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1012 Cards in this Set

  • Front
  • Back
  • 3rd side (hint)

Spironolactone is the opposite off

Furosemide

What are the indications with spironolactone (aldactone)

- Take in the morning


- avoid salt substitutes

What is spironolactone (aldactone) often taken with? And to treat what?

Its often taken with other thiazide diuretics to treat edema, hypertension and heart failure


Taken with other meds to lower potassium levels

What do thiazides treat

Hypertension, edema

Thiazide is the 1 st line of treatment for who

African americans with hypertension

How do we deal with fluid overload? What meds do we administer?

Pump it, pee it , park it


1. Give Diagoxin (positive inotrope) to help slow HR


2. Give Nitroglycerin to cause massive veno-dilation & decreases amount of fluid heart has to pump each beat


3. Give diuretic to get rid of excess fluid through pee

Pump it


Pee it


Park it

What is the 1st drug of choice to reduce serum lipid levels

Statins ( HMG-CoA reductase inhibitors)

Side effects of statins (lipid lowering agents)

- Myopathy


- Increased liver enzymes

What do we monitor with lipid lowering agents/ statins & indications

- Liver function tests


- report muscle pain


- give in evening


- NO in pregnancy

Pilocarpine

Topical drug


Used for glaucoma


Produces miosis ( contriction of pupil)

What does pilocarpine cause

miosis ( contriction of pupil)

Bethanechol (Urecholine) treats what? How do we administer?

Treats urinary retention in postop & postpartum patients


Given subQ or PO

Donepezil (Aricept) treats what

May slow progression of Alzherimers but improvements are short lasting

Endrophonium (tensilon) used for what

Used to diagnose myasthenia gravis

Phystogmine (Antillirium) antidote for what

For anticholinergic toxicity

Scopolamine is used to treat what

Motion sickness

Scopolamine is used to treat what

Motion sickness

Atropine sulfate is used to treat what

For bradycardia


For organophosphate poisioning

Scopolamine is used to treat what

Motion sickness

Atropine sulfate is used to treat what

For bradycardia


For organophosphate poisioning

Adverse effects of Atropine sulfate

Tachycardia


Blurred vision


Dry mouth


Urinary retention


Mydriasis

Atropine sulfate is contraindicated in what pts

In patients with Glaucoma

Atropine sulfate is contraindicated in what pts

In patients with Glaucoma

Avoid what when taking atropine sulfate

Avoid heat ( drug vauses decreased perspiration)

Atropine sulfate is contraindicated in what pts

In patients with Glaucoma

Avoid what when taking atropine sulfate

Avoid heat ( drug vauses decreased perspiration)

What do anticholinergic drugs work for

Overactive bladders

Atropine sulfate is contraindicated in what pts

In patients with Glaucoma

Avoid what when taking atropine sulfate

Avoid heat ( drug vauses decreased perspiration)

What do anticholinergic drugs work for

Overactive bladders

Side effects of anticholinergic drugs

Constipation


Dry mouth


Urinary retention


Mydriasis

What category is Clonazepam

Anticonvulsant

What category is Clonazepam

Anticonvulsant

What does Clonazepam treat

Panic disorders

Side effects of clonazepam

Drowsiness


Dizziness


Confusion

Side effects of clonazepam

Drowsiness


Dizziness


Confusion

Antidote for benzodiazepines

Flumanezil (Romazicon)

Side effects of clonazepam

Drowsiness


Dizziness


Confusion

Antidote for benzodiazepines

Flumanezil (Romazicon)

Lorazepam (Ativan)

Drug of choice to treat acloholic delirium tremens

Phenyotin (dilantin) used to treat what

Seizures

Phenyotin (dilantin) used to treat what

Seizures

Phenyotin (dilantin) patient teaching

Good oral hygiene


Red, brown ir pink discoloration may occur in sweat and urine


Never mix w/ other drugs


No alcohol

Therapeutic level of Phenyotin (dilantin)

10-20 mcg/mL

Phenobarbital treats what

Seizures

Phenobarbital treats what

Seizures

What indicates early toxicity of Phenobarbital

Nystagmus ( back and forth moving of the eyes)

Phenytoin side effects

Hyperplasia ( excessive gum tissute growth)

Valproic accid treats what

Seizure in young children

Valproic accid monitor what

Platelets


Bleeding time


LFT’s

Dont take what with Valproic accid

Carbonated beverages

What category is baclofen

Muscle relaxant

What category is baclofen

Muscle relaxant

Baclofen side effect

Drowsiness

Cyclobenzaprine (flexeril) category and treats what

Muscle relaxant


Treats localized muscle spasms

Cyclobenzaprine (flexeril) side effects

Drowsiness & anticholinergic effects

Dantrolene ( Dantrium) category and treats...

Direct acting Muscle relaxant


Treats malignant hyperthermia (side effect from general asesthesia)

Dantrolene ( Dantrium) category and treats...

Direct acting Muscle relaxant


Treats malignant hyperthermia (side effect from general asesthesia)

What treats malignant hyperthermia

Dantrolene (dantrium)

Dantrolene ( Dantrium) category and treats...

