Common Drug List Flashcards
What is ibuprofen’s drug classification ?
NSAID’s (non - steroidal antinflammatory drugs)
Nursing responsibilities: ibuprofen
- Take with food
2. can cause GI distress
What is aspirins drug classification?
NSAID’S
Nursing responsibilities: aspirin
- High instance for gastric bleeding
- Reyes sydrome (do not give 2 children)
- anticoagulant 81.mg
- NO Ginger, garlic, ginko (natural blood thinners)
What is acetominophens drug class?
Analgesic and antipyretic
Nursing responsibities: acetaminophen
- Does not have anti inflammatory properties
- 4000mg/24hr is hepatotoxic
- Antidote is mucomyst
What is celecoxib’s drug classification? NSAID
NSAID: COX-2 Inhibitor
Nursing responsibilities: Celecoxib
- Black Box warning
- Increased risk of MI and Stroke
- Contraindicated for Sulfa Allergy
What is morphine sulfate’s drug class?
Opioids
NURSING RESPONSIBILITIES : Morphine Sulfate
- Potential for dependence, addiction, and overdose.
- May cause constipation
- Monitor for overdose by monitoring LOC and RR
- Antidote = Narcan (naloxone)
Nursing responsibilities: Hydromorphone
- Potential for dependence, addiction, and overdose.
- May cause constipation
- Monitor for overdose by monitoring LOC and RR
- Antidote = Narcan (naloxone)
What is hydromorphone’s Drug classification?
Opioids
What is Fentanyl Transdermal’s drug classification
Opioids
Nursing responsibilities: Fentanyl Transdermal
- For severe chronic pain
- High risk for overdose
- Change patch q 72hrs
- Also available by IV route
What is codeine’s drug class?
Opioids
Nursing responsibilities: Codiene
- Analgesic
- Antitussive (prevent or suppress cough)
- Antidiarrheal
Hydrocodone with acetaminophen: drug classification?
Opioid’s
Nursing responsibilities: hydrocodone w/acetominophen
Acetaminophen added to increase effectiveness at lower dose of opioid.
Drug classification: diazepam
Benzodiazepines
Drug classification: Lorazepam
Benzodiazepines
Drug classifications: Alprazolam
Benzodiazepines
Drug classification: Midazolam
Benzodiazepines
Nursing responsibilities: Diazepam
- Anxiolytic/sedative
- Anticonvulsant (Seizure)
- Benzo withdrawal…Pt must not stop cold turkey
- Antidote is flumazenil
- Long acting, half-life of 1-2 days
- Active metabolite half-life is 2-7 days
Nursing responsibilities: Lorazepam
Benzo’s
- Anxiolytic/sedative
- Anticonvulsant (Seizure)
- Benzo withdrawal…Pt must not stop cold turkey
- Antidote is flumazenil
- Long acting: half-life is 12 hours
Nursing responsibilities: Alprazolam
- Anxiolytic/sedative
- Anticonvulsant (Seizure)
- Benzo withdrawal…Pt must not stop cold turkey
- Antidote is flumazenil
- Half-life: 11 hours
Nursing responsibilities: Midazolam
Benzodiazepines
- Anxiolytic/sedative
- ANTICONVULSANTS (Seizure)
- Benzo withdrawal…Pt must not stop cold turkey
- Antidote is flumazenil
- Used in procedures for short term sedation
- Half-life: 1-4 hours
Drug classification: Fluoxetine
Anti-depressants SSRIs
Drug classification: citalopram
Anti-depressants SSRIs
Drug classifications: Escitalopram
Anti-depressants SSRIs
Drug classification: Sertraline
Anti-depressants SSRIs
Nursing responsibilities: Fluoxetine
SSRI’s
- Monitor for depression, suicidal ideation, anxiety, insomnia, and nausea
- Has withdrawal syndrome
Nursing responsibilities: citalopram
- Monitor for depression, suicidal ideation, anxiety, insomnia, and nausea
- Has withdrawal syndrome
Nursing responsibilities: Escitalopram
- Monitor for depression, suicidal ideation, anxiety, insomnia, and nausea
- Has withdrawal syndrome
Nursing responsibilities: Sertraline
- Monitor for depression, suicidal ideation, anxiety, insomnia, and nausea
- Has withdrawal syndrome
Drug classification: Bupropion
Anti-depressant
Nursing responsibilities: bupropion
- Aid in smoking cessation
Drug classification: phenytoin
Anticonvulsant
Drug classification: levetiracetam
Anticonvulsant
Drug classification: gabapentin
Anticonvulsant
Nursing responsibilities: phenytoin
Anti-convulsant
- Monitor Liver Function Test’s (LFT’s)
- Check phenytoin level
Nursing responsibilities: levetiracetam
Anticonvulsants
Can be used for neuropathic pain.
