Drug Cards Flashcards

1
Q

Generic: Metformin
Brand: Glucophage
Class: Antidiabetic

A

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.

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2
Q

Brand:Humalog
Generic:lispro insulin
Class:Antidiabetic: Insulin - Rapid-acting

A

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

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3
Q

Brand: Humulin, Novolin
Generic: NPH insulin
Class:Antidiabetic: Insulin - Intermediate-acting

A

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

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4
Q

Brand:GlucaGen
Generic:glucagon
Class:Hyperglycemic

A

Use:To treat insulin-induced hypoglycemia (pg. 771)
Side effects:
Adverse effects:hyperglycemic reaction

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5
Q

Brand:GlucaGen
Generic:glucagon
Class:Hyperglycemic

A

Use:To treat insulin-induced hypoglycemia (pg. 771)
Side effects:diarrhea, rash,vomitting
Adverse effects: To treat insulin-induced hypoglycemia (pg. 771)
Nursing Interventions:

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6
Q

Brand: Inderal
Generic: propranolol
Class:Antihypertensive: Beta Blocker

A

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.

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7
Q

Brand:Prinivil
Generic:lisinopril
Class:Antihypertensive: Angiotensin Antagonist (ACE inhibitor)

A

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.

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8
Q

Brand:Imdur
Generic:isosorbide mononitrate
Class:Antianginal: Nitrate

A

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)

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9
Q

Brand: Lanoxin
Generic:digoxin
Class:Cardiac glycoside

A

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.

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10
Q

Brand:Adenocard
Generic: adenosine
Class: Antidysrhythmic:
Class III: Drugs That Prolong Repolarization

A

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.

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11
Q

Brand: Cardizem
Generic:diltiazem
Class:Antianginal: Calcium channel blocker

A

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.

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12
Q

Brand: PTU
Generic:propylthiouracil
Class:Antithyroid: Thioamides

A

Use:To treat hyperthyroidism, Graves’ disease.
Side effects:
Adverse effects:May cause severe liver damage, liver failure, and death.

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13
Q

Brand: Synthroid
Generic: levothyroxine
Class:Thyroid hormone

A

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

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14
Q

Brand: Deltasone
Generic: prednisone
Class:Adrenal hormone: glucocorticoid

A

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

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15
Q

Brand: Florinef
Generic: fludrocortisone
Class:Adrenal hormone: mineralocorticoid

A

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

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16
Q

Brand:
Generic: Glucocorticoids
Clsss:Adrenal hormone: glucocorticoid

A

Use:to treat many diseases and health problems, including inflammatory, allergic, and debilitating conditions. (pg. 752)
Side effects:include increased blood sugar, abnor-mal fat deposits in the face and trunk (so-called moon face and buffalo hump), decreased extremity size, muscle wasting, edema, sodium and water retention, hypertension, euphoria or psychosis, thinned skin with purpura, increased intraocu-lar pressure (glaucoma), peptic ulcers, and growth retarda-tion.
Nursing interventions:can cause sodium absorption from the kidney, resulting in water retention, potassium loss, and increased blood pressure.`

17
Q

Brand:Prilosec
Generic:omeprazole
Class:Proton Pump Inhibitor

A

Use:To treat peptic and duodenal ulcers, GERD, erosive esophagitis
Side effects:Headache, dizziness, blurred vision, fatigue, thirst, dry mouth, increased appetite, anorexia, nausea, hiccups, diarrhea, constipation, rash
Adverse effects:Elevated AST, ALT
Nursing interventions:Hypersensitivity, pregnancy, lactationCaution: Hepatic disease

18
Q

Brand:Pepcid
Generic:famotidine
Class:Histamine2 Blockers`

A

Use: To prevent and treat peptic ulcers, gastroesophageal reflux, and stress ulcers
Side effects:Headache, confusion, nausea, vertigo, diarrhea or constipation, depression, rash, blurred vision, malaise, decreased libido
Adverse effects:Life-threatening: Hepatotoxicity, cardiac dysrhythmias, blood dyscrasias
Nursing interventions:Hypersensitivity, severe renal or liver diseaseCaution: Pregnancy, lactation

19
Q

Brand:Lomotil
Generic:diphenoxylate
with atropine
Class:Antidiarrheal: opiate

A

Use:To treat diarrhea by slowing intestinal motility
Side effects:Drowsiness, dizziness, constipation, dry mouth, weakness, flush, rash, blurred vision, mydriasis, urine retention
Adverse effects:AngioedemaLife-threatening: Paralytic ileus, toxic megacolon, severe allergic reaction
Nursing Interventions:Severe diarrhea due to poisoning or pseudomembranous colitisSevere hepatic or renal disease, glaucoma, severe electrolyte imbalance; children