Direct acting Muscle relaxant


Treats malignant hyperthermia (side effect from general asesthesia)

What treats malignant hyperthermia

Dantrolene (dantrium)

malignant hyperthermia is caused by what

Severe gentic side effect from general asethesia

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Sumatriptan (Imitrex)


Used for

Migraine releif

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Sumatriptan (Imitrex)


Used for

Migraine releif

Sumatriptan (imitrex) Contraindicated with pt with

MI or stroke

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Sumatriptan (Imitrex)


Used for

Migraine releif

Sumatriptan (imitrex) Contraindicated with pt with

MI or stroke

Warfarin (coumadin) category

Anticougulant

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Sumatriptan (Imitrex)


Used for

Migraine releif

Sumatriptan (imitrex) Contraindicated with pt with

MI or stroke

Warfarin (coumadin) category

Anticougulant

Antidote for warfarin( Coumadin)

Vitamin K

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Sumatriptan (Imitrex)


Used for

Migraine releif

Sumatriptan (imitrex) Contraindicated with pt with

MI or stroke

Warfarin (coumadin) category

Anticougulant

Antidote for warfarin( Coumadin)

Vitamin K

Warfarin (Coumadin) becareful with

- electric razor


- limit vegetables high in vitamin K


- watch for excessive bruising (no contact sports)


- use soft tooth brush

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

What happens if PTT/INR goes up when taking anticougulants

You will bleed easier

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Sumatriptan (Imitrex)


Used for

Migraine releif

Sumatriptan (imitrex) Contraindicated with pt with

MI or stroke

Warfarin (coumadin) category

Anticougulant

Antidote for warfarin( Coumadin)

Vitamin K

Warfarin (Coumadin) becareful with

- electric razor


- limit vegetables high in vitamin K


- watch for excessive bruising (no contact sports)


- use soft tooth brush

Methylphenidate (Ritalin) does what

Paradoxical calming effect in pt with ADHD

What happens if PTT/INR goes up when taking anticougulants

You will bleed easier

Normal INR levels pt with & w/o clot history

With: 2-3


W/O: 1

Methylphenidate (Ritalin) monitor what

Height & Weight in children

Methylphenidate (Ritalin) side effects

Nervousness


Insomnia


Tachycardia


Weightloss


Growth supression

Methylphenidate (Ritalin) indication

Give 6 hrs before bedtime

Ergotamine (ergostat) produces what and treats what

Vasoconstrictionof dilated blood vessels


Migrain releif

Sumatriptan (Imitrex)


Used for

Migraine releif

Sumatriptan (imitrex) Contraindicated with pt with

MI or stroke

Warfarin (coumadin) category

Anticougulant

Antidote for warfarin( Coumadin)

Vitamin K

Warfarin (Coumadin) becareful with

- electric razor


- limit vegetables high in vitamin K


- watch for excessive bruising (no contact sports)


- use soft tooth brush

You will bleed easier if what goes up when taking anticougulants & if what goes down

PTT


PT/INR


PLATELETS

You will bleed easier if what goes up when taking anticougulants & if what goes down

PTT


PT/INR


PLATELETS

What is a D Dimer test

Test to find out if there is a blood clotting disorder

Antidote for Heparin

Protamine sulfate

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

When does heparin start to work

Right away & is metabolized quickly

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

When does heparin start to work

Right away & is metabolized quickly

Line therapy to treat DVT ( deep vein thrombosis)

Enoxaparin ( Lovenox)

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

When does heparin start to work

Right away & is metabolized quickly

Line therapy to treat DVT ( deep vein thrombosis)

Enoxaparin ( Lovenox)

Enoxaparin ( Lovenox) how to administer

SubQ in love handles

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

When does heparin start to work

Right away & is metabolized quickly

Line therapy to treat DVT ( deep vein thrombosis)

Enoxaparin ( Lovenox)

Enoxaparin ( Lovenox) how to administer

SubQ in love handles

Discontinue Enoxaparin ( Lovenox) if what occurs

Thrombocytopenia

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

When does heparin start to work

Right away & is metabolized quickly

Line therapy to treat DVT ( deep vein thrombosis)

Enoxaparin ( Lovenox)

Enoxaparin ( Lovenox) how to administer

SubQ in love handles

Discontinue Enoxaparin ( Lovenox) if what occurs

Thrombocytopenia

Aspirin category

Anticougulant


Antiplatelet

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

When does heparin start to work

Right away & is metabolized quickly

Line therapy to treat DVT ( deep vein thrombosis)

Enoxaparin ( Lovenox)

Enoxaparin ( Lovenox) how to administer

SubQ in love handles

Discontinue Enoxaparin ( Lovenox) if what occurs

Thrombocytopenia

Aspirin category

Anticougulant


Antiplatelet

Aspirin to treat what

Suspected heart attack outside of hospital

Antidote for Heparin

Protamine sulfate

How to administer Heparin

Pinch skin of abdomen


Do not aspirate


Do not massage


Inject at 45 degree angle

When does heparin start to work

Right away & is metabolized quickly

Line therapy to treat DVT ( deep vein thrombosis)

Enoxaparin ( Lovenox)

