Summer 2 Drugcards Pxdx Quiz 1,2,3

Front 1

Anti-inflammatories
(medrol,deltasone,flomax)
Name 2 pxdx tips

Back 1

1. Dont d/c without consult
2. Take only as prescribed

Deltasone and medrol: take with food or milk if gi upset
Flomax: take dose 30 minutes following same meal each day

Front 2

Muscle relaxants
robaxin, skelaxin, lioresal, flexeril
Name 2 pxdx tips

Back 2

1. May cause drowsiness, use caution...mental alertness
2. Avoid alcohol when taking medicatiion

Soma: contact doc if extreme weakness, vision loss, or euphoria
Flexeril: may cause dry mouth

Front 3

Insulins
Name 5 pxdx tips

Back 3

1. Follow prescribed diet carefully
2. Dont change insulin brands, syringe brands, or dose w/o notifying doc
3. Monitor blood or urine glucose
4. Wear/carry diabetic identification
5. Keep an eye out for signs of hypoglycemia (sweating, tremor, blurred vision, weakness, hunger, confusion)

Lantus: should be clear and colorless
Humalog: administer 15 minutes before eating
Novolog: administer 5-10 minutes before eating

Front 4

Birth control
(levonorgestrel, norgestimate, drospirenone, nuvaring)
Name 4 pxdx tips

Back 4

1. Contraceptives prevent pregnancy, they do not protect against stds or hiv
2. Breakthrough bleeding may occur
3. Missing one period is normal, missing two is a sign of pregnancy
4. Use a 2nd method of birth control initially or during treatment with a broad spectrum antibiotic

Front 5

Blood thinners
(warfarin, aggrenox, plavix)
Name 2 pxdx tips

Back 5

1. Bleeding time may be increased
2. Avoid alcohol and aspirin

Aggrenox: avoid giving to children with chicken pox or the flu. Stop use if a rash appears or px has difficulty breathing

Front 6

Diuretics
(lasix, bumex, hctz, spironolactone, diazide)
Name 3 pxdx tips

Back 6

1. May be taken with food or milk if gi upset occurs
2. Give in early am due to increased diuresis
3. For diuretics containing hctz (and for lasix), avoid overexposure to sunlight

Front 7

Estrogens
(estrace, conjugated estrogens)
Name 2 pxdx tips

Back 7

1. D/c if pregnancy is suspected
2. Report any pain in legs, or abnormal vaginal bleeding

Estrace: Insert the applicator high into the vagina, 2/3 the length of the applicator

Front 8

Grapefruit juice interactions
Name 4 drugs that you want to avoid taking grapefruit juice with

Back 8

"VANS"
viagra, amiodarone, nifedipine, simvastatin/vytorin

Front 9

Chantix
Name 4 pxdx tips

Back 9

1. Begin therapy 1 week prior to smoking cessation
2. Take after a meal with a full glass of water
3. Follow prescribed taper to minimize adverse effects
4. Register with chantix "getquit" support program

Front 10

Digoxin
Name 2 pxdx tips

Back 10

1. Dont d/c without consulting doc
2. Dont take any nonprescription cough, cold, or antidiarrheals without consult

Front 11

Ferrous sulfate
Name 2 pxdx tips

Back 11

1. Immediate release tabs should be taken on an empty stomach to maximize absorption
2. Extended release tabs should be taken with food to maximize absorption

Front 12

Imdur
Name 2 pxdx tips

Back 12

1. Can cause headache or flushing, but headaches are a sign of drug effectiveness, use aspirin or apap
2. Avoid alcohol

Front 13

Sumatriptan/imitrex
Name 3 pxdx tips

Back 13

1. Dont not exceed dosage!
2. Dont use for nonmigraine headaches
3. Take as soon as migraine symptoms appear

Front 14

Kenalog/triamcinalone
Name 2 pxdx tips

Back 14

1. Dont use in or around the eyes
2. Use only for condition for which it was prescribed

Front 15

Lidocaine
Name 7 pxdx tips

Back 15

1. Wash hands after handling the patch
2. Avoid eye contact
3. Store and dispose patches properly to avoid access by kids or pets
4. Dont apply to broken skin
5. Dont leave patch on for more than 12 hours
6. If irritation or burning occurs remove the patch
7. Dont use electric blanket or heating pad over the patch