20
Q

Brand: Amoxil
Generic:amoxicillin
Class:Antibiotic: Broad-spectrum penicillin

A

Use:amoxicillin: To treat respiratory tract infection, urinary tract infection, otitis media, and sinusitis
Side effects:amoxicillin: Edema, insomnia, dysphagia
Adverse effects:amoxicillin: Respiratory distress
Nursing interventions:mononucleosis, renal impairment

21
Q

Brand: Flagyl
Generic: metronidazole
Class:Antibacterial: nitromidazole

A

Use:To treat bacterial vaginosis, H. pylori (peptic ulcer)
Side effect:Dizziness, headache, confusion, depression, irritability, weakness, and insomnia. Dry-mouth
Adverse effects:Rash, itching/swelling, severe dizziness, trouble breathing
Nursing interventions:

22
Q

Brand:Cephulac
Generic: lactulose
Class:Laxative: Osmotic (saline)

A

Use:To treat constipation
Side effects:flatulence, diarrhea, abdominal cramps, nausea, and vomiting.
Adverse effects:
Nursing interventions:renal function. Patients who have diabetes mellitus should avoid lactulose, because it contains glucose and fructose.

23
Q

Brand:Pepto-bismol
Generic:bismuth subsalicylate
Class:Antidiarrheal: Adsorbents

A

Use:To treat diarrhea by coating the wall of the GI tract. (pg.684)
Side effects:
adverse effects:
Nursing interventions:suppress vomiting, antacid for gastric discomfort.

24
Q

Brand:Zantac
Generic:ranitidine
Class:Antiulcer: histamine 2 blocker

A

Use:To prevent and treat peptic ulcers, gastroesophageal reflux, and stress ulcers
Side effects:Headache, confusion, nausea, vertigo, diarrhea or constipation, depression, rash, blurred vision, malaise, decreased libido
Adverse effects:Life-threatening: Hepatotoxicity, cardiac dysrhythmias, blood dyscrasias
Nursing considerations:Hypersensitivity, severe renal or liver diseasets:

25
Q

Brand: : Carafate
Generic:sulcralfate
Class:Antiulcer: pepsin inhibitor

A

Use:To prevent gastric mucosal injury from drug-induced ulcers (aspirin, NSAIDs); to manage ulcers
Side effects:Dizziness, headache, nausea, flatulence, constipation, dry mouth, rash, pruritus, sleepiness
Adverse effects:Hyperglycemia, hypomagnesemia
Nursing interventions:Hypersensitivity
Caution: Renal failure

26
Q

Brand: Zofran
Generic:ondansetron
Class:Antiemetic: Seratonin antagonist

A

Use:To treat nausea and vomitting

Side effects:headache, diarrhea, dizziness, and fatigue.

27
Q

Brand:Lipitor
Generic:atorvastatin
Class:Antilipidemic:
Statin: HMG-CoA Reductase Inhibitor

A

Use:To treat dyslipidemia and hypercholesterolemia.
Side effects:Headache, rash/pruritus, constipation, diarrhea
Adverse effects:History of liver disease, increased alcohol ingestion, trauma, severe metabolic diabetes mellitus, uncontrolled seizures
Nursing inter.:Monitor liver enzymes for elevation.

28
Q
Brand:Activase
Generic:alteplase
[tPA]
(Tissue Plasminogen Activator)
Class:Thrombolytic agent
A

Use:To dissolve clot following acute MI, pulmonary embolism, acute ischemic stroke.
Side effects:Bleeding, nausea, vomiting, fever
Adverse effects:Life-threatening: Intracerebral hemorrhage, stroke, atrial or ventricular dysrhythmias, pulmonary edema
Nursing interventions:Caution: Cardiac dysrhythmias, hepatic or renal disease

29
Q

Brand:ASA, Bayer, Ecotrin
Generic:aspirin
Class:Analgesic: antiinflammatory drug

A

Use:To reduce pain and inflammatory symptoms; to decrease body temperature; to inhibit platelet aggregation
Side effects:Anorexia, nausea, vomiting, diarrhea, dizziness, confusion, hearing loss, heatburn, rash, abdominal pain, drowsiness
Adverse effects: Life-threatening: Agranulocytosis, hemolytic anemia, bronchospasm, anaphylaxis, thromboscytopenia, Reye’s syndrome, hepatotoxicity, leukopenia
Nursing int:Never give to child with a virus : Rise Syndrome.
Blood thinning,

30
Q

Generic:protamine sulfate
Class:Anticoagulant Antagonist

A

Use: Antidote to heparin overdose.
Binds and neutralizes heparin.
Nursing interventions:Allergic reaction
Note:The dosage is 1 mg of protamine sulfate for every 100 units of unfractionated heparin or LMWH given.