Enoxaparin ( Lovenox) how to administer

SubQ in love handles

Discontinue Enoxaparin ( Lovenox) if what occurs

Thrombocytopenia

Aspirin category

Anticougulant


Antiplatelet

Aspirin to treat what

Suspected heart attack outside of hospital

Patient with GI bleed shouldnt take what med

Aspirin or ibuprofen

Stop what drugs if surgery coming up

Anticougulants & antiplatelets

Stop what drugs if surgery coming up

Anticougulants & antiplatelets

Sodium and potassium levels

Sodium- 135-145


Potassium- 3.5-5.0

Stop what drugs if surgery coming up

Anticougulants & antiplatelets

Sodium and potassium levels

Sodium- 135-145


Potassium- 3.5-5.0

Abnormal potasium levels causes what & abnormal sodium levels causes what

Potasium- Cardiac problems


Sodium- CNS problems

Stop what drugs if surgery coming up

Anticougulants & antiplatelets

Sodium and potassium levels

Sodium- 135-145


Potassium- 3.5-5.0

Abnormal potasium levels causes what & abnormal sodium levels causes what

Potasium- Cardiac problems


Sodium- CNS problems

Sodium chloride monitor what & adv effects

Serum electrolytes


Pulmonary edema

Potassium chloride and potassium gluconate monitor what

EKG & Serum electrolyte levels

Potassium chloride and potassium gluconate monitor what

EKG & Serum electrolyte levels

Potassium chloride and potassium gluconate side effects

Dysrythmias


Cardiac arrest


Abdominal pain

What can occur in pt with chronic kidney disease

Hyperkalemia

Cimetidine / Rantidine

H2 blocker to prevent irritation of stomach from too much acid

Cimetidine / Rantidine

H2 blocker to prevent irritation of stomach from too much acid

First choice drug for gastritis & duodenal ulcer

Cimetadine / rantidine

Cimetidine / Rantidine

H2 blocker to prevent irritation of stomach from too much acid

First choice drug for gastritis & duodenal ulcer

Cimetadine / rantidine

Cimetidine / rantidine indications

Take 30 mins before meals


Take 1-2 hrs before antacids

Cimetidine / Rantidine

H2 blocker to prevent irritation of stomach from too much acid

First choice drug for gastritis & duodenal ulcer

Cimetadine / rantidine

Cimetidine / rantidine indications

Take 30 mins before meals


Take 1-2 hrs before antacids

What do antacids decrease

Absorption

Cimetidine / Rantidine

H2 blocker to prevent irritation of stomach from too much acid

First choice drug for gastritis & duodenal ulcer

Cimetadine / rantidine

Cimetidine / rantidine indications

Take 30 mins before meals


Take 1-2 hrs before antacids

What do antacids decrease

Absorption

Lansoprazole / Omeprazole category & function

Proton pump inhibitor


Reduces acid production


For ulcer and GERD

Sucralfate indications

Take on empty stomach


Taken before meals or before bedtime

Sucralfate indications

Take on empty stomach


Taken before meals or before bedtime

Antacids function & indication

Releifs symptoms of heart burn


Neutralize stomach acid by raising PH of stomach content


Indication: take 1 hr after eating

Sucralfate indications

Take on empty stomach


Taken before meals or before bedtime

Antacids function & indication

Releifs symptoms of heart burn


Neutralize stomach acid by raising PH of stomach content


Indication: take 1 hr after eating

Metoclopramide (Reglan) function & side effect

Prevention of chemo induced emesis & delayed gastric emptying


SE: Drowsiness

Sucralfate indications

Take on empty stomach


Taken before meals or before bedtime

Antacids function & indication

Releifs symptoms of heart burn


Neutralize stomach acid by raising PH of stomach content


Indication: take 1 hr after eating

Metoclopramide (Reglan) function & side effect

Prevention of chemo induced emesis & delayed gastric emptying


SE: Drowsiness

Xenical (orlistate) used for


Pt has what

Long term weight control


Pt has oily stools and flatulence

Sucralfate indications

Take on empty stomach


Taken before meals or before bedtime

Antacids function & indication

Releifs symptoms of heart burn


Neutralize stomach acid by raising PH of stomach content


Indication: take 1 hr after eating

Metoclopramide (Reglan) function & side effect

Prevention of chemo induced emesis & delayed gastric emptying


SE: Drowsiness

Xenical (orlistate) used for


Pt has what

Long term weight control


Pt has oily stools and flatulence

Drug where Pt has oily stools and flatulence

Xenical (Orlistate)

Laxative use indication & can produce what

Given with plenty of fluids


Can produce intestinal obstruction

Bismuth compounds (pepto bismol) use & effects

Used for mild diarrhea & H.pylori


Can darken toungue and stool which is harmless and temporary

Bismuth compounds (pepto bismol) use & effects

Used for mild diarrhea & H.pylori


Can darken toungue and stool which is harmless and temporary

Dicyclomine (Bentyl) use

For irritable bowel syndrome (IBS)

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Iron (Ferrous sulfate) indication

Drink thru straw to avoid teeth discoloration


Take iron supplements with meals or food to decrease upset GI

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Iron (Ferrous sulfate) indication

Drink thru straw to avoid teeth discoloration


Take iron supplements with meals or food to decrease upset GI

Take iron supplements with... to avoid ...

With meals to avoid upset GI

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Iron (Ferrous sulfate) indication

Drink thru straw to avoid teeth discoloration


Take iron supplements with meals or food to decrease upset GI

Take iron supplements with... to avoid ...

With meals to avoid upset GI

Iron (ferrous sulfate) route

IM Z track method

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Iron (Ferrous sulfate) indication

Drink thru straw to avoid teeth discoloration


Take iron supplements with meals or food to decrease upset GI

Take iron supplements with... to avoid ...

With meals to avoid upset GI

Iron (ferrous sulfate) route

IM Z track method

Iron ( Ferrous sulfate) side effects

Nausea


Constipation


Black stool

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Iron (Ferrous sulfate) indication

Drink thru straw to avoid teeth discoloration


Take iron supplements with meals or food to decrease upset GI

Take iron supplements with... to avoid ...

