsiness, dry mouth
take at the same time each day stop over 2-4 days |
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Hydrochlorothiazide (HTCZ)
po 1x day Thiazide/Related Diuretic stops kidney's ability to retai salt and water calcium sparing |
hypokalemia, hypomagnesemia, hyponatremia, gout, high blood sugar, muscle pain, weakness, numbness, tingly feeling, ab pain, sj syndrome
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hypokalemia, hypomagnesemia, hyponatremia, gout, high blood sugar, muscle pain, weakness, numbness, tingly feeling, ab pain, sj syndrome
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Prinivil (lisinopril)
po ACE inhibitor (CV) (Angiotensin_converting Enzyme Inhibitor) htn, chf, after mi |
nvd orthostatic hypotension, avoid high na and k foods, no salt subs
cough |
nvd orthostatic hypotension, avoid high na and k foods, no salt subs
cough |
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Flomax (tamulosin)
po, same time every day Alpha-Adrenoceptor Antagonist *peripherially acting antiadrenergic improves urination in BPH |
hypotension, nv, weight loss, dizziness
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hypotension, nv, weight loss, dizziness
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Epogen (epoetin)
Antianemic, hormone |
anaphylaxis, sob, heart failure, mi stroke, hbp, seizures, nv, cough, joint, muscle or bone pain, fever
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anaphylaxis, sob, heart failure, mi stroke, hbp, seizures, nv, cough, joint, muscle or bone pain, fever
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Potassium Chloride
po- with or after meals iv- rapid infusion alert- fatal Mineral and electrolyte replacements/supplements |
confusion restlessness, weakness, ecg- peaked T waves, nvd,
avoid salt subs, prevent excess k intake, hyperkalemia- dysrhythmias, fatigue, weakness |
confusion restlessness, weakness, ecg- peaked T waves, nvd,
avoid salt subs, prevent excess k intake, hyperkalemia- dysrhythmias, fatigue, weakness |
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Norvasc (amlodipine)
po for htn and cad, angina ccb- vasodilator |
fatigue, nv, flushing, edema, headache, ab pain, somnolence
avoid large amt grapefruit do not store in the bathroom, gingival hyperplasia avoid alcohol, otc cold meds |
fatigue, nv, flushing, edema, headache, ab pain, somnolence
avoid large amt grapefruit do not store in the bathroom, gingival hyperplasia avoid alcohol, otc cold meds |
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Coumadin (warfarin)
po iv anticoagulant |
bleeding, falling h & h
consistent amt of vitamin K in diet takes 5-7 doses to be effective in body |
bleeding, falling h & h
consistent amt of vitamin K in diet |
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Heparin
iv sub q anticoagulant carry Med ID |
bleeding risk, gums, nose, tarry stools, fall in h-h, fall in bp
do not take with aspirin or nsaids avoid im injections, use soft toothbrush, electric razor |
bleeding risk, gums, nose, tarry stools, fall in h-h, fall in bp
do not take with aspirin or nsaids avoid im injections, use soft toothbrush, electric razor |
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Lovenox
sub q iv anticoagulant |
no aspirin, nsaids
watch for bleeding- gi, gums, stool use soft toothbrush, electric razor |
no aspirin, nsaids
watch for bleeding- gi, gums, stool use soft toothbrush, electric razor |
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Vitamin K
im- in newborns po iv sub q antidote to Coumadin, vitamin |
do not alter diet
monitor bp hr assess side effects in newborns |
do not alter diet
monitor bp hr assess side effects in newborns |
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Iron (ferrous sulfate)
po- with food Ther: antianemics Pharm: iron supplements |
constipation, dark stool
avoid antacids, coffee, tea, eggs, diary whole grain within 1 hour. absorption decreased if taken with ca. possible od in kids |
constipation, dark stool
avoid antacids, coffee, tea, eggs, diary whole grain within 1 hour. absorption decreased if taken with ca. possible od in kids |
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Magnesium sulfate
im iv Ther: mineral & electrolye replacements/ supplements high alert med- eclampsia, preeclampsia, acute nephritis, pre term labor, bronchodilator |
rr over 16/min, monitor hr, p, rr, ecg
