ati.pharm Flashcards
Digoxin (lanoxin) SE
blurred/double vision
Guaifenesin SE
can cause drowsiness
Estrogen (premarin) SE
↑ risk of Thromboembolism with s/s: SOB, severe headache, vomiting, sudden acute pain in the calves, legs, chest, abdomen.
Doxepin (Sinequan) [anticholinergic] SE
urinary retension, constipation, drying of nasal/oral secretons, ↑HR
Albuterol (Proventil) [sympathomimetic/ adrenergic beta-2 agonist] Contraindicated
with MAOIs (can↑ action of albuterol and → HTN crisis); β-blockers can inhibit the therapeutic effects Use: invert canister, shake before use, rinse mouth after use, w/new inhaler perform test spray
Levothryoxine (T4) Indication
hypothyroidism RT dysfxn of hypothalamus, pituitary, or thyroid gland
don’t take with calcium
Cephalosporins (Keflex)
allergy to cephalosporins is considered a precaution for taking penicillins
Phenobarbital [Barbiturates]; interventions for anticonvulsant therapy
assess for resp. depression, excess sedation from toxic effects, IV at
Sumatriptan (Imitrex) use
when migraine symptoms appear and again in 1 hr if symptoms persist
Narcan [opioid antagonist]
therapeutic action: improvement of respiratory rate
Baclofen (Lioresal) Therapeutic action
↓ frequency & severity of muscle spasms
Erythromycin (Erythrocin) [macrolide] SE
liver toxicity
What do need to avoid when taking Spironolactone (Aldactone) [K sparing diuretic]
foods w/ ↑ K such as salt substitutes
Chloroquine phosphate (Aralen): Indication
malaria prevention; Use: take weekly starting 1 week before departure and continued for 4 weeks after return.
Heparin (anticoagulant) Use
w/alteplase for acute MI
Warfarin (Coumadin) Use
long-term prophylaxis of thrombosis [antidote—Vit K]
Clopidogrel (Plavix) Use
reduce long-term risk of clotting w/ atherosclerosis and recent MI of CVA
Alteplase (Activase) [antithrombolytic] Use
Acute MI/CVA (has short half-life)
Methylphenidate (Concerta) Us
marcolepsy Precaution: avoid caffeine use
Testosterone IM use
If use to correct delayed puberty→assess bone maturation with bi-annual x-rays of hand and wrist; monitor liver function (can ↑ hypoglycemia, potentiate sleep apnea, exacerbate heart failure due to fluid retention.
Diphenoxylate & Atropine (Lomotil) Caution
With Renal impairment ↓ elimination of atropine → ↑ anticholinergic effects of atropine like confusion
Loperamide (Imodium) use
anti-diarrheal (poorly absorbed from GI tract; difficulty crossing the blood-brain barrier)
Methylcellulose (Citrucel) use
bulk-forming agent with minimal Side Effects (SE)
Psyllium (Metamucil) use
bulk-forming agent with minimal Side Effects (SE)
Acetazolamide (Diamox) [diuretic] indication
edema, epilepsy, acute mountain sickness, glaucoma (↓ intraocular pressure by ↓ amount of aqueous humor in the eye) Contra: allergy to sulfonamides
Metoprolol (Lopressor) [β-blocker] use and side effects
Hold dose for dyspnea (sign of exacerbation of CHF) Propanolol (Inderal) Use. Dysrhythmia, HTN, angina; SE: bronchoconstriction/bronchospasm; can block glyconeogenesis
Norgestrel (Ovrette) use and contraindication
contraception; SE: excess progestin →weight gain from ↑ appetite; deficiency of progestin: late breakthrough bleeding, amenorrhea; excess estrogen → edema Medroxyprogesterone (Provera); Contra: smoking/tobacco products; Risks: Thromboembolism & Cardiovascular complications; Interventions: use additional contraceptive measures w/antibiotic therapy
IM injection site
locate dorsogluteal site
Allopurinol (Zyloprim) indication
Gout; MofA: ↓ serum uric acid levels & urinary uric acid secretion; Precaution: avoid foods that acidify urine such as corn
TB—multi drug tx
Isoniazid(INH), Rifampin, pyrazinamide, ethambutol—to deal w/ resistant strains
ACE Inhib. Lisinopril (Zestril) SE
dry/persistent cough for 1-2 wks from ↑ bradykinin
propranolol adverse reaction
bronchoconstriction
hypokalemia
decreased peristalsis
priorty for hemorage
oxygen, iv, ng, rantidine
ratidine
prevent stress ulcer
heroin overdose
monitor oxygen sat