Nursing responsibilities: gabapentin
- Can be use for neuropathic pain
2. Can Tx bipolar disorder
Drug classification: Isosorbide (I-so-sor-bide)
Nitrates
Nursing responsibilities: isosorbide
- Long acting nitrate
- Hold for low BP
- May cause headache
Drug classification: Hydrochlorothiazide (HCTZ)
Diuretics
Drug classifications: hydrochlorothiazide & triamterene
Diuretics
Drug classifications: furosemide
Diuretics
Drug classifications: Spironolactone
Diuretics
Nursing responsibilities: hydrochlorothiazide
- Thiazide diuretic
- Expect to give w/potassium supplement
- Monitor for hypokalemia
- Hold for low BP
- Monitor BP and electrolyte panel specific to the diuretic
- Fluid balanced measured by I&O and Daily weights
Nursing responsibilities: Hydrochlorothiazide & Triamterene
- POTASSIUM SPARING (Triamterene)
- Monitor for dehydration and hyperkalemia
- Monitor BP and electrolyte panel specific to the diuretic
- Fluid balanced measured by I&O and Daily weights
Nursing responsibilities: Furosemide
- Loop diuretic
- Expect to give with potassium supplement
- Monitor for hypokalemia
- Monitor for ototoxicity (hearing and balance issue’s)
- Monitor BP and electrolyte panel specific to the diuretic
- Fluid balanced measured by I&O and Daily weights
Nursing responsibilities: Spironolactone
- Blocks action of aldosterone
- Causes loss of water and sodium
- Potassium SPARING
- Monitor BP and electrolyte panel specific to the diuretic
- Fluid balanced measured by I&O and Daily weights
Drug classification: lisinopril
ACE Inhibitor’s (Pril)
Drug classification: benazepril
ACE Inhibitors (Pril)
Drug classifications: Captopril
ACE Inhibitors (Pril)
Nursing responsibilities: Lisinopril
ACE inhibitors
- Inhibits angiotensin converting enzyme
- May cause DRY COUGH
- Asses serum potassium levels (hyperkalemia)
Nursing responsibilities: benazepril
- Inhibits angiotensin converting enzyme
- May cause DRY COUGH
- Asses serum potassium levels (hyperkalemia)
Nursing responsibilities: captopril
- Inhibits angiotensin converting enzyme
- May cause DRY COUGH
- Asses serum potassium levels (hyperkalemia)
Drug classification: losartan
Angiotensin II Receptor Blockers (sartan)
Drug classification: valsartan
Angiotensin II Receptor Blockers (sartan)
Nursing responsibilities: valsartan
- NO DRY COUGH
2. Blocks angiotensin II to the angiotensin receptors o
Nursing responsibilities: losartan
- NO DRY COUGH
2. Blocks angiotensin II to the angiotensin receptors o
Drug classification: diltiazem
Calcium channel blockers
Drug classification: amlodipine
Calcium channel blockers
Nursing responsibilities: Diltiazem
- Antihypertensive, antiarrhythmic, antianginal
2. Hold for low BP & AP < 60 BPM
Nursing responsibilities: Amlodipine
Calcium channel blockers
- Antihypertensive, antiarrhythmic, antianginal
- Hold for low BP & AP < 60 BPM
Drug classification: propranolol
Beta-adrenergic blockers “olol”
Drug classification: atenolol
Beta-Andrenergic Blockers “olol”
Drug classification: metoprolol
Beta-Andrenergic Blockers “olol”
Nursing responsibilities: Propranolol
- Blocks beta receptors in heart
- Lowers HR & BP
- Hold for low BP & AP < 60 BPM
- Non-selective “Broncho-CONSTRICTION”
Nursing responsibilities: Atenolol
- Blocks beta receptors in heart
- Lowers HR & BP
- Hold for low BP & AP < 60 BPM
- Selective “Bronchodilator”
Nursing responsibilities: Metoprolol
- Blocks beta receptors in heart
- Lowers HR & BP
- Hold for low BP & AP < 60 BPM
- Selective “Bronchodilator”
Nursing responsibilities: For all STATINS
- Avoid grapefruit juice
Drug classification: Aspirin 81 mg
Anti-coagulants
Drug classification: Clopidogrel
Anti-coagulants
Drug classification: Apixaban
Anti-coagulants
Drug classification: Rivaroxaban
Anti-coagulants
Drug classification: dabigratan etexilate
Anti-coagulant
Drug classification: Warfarin
Anti-coagulants
Drug classification: Heparin
