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.
LACTULOSE
GROUP - Laxative.
INDICATION - Constipation.
IMPLICATION ON ASSESSMENT - Abdo pain, vomiting - colour, texture, quantity., faecal overflow.
LAMOTRIGINE
GROUP -
INDICATION - Epilepsy, bipolar.
IMPLICATION ON ASSESSMENT - Changes to seizures, suicidal ideation, behaviour change.
LANSOPRAZOLE
GROUP - Proton pump inhibitor.
INDICATION - Helicobacter pylori eradication, reflux, duodenal ulcer, dyspepsia (indigestion), oesophagitis.
IMPLICATION ON ASSESSMENT - Chest pain, abdo pain, vomiting, GI upset.
LEVOTHYROXIN
GROUP -
INDICATION - HYPERTHYROIDISM.
IMPLICATION ON ASSESSMENT - Dizzy, generally unwell.
LISINOPRIL
GROUP - Angiotensin converting enzyme inhibitor.
INDICATION - Hypertension, short term post MI, heart failure, renal complications with T2D.
IMPLICATION ON ASSESSMENT - Chest pain, SOB, ? stroke.
LITHIAM CARBONATE/PRIADEL
GROUP - Anti manic agent.
INDICATION - Prophylaxis of - Mania, Bipolar disorder, Recurrent depression, Aggressive or self harming behaviour.
IMPLICATION ON ASSESSMENT -Suicidal thoughts, Lithium toxicity -vomiting, tremor, withdrawal, thyroid disorder.
LORAZEPAM
GROUP - Benzodiazepines.
INDICATION - Anxiety.
IMPLICATIONS ON ASSESSMENT - Suicidal thoughts, behaviour change.
LOSARTAN
GROUP -
INDICATION - Hypertension, Diabetes - nephropathy.
IMPLICATIONS ON ASSESSMENT - Stroke, kidney pain, chest pain, SOB, oedema.
MEBENDAZOLE
GROUP - Anthelmintic.
INDICATION - Threadworm.
IMPLICATIONS ON ASSESSMENT - Abdo pain, unwell.
MEFENAMIC ACID
GROUP - NSAIDs.
INDICATION - Period pain, rheumatoid arthritic pain and inflammation, mild to moderate pain.
IMPLICATIONS ON ASSESSMENT - Abdo pain, vaginal bleeding, ?pregnancy, Asthma.
MELOXICAM
GROUP - NSAIDs.
INDICATION - Exacerbation of osteoarthritis, Ankylosing spondylitis, pain/inflammation relief in juvenile idiopathic arthritis and other muscoskeletal disorders in children intolerant to other NSAIDs (though unlicensed for ages 12+ for this purpose).
IMPLICATIONS ON ASSESSMENT - Worsening pain, SOB - Asthma contra indications.
METFORMIN
GROUP - Biguanides.
INDICATION - Type 2 diabetes. polycystic ovary syndrome.
IMPLICATIONS ON ASSESSMENT - Vomiting, infection, abdo pain, diabetes - BM?
METHOTREXATE
GROUP - Immunosuppressant.
INDICATION - Crohn’s disease, mod-severe rheumatoid arthritis, neoplastic diseases, severe psoriasis unresponsive to conventional therapy.
IMPLICATIONS ON ASSESSMENT - Immuno supressed sepsis, crohn’s exacerbation.
MIRTAZAPINE
GROUP - Antidepressant.
INDICATION - Major depression.
IMPLICATIONS ON ASSESSMENT - Suicidal thoughts, behaviour change, abdo pain, signs of infection.
MONTELUKAST
GROUP - Leukotriene receptor antagonist (LTRAs).
INDICATION - Prophylaxis of asthma, seasonal allergic rhinitis in asthma patients.
IMPLICATIONS ON ASSESSMENT - SOB, Wheeze.
NAPROXEN
GROUP - NSAIDs.
INDICATION - Pain and inflammation in rheumatic disease, musculoskeletal disorders (Dysmenorrhoea), acute gout, acute migraine.
IMPLICATIONS ON ASSESSMENT - SOB - asthma, worsening pain, abdo pain or bleeding.
