Drugs Flashcards
ACICLOVIR
GROUP - Antiviral.
INDICATION - Herpes, chicken pox, shingles.
IMPLICATIONS ON ASSESSMENT - age, ocular shingles, immuno compromised.
ALENDRONIC ACID
GROUP - Bisphosphonates.
INDICATION - Post menopause osteoporosis.
IMPLICATIONS ON ASSESSMENT - Age, ?fracture/ injury, cancer hx - jaw necrosis.
ALLOPURINOL
GROUP - Xanthine oxidase inhibitors.
INDICATION - Gout, renal stones, cancer treatment - hyperuricaemia.
IMPLICATION ON ASSESSMENT - Limb pain, swelling, inflammation, redness, back/abdo pain - renal stones, anuria.
ATENOLOL
GROUP - Beta blocker.
INDICATION - Hypertension, Arrhythmias, Angina.
IMPLICATION ON ASSESSMENT - Age, chest pain, stroke symptoms.
APIXABAN
GROUP - Anticoagulant.
INDICATION - prophylaxis for stroke, VTE (venous thromboembolic event) post hip/knee replacement surgery, treatment for DVT (deep vein thrombosis).
IMPLICATION ON ASSESSMENT - Haemorrhage risk, sudden onset SOB, chest pain, DVT, PE, Stroke, Palpitation.
AZATHIOPRINE
GROUP - Steroid/ immunosuppressant antimetabolite.
INDICATION - Organ transplants, IBD, Rheumatoid arthritis, SLE (systemic lupus erythematosus).
IMPLICATION ON ASSESSMENT - Crohns disease, immunosuppressed, rheumatoid arthritis.
BACLOFEN
GROUP - GABA-ergic antagonist.
INDICATION - Pain - muscle spasm, gastric distension - palliative care.
IMPLICATION ON ASSESSMENT - MS, palliative care, new pain, back pain, GI issues.
BETAHISTINE
GROUP - Histamine analogue.
INDICATION - Vertigo, tinnitus, Meniere’s disease.
IMPLICATION ON ASSESSMENT - ?stroke, dizziness.
BISOPROLOL
GROUP - Beta blocker
INDICATION - Hypertension, angina, heart failure.
IMPLICATION ON ASSESSMENT - Chest pain, Stroke, Bradycardia,
CARBAMAZAPINE
GROUP - Anti-convulsant
INDICATION - Epilepsy, diabetic neuropathy, nerve pain - trigeminal neuralgia, prophylaxis of manic depressive psychosis.
IMPLICATION ON ASSESSMENT - Seizures, headache, foot issues in diabetic pts.
CARBIMAZOLE
GROUP - Anti-thyroid agent
INDICATION - Hyperthyroidism.
IMPLICATION ON ASSESSMENT - risk of acute pancreatitis, sore throat, >bruising/bleeding, neutropenia.
CEFALEXIN
GROUP - Antibiotic.
INDICATION - Antibiotic - respiratory tract infections, skin and soft tissue infections, Otitis media, bone and joint infections, dental infections, genito-urinary infections inc. acute prostatitis.
IMPLICATION ON ASSESSMENT - Worsening infection, reactions.
CITALOPRAM
GROUP - Antidepressant.
INDICATION - Depression, panic disorder.
IMPLICATION ON ASSESSMENT - Suicidal ideation, recently started on this medication.
CYCLIZINE
GROUP - Antiemetic.
INDICATION - Nausea, vomiting, dizziness.
IMPLICATION ON ASSESSMENT - ?stroke, dizziness, ear pain.
DEXAMETHASONE
GROUP - NSAIDs
INDICATION - Anti inflammatory, allergic disorders, mild/severe croup, adjunctive treatment of ? bacterial meningitis, palliative care, cerebral oedema, local inflammation of joints. local inflammation of soft tissue, severe/critical C-19.