patellar reflex, newborn hypotension, hyporeflexia, resp depression |
rr over 16/min, monitor hr, p, rr, ecg
patellar reflex, newborn hypotension, hyporeflexia, resp depression |
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Protamine sulfate
iv only Thera: antidotes to heparin Pharm: antiheparins |
report bleeding, avoid activity that may result in bleeding, anaphylaxis, angioedema, pulmonary edema
Assess allergy to fish |
report bleeding, avoid activity that may result in bleeding, anaphylaxis, angioedema, pulmonary edema
Assess allergy to fish |
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Buspar (buspirone)
po no more than 60mg/day take with food Anti- anxiety agent |
no alcohol, hcp for otc meds
tardive dyskinetia, alopecia, tinnitus, paresthesias |
no alcohol, hcp for otc meds
tardive dyskinetia, alopecia, tinnitus, paresthesias |
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Klonopin (clonasapam)
po T- Anticonvulsant P- Benzodiazepam antidote Romazicon |
sedation, behavioral changes, suicidal thoughts, urinary retention, normal eye movement, hepatitis. Stop med slowly, alert hcp for new or worsening depression or other signs of tripping.
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sedation, behavioral changes, suicidal thoughts, urinary retention, normal eye movement, hepatitis. Stop med slowly, alert hcp for new or worsening depression or other signs of tripping.
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Elavil (amitriptyline)
po T- antidepressant P- TCA |
sedation, anticholinergic symptoms, close monitoring by hcp required, take at night, blue green urine. sustained therapy for 3 mos before improvement
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sedation, anticholinergic symptoms, close monitoring by hcp required, take at night, blue green urine. sustained therapy for 3 mos before improvement
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Prozac (fluoxetine)
po AM with food T- anti-depressants P- SSRI’s panic disorders, mood alteration |
neuroleptic malignant syndrome, seizures, decreased libido, anticholinergics, close monitoring required--seratonin syndrome- hallucinations, agitation, coma, gi upset
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neuroleptic malignant syndrome, seizures, decreased libido, anticholinergics, close monitoring required--seratonin syndrome- hallucinations, agitation, coma, gi upset
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Zoloft (sertraline)
po am or pm SSRI antidepressant, anti anxiety, panic, ptsd |
no concurrent maoi use
assess suicidal tendencies, mental changes, agitation, frequent oral rinses, gum, candy for dry mouth, drowsiness, dizziness, sunscreen |
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Neurontin (gabapentin)
po Analgesic adjuncts, anticonvulsants, mood stabilizers. neuorpathic pain migraine prevention |
seizures, suicidal thoughts discontinue gradually, watch timing of doses- do not allow over 12 hours between doses if tid. No antacids within 2 h
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seizures, suicidal thoughts discontinue gradually, watch timing of doses- do not allow over 12 hours between doses if tid. No antacids within 2 h
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Thorazine (chlorpromazine)
po im iv- recumbant 30 min post admin- 1mg/ml/min Antiemetic, antipsychotic. Phenothiazines. hiccup relief |
may turn urine pink or brown, no alcohol, tardive dyskinetia, +/- schizophrenia
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may turn urine pink or brown, no alcohol, tardive dyskinetia, +/- schizophrenia
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Clozaril (clozapine)
po with food or milk antipsychotic |
high risk of hematologic abnormalities, no smoking or increase in smoking, may cause seizures, drowsiness, no alcohol
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high risk of hematologic abnormalities, no smoking or increase in smoking, may cause seizures, drowsiness, no alcohol
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Avelox (moxifloxacin)
po iv Antibiotic (fluoroquinolones) |
seizures, dizziness, headache
psuedomembraneous colitis, fluid intake over 1500ml needed daily, iron and zinc decrease absorption, photosentivity during and for 5 days post - superinfection (black furry tongue, vaginal infection) Risk of tendon rupture |
