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8 Cards in this Set

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  • Back

HYCD/APAP


(Hydrocodone Bitartrate with Acetaminophen)


(opiod analgesic)

Brand Name:


Lortab, Vicodin,[5/7.5/10-300]


Norco[5/7.5/10-325]


[Lortab elixr is 7.5mg/15mL)


FDA Indications/ Dosages: For the relief of moderate to moderately severe pain: One to two tablets or three teaspoonful every four to six hours as needed for pain. The total 24 hour acetaminophen dosage should not exceed 3.5 grams.


Adverse effects: dizziness, drowsiness, constipation, nausea, vomiting


Counseling:


-(cause drowsiness)-> caution with machinery/ mental alertness needed


-Avoid alcohol


-Take with food or milk


-may be habit-forming


-store cool dry place, away from sunlight and children


-if dose missed, skip, and return to normal dosing schedule.

Levothyroxine Sodium


(Hormone/ Thyroid)

Brand Name: Synthroid, Levoxyl, Levothroid


FDA Indications/ Dosages: Replacement therapy for reduced or absent thyroid function of any etiology


0-1yrs: 9mcg/kg/day


1-5 yrs: 6mcg/kg/day


6-10 yrs: 4 mcg/kg/day


11-20 yrs: 3mcg/kg/day


Adults: 25-300mcg orally/day


-Myxedema coma or stupor(without severe heart disease): 200-500 mcg IV on the day 1. Give 100-300mcg IV day2; Give 50-100mcg IV each day after. Do not add to other intravenous fluids.


Adverse effects: Rare. Overdosage: hypermetabolic state-> fever, hypoglycemia, heart failure, fluid loss, tachycardia, anxiety, insomnia.


Consultation: Do not discont. w/o PA consult


-Empty stomach (1hr b4 or 2 hrs after)


-Note PA if overdose


-Loss of hair in kids


-cool dry place, away from kids, s-light


-If skipped, take and continue regular schedule-> too late, just return to normal (no double)

Lisinopril


(antihypertensive)

Brand: Prinivil, Zestril (2.5, 5,10, 20, 30, 40 mg)


Indications: Hypertension (start 10mg-> adjust to 20-40; if not enuf add thiazide (mild diuretic)


W/Renal Impairment: creatinine clearance <30mL/min : 5mg; creatinine clearance <10, start 2.5mg


W/ Congestive Heart Failure : 5mg w. diuretics and digitalis (under obsv.) ; w/ hyponatremia make 2.5mg


Adverse Effects: dizziness, headache, fatigue, cough, diarrhea


Consultation:


-W/o regard for meals


-Do not discont. w.o PA


-Avoid script cough, cold, allergy meds.


-Avoid potassium


-cool,dry away kids & s-light


-re-dose as soon as possible; otherwise skip to next (no double)


-Note PA if side effects hi /severe


-Note PA if swelling occur

Simvastatin


(antihyperlipidemic)

Brand: Zocor


Indications: Reduces elevated total, LDL cholesterol, apo-B, and triglyceride levels to incrs HDL.


Begin after 3-6 wks cholesterol lwring diet.


Adjust dose in 4wk intervals (max 40mg/day)


10-40mg/day


80mg only for patients w. 40mg and no side effects for 1 yr


Adverse effects: constipation, muscle pain, dyspepsia (indigestion)


Consult:


Note PA is myopathy occurs


closely follow diet plan


avoid s-light overexpose, photo-sensitivity


No pregnancy, discont med and Note PA


lil alcohol


cool, dry, n-kid/s-light


take does asap, if in next 12hr phase, skip


avoid grapefruit juice (incrs plasma lvls)



Azithromycin (dihydrate)


(macrolide antibiotic)

Brand: Zithromax, Zmax (250, 500, 600mg)


(packets w. 1gm) (pwder for suspension 2g ER) (powder for injection, 500mg )


Indications: infections of lwr, up respiratory tract, acute bacterial sinusitis, bacterial aggravated COPD, urethritis, cervicitis, pelvic inflammatoy disease, community acquired pneumonia, pharyngitis, tonsilitis, genital ulcer disease, acute otitis media, prevention of MAC in HIV infected indvs.


Adverse effects: diarrhea, nausea, vomiting, abdominal pain, intravenous therapy causes pain at injection sit; local inflammation


Consult: taken with food (tablets, suspense)


Zmax formulations on empty stomach (1hr b4, 2 hrs after)


No antacids w/in 1hr of taking


CDNKSL


Note sev. diarrhea to PA


Missed dose as soon as possible and cont dose


shake suspension well.

Albuterol Sulfate


(antiasthmatic)

Brand: Proventil, Ventolin, Proair


(HFA[hydrofluoroalkane] inhaler 90mcg/spray)


powder inhaler, 90mcg per spray (200 inhalations), soution for inhaation (0.5%) conc and 0.63 mg/3ml, 1.25mg/3mL and 2.5mg/3mL


Indications: relieve bronchospasms w. obstructive airway disease1-2 inhale every 4-6hrs


2.5mg 3-4x/day


2inhale 4x/day


don't do exercise inducing bronchospasm


Adverse: nausea, vomit, nervousnes, headache, insomnia, tremor, dizziness, hypertension, tachycardia, palpitations


Consult: Don't exceed treatment recommendations


avoid contact w. eyes, shake canniter well b4,


follow instructions, clean mouthpiece 1ce/week

Rosuvastatin Calcium


(antihyperlipidemic)

Brand: Crestor


(5mg 10mg, 20mg, 40mg)


Indications: reduce total-C, LDLC, apoB, nonHDL-C, TGlvls


start w. 10mg then incrs,


predisposition for myopathy,start w. 5mg


Adverse: myalgia, constipation, asthenia, abdominal pain, nausea


Consult: Note PA if myopathy, closely follow directed diet,


No pregnancy, if discont and Note PA


lil alcohol


CDNKSL


if dose missed, take, past 8 hrs, skip dose



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