NICORANDIL
GROUP - Potassium channel activator.
INDICATION - Angina (stable)
IMPLICATIONS ON ASSESSMENT - Chest pain, SOB, stroke, oedema, abdo pain, hyperkalaemia.
NITROFURATOIN
GROUP - Antibiotic.
INDICATION - Lower UTI, catheter associated UTI, severe/recurrent UTI, prophylaxis of recurrent UTI.
IMPLICATIONS ON ASSESSMENT - Worsening symptoms, blood in urine.
NYSTATIN
GROUP - Antifungal.
INDICATION - Oral thrush.
IMPLICATIONS ON ASSESSMENT - Reduced fluid intake, mouth swelling, can be bought OTC.
OLANZAPINE
GROUP - Antipsychotic.
INDICATION - Schizophrenia - combination therapy for mania, bipolar disorder- preventing recurrence, mania- monotherapy, control of agitation and disturbed behaviour in schizophrenia or mania.
IMPLICATIONS ON ASSESSMENT - Mood changes, suicidal ideation, depression.
OMEPRAZOLE
GROUP - Proton pump inhibitor.
INDICATION - GI tract, reflux, helicobacter pylori, gastric/duodenal ulceration.
IMPLICATIONS ON ASSESSMENT - Abdo pain, vomiting, blood in vomit/faeces.
PAROXETINE
GROUP - Antidepressant.
INDICATION - Major depression, social anxiety disorder, PTSD, generalised anxiety, OCD, Panic disorder, menopausal symptoms eg hot flushes.
IMPLICATIONS ON ASSESSMENT - Mood changes, suicidal ideation, withdrawal.
PERINDOPRIL
GROUP - Angiotensin converting enzyme (ACE) inhibitor.
INDICATION - Hypertension, heart failure,
PREGABALIN
GROUP - anticonvulsant, anxiolytic.
INDICATION - Peripheral and central neuropathic pain, generalised anxiety disorder, epilepsy, restless legs, fibromyalgia.
IMPLICATIONS ON ASSESSMENT - Controlled drug, worsening pain, change in mood/behaviour, change in seizures.
PREDNISOLONE
GROUP - Corticosteroid.
INDICATION - Asthma, COPD, inflammation, ulcerative colitis, myasthenia gravis, severe croup, suppression of inflammatory and allergic disorders.
IMPLICATIONS ON ASSESSMENT - SOB, sepsis, generally unwell.
PRIMIDONE
GROUP - Anticonvulsant.
INDICATION - Epilepsy, tremor.
IMPLICATIONS ON ASSESSMENT - Suicidal ideation, changes to seizures.
PROCHLORPERAZINE
GROUP - Antipsychotic.
INDICATION - Schizophrenia, psychosis, severe anxiety, nausea and vomiting, labyrinthine disorders, migraine.
IMPLICATIONS ON ASSESSMENT - Suicidal ideation, worsening nausea and vomiting, dehydration.
PROPANOLOL
GROUP - Betablocker.
INDICATION - Hypertension, thyrotoxicosis, anxiety, migraines, palpitations, angina, hypertrophic cardiomyopathy, anxiety tachycardia, tremor, prophylaxis of MI, prophylaxis of migraine, arrhythmia.
IMPLICATIONS ON ASSESSMENT - Palpitations, chest pain, SOB, brady/tachycardia.
QUETIAPINE
GROUP - Anti psychotic
INDICATION - Schizophrenia, bipolar, depression, mania,
IMPLICATIONS ON ASSESSMENT - Suicidal ideation, behaviour changes.
RAMAPRIL
GROUP - Angiotensin converting enzyme (ACE) inhibitor.
INDICATION - Hypertension, heart failure, prophylaxis post MI, neuropathy.
IMPLICATIONS ON ASSESSMENT - Chest pain, oedema, SOB, stroke, infection.
RANITIDINE
GROUP - H2 blocker.
INDICATION - Benign gastric ulceration, Duodenal ulceration, chronic episodic dyspepsia, NSAID-associated gastric/duodenal ulceration, gastro-oesophageal reflux disease, prophylaxis of stress ulceration.
IMPLICATIONS ON ASSESSMENT - Haematemesis, abdo pain, vomiting.