seizures, dizziness, headache
psuedomembraneous colitis, fluid intake over 1500ml needed daily, iron and zinc decrease absorption, photosentivity during and for 5 days post - superinfection (black furry tongue, vaginal infection) Risk of tendon rupture |
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Ciprofloxin
Antibiotic (fluoroquinolones) anthrax, bone infection |
superinfection, tendon rupture
anaphylaxis, bloody stools drink over 1500ml /day, sunscreen, iron and zinc decrease absorption- effects last 5 days post treatment |
superinfection, tendon rupture
anaphylaxis, bloody stools drink over 1500ml /day, sunscreen, iron and zinc decrease absorption- effects last 5 days post treatment |
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Flagyl (metronidazole)
po iv topical vaginal Anti-infective for anaeobic infections |
also treat partner in vaginal infection, avoid alcohol during and 3 days post
dark urine, no otcs, superinfection, avoid sex when using vaginally |
also treat partner in vaginal infection, avoid alcohol during and 3 days post
dark urine, no otcs, superinfection, avoid sex when using vaginally |
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Gentamicin
im iv it Anti-infective (aminoglycoside) serious gram negative |
vertigo, nvd, hypomagnesemia, muscle paralysis, apnea, ototoxic, nephrotoxic, anaphylaxis, ataxia peak and trough levels
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vertigo, nvd, hypomagnesemia, muscle paralysis, apnea, ototoxic, nephrotoxic, anaphylaxis, ataxia peak and trough levels
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Nystatin
po, tablet, suspension, lozenges Antifungal treats oral and intestinal candidiasis, |
watch for oral mucous membrane irritation
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watch for oral mucous membrane irritation
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Primaxin (imipenem) (cilastatin
im IV Anti-infective (carbapenem) -BROAD SPECTRUM- for lower resp infections UTI, ab, gyno, resistant organisms |
seizures, pseudomembraneous colitis, superinfection,
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seizures, pseudomembraneous colitis, superinfection,
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Reglan
po Antiemetic prevents chemo emesis hiccups, migraines gerd |
no alcohol, drowsiness, extrapyramidal, tardive dyskinetia
do not use over 12 weeks |
no alcohol, drowsiness, extrapyramidal, tardive dyskinetia
do not use over 12 weeks |
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Lactulose
po syrup enema Laxative/hyperosmotic draws water into colon, increases water in stool |
nvd, anorexia, ab pain belching, flatulence weakness hypokalemia, hypovolemia
may increase glucose levels, full glass of water on admi absorbs ammonia to be eliminated thru bowel movements |
nvd, anorexia, ab pain belching, flatulence weakness hypokalemia, hypovolemia
may increase glucose levels, full glass of water on admi |
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Prilosec
po |
Anti-ulcer agent (Proton Pump Inhibitor)
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frank or occult blood, avoid nsaids, aspirin. report black tarry stool
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Phenergan
po im iv rectal Antiemetic (Phenothiazines) |
neuroleptic malignant syn- (fever rigidity, delerium), confusion, sedatio
moitor bp, resp depression, extrapyramidals. may cause severe tissue injury- avoid iv admin |
neuroleptic malignant syn- (fever rigidity, delerium), confusion, sedatio
moitor bp, resp depression, extrapyramidals. may cause severe tissue injury- avoid iv admin |
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Famotidine
po iv Anti-ulcer agent (Histamine H2 Antagonist) |
do not take max otc dose for over 2 weeks without hcp. No smoking, no nsaids, drowsiness, dizziness
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do not take max otc dose for over 2 weeks without hcp. No smoking, no nsaids, drowsiness, dizziness
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Zofran
po iv im Antiemetic (5-HT3 Antagonists) prevents chemo or radiation emesis post op nausea |
extrapyramidal effects (cant move, or cant stop moving)
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extrapyramidal effects (cant move, or cant stop moving)
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Allopurinol
