24 Drugs And Counseling Points For PPCP 2 Flashcards
Spironolactone
Points
- Watch for dehydration (Cap rxn, slack skin, gums being colored)
- Gynecomastia (breast enlargement, tenderness)
- Basic side effects
- Diarrhea, N/V, ab cramping, decreased libido, rash - Can be with or without food BUT STAY CONSISTENT!!
- Avoid any other K products or foods that contain high potassium supplements
Apixaban
Points:
Common side effects:
Nausea, Syncope, and hemorrhage (watch for blood in stool (coffee grounds), watch for more bruising)
- do not suddenly stop this medication
Atorvastatin
Points:
- Watch for muscle pains ( like working out when you did not), Rhabo is big issue which will have a large amount of pain
- Look for liver disfunction (jaundice, dark urine, fatigue)
- watch intake of grapefruit juice and reduce alcohol consumption
Metoprolol
Points:
- Watch for dizziness (especially when you first start as your body adjust to the medication
- May cause diarrhea, headache or depression as well as fatigue
- If diabetic monitor glucose closely due to that it can mask effects of hypoglycemia
- don’t suddenly D/C the med
- take with food or immediately following meals
Hydrochlorothiazide
Points:
- Can cause dizziness, blurred vision and vertigo
- Watch for electrolyte imbalance, watch for constipation, diarrhea, N/V
- watch for Photosensitivity
- maintain good amount of hydration
- avoid alcohol cuz it can lead to orthostatic hypertension
Lisinopril
Points:
- N/V, dizziness, headache
- watch for angioedema of face (swelling of face, lips, throat) D/C med and contact MD
- watch for persistent cough starting
Losartan
Points:
- Females if you plan on prego, do not use this medication if you become prego
- Can cause dizziness, back pain, nasal congestion
- still watch for angioedma but much less likely
- avoid potassium supplements
Diltiazem
Points:
- Will make dizzy when first starting medication so don’t plan on doing this especially if you’re just starting the medication
- Can cause headache, rash, flu-like symptoms
- watch for hypotension, bradyarrhythmia, syncope
- Don’t suddenly stop the medication
- Can cause constipation and worsen GERD
Amlodipine
Points
- Headache, Dizziness, flushing, pedal edema
Nitroglycerin
Points:
- make sure your sitting when taking medication
- Can cause headache, dizziness, flushing
- Place under tongue and let it dissolve, may repeat two more times every 5 minutes for max of 3 doses
- ER doses make sure you have 8-12 hours of nitrate free period
- Storage information, keep in original bottle and keep on person, want to replace every 3-4 months to get new ones so that the potency is kept
Warfarin
Points
- Watch for bleeding
- Stay consistent with the drug. Watch changes in diet that include high K content, watch alcohol use
- make sure to mointor INR and keep appointments
- inform dr about changes of diet or supplements that you start to take
Enoxaparin
Points:
- watch for bleeding
- Inject in fatty areas at the sides of waist
- inject refilled air bubbles with medication
Doxazosin
Points:
-Watch out for things that require alertness when starting med, it will cause dizziness and syncope, bigger effect when you first start
- can cause headache, edema, fatigue
- take ER with breakfast
Colchicine
Points
- report signs of neuromuscular toxicity (problems with muscle movements, not being able to move)
- will cause diarrhea, abdominal pain, N/V
- if using for prophylaxis gout report if you have a flair
- don’t suddenly D/C med
- avoid grapefruit products
- if you miss a dose don’t double up
***without regard to meals
Famotidine
Points
- can cause headache, dizziness, constipation or diarrhea
- if twice daily take in morning and at night, if once daily take medication before bedtime
- can use with anti acids as well
- doesnt have to be given with food if prophylaxis, but if taking for treatment use 30-60 minutes prior to food
Levothyroxine
Points:
-Take in the morning on empty stomach 30-60 minutes prior to anything else with only water so it is best absorbed. Separate out other meds that can bind to it by 4 hours (antiacids, iron, and ca)
- get levels checked every 6 weeks.
- make sure watch for signs of hyperthyroid: Tachy, sweating, unexplained weight loss, heat intolerance, palpitations, headache
- it can take weeks in order to start to feeling changes
Metformin
Points:
-watch for signs of lactic acidosis (exhaustion or fatigue, muscle cramps, diarrhea, headache, body weakness)
- stay hydrated
- can cause diarrhea and flaulance which will typically improve after a few weeks of use
- avoid alcohol
- take these with meals
Liraglutide
Points:
- diarrhea, N/V, fatigue, dizziness
- use once daily without regard to meals
- proper injection technique, 2 inch around belly button, rotate site, Change needle and don’t reuse them, no need to pinch
- If dose is missed, skip the missed dose and resume schedule. If more than 3 days is missed you will have to retiratin is needed
Insulin Glargine
Points
Sitagliptin
Points
- watch for signs of pancreatitis (middle abdomen pain,
- watch for sever joint pains
- common side effects = headache, upper respiratory infection
- watch if you have heart failure due to increase of edema
Gabapentin
Points:
- watch for changes in mood and increased depression symptoms
- Watch for increases in dizziness especially when first starting the drug
- can cause edema, N/V, fatigue symptoms
- watch for anaphylaxis and angioedma
- don’t suddenly D/C drug if on it for a while cuz it can increase risk of seizures
- don’t take with alcohol or other CNS agents cuz it will cause more CNS depression
- can be taken with or without food
Clopidogrel
Points:
- watch for prolonged bleeding
- make sure to warn dentist of providers your on this medication
- watch for rash, itching, diarrhea
- don’t D/C this drug suddenly
- AVOID OTC ASA and NSAIDS while taking medication and watch for using OTC omeprazole or esomeprazole
- Taken with or without food
Latanoprost
Points:
- remove contact prior to use and wait 15 minutes, allow at least 5 minutes between use of multi eye products
- watch discoloring of the iris of the eye (can be reversed if D/C drug)
- can cause some eye pain and stinging or itching of the eye
- store in fridge until opening, once opened it can be stored at room them per up to 6 weeks
MOA: increased outflow of aqueous humor
Lansoprazole
Points:
- if using for long term watch for signs of osteoporosis including to report fractures (hip, wrist)
- Side effects: abd pain, constipation/diarrhea, nausea, dizziness or headache
- take the medication 30 minutes prior to meals
- may open up the pill and place into apple sauce and drink with a glass of water