With meals to avoid upset GI

Iron (ferrous sulfate) route

IM Z track method

Iron ( Ferrous sulfate) side effects

Nausea


Constipation


Black stool

Filgatrism (Neupogen) function & side effect

Increases WBC in neutropenic pts


SE: Bone pain

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Iron (Ferrous sulfate) indication

Drink thru straw to avoid teeth discoloration


Take iron supplements with meals or food to decrease upset GI

Take iron supplements with... to avoid ...

With meals to avoid upset GI

Iron (ferrous sulfate) route

IM Z track method

Iron ( Ferrous sulfate) side effects

Nausea


Constipation


Black stool

Filgatrism (Neupogen) function & side effect

Increases WBC in neutropenic pts


SE: Bone pain

Oxytocin (pitocin) function & effects

Increases frequency and force of contractions


Effects: uterine tetany, decompensation of fetal heart rate

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Gingko Biloba used for what

To enhance mental alertness and improve memmory

Epoetin alfa (Epogen, procrit) monitor & watch for..

H&H & watch hypertension

Iron (Ferrous sulfate) indication

Drink thru straw to avoid teeth discoloration


Take iron supplements with meals or food to decrease upset GI

Take iron supplements with... to avoid ...

With meals to avoid upset GI

Iron (ferrous sulfate) route

IM Z track method

Iron ( Ferrous sulfate) side effects

Nausea


Constipation


Black stool

Filgatrism (Neupogen) function & side effect

Increases WBC in neutropenic pts


SE: Bone pain

Oxytocin (pitocin) function & effects

Increases frequency and force of contractions


Effects: uterine tetany, decompensation of fetal heart rate

When to stop Oxytocin (pitocin)

If contractions last longer than 60 seconds

Ginko Biloba Increases risk of what

Risk of bleeding when taking anticougulants, antiplatelets and NSAIDS

St johns wort used for

Herb used to treat depression & anxiety

St johns wort decreases benefits what

Decreases benefits of immunosupressant drugs for pts with kidney transplants

Glucosamine used for

Osteoarthritis

Chondroitin used for

Osteoarthritis

Mega vitamin C excess dose causes what

Can lead to diarrhea and urinary stone formation

How much Mega vitamin C to be taken daily

1,000mg or more

Use of Mega Vitamin C

Used for ascorbic acid deficiency

Epoetin alfa (Epogen, procrit) does what

Increases production of RBC


treats anemia in pt with chronic kidney disease

Tocolytics names & function

Magnesium sulfate & terbutaline


Slow contractions to delay labor

Tocolytics names & function

Magnesium sulfate & terbutaline


Slow contractions to delay labor

Oral contraceptives function & symptoms

Prevent ovulation


Monitor for thrombophlebitis


Black box warning for smokers

What does immunosupression mean

That PT is at risk for infection like


fungal


Herpes


Tuberculosis (TB)

Prednisone category & function

Immunosupressant


Prevents organ rejection

Prednisone category & function

Immunosupressant


Prevents organ rejection


Prevents inflamatory response

Cyclosporine side effect

Hypertension


Nephrotoxicity

Drugs that help prevent organ rejection

Prednisone, cyclosporine

Drugs that help prevent organ rejection

Prednisone, cyclosporine

Infliximab (Remicade) function

Supresses inflamation in autoimmune disorders

Drugs that help prevent organ rejection

Prednisone, cyclosporine

Infliximab (Remicade) function

Supresses inflamation in autoimmune disorders

Infliximab (Remicade) Supresses inflamation in what diseases

rheumatoid arthritis or chrons disease

Treats relapse of multiple sclerosis

Interferon beta 1a & 1b

Interferon beta 1a & 1b side effects

Flu like symptoms


Bone marrow depression

Interferon beta 1a & 1b side effects

Flu like symptoms


Bone marrow depression

How many times we give Avonex

Once a week injection

Bronchodilators do what

Produce ease of breathing and descreased wheezing

Bronchodilators do what

Produce ease of breathing and descreased wheezing

Albuterol use when

Use during acute asthmatic episodes


Not for long term use

Bronchodilators do what

Produce ease of breathing and descreased wheezing

Albuterol use when

Use during acute asthmatic episodes


Not for long term use

Is albuterol used in short or long term

Short

Bronchodilators do what

Produce ease of breathing and descreased wheezing

Albuterol use when

Use during acute asthmatic episodes


Not for long term use

Is albuterol used in short or long term

Short

Albuterol assess for ( SE)

Improved breathing


Increased HR


Nervousness

Bronchodilators do what

Produce ease of breathing and descreased wheezing

Albuterol use when

Use during acute asthmatic episodes


Not for long term use

Is albuterol used in short or long term

Short

Albuterol assess for ( SE)

Improved breathing


Increased HR


Nervousness

Flucatisone category & used for

Glucocorticoid


Used for prevention of ashtma NOT for an episode

Bronchodilators do what

Produce ease of breathing and descreased wheezing

Albuterol use when

Use during acute asthmatic episodes


Not for long term use

Is albuterol used in short or long term

Short

Albuterol assess for ( SE)