Front 16

Nitroglycerin
Name 4 pxdx tips

Back 16

1. Keep in the glass or metal container to avoid leeching
2. Tablets should taste bitter and have a tingling sensation
3. Sit down while taking sublingual tablets to avoid lightheadedness and fainting
4. Avoid alcohol (which aggravates angina)

Front 17

Tamoxifen/nolvadex
Name 2 pxdx tips

Back 17

1. May cause fetal harm, so dont give to pregnant women
2. Notify doc if you feel pain or swelling of legs, or have blurred vision

Front 18

Viagra
Name 2 pxdx tips

Back 18

1. Does not protect you against stds
2. Avoid grapefruit juice (raises plasma levels of viagra)

Front 19

Vitamin D/drisdol
Name 2 pxdx tips

Back 19

1. Can be taken with or without meals
2. Dont exceed prescribed dosage (range between therapeutic and toxic dosage is narrow)

Front 20

Amiodarone/cordarone
Name 5 pxdx tips

Back 20

1. Notify doc if you have shortness of breath, dark colored urine, yellowing of the eyes
2. May cause photosensitivity so avoid overexposure to sunlight, use sunscreen
3. D/c if pregnancy is suspected
4. Avoid otcs and herbals
5. Dont d/c treatment
6. Avoid grapefruit juice

Front 21

Potassium chloride
Name 3 pxdx tips

Back 21

1. Avoid salt substitutes that contain k+
2. The unabsorbable wax matrix may be found in the stool
3. Take with a full glass of water and a meal

Front 22

Thyroid hormone
(synthroid, armour)
Name 3 pxdx tips

Back 22

1. Dont d/c therapy without consult
2. Notify doc if signs of hyperthyroidism
3. Transient loss of hair can occur in kids

Front 23

Urinary bladder modifiers
(detrol, ditropan, vesicare, enablex, bentyl)
Name 4 pxdx tips

Back 23

1. May cause dizziness, use caution when mental alertness is req'd
2. May cause dry mouth or blurred vision
3. Avoid prolonged exposure to hot weather
4. Avoid alcohol

Ditropan: Tablet shell may appear in the stool

Front 24

Alzheimer agents
(aricept, namenda)
Name 1 pxdx tip

Back 24

1. May be taken with or without food

Aricept: take in evening, just before going to sleep
Namenda: capsules can be sprinkled on applesauce

Front 25

Anti-allergy agents
(nasonex, flonase)
Name 4 pxdx tips

Back 25

1. Shake bottle well before use
2. Use at regular intervals
3. Therapeutic effects might take up to 3 weeks to be seen
4. Clear nasal passages of secretions prior to use

Front 26

Anti-asthmatics (for maintenance)
(flovent, advair, singulair, tiotropium bromide/spiriva)
Name 3 pxdx tips

Back 26

1. Avoid contact with eyes
2. Not intended for immediate relief of bronchospasms
3. Use on a regular basis for full benefit of therapy

Singulair: Phenylketonurics should be aware that the cheweable tablets contain phenylalanine)

Front 27

Anti-asthmatics (for bronchospasms)
(xopenex, proventil, combivent)
Name 4 pxdx tips

Back 27

1. Avoid contact with eyes
2. Shake thoroughly
3. Dont take more frequently than recommended
4. Wash the mouthpiece at least once a week

Front 28

Antihyperlipidemics (misc)
(ezetimibe, vytorin, niacin, gemfibrozil, fenofibrate)
Name 2 pxdx tips

Back 28

1. Follow prescribed diet closely
2. Report signs of muscle pain or muscle tenderness

Gemfibrozil: can cause dizziness or blurred vision
Ezetimbe/vytorin: dont take 2 hours before (or 4 hours after) a bile acid sequestrant (like cholestyramine)
Vytorin: has simvastatin, so avoid grapefruit juice
Niacin: take at bedtime with a lowfat snack (dont take on empty stomach). Flushing is a common adverse effect, it will subside in a few weeks. Until then take aspirin or nsaid to reduce flushing. Avoid alcohol (it increases flushing).