IMPLICATION ON ASSESSMENT - ?palliative care, GI issues, eye pain, swelling, reactions.
DIAZEPAM
GROUP - Benzodiazepines.
INDICATION - anti-convulsant, anxiolytic, sedative, muscle relaxant, amnesic.
IMPLICATION ON ASSESSMENT - muscle spasm, anxiety, sleep disorders, new pain, suicidal ideation, controlled drug.
DICLOFENAC
GROUP - NSAIDs
INDICATION - Anti-inflammatory, rheumatic disease, musculoskeletal disorders, gout, migraine.
IMPLICATION ON ASSESSMENT - GI issues, new pain, asthma, contraindications with other drugs.
DIGOXIN
GROUP - Cardiac glycoside
INDICATION - Heart disease, supraventricular dysrhythmias (eg atrial fibrillation).
IMPLICATION ON ASSESSMENT - ?Stroke, chest pain, SOB, palpitations, bradycardia, dizziness.
DISULFIRAM
GROUP - Alcohol antagonist.
INDICATION - Alcohol dependency.
IMPLICATION ON ASSESSMENT - Alcohol consumption, behaviour change, vomiting.
DOMPERIDONE
GROUP - Antiemetic.
INDICATION - Nausea, vomiting.
IMPLICATION ON ASSESSMENT - Excessive vomiting, abdo pain, haematemesis.
FERROUS SULPHATE
GROUP - Supplement.
INDICATION - Iron deficient anaemia.
IMPLICATION ON ASSESSMENT - Black stools, abdo pain, diarrhoea, GI discomfort.
FLUOXETINE
GROUP - Selective serotonin reuptake inhibitors (SSRIs).
INDICATION - Major depression, bulimia nervosa, anxiety, OCD, menopausal symptoms eg hot flushes esp. in women w/breast cancer.
IMPLICATION ON ASSESSMENT - Suicidal thoughts, behaviour change.
FUROSEMIDE
GROUP - Loop diuretic.
INDICATION - Oedema, resistant oedema, resistant hypertension.
IMPLICATION ON ASSESSMENT - Chest pain, new swelling, urinary symptoms.
FUSIDIC ACID
GROUP - Antibiotic.
INDICATION - Skin infections, especially staphylococcal infections.
IMPLICATION ON ASSESSMENT - New inflamed skin, wounds, impetigo. Available over the counter.
GABAPENTIN
GROUP - Anticonvulsant.
INDICATION - Epilepsy, peripheral neuropathic pain, MS, motor neuron disease. Menopausal symptoms - used for but not licenced for this.
IMPLICATION ON ASSESSMENT - Changes to seizures, new or worsening pain, risk of severe respiratory depression,
GLICAZIDE
GROUP - Sulfonylurea class of insulin secretagogues.
INDICATION - Type 2 diabetes.
IMPLICATION ON ASSESSMENT - DKA. polydipsia,
polyuria, hyperosmolar hyperglycaemic state (HHS). Generally unwell, infection.
GLYCERYL TRINITRATE
GROUP - Nitrate.
INDICATION - Angina, treatment and prophylaxis.
IMPLICATION ON ASSESSMENT - Changes in angina, chest pain, SOB.
HYOSCINE
GROUP - Antiemetic.
INDICATION - Vomiting, palliative care.
IMPLICATION ON ASSESSMENT - ? palliative care, excessive vomiting, worsening pain or symptoms.
INFLIXIMAB
GROUP - Tumour necrosis factor- alpha (TNF-alpha) inhibitors.
INDICATION - Crohns, rheumatoid arthritis, psoriatic arthritis.
IMPLICATION ON ASSESSMENT - Immunosuppressed, infection, worsening pain or infection, sepsis.
ISOSORBIDE MONONITRATE
GROUP - Nitrate.
INDICATION - Angina, hypertension, heart failure.
IMPLICATION ON ASSESSMENT - ?stroke, chest pain, SOB, oedema.