Improved breathing


Increased HR


Nervousness

Flucatisone category & used for

Glucocorticoid


Used for prevention of ashtma NOT for an episode

Ipatropium (atrovent) category side effect, and treats

Bronchodilator


Releif of bronchospasm


Treats symptoms of asthma and COPD


Tachycardia

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Allopurinol function

Reduces inflammation of gouty arthritis

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Allopurinol function

Reduces inflammation of gouty arthritis

Allopurinol lowers what

Uric acid levels

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Allopurinol function

Reduces inflammation of gouty arthritis

Allopurinol lowers what

Uric acid levels

Reloxifine ( Evista) function

Prevents osteoporosis


Decreases bone resorption

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Allopurinol function

Reduces inflammation of gouty arthritis

Allopurinol lowers what

Uric acid levels

Reloxifine ( Evista) function

Prevents osteoporosis


Decreases bone resorption

Reloxifine ( Evista) contraindications

Antilipidemics & hormones

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Allopurinol function

Reduces inflammation of gouty arthritis

Allopurinol lowers what

Uric acid levels

Reloxifine ( Evista) function

Prevents osteoporosis


Decreases bone resorption

Reloxifine ( Evista) contraindications

Antilipidemics & hormones

Alendronate & ibandronate sodium functions

Prevention and treatment of osteoporosis


Mantains calcium in bones

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Allopurinol function

Reduces inflammation of gouty arthritis

Allopurinol lowers what

Uric acid levels

Reloxifine ( Evista) function

Prevents osteoporosis


Decreases bone resorption

Reloxifine ( Evista) contraindications

Antilipidemics & hormones

Alendronate & ibandronate sodium functions

Prevention and treatment of osteoporosis


Mantains calcium in bones

Alendronate & ibandronate sodium INDICATIONS

take with 6-8 oz water


Stay upright for 30 min


Avoid calcium within 60 min

Tiotropium (spiriva) category and use

Bronchodilator used for maintenance of COPD

Why does pt need to sit when taking Alendronate & ibandronate sodium

Because med irritates the esophagus

Montelukast (singulair)


use, indications & side effect

Treatment of Asthma


Patients 2 years and older


Administer orally at bedtime


Dizziness

Administed Montelukast to what age group

Patients 2 years and older

Anthistamines function


Caution with...

