Adverse reactions Flashcards
Adverse reaction of gentamicin + vancomycin?
otoxicity + nephrotoxicity
Adverse reaction of antibiotics (broad-spec like cephalosporins or ciprofloxacin)?
C.diff colitis
Adverse reaction of ACE inhibitors (lisinopril)
- hypotension
- electrolyte abnormalities - raised k, low na
- AKI
- dry cough
Adverse reaction of beta-blockers
- hypotension
- bradycardia
- wheeze (asthmatics CI)
- worsens acute HF
fatigue less recognised
Adverse reaction of CCBs (diltiazem, verapamil)
- hypotension
- bradycardia
- flushing
- peripheral oedema
Adverse reaction of diuretics (furosemide, bendro, spiro)?
- hypotension
- electrolyte abnormalities
- AKI
class dependent (spiro = gynaecomastia) (thiazide = gout)
Adverse reaction of heparin?
- haemorrhage
- HIIT
Adverse reaction of warfarin?
- haemorrhage –> note bridging with LMWH required until INR 2
Adverse reaction of aspirin?
- haemorrge
- peptic ulcer + gastritis
- tinnitus in large dose
Adverse reaction of digoxin
- nausea, vomiting, diarrhoea
- confusion, drowsiness
- blurred vision or yellow/green perception, halo vision
Effect of K+ on digoxin effectiveness?
- low K+ increases effectiveness
- high K+ reduced effect
Adverse reaction of amIOdarone?
- ILD (pulmonary fibrosis)
- thyroid disease (hypo + hyper)
- skin grey
- corneal deposits
Adverse reaction of lithium
early = tremor intermediate = tiredness late = arrhythmias, seizures + coma, renal failure, diabetes insipidus
Adverse reaction of haloperidol?
- dyskinesias (acute dystonic reactions)
- drowsiness
Adverse reaction of clozapine?
- agranulocytosis - intensive FBC monitoring