Front 29

Antihyperlipidemics (statins)
(atorvastatin, simvastatin, pravastatin, rosuvastatin, lovastatin)
Name 4 pxdx tips

Back 29

1. Follow prescribed diet closely
2. May cause photosensitivity, so avoid overexposure to sunlight, use sunscreen
3. Limit alcohol intake
4. D/c if pregnancy is suspected

Front 30

Antihypertensives (ace-i's)
(lisinopril, prinzide, enalapril, ramipril, quinipril, benazepril)
Name 4 pxdx tips

Back 30

1. Dont d/c therapy without consult
2. Avoid salt substitutes containing k+
3. Avoid nonprescription cough, cold, and allergy medications
4. Report any signs of facial swelling, difficulty breathing, or infection

Front 31

Antihypertensives (alpha rxs)
(terazosin, doxazosin, clonidine)
Name 2 pxdx tips

Back 31

1. Dont d/c therapy without consult
2. May cause dizziness, use caution when mental alertness req'd

Terazosin, doxazosin: Avoid nonprescription cough, cold, and allergy meds
Clonidine: Avoid nonprescription decongestants and sodium salts. For patch, change site each application
Doxazosin: the insoluable shell may appear in the stool

Front 32

Antihypertensives (arb's)
(losartan, olmesartan, valsartan)
Name 3 pxdx tips

Back 32

1. May be taken with or without food
2. D/c if pregnancy is suspected
3. Dizziness may occur, use caution when mental alertness is req'd

Arb's with hctz: Avoid excess exposure to sunlight, and take in early am due to increased diuresis.

Front 33

Antihypertensives (ccbs)
(verapamil, diltiazem, nifedipine, norvasc, lotrel)
Name 1 pxdx tips

Back 33

1. Dont d/c therapy without consult

Verapamil, diltiazem, nifedipine: take on an empty stomach at least one hour before (or two hours after) a meal
Norvasc, lotrel: take with or without food. Lotrel has an ace-i so avoid nonprescription cough, cold, and allergy meds, and avoid salt substitutes containing k+, and report any signs of facial swelling, difficulty breathing, or infection.

Front 34

Antihypertensives (beta rxs)
(propranolol, atenolol, metoprolols, carvedilol)
Name 3 pxdx tips

Back 34

1. Dont d/c therapy without consult
2. Dizziness may occur, use caution when mental alertness is req'd
3. Counsel diabetics that these may mask the symptoms of hypoglycemia

Coreg: May cause decreased lacrimation for contact lens wearers

Front 35

Oral hypoglycemics
(metformin, glipizide, glyburide, amaryl, actos, januvia)
Name 4 pxdx tips

Back 35

1. Follow the prescribed diet closely
2. Compliance with therapy is essential for optimal effect
3. Avoid alcohol
4. Take with food

Glipizide: take 30 minutes before meals
Actos, januvia: take with or without meals. Get quarterly Hba1c tests.

Front 36

Osteoporosis agents (bisphosphonates)
(actonel, fosamax, boniva)
Name 5 pxdx tips

Back 36

1. Take at least 30 minutes before first food or drink of the day.
2. Take with a full glass of water in an upright position.
3. Dont lie down for at least 30 minutes after taking
4. Report any signs of upper gi distress
5. Dont take calcium supplements at the same time (calcium binds to phosphonates)

Boniva: 60 minutes (not 30)

Front 37

Osteoporosis agents (evista)
(evista)
Name 4 pxdx tips

Back 37

1. D/c at least 72 hours prior to any prolonged immobilization (eg on a plane)
2. Take calcium and vitamin D supplements with evista
3. Report any signs of blood clots to doc
4. D/c therapy if pregnancy is suspected