Decreases nasopharyngeal secretions


Caution with elderyl

Allopurinol function

Reduces inflammation of gouty arthritis

Allopurinol lowers what

Uric acid levels

Reloxifine ( Evista) function

Prevents osteoporosis


Decreases bone resorption

Reloxifine ( Evista) contraindications

Antilipidemics & hormones

Alendronate & ibandronate sodium functions

Prevention and treatment of osteoporosis


Mantains calcium in bones

Alendronate & ibandronate sodium INDICATIONS

take with 6-8 oz water


Stay upright for 30 min


Avoid calcium within 60 min

Opioids warnings & SE

Pt may fall


Respiratory depression



Constipation


Pruritus


Urinary retention


Decreases BP & HR

Naloxone function

Reverses respiratory depression & analgesia

Naloxone function

Reverses respiratory depression & analgesia

What is Duragesic & what function

Transdermal Fenatyl patch to treat severe chronic cancer like pain

Naloxone function

Reverses respiratory depression & analgesia

What is Duragesic & what function

Transdermal Fenatyl patch to treat severe chronic cancer like pain

Duragesic apply for how long & assess for what

Patchs lasts 72 hrs


Watch for tolerance & dependence

Acetominophen (Tylenol) category

Nonopioid analgesic

Acetominophen (Tylenol) category

Nonopioid analgesic

Acetominophen (Tylenol) long term use & or overdose can produce what

Long term: Can produce Nephrotoxicity


Overdose: Hepatoxicity

Acetominophen (Tylenol) category

Nonopioid analgesic

Acetominophen (Tylenol) long term use & or overdose can produce what

Long term: Can produce Nephrotoxicity


Overdose: Hepatoxicity

Signs of hepatoxicity

Jaundice


Abdominal pain


Clay colored stools


Dark urine

Acetominophen (Tylenol) category

Nonopioid analgesic

Acetominophen (Tylenol) long term use & or overdose can produce what

Long term: Can produce Nephrotoxicity


Overdose: Hepatoxicity

Signs of hepatoxicity

Jaundice


Abdominal pain


Clay colored stools


Dark urine

Aspirin caution with

PUD (Peptic ulcer ) patients


Children under 18 y.o

Acetominophen (Tylenol) category

Nonopioid analgesic

Acetominophen (Tylenol) long term use & or overdose can produce what

Long term: Can produce Nephrotoxicity


Overdose: Hepatoxicity

Signs of hepatoxicity

Jaundice


Abdominal pain


Clay colored stools


Dark urine

Aspirin caution with

PUD (Peptic ulcer ) patients


Children under 18 y.o

Why cant children take aspirin

Reye’s syndrome

Acetominophen (Tylenol) category

Nonopioid analgesic

Acetominophen (Tylenol) long term use & or overdose can produce what

Long term: Can produce Nephrotoxicity


Overdose: Hepatoxicity

Signs of hepatoxicity

Jaundice


Abdominal pain


Clay colored stools


Dark urine

Aspirin caution with

PUD (Peptic ulcer ) patients


Children under 18 y.o

Why cant children take aspirin

Reye’s syndrome

Nsaid therapeutic uses

Anti inflammatory


Analgesic for mid-mod pain

Acetominophen (Tylenol) category

Nonopioid analgesic

Acetominophen (Tylenol) long term use & or overdose can produce what

Long term: Can produce Nephrotoxicity


Overdose: Hepatoxicity

Signs of hepatoxicity

Jaundice


Abdominal pain


Clay colored stools


Dark urine

Aspirin caution with

PUD (Peptic ulcer ) patients


Children under 18 y.o

Why cant children take aspirin

Reye’s syndrome

Nsaid therapeutic uses

Anti inflammatory


Analgesic for mid-mod pain

NSAID contraindicated in what pt

Contraindicated in pt with renal impairment

What is MS contin

Morphine continued release


Used for chronic pain

What is MS contin

Morphine continued release


Used for chronic pain

Cholinergics ( pilocarpine) Pt teaching & adv effect

Teach to apply pressure on lacrimal sac for one minute


Adv effects: blurred or poor vision in dim lights

What is MS contin

Morphine continued release


Used for chronic pain

Cholinergics ( pilocarpine) Pt teaching & adv effect

Teach to apply pressure on lacrimal sac for one minute


Adv effects: blurred or poor vision in dim lights

Cholinergics ( pilocarpine) function

Contrict pupil to allow room for outflow

Beta 2 adrenergic agonist (Timolol) - function - how - Adv effects

Decreases intraocular pressure) do: apply pressure in lacrimal sac for one minute


Adv: eye irritation & hypotension

Beta 2 adrenergic agonists ( Timolol) caution in pts with

COPD


ASTHMA


PNEUMONIA

Theophylline category & treats what

Bronchodilator


Treatment of COPD

Theophylline category & treats what

Bronchodilator


Treatment of COPD

Theophylline indications

Avoid caffeine


Use no longer than 3-5 days

Theophylline category & treats what

Bronchodilator


Treatment of COPD

Theophylline

Its a Mexylthasine


Avoid caffeine

What can a decongestant produce & indication

Rebound congestion


Use no longer than 3-5 days

Pseudoephedrine (sudafed) indication

Take orally


Has adrenergic properties

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

Antiussives (dextromethorphan)


Function

Supresses cough reflex

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

Antiussives (dextromethorphan)


Function

Supresses cough reflex

Prednisone priority assesment

Risk for infection

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

Antiussives (dextromethorphan)


Function

Supresses cough reflex

Prednisone priority assesment

Risk for infection

Prednisone side effects

Cushings syndrome


Stunts bone growth in children

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

Antiussives (dextromethorphan)


Function

Supresses cough reflex

Prednisone priority assesment

Risk for infection

Prednisone side effects

Cushings syndrome


Stunts bone growth in children

Levothyroxine treats

Replacement therapy for Hypothyroidism

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

Antiussives (dextromethorphan)


Function

Supresses cough reflex

Prednisone priority assesment

Risk for infection

Prednisone side effects

Cushings syndrome


Stunts bone growth in children

Levothyroxine treats

Replacement therapy for Hypothyroidism

Levothyroxine Side effects

Tachycardia weight loss diarrhea increased body temperature intolerance to heat respiration insomnia and even angina

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

Antiussives (dextromethorphan)


Function

Supresses cough reflex

Prednisone priority assesment

Risk for infection

Prednisone side effects

Cushings syndrome


Stunts bone growth in children

Levothyroxine treats

Replacement therapy for Hypothyroidism

Levothyroxine Side effects

Tachycardia weight loss diarrhea increased body temperature intolerance to heat respiration insomnia and even angina

Radioactive iodine given for

Given for thyroid gland ablation

INH treats & side effect

1st line drug for TB


SE: peripheral neuropathy

Radioactive iodine Specifications

Capsules are large order less and tasteless


can dry up salivary gland’s


it’s excreted in urine so force fluids


patient will be radioactive until removed from body


induce isolation double flush toilets


only administered by nuclear medicine physician

( INH) what may be given to decrease risk of neuropathy

Vitamin B6

Expectorant (guaofenesin) category & function

Cough medicine


Liquifies secretions to make it easier to cough up

Mucolytic ( acetylcoline) function

Breaks down mucus to avoid high risk in coughing thick secretions

Antiussives (dextromethorphan)


Function

Supresses cough reflex

Prednisone priority assesment

Risk for infection

Prednisone side effects

Cushings syndrome


Stunts bone growth in children

Levothyroxine treats

Replacement therapy for Hypothyroidism

Levothyroxine Side effects

Tachycardia weight loss diarrhea increased body temperature intolerance to heat respiration insomnia and even angina