po- with food iv |
Antigout/antihyper-uricemic
inhibits uric acid synthesis, decreased joint pain, |
increase fluids, no alcohol, no high purine food- sardines, salmon, legumes, gravies
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Synthroid
po- give am, not with food iv im Antigout/antihyper-uricemic Thyroid hormone increases metabolic rate, controls protein synthesis, cardiac output, renal perfusion |
anxiety insomnia, tremors, tachcardia, angina, palpitations, thyroid storm, cardiac arrest, htn, heat intolerance. Monitor bp and pulse before each dose, avoid idodine foods. stop slowly
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anxiety insomnia, tremors, tachcardia, angina, palpitations, thyroid storm, cardiac arrest, htn, heat intolerance. Monitor bp and pulse before each dose, avoid idodine foods. stop slowly
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Humira
sub q Antirheumatic agent |
assess pain, stiffness, rom, joit swelling. Teach injection rotation site
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assess pain, stiffness, rom, joit swelling. Teach injection rotation site
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Glucophage (metformin)
po- lasts 12h T: Antidiabetic P: Biguanides decreases hepatic glucose production |
lactic acidosis - 02 drops (nausea, weakness),
ketoacidosis- fruity breath, vomiting, confusion, coma |
lactic acidosis - 02 drops (nausea, weakness),
ketoacidosis- fruity breath, vomiting, confusion, coma accu checks |
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Glucotrol (glipizide)
po onset 15-30min peak 1-2h lasts 24h T: Antidaibetic P: Sulfonylureas stimulates insulin release and sensitivity to insulin |
aplastic anemia- damaged bone marrow and stem cells,decrease in rbc, platelets and wbc
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aplastic anemia- damaged bone marrow and stem cells,decrease in rbc, platelets and wbc
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Humulog
sub q fast/short onset 15 min peak 1h lasts 2-4h T: Antidiabetic, hormone P: pancreatic |
hypoglycemia- hunger, shaking, irritable, headache, confusion anaphylaxis
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hypoglycemia- hunger, shaking, irritable, headache, confusion anaphylaxis
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Lantus
sub q onset 3-4h lasts 24 T: Antidiabetic, hormone P: Pancreatic stimulates glucose uptake inhibits glucose production |
take at the same time each day
do not mix with any other solutions-should be clear and colorless high alert med- hypoglycemia |
take at the same time each day
do not mix with any other solutions-should be clear and colorless high alert med- hypoglycemia |
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Novolin R -
iv- onset 10-30 min fast/short peak 15-30 min lasts 30-60 min sub q- onset 30-60 min peak 2-4h lasts 5-7h T: Antidiabetic, hormone P: Pancreatic |
high alert med
draw regular 1st when mixing hypoglycemia |
high alert med
draw regular 1st when mixing hypoglycemia |
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Novolin N
sub q- onset 1-2h peak 4-12h lasts 18-24h T: Antidiabetic, hormone P: Pancreatic |
high alert
hypoglycemia roll vial between palms to mix- should be cloudy |
high alert
hypoglycemia roll vial between palms to mix- should be cloudy |
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Tylenol (acetaminophen)
po iv rectal Antipyretics, nonopioid analgesic not anti inflammatory only pain /fever |
hepatoxic, especially in alcoholics, malnourished
be aware of formulation of other otc meds- |
hepatoxic, especially in alcoholics, malnourished
be aware of formulation of other otc meds- |
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Dilaudid (hydromorphone)
po rectal iv im sub q Opioid Agonists mod to severe pain- cough relief Antidote- Narcan |
confusion,sedation, hallucinations, physical/psych. dependence
hold if rr under 10, constipating high alert med |
confusion,sedation, hallucinations, physical/psych. dependence
hold if rr under 10, constipating high alert med |
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Oxycodone (Percocet)
po Opioid Agonists Percocet contains acetaminophen mod to severe pain Narcan antidote |
hold if rr under 10
laxative if used over 2-3 days controlled substance potential for abuse, addiction |
hold if rr under 10