RESPIRIDONE
GROUP - Anti psychotic.
INDICATION - Schizophrenia, acute and chronic psychosis, mania, persistent aggression in patients with moderate to severe Alzheimer’s dementia.
IMPLICATIONS ON ASSESSMENT - Suicidal ideation
SERTRALINE
GROUP - Selective serotonin re-uptake inhibitor.
INDICATION - Depressive illness, OCD, panic disorder, PTSD, social anxiety disorder.
IMPLICATIONS ON ASSESSMENT - Mood changes, suicidal thoughts, arrhythmia.
SIMVISTATIN
GROUP - Statin.
INDICATION - High cholesterol (hypercholesterolaemia), prophylaxis of cardiovascular event in pts with atherosclerotic cardiovascular disease or diabetes mellitus.
IMPLICATIONS ON ASSESSMENT - Chest pain, SOB, stroke.
SODIUM VALPORATE / EPILIM
GROUP - Anticonvulsant.
INDICATION - Epilepsy.
IMPLICATIONS ON ASSESSMENT - Changes to seizures, generally unwell, headache, liver toxicity.
SPIRONOLACTONE
GROUP - Aldosterone receptor antagonist.
INDICATION - Oedema, malignant ascites, nephrotic syndrome, oedema in congestive heart failure, mod-severe heart failure, resistant hypertension, primary hyperaldosteronism in patients awaiting surgery.
IMPLICATIONS ON ASSESSMENT - Abdo pain, jaundice, chest pain, SOB, stroke.
SULFASALAZINE
GROUP - Aminosalicylate.
INDICATION - Ulcerative colitis, crohn’s, rheumatoid arthritis.
IMPLICATIONS ON ASSESSMENT - Immunosuppressed, sepsis, abdo pain.
SUMATRIPTAN
GROUP - Triptans
INDICATION - Migraine, cluster headache.
IMPLICATIONS ON ASSESSMENT - Worsening or changes to normal headaches.
TEMAZEPAM
GROUP - Benzodiazepine.
INDICATION - Insomnia, sedation.
IMPLICATIONS ON ASSESSMENT - Controlled drug, respiratory depression,
THIAMINE
GROUP - Vitamin
INDICATION - Mild to severe alcohol vitamin deficiency.
IMPLICATIONS ON ASSESSMENT - Alcohol related diseases and conditions, alcohol xs.
TOPIRAMATE
GROUP - Anticonvulsant.
INDICATION - Epilepsy, migraine prophylaxis.
IMPLICATIONS ON ASSESSMENT - Suicidal thoughts, changes to seizures.
TRIMETHOPRIM
GROUP - Antibiotic.
INDICATION - Prophylaxis of recurrent UTI, respiratory tract infections, shigellosis, invasive salmonella infection, acute diverticulitis, acne, mild to moderate pneumocystis jirovecii, acute prostatitis, lower and catheter associated UTI.
IMPLICATIONS ON ASSESSMENT - Worsening symptoms, reactions.
VALSARTEN
GROUP - Angiotensin II receptor antagonist.
INDICATION - Hypertension, MI with left ventricular failure/left ventricular systolic dysfunction, hypertension with intravascular volume depletion.
IMPLICATIONS ON ASSESSMENT - Chest pain, SOB, stroke.
VENLAFAXINE
GROUP - Serotonin and noradrenaline re-uptake inhibitor.
INDICATION - Major depression, generalised anxiety disorder, social anxiety disorder, panic disorder, menopausal symptoms (particularly hot flushes)
IMPLICATIONS ON ASSESSMENT - Suicidal ideation, mood change.
WARFARIN
GROUP - Vitamin K antagonist.
INDICATION - prophylaxis of embolisation in rheumatic heart disease and AF, prophylaxis after insertion of prosthetic heart valve, prophylaxis and treatment of venous thrombosis and pulmonary embolism, transient ischemic attack.
IMPLICATIONS ON ASSESSMENT - Uncontrolled haemorrhage, clots, pulmonary embolism, DVT, stroke.
ZOPICLONE
GROUP -
INDICATION -
IMPLICATIONS ON ASSESSMENT -