Radioactive iodine given for

Given for thyroid gland ablation

Methimazole / propylthiouracil


Treats

TreatsHyperthyroidism

Methimazole / propylthiouracil indications

Take at same time everyday with meal or snack


Avoid foods high in iodine


Takes up to 2 weeks to be effective

Methimazole / propylthiouracil indications

Take at same time everyday with meal or snack


Avoid foods high in iodine


Takes up to 2 weeks to be effective

Methimazole / propylthiouracil SIde effects

Sluggish tired waking condolence constipation

What to do if Methimazole / propylthiouracil taken with Lugol’s solution

Take 1 hr apart

Antidiuretic hormone (ADH) drug names and functions

Desmopressin or Vasopressin


Prevents excess fluid loss

Antidiuretic hormone (ADH) drug names and functions

Desmopressin or Vasopressin


Prevents excess fluid loss

Antidiuretic hormone (ADH) watch for

Fluid overload

Antidiuretic hormone (ADH) drug names and functions

Desmopressin or Vasopressin


Prevents excess fluid loss

Antidiuretic hormone (ADH) watch for

Fluid overload

Somatropin function

Growth hormone


Stimulates skeletal growth

Antidiuretic hormone (ADH) drug names and functions

Desmopressin or Vasopressin


Prevents excess fluid loss

Antidiuretic hormone (ADH) watch for

Fluid overload

Somatropin function

Growth hormone


Stimulates skeletal growth

When is somatropin discontinued

When epypheseal plates close

Antidiuretic hormone (ADH) drug names and functions

Desmopressin or Vasopressin


Prevents excess fluid loss

Antidiuretic hormone (ADH) watch for

Fluid overload

Somatropin function

Growth hormone


Stimulates skeletal growth

When is somatropin discontinued

When epypheseal plates close

Regular Insulin indications

Peaks 2-3 hrs


Give 30-60 min before meal

Antidiuretic hormone (ADH) drug names and functions

Desmopressin or Vasopressin


Prevents excess fluid loss

Antidiuretic hormone (ADH) watch for

Fluid overload

Somatropin function

Growth hormone


Stimulates skeletal growth

When is somatropin discontinued

When epypheseal plates close

Regular Insulin indications

Peaks 2-3 hrs


Give 30-60 min before meal

Which insulin is administered IV

Rapid insulin


( lispro, humalog, aspart, novolog ,glulisine)

Antidiuretic hormone (ADH) drug names and functions

Desmopressin or Vasopressin


Prevents excess fluid loss

Antidiuretic hormone (ADH) watch for

Fluid overload

Somatropin function

Growth hormone


Stimulates skeletal growth

When is somatropin discontinued

When epypheseal plates close

Regular Insulin indications

Peaks 2-3 hrs


Give 30-60 min before meal

Which insulin is administered IV

Regular insulin

What to monitor when giving Regular insulin

Glucose & potassium levels


For hypoglycemia & Hypokalemia

Rapid acting insulin (lispro) times & indications

Onset: 5-10min


Peaks: 1hr


Duration: 2-4hrs


Take IMMEDIATLY before eating or hypoglycemia can occur

Rapid acting insulin (lispro) times & indications

Onset: 5-10min


Peaks: 1hr


Duration: 2-4hrs


Take IMMEDIATLY before eating or hypoglycemia can occur

What can occur if pt doesnt eat after getting rapid insulin

hypoglycemia

Rapid acting insulin (lispro) times & indications

Onset: 5-10min


Peaks: 1hr


Duration: 2-4hrs


Take IMMEDIATLY before eating or hypoglycemia can occur

What can occur if pt doesnt eat after getting rapid insulin

hypoglycemia

Where to administer insulin and how

In stomach where it is absorbed faster at a 45 degree angle

Rapid acting insulin (lispro) times & indications

Onset: 5-10min


Peaks: 1hr


Duration: 2-4hrs


Take IMMEDIATLY before eating or hypoglycemia can occur

What can occur if pt doesnt eat after getting rapid insulin

hypoglycemia

Where to administer insulin and how

In stomach where it is absorbed faster at a 45 degree angle

Glargine (Lantus) Insulin times

No peak


Flat effect


Lasts 24 hrs

Rapid acting insulin (lispro) times & indications

Onset: 5-10min


Peaks: 1hr


Duration: 2-4hrs


Take IMMEDIATLY before eating or hypoglycemia can occur

What can occur if pt doesnt eat after getting rapid insulin

hypoglycemia

Where to administer insulin and how

In stomach where it is absorbed faster at a 45 degree angle

Glargine (Lantus) Insulin times

No peak


Flat effect


Lasts 24 hrs

Glucagon emergency Kit when and what to do

This will elevate blood sugar it is used when a diabetic patient becomes hypoglycemic and becomes unconscious


once injection is given patient should be placed on left side


patient might vomit

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

What can Tetracycline cause in children

Discoloration of permanent teeth

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

What can Tetracycline cause in children

Discoloration of permanent teeth

Rifampin treats & adv

Treats TB


Turns fluids orange, brown, red


Hepatoxicity


Check lfts

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

What can Tetracycline cause in children

Discoloration of permanent teeth

Rifampin treats & adv

Treats TB


Turns fluids orange, brown, red


Hepatoxicity


Check lfts

Rifampin check what

Check lfts for hepatoxicity

Watch for what in cathecholamines

For extravasation at injection/IV site

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

What can Tetracycline cause in children

Discoloration of permanent teeth

Rifampin treats & adv

Treats TB


Turns fluids orange, brown, red


Hepatoxicity


Check lfts

Rifampin check what

Check lfts for hepatoxicity

Watch for what in cathecholamines

For extravasation at injection/IV site

Acuyclovir (Zovirax) treats

Anticiral treatment for:


Herpes


Varicella


Zoster virus


Shingles


Chicken pox

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

What can Tetracycline cause in children

Discoloration of permanent teeth

Rifampin treats & adv

Treats TB


Turns fluids orange, brown, red


Hepatoxicity


Check lfts

Rifampin check what

Check lfts for hepatoxicity

Watch for what in cathecholamines

For extravasation at injection/IV site

Acuyclovir (Zovirax) treats

Anticiral treatment for:


Herpes


Varicella


Zoster virus


Shingles


Chicken pox

Fluconazole (Diflucan) treats

Vaginal candiasis


(Yeast infections)

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

What can Tetracycline cause in children

Discoloration of permanent teeth

Rifampin treats & adv

Treats TB


Turns fluids orange, brown, red


Hepatoxicity


Check lfts

Rifampin check what

Check lfts for hepatoxicity

Watch for what in cathecholamines

For extravasation at injection/IV site

Acuyclovir (Zovirax) treats

Anticiral treatment for:


Herpes


Varicella


Zoster virus


Shingles


Chicken pox

Fluconazole (Diflucan) treats

Vaginal candiasis


(Yeast infections)

