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)
