Drug Cards Flashcards
Generic: Metformin
Brand: Glucophage
Class: Antidiabetic
Purpose: To control hyperglycemia in Type 2 diabetes mellitus
Side Effects: Dizziness, bitter or metabolic taste, weight loss, fatigue, agitation, anorexia, nausea, vomiting, diarrhea
Adverse reaction: Lactic acidosis, malabsorption of amino acids, vitamin B12, and folic acid.
Life Threatening: Lactic acidosis
Nursing Consideration: Hypersensitivity, diabetic ketoacidosis, radio graphic administration, concurrent infection, hepatic or renal dysfunction.
Brand:Humalog
Generic:lispro insulin
Class:Antidiabetic: Insulin - Rapid-acting
Use:To control diabetes mellitus; to lower blood sugar
Se:Confusion, agitation, tremors, headache, flushing, hunger, weakness, lethargy, fatigue, urticaria, redness, irritation or swelling at injection site
Adverse effects:Tachycardia, palpitations, hypoglycemic reaction, rebound hyperglycemia (Somogyi effect), lipodystrophyLife-threatening: Shock, anaphylaxis, ketoacido
Nursing inter.:Hypersensitivity, hypoglycemiaCaution: Hypokalemia, fever, surgery or trauma, nausea or vomiting
Brand: Humulin, Novolin
Generic: NPH insulin
Class:Antidiabetic: Insulin - Intermediate-acting
Use:To control diabetes mellitus; to lower blood sugar
Side effects: Confusion, agitation, tremors, headache, flushing, hunger, weakness, lethargy, fatigue, urticaria, redness, irritation or swelling at injection site
Adverse effects: Tachycardia, palpitations, hypoglycemic reaction, rebound hyperglycemia (Somogyi effect), lipodystrophyLife-threatening: Shock, anaphylaxis, ketoacidosis
nursing conside:Hypersensitivity, hypoglycemiaCaution: Hypokalemia, fever, surgery or trauma, nausea or vomiting
Brand:GlucaGen
Generic:glucagon
Class:Hyperglycemic
Use:To treat insulin-induced hypoglycemia (pg. 771)
Side effects:
Adverse effects:hyperglycemic reaction
Brand:GlucaGen
Generic:glucagon
Class:Hyperglycemic
Use:To treat insulin-induced hypoglycemia (pg. 771)
Side effects:diarrhea, rash,vomitting
Adverse effects: To treat insulin-induced hypoglycemia (pg. 771)
Nursing Interventions:
Brand: Inderal
Generic: propranolol
Class:Antihypertensive: Beta Blocker
Use:For hypertension, angina, and cardiac dysrhythmias. First beta blocker.
Side effects:dizziness, insomnia, depression, fatigue, nightmares, and sexual dysfunction.
Adverse effects:decreased pulse rate, markedly decreased blood pressure. May cause bronchospasm because of beta 2 -blocker effect.
Brand:Prinivil
Generic:lisinopril
Class:Antihypertensive: Angiotensin Antagonist (ACE inhibitor)
Use:To treat hypertension
Side effects: constant, irritated cough. Nausea, vomiting, diarrhea, headache, dizziness, fatigue, insomnia, tachycardia
Adverse effects:Hypotention, hyperkalemia
Nursing considerations:African Americans and older people do not respond well. Renal insufficiency.
Brand:Imdur
Generic:isosorbide mononitrate
Class:Antianginal: Nitrate
Use:To prevent anginal attacks.
Side effects: headaches, hypotension, dizziness, weakness, faintness
Adverse Effects:tachycardia
Nursing considerations:discontinuation can lead to myocardial ischemia (lack of blook supply to the heart)
Brand: Lanoxin
Generic:digoxin
Class:Cardiac glycoside
Use: To treat HF, atrial fibrillation
Side effects:Anorexia, nausea, vomiting, diarrhea, abdominal pain, headache, blurred vision (yellow-green halos), diplopia, photophobia, drowsiness, dizziness, fatigue, confusion
Adverse effects:Bradycardia, visual disturbances
Life-threatening: Atrioventricular block, cardiac dysrhythmias
Nursing interventions:Caution: AMI, renal disease, hypothyroidism, hyperthyroidism, hepatic dysfunction, bradycardia, hypokalemia.
Brand:Adenocard
Generic: adenosine
Class: Antidysrhythmic:
Class III: Drugs That Prolong Repolarization
Use: To treat PSVT, Wolff-Parkinson-White syndrome.
Side effects: diarrhea, dizziness, chest tightness, confusion, fainting,
Adverse effects:
Nursing Interventions: Contraindicated if second- or third-degree AV block or atrial flutter or fibrillation present.
Brand: Cardizem
Generic:diltiazem
Class:Antianginal: Calcium channel blocker
Use:To treat stable and variant angina pectoris
Side effects:headache, hypotension (more common with nifedipine and less common with diltiazem), dizziness, and flushing of the skin.
Adverse effects:Reflex tachycardia can occur as a result of hypotension.
Nursing interventions:CCBs can cause changes in liver and kidney func-tion.
Serum liver enzymes should be checked periodically.
Brand: PTU
Generic:propylthiouracil
Class:Antithyroid: Thioamides
Use:To treat hyperthyroidism, Graves’ disease.
Side effects:
Adverse effects:May cause severe liver damage, liver failure, and death.
Brand: Synthroid
Generic: levothyroxine
Class:Thyroid hormone
Use:To treat hypothyroidism, myxedema, and cretinism
Adverse effects:
Side effects: Nausea, vomiting, anorexia, diarrhea, cramps, tremors, nervousness, irritability, insomnia, headache, weight loss, diaphoresis, amenorrhea
Adverse effects: Tachycardia, hypertension, palpitations, osteoporosis, seizuresLife-threatening: Thyroid crisis, angina pectoris, cardiac dysrhythmias (atrial fibrillation), cardiovascular collapse
Nursing interventions: Thyrotoxicosis, myocardial infarction, severe renal disease, adrenal insufficiency
Brand: Deltasone
Generic: prednisone
Class:Adrenal hormone: glucocorticoid
Use:To decrease inflammatory occurrence; as an immunosuppressant; to treat dermatologic disorders
Side effects:Nausea, diarrhea, abdominal distention, increased appetite, sweating, headache, depression, flushing, mood changes, cataracts, amenorrhea
Adverse effects:Petechiae, ecchymosis, hypertension, tachycardia, osteoporosis, muscle wasting, sodium and fluid retentionLife-threatening: GI hemorrhage, pancreatitis, circulatory collapse, thrombophlebitis, embolism
Nursing interventions:Caution: Diabetes mellitus, renal disease, HF, MI, hypertension, osteoporosis, seizures, cataracts, glaucoma
Brand: Florinef
Generic: fludrocortisone
Class:Adrenal hormone: mineralocorticoid
Use:To treat adrenocortical insufficiency, Addison’s disease. Also for salt-losing adrenogenital syndrome.
Side effects: insomnia, headache, dizziness, spinning sensation, nausea, stomach pain, bloating,
Adverse effects:hypertension, hypokalemia
Nursing interventions:For electrolyte imbalance