Drugs Flashcards
-tidine
histamine2 blocker - acid reducer cimetidine Zantac Tagament ~alcohol ~smoking watch for gastric bleeding MD for respiratory issues
-prazole
proton pump inhibitor - acid reducer omenaprazole Prilosec Nexium ~opening or chewing capsules take before meals take Ca and Vit D N/V/D
-cillin
penicillin antibiotic amoxicillin oral contraceptives ng MD if D/ab cramping/fever/bloody stools anaphylaxis monitor bowels sounds monitor CBC and liver enzymes
ceph-, cef-
cephalosporin antibiotic cefazolin
check for SUPERINFECTION
monitor rash, anorexia, hypersensitivity, GI
~ if penicillin rash
hyrdate
refrigerate oral suspensions (e.g. kids meds)
-cycline
tetracycline antibiotic
~ preggies, or kids
~milk, antacids, or Fe for at least 2 hrs
monitor epigastric, D (CDiff), HB, photosensitivy
-floxacin
fluoroquinolone antibiotic ciprofloxacin, levofloxacin anthrax inhalation = 60 days admin ~ renal, CNS, seizures, ~Theophylline monitor for N/V/D/dyspepsia/flatulence/C monitor tendon rupture
-thromycin
macrolide antibiotic erythromycin culture and sensitivity tests prior monitor for anaphylaxis monitor CDC w/ diff -- infection angioedema pseudomembranous colitis
-azole
antifungal itraconazole , floconazole
monitor pancreas, liver, CHF, anaphylaxis
monitor pulmonary edema
use contraception
N/V/D/URI
empty stomach
-triptan
migraines sumatriptan
only during migrain
swallowed whole w/ liquids
~ basilar or semiplegic migraine
~MAO-A inhibitors, SSRIs
coronary vasospasm, MI, M ischemia, V fib, V tach
-denafil
PED5 inhibitor - erectile dysfunction sildenafil
~no other vasodilator (e.g., nitro for MI)
MI, CV collapse
-curonium
neuromuscular blocker, muscle relaxation during surgery (curare) pancuronium
NEED anesthesiologist
trach and resuscitation equipment
Assess for MALIGNANT HYPOTHERMIA
anaphylaxis
-zosin
alpha adrenergic blocker - HTN, BPH prazosin
monitor for OHOTN, vertigo monitor hot baths, hot weather, alcohol, exercise monitor first 12-24 hrs discontinue slowly take at bedtime (to avoid drowsiness)
-olol
beta adrenergic blocker - HTN metoprolol
lower HR, contraction, AV conduction
SE bradycardia, lethargy, CHF, LBP, depression, GI
monitor with diabetes bc can mask tachycardia, which is symptom of HOGL
-zepam, -zolam
benzodiazepine diazepam (Valium), alprazolam (Xanax), Midazolam (Versed) , Lorazepam (Ativan), Clonazepam (Klonopin)
Versed as anasthesia bc of amnesia
~grapefruit
monitor anxiety, CBC w/ diff, liver/renal
monitor CNS depresseion
-pril
ACE inhibitor lisinopril
lower PVR w/o raising CO CR CContractility
monitor DZ, OHOTN, GI, HA, COUGH
empty stomach
~K supplements or K salt substitutes
-sartan
ARB Losartan (Cozaar)
monitor liver/renal failure, angioedema, MSK weak
hyperkalemia, LBP, DZ/HA, no preggies, metallic taste, rash
w/ or w/o food
-dipine
AVND - a very nice drug
calcium channel blocker
Amlodopie, Verapamil, Nifedipine, Diltiazem
lowers contractility and conductivity of heart = less O2 demand
~grapefruit
monitor bradycardia, AV block, HA, abdominal, peripheral edema
weigh patient
OHOTN
-statin
lipid lowering drug atorvastatin
HMG-CoA inhibitors
~grapefruit
MS weakness, edema, myalgia
monitor liver panel q6 mos
no preggies or nursing
-ase, -plase
thrombolytic - clot buster alteplase streptokinse
monitor bleeding, CNS (IICP), anaphylaxis
-parin
anticoagulant enoxaparin (Lovenox)
monitor bleeding, anemia, thrombocytopenia
Love-nox give in Love-handles
soft toothbrush and electric razor
-sone
corticosteroid prednisone cortisone dexamethasone
monitor for infection, masked infection, HGL, GI, Cushings Syndrome
-dronate
bisphosphonate - osteoporosis alendronate (Fosomax)
monitor GI, back pain
AM med with H2O 30-60m ac (OJ food etc decreases effectiveness)
Remain upright and seated 30-60m
~ at bedtime or with other meds (30m interval)
-terol
bronchodilator albuterol
SABA
HA/tremors/restlessness/nervousness
monitor tachycardia VSs
Heparin
bleeding, anemia, thrombocytopenia
Antidote
Protamine Sulfate is antidote
~ fish/salmon or allergies
monitor for anaphylaxis, angioedema, and pulmonary edema