laxative if used over 2-3 days controlled substance potential for abuse, addiction |
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Hydrocodone (lorcet, vicodin)
po not as strong as percocet Opioid Agonist Lorcet and vicodin include acetaminophen also used as a cough suppressant Narcan antidote |
hold for rr under 10
turn cough deep breathe q2 constipation potential for abuse, addiction |
hold for rr under 10
turn cough deep breathe q2 constipation potential for abuse, addiction |
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Narcan (naloxone)
Im iv- 0.4/10ml push 0.5ml q2 min subq Opioid Antagonist |
reverses Resp. Depression
repeat dose may be needed assess pain level and s/s opiod withdrawals |
reverses Resp. Depression
repeat dose may be needed assess pain level and s/s opiod withdrawals |
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Toradol (ketorolac)
intranasa iv, po im Pyrroziline carboxylic acid Nonsterioidalanit inflammatory agents Nonopioid analgesic |
stroke, abnormal thinking, euphoria,sjs
asthma, dyspnea, mi, edema, gi bleeding, renal toxicity. Dont take for more than 5 days intranasal- use new bottle q24h |
stroke, abnormal thinking, euphoria,sjs
asthma, dyspnea, mi, edema, gi bleeding, renal toxicity. Dont take for more than 5 days intranasal- use new bottle q24h |
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Romazicon (flumazenil)
iv antidote to benzodiazipines |
assess loc, rr at least 2h post admin
no alcohol or otc drugs for at least 19-24h post effects of benzo may recur possible seizure |
assess loc, rr at least 2h post admin
no alcohol or otc drugs for at least 19-24h post effects of benzo may recur possible seizure |
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Codeine
po with food or milk peak 1h Opioid agonist allergy, cold and cough remedies antitussives, pain relief high alert med Narcan antidote |
confusion, sedation, hallucinations
resp. depression, bradycardia, constipation, physical dependence hold for rr under 10 tcd q2, no alcohol |
confusion, sedation, hallucinations
resp. depression, bradycardia, constipation, physical dependence hold for rr under 10 tcd q2, no alcohol |
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Morphine
iv- peak 20min im, po (with food), sq --peak 1h irritating to sub q tissues epidural rectal Opioid agonist pain relief high alert Narcan antidote |
monitor pain before and 1h post po, sub q, im
hold for rr under 10, loc, bp drop bolus q15-30 as needed for breakthru pain constipating, no alcohol, hypotension, sedating, dependence, tolerance |
monitor pain before and 1h post po, sub q, im
hold for rr under 10, loc, bp drop bolus q15-30 as needed for breakthru pain constipating, no alcohol, hypotension, sedating, dependence, tolerance |
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Fentanyl
im, iv,- peak 30 min buccal, transdermal, sulingual Opioid analgesics Opioid agonist- supplement to anesthesia antidote- Narcan High alert med |
monitor rr, bp. respiratory depressant effects last longer than the analgesic effects-ventilation for resp depression and coma
atropine for bradycardia combo with benzos to produce amnesia |
monitor rr, bp. respiratory depressant effects last longer than the analgesic effects-ventilation for resp depression and coma
atropine for bradycardia combo with benzos to produce amnesia |
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Valium (diazepam)
im iv po rect Benzodiazepine- antianxiety agent anticonvulsant, sedative/hypntoic, skeletal muscle relaxant, management of ETOH withdrawal antidonte Romazicon |
tachycardia, resp depression, bp drop, DTs, falls risk, decrease amt slowly
no alcohol, other cns depressants |
tachycardia, resp depression, bp drop, DTs, falls risk, decrease amt slowly
no alcohol, other cns depressants |
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Xanax (alprazolam)
po- with food at HS Benzodiazepine used for PMS, insomnia, IBS, acute mania antidote Romazicon |
spastic muscles, renal impairment, resp impairment / depression, hypersalivation
No Pregnancy risk for dependence no alcohol, no abrupt withdrawal no grapefruit juice |
spastic muscles, renal impairment, resp impairment / depression, hypersalivation
No Pregnancy risk for dependence no alcohol, no abrupt withdrawal no grapefruit juice |
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Versed (midazolam