Anti-coagulants
Drug classification: Enoxaparin
Anti-coagulants
Nursing responsibilities: clopidogrel
Anticoagulants
- ADP receptor blocker
- Anti platelet medication approved for prevention MI and stroke
Nursing responsibilities: apixaban
Anticoagulants
- NO LABS
- NO DIET RESTRICTIONS
- Monitor for bleeding bruising
- Prevent DVT/PE
- Prophylaxis for DVT/PE in knee/hip surgery
- Antidote = Andexxa
Nursing responsibilities: rivaroxaban
Anticoagulants
- NO LABS
- NO DIET RESTRICTIONS
- Monitor for bleeding bruising
- Prevent DVT/PE
- Prophylaxis for DVT/PE in knee/hip surgery
- Antidote = Andexxa
Nursing responsibilities: Dabigratan etexilate
Anticoagulants
- Monitor for bleeding bruising
- NO LABS
- NO DIET RESTRICTIONS
- Prevent DVT/PE
- Prophylaxis for DVT/PE in knee/hip surger
- Reversal agent = Praxbin
Nursing responsibilities: warfarin
- Monitor for bruising and bleeding
- Drug levels affected by POTASSIUM
- Tests = Prothrombin Time (PT) and INR
Nursing responsibilities: heparin
- monitor for bruising and bleeding
- Can cause thrombocytopenia (monitor platelet counts)
- Given IV and SubQ
Nursing responsibilities: enoxaparin
- Low molecular weight heparin
- Air bubble is present insyringe, not to be expelled! Serves to lock the drug into the SubQ
- SubQ route only
- Only admin in the ABD
- DVT prevention
Drug classification: albuterol
Bronchodilator
Drug classification: levalbuterol
Bronchodilator
Drug classification: Ipratropium
Bronchodilator
Nursing responsibilities: albuterol
- Beta 2 adrenergic receptor agonists
- RAPID ACTION
- Inhaler/nebulizer
- Monitor for improvement in broncoconstriction, tachycardia, anxiety,palpitations
Nursing responsibilities: levalbuterol
- Inhaled Beta-2-Agonist
- Acute asthma and COPD Tx
- Less tachycardia than albuterol
Nursing responsibilities: Ipratropium
Bronchodilator
- Anticholinergic
- Acute Tx asthma and COPD
- Inhaler or nebulizer
- May cause dry mouth, sedation, urinary retention
Drug classification: fluticasone
Inhaled corticosteroids
Drug classifications: beclomethasone
Inhaled corticosteroids
Drug classifications: triamcinolone
Inhaled corticosteroids
Nursing responsibilities: Fluticasone
- Stop bronchial inflammation
- NOT FOR ACUTE ATTACKS
- Rinse mouth to prevent Thrush
- Inhaler
Nursing responsibilities: beclomethasone
- Stop bronchial inflammation
- NOT FOR ACUTE ATTACKS
- Rinse mouth to prevent Thrush
- Inhaler/ nasal spray
Nursing responsibilities: triamcinolone
- Stop bronchial inflammation
- NOT FOR ACUTE ATTACKS
- Rinse mouth to prevent Thrush
- Inhaler
- Also treats other conditions - topical for rash
Drug classification: amoxicillin
Antibacterials
Drug classification: ampicillin & sulbactam
Antibacterials
Drug classification: amoxicillin & clavulanate
Antibacterials
Drug classification: piperacillin & tazobactum
Antibacterial’s
Drug classification: cephalexin
Antibacterial’s
Drug classification: doxycycline
Antibacterial’s
Drug classification: erythromycin
Antibacterial’s
Drug classification: Azithromycin
Antibacterial’s
Drug classification: Ciprofloxacin
Antibacterial’s
Drug classification: Levofloxacine
Antibacterial’s
Drug classification: sulfamethoxazole + trimethoprim
Antibacterial’s
Drug classifications: metronidazole
Antibacterial’s
Nursing responsibilities: amoxicillin
- Monitor WBC’s and temperature
- High instances of Allergy
- Take w/food
Nursing responsibilities: ampicillin + sulbactam
- Monitor WBC’s and temperature
2. Inhibits beta-lactamase inhibitors
Nursing responsibilities: amoxicillin + clavulanate
- Monitor WBC’s and temperature
2. Inhibits beta-lactamase inhibitors
Nursing responsibilities: piperacillin + tazobactam
- Monitor WBC’s and temperature
2. Inhibits beta-lactamase inhibitors
Nursing responsibilities: cephalexin
- Take w/food
2. 1-10% of those w/penicillin allergy will have cross allergy to cephalexin