What can antifungals cause

Liver injury ( hepatoxicity)

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

What to watch for with dopamine

Cardiac arrythmias

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine

What are the cathecholamines

Epinephrine


Norepinephrine


Dopamine


Dobutamine

Vancomycin treats & risk for

MRSA


Risk for nephrotoxicity , liber damage & otoxicity

Vancomycin should be infused at what rate

Greater than 60 min IV infusion

Vancomycin can cause what if infused too fast

red man syndrome


Rash, itching, hypotension

Trimethropin (bactrim/septra)


Treats

UTI

Penicillin treats what

Gram + organism

Cephalosporins contraindicated in who

PT allergic to Penicillin

Tetracycline indication

No to children <8


No to pregnant woman


Dont take with antacids, milk or iron

What can Tetracycline cause in children

Discoloration of permanent teeth

Rifampin treats & adv

Treats TB


Turns fluids orange, brown, red


Hepatoxicity


Check lfts

Rifampin check what

Check lfts for hepatoxicity

Watch for what in cathecholamines

For extravasation at injection/IV site

Acuyclovir (Zovirax) treats

Anticiral treatment for:


Herpes


Varicella


Zoster virus


Shingles


Chicken pox

Fluconazole (Diflucan) treats

Vaginal candiasis


(Yeast infections)

What can antifungals cause

Liver injury ( hepatoxicity)

Adv effects of antimetabolites (methotrexate)

Bone marrow suppression ulcerative stomatitis

When is antimetabolites discountiued

When oral ulceration occurs

Antiestrogen ( Tamoxifen) used for

Used for breast cancer

Adverse effects of cytoxan

Bone marrow supression


Alopecia

Doxurobicin (adriamycin) category & adv effects

Antitumor antibiotics


Cardiotoxicity


Bone marrow depression


Extravasation @ injection site

Osmitrol ( mannitol) category & how to know if effective

Osmotic diuretic


By lowered ICP


Treats pt with closed head injury

Digoxin how to assess

Take apical pulse for full minute

What can Dopamine affect if low dose? If high?

Low dose- renal


High dose- cardiac

Digoxin hold times by age

<60 adults


< 80 children


<100 infants ( arouse if sleeping)

Digoxin toxicity side effects

Vision changes


Halo vision, blurred, yellow


Anorexia


Bradycardia


Headache


Confusion


Nausea

Digoxin toxicity levels

0.5-2.0

What increases Digoxin toxicity

Hypokalemia

Watch use for beta blockers in pt with what

Diabetes & asthma

Hypoglycemic warning effects

Tremors


Tachycardia


Diaphoresis

Do not administer beta blocker if what

If hr less than 60 bpm

Nitroglycerin use

Transdermal patch to treat angina

Nitro SL use

3 times in 5 min

Ace inhibitors Side effects

Dry cough & Hyperkalemia

What to watch for with dopamine

Cardiac arrythmias

Furosemide (Lasix) use

Used for rapid diuresis in emergency situations like pulmonary edema

What is the best indicator in fluid gain or loss

Monitoring pt weight

Furosemide ( Lasix) side effects

Hypokalemia


Hypotension


Fluid & electrolye inbalance


Dehydration


Tinitus

When taking furosemide ( lasix) assess

For muscle cramps & muscle weakness

Benztropine mesylate (congentin) use

For Parkinsons disease & treatment of extrapyramidal symptoms

Side effects of cogentin

Blurred vision


Urinary retention

Levodopa & cardibopa (Sinemet) use & effects

Treats parkinsons disease


Ataxia ( impaired coordination)

Lithium use

Mood stabilizing for bipolar disorder

Lithium toxicity levels

0.6-1.2 mEq/mL mandatory monitoring of levels

How may lithium become toxic

If pt becomes hyponatremic

Mydriatics causes & used for

Produces dilation of pupil For ocular surgery & eye exams

Signs of lithium toxicity

Drowsiness


Musclr weakness


Dysrthmia


Coma


Convulsions

Lithium indications

Avoid activities that cause water depletion


Keep salt consistent in diet

Buspirone (buSpar) treats

Anxiety

How long for Buspirone effects

2-3 weeks

Buspirone(Buspar) indications

Schedule basis


NOT prn

Haloperidol (haldol) class & effect

Antiphyschotic


Pyramidal system effects( similar to parkinson)

Paroxetine (Paxel) how long for effect

4 weeks

Paroxetine (paxel) risks & adv reactions

Risk of serotonin syndrome


Risk Of suicidal thoughts


Adv: insomnia, weight gain, sexual dysfunction, lethargy

Isocarboxazid (Marplan) what can happen if taken with certain foods

Hypertensive crisis

Imipramine (tronafil) & amitriptyline (Elavil) side effects

Sedation


Orthostatic hypotension


Anticholinergic effects

Effects of decongestants and bronchodilators

Sympathomimetics effects


High heart rate


Insmonia


Nervousness

Imipramine (tronafil) & amitriptyline (Elavil) indications

Do not stop abruptly


Avoid alcohol


Avoid sleeping meds

Tamsulosin ( Flomax) category & treats

Adrenergic blocker


BPH ( beningn prostatic hyperplasia)

Ciproflaxin contraindicated in who & why

In children <18


May cause tendon rupture

Metronidazole ( Flagyl) treats & indications

Treats C difficile


Take with food


Avoid alcohol

Gentamicin or anything ending in mycin category, adv effect, check for

Aminoglycosides


Adv: ototoxicity & nephrotoxicity


Check BUN and creatinine