po im iv intranasal Benzodiazepine antianxiety, sedative/hyptonic used for vented patient, pre op antidone Romazicon |
assess loc 2-6h post admin, bp, p, rr thruought
keep resucitative needs available no alcohol 24h post admin |
assess loc 2-6h post admin, bp, p, rr thruought
keep resucitative needs available no alcohol 24h post admin |
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Topamax (topiramate)
po Anticonvulsant, mood stabilizer prevents migraines tx bipolar, seizures |
sudden stopping can cause seizures
decreased sweating, increased body temp- hydrate 2-3L/day no alcohol, depressants, call MD for periorbital pain, suicidal thoughts |
sudden stopping can cause seizures
decreased sweating, increased body temp- hydrate 2-3L/day no alcohol, depressants, call MD for periorbital pain, suicidal thoughts |
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Phenobarbital
iv, im, po- Anticonvulsant, sedative, hypnotic, barbituate antiseizure med for kids or preop sedative therapeutic levels 10-40 mcg.'mL |
hangover feeling, angioedema, monitor rr, hr, bp
may lead to dependence od, slurred speech, staggering, dyspnea, drowsiness |
hangover feeling, angioedema, monitor rr, hr, bp
may lead to dependence od, slurred speech, staggering, dyspnea, drowsiness |
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Dilantin (phenytoin)
po- with meals with food- drink before and after to prevent alkaline med coming into contact with mucosa Antiarrhythmics (group IB) anticonvulsants, hydantoin prevents tonic clonic and partial seizures ends ventricular aarhythmias |
stevens johnson syndrome, renal failure, monitor changes in behavior, depression
sensitivity- fever, rash, swollen gland within 3-12 weeks no alcohol or otc drugs good dental hygenien- gingeval hyoperplasia, avoid antacids 2-3 h additional birth control |
stevens johnson syndrome, renal failure, monitor changes in behavior, depression
sensitivity- fever, rash, swollen gland within 3-12 weeks no alcohol or otc drugs good dental hygenien- gingeval hyoperplasia, avoid antacids 2-3 h additional birth control |
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Ambien (zolpidem)
po sl Sedative/hypnotic assess loc potential for abuse |
allow 7-8h for sleep after taking
take for no more than 7-10 days no alcohol or other cns depressent withdrawals possible after 2 weeks. |
allow 7-8h for sleep after taking
take for no more than 7-10 days no alcohol or other cns depressent withdrawals possible after 2 weeks. |
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Seroquel (quetiapine)
po Antipsychotic, mood stabilizer, decreased psychoses, acute mania, depression |
monitor mental status, bmi, weight, extrapyramidals, tardive diskenitia, body temp. avoid etoh, otc drugs, cns and herbs
must monitor with hcp for s/e- psychotherapy, ophthalmologic exams q6 mo |
monitor mental status, bmi, weight, extrapyramidals, tardive diskenitia, body temp. avoid etoh, otc drugs, cns and herbs
must monitor with hcp for s/e- psychotherapy, ophthalmologic exams q6 mo |
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Vancomycin
iv po Anti-infective |
Anti-infective
hypotension, ototoxic, nephrotoxic, rashes, back and neck pain, anaphylaxis, red man syndrome with rapid infusion, superinfection trough should not exceed 10mcg -20mcg/ml report signs of vertigo, hearing loss |
hypotension, ototoxic, nephrotoxic, rashes, back and neck pain, anaphylaxis, red man syndrome with rapid infusion, superinfection
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Amoxicillin
anti-infective anti-ulcer agents po- tablet, oral suspension |
seizures in high doses, nvd psuedomembranous colitis- may start several weeks after therapy, anaphylaxis, serum sickness, superinfection
use alternate birth control finish drug completely- take med around the clock |
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Bactrim- trimethoprim/sulfamethoxale
anti-infective, anti-protozoal P: folate antagonist, sulfonamides po iv |
hepatic necrosis, psuedomembranous colitis, depression, fatiuge, hallucinations, nvd, stomatitis, toxic epidermal necrolysis, agranulocytosis, aplastic anemia, sjs
assess- allergy to sulfa drugs, monitor i/o- uop 1200-1500 educate- blood diarrhea, call hcp, sunscreen, finish all meds, take around the clock, |
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Zosyn (piperacillin/ tazobactam)
anti-infective extended spectrum penicillins iv |