31
Q

Brand: Coumadin
Generic: warfarin
Class:Anticoagulant

A

Use:To prevent blood clotting.
Depresses hepatic synthesis of vitamin K clotting factors (II [prothrombin], VII, IX, and X)
Side effects:Anorexia, nausea, vomiting, diarrhea, abdominal cramps, rash, alopecia, fever, stomatitis
Adverse effects:Purple-toe syndrome
Life-threatening: Hemorrhage
Nurrsing interventions:Blood dyscrasias, eclampsia, alcoholism, bleeding, head trauma

32
Q

Generic: heparin
Class: Anticoagulant

A

Use: To prevent blood clotting.
Inhibits thrombin, which prevents conversion of fibrinogen to fibrin
Side effects: Itching, burning, chills, injection site reaction
Adverse effects:Bleeding, ecchymoses, hematuria, angioedema, osteoporosis, stroke, heparin-induced thrombocytopenia
Life threatening: Bleeding disorder, peptic ulcer, severe hepatic or renal disease, hemophilia

33
Q

Brand:Mephyton
Generic:vitamin K
(phytonadione)
Class:Anticoagulant Antagonist

A

Use: Antidote for warfarin overdose or uncontrolable bleeding.
Promotes liver synthesis of clotting factors.
Side effects:
Adverse effects:
Nursing interventions:

34
Q

Brand:Aldactone
Genericspironolactone
Class:Diuretic: Potassium-sparing diuretic

A

Use:To increase urine output; to treat fluid retention/overload associated with HF, hepatic cirrhosis, or nephrotic syndrome
Side effects:Nausea, vomiting, diarrhea, rash, dizziness, headache, weakness, dry mouth, photosensitivity
Adverse effects:Life-threatening: Severe hyperkalemia, thrombocytopenia, megaloblastic anemia
Nursing interventions:Severe kidney or hepatic disease, anuria, severe hyperkalemiaCaution: Renal or hepatic dysfunction, diabetes mellitus

35
Q

Brand: Bumex
Generic: bumetanide
Class: Diuretic: Loop diuretic

A

Use: To treat fluid retention/fluid overload caused by renal disease and hypertension and edema associated with HF.
Side effects:Nausea, diarrhea, electrolyte imbalances, vertigo, abdominal cramping, constipation, rash, headache, weakness, ECG changes, blurred vision, photosensitivity, muscle cramping
Adverse effects:Orthostatic hypotension
Nursing inter.:fluid and electrolyte imbal-ances such as hypokalemia, hyponatremia, hypocalcemia, hypomagnesemia, and hypochloremia.
more potent than furosemide

36
Q

Brand:Hydrodiuril
Generic:hydrochlorothiazide
(HCTZ)
Class:Diuretic: Thiazide diuretic

A

Use: To increase urine output; to treat hypertension, edema from HF, hepatic cirrhosis, renal dysfunction
Side effects: Dizziness, vertigo, weakness, nausea, vomiting, diarrhea, abdominal pain, hyperglycemia, constipation, rash, photosensitivity, blurred vision
Adverse effects:Severe dehydration, hypotension, gout
Nursing int: Caution: Hepatic dysfunction, renal dysfunction, diabetes mellitus, gout, systemic lupus erythematosus

37
Q

Brand:Osmitrol
Generic: mannitol
Class:Diuretic: Osmotic diuretic

A

Use:to prevent kidney failure, to decrease intracranial pressure (ICP: cerebral edema), and to decrease intraocular pressure (IOP: glaucoma) (pg. 626)
Side effects: nausea, vomiting, tachycardia from rapid fluid loss, and acidosis.
Adverse effects:fluid and electrolyte imbalance, pulmonary edema from rapid shift of fluids
Nursing interven:heart disease, HF, renal failure

38
Q

Brand:Feosol, Fer-Iron
Generic:ferrous sulfate
Class:Mineral for antianemia

A

Use:To prevent and treat iron-deficiency anemia
Side effects:Nausea, vomiting, diarrhea, constipation, epigastric pain; elixir may stain teeth
Adverse effects:Life-threatening: Iron poisoning (mostly in children) and may result in cardiovascular collapse, metabolic acidosis
Nursing interventions:Hemolytic anemia, hemosiderosis, peptic ulcer, ulcerative colitisCaution: Bronchial asthma, iron hypersensitivity

39
Q

Brand:Percocet
Generic:oxycodone
and acetaminophen
Class:Opioid

A

Use:For moderate to severe pain.
Side effects:Anorexia, nausea, vomiting, constipation, drowsiness, dizziness, sedation, confusion, urinary retention, rash, blurred vision, bradycardia, flushing, euphoria, pruritus
Adverse effects:Hypotension, urticaria, seizures, ileus
Life-threatening: Respiratory depression, increased intracranial pressure
Nursing inter.:CNS or respiratory depression, head injury - ICP,