assess wound, infection, wbc, cultures, allergies to penicillins or cephs- pt may still react,
anaphylaxis, bowel function, longer bleeding times, decreased h & h superinfection risk |
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Zithromax (azithromycin)
anti-infective macrolides agents for atypical mycobaterium po,empty stomach iv |
anaphylaxis, sjs, toxic epidermal necrolysis
take on empty stomach notify hcp for fever, diarrhea |
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Rocephin
cephalosporin anti-infective im iv |
do not use if sensitive to penicillins
anaphylaxis, bowel function, bleeding, liver |
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Nitroglycerin
antianginal- vasodilator, reduced bp, increased c/o, decreased 02 consumption oral, sub lingual, transdermal, iv |
assess anginal pain, bp, hr
rotate topical sites keep in glass container, no cotton 3 doses in 15 min go to hosp. avoid alcohol, no otc meds without hcp, do not use with viagra, cialis or other ed meds headache is a common side effect |
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Lipitor (atorvastatin)
lipid lowering agent- lowers cholesterol HMG-CoA reductase inhibitor decreased risk of mi, stroke, angina in pts with DM2 or CHD or risk of. po at HS |
rhabdomyolosis, muscle tenderness cramps, diarrhea, heartburn, constipation
no grapefruit juice, use with diet restrictions, exercise, stop smoking, no herbals without hcp, no prego, no bf, |
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Epinephrine
antiasthmatic bronchodiliator vasopresor iv, sub q, inhaled, im, ic,it topical manages cardiac arrest, upper airway obstruction, croup, prolongs anesthesia, bronchodilator, maintains hr/bp use in emergency situations, anaphylaxis, cardiac arrest, asthma attack high alert med use 26g 1/2 inch sub q tuberculin needle |
restlessness, nervousness, tachycardia, angina, hypertension
do not use with maoi rinse mouth after inhaler, massage auto injector on epi penn for 10 secs |
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Tenormin (atenolol)
Beta Blocker antianginal antihypertensive beta-blocker prevents mi, htn, angina po |
caution dilantin, verapamil- cardiac depression, bradycardia with digoxin, hypotension with antihypertensives, nitrates or alcohol
monitor bp,ecg, hr, i&o, daily wt dyspnea, crackles, edema, jugular vein distension may increase sensitivity to cold |
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clonidine (catapres)
po transdermal patch epidural- for cancer pain antihypertensive cancer pain opioid withdrawal neuropathic pain, ADHD |
monitor i & o and weight
take at the same time every day, discontinue over 2-4 days. No alcohol or other cns depressant |
monitor i & o and weight
take at the same time every day, discontinue over 2-4 days. No alcohol or other cns depressant |
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aspirin (acetylsalicylic acid)
po- with meals rectally antipyretic nsaid reduces inflammation, platelet aggregation, incidence of tia and mi |
tinnitus, dyspepsia, epigastric distress, increases bleeding time. No antacids
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tinnitus, dyspepsia, epigastric distress, increases bleeding time. No antacids
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Digoxin (Lanoxin)
antiarrhythmic, inotropic (increase force of contraction- greater C/O), Negative chronotropic- Slows ventricular rate iv po- consistancy re meals, same time im high alert med antidote- Digibind for life threatening arrhythmia lidocaine, procanimide, quinidine, propnaolol or phenytoin can help also |
monitor ekg thru iv admin and 6h post dose. call hcp if bradycardia or new arrhythmias present.
monitor apical pulse 1 min. hold dose if hr under 60 narror therapeutic range0.5-2ng/ml drawn immediately before next dose. OD possible with tetracycline and Erythromycin, htn meds. do not take within 2h of antacids or antidiarrheals toxicity signs- ab pain, anorexia, nv, bradycardia, halos, flu symptoms, early |
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Clopidogrel (Plavix)
antiplatelet agent po |
monitor bleeding time, platelet count
discontinue 5-7 days pre surgery notify hcp for fever, chills, sore throat, bruising, bleeding no aspirin, nsaids, PPis, heparin. lmwh, warfarin without hcp |
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