DRUGS COPY COPY Flashcards by VANESSA LANTIGUA

MORPHINE SULFATE

CI
adverse effects

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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CODEINE

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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METHADONE

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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HYDROMORPHONE

OPIOID
orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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OXYCODONE AND ACETAMINOPHEN

OPIOID
work in periphery, while narcotics work in CNS

orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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OXYCODONE AND ASPIRIN

OPIOD
work in periphery, while narcotics work in CNS

orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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HYDROCODONE/ACETAMINOPHEN

OPIOID

orthostatic hypotension
causes respiratory depression ESPECIALLY head injury, bronchitis
do not drink with other CNS depressants

adverse effects dizinesss, sedation
CI- patients with shock- some are vasodialators

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phenytoin sodium

adverse effects
nursing care
client education

anticonvulsant
AE: lethargy, GI upset, Gingival hypertropghy
Nursing Care: never mix with any other intravenous medication or dextrose
Client education: take with water, red/brown urine and discoloraiton of sweat may occur, alcohol increases serum levels

do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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phenobarbital

anticonvulsant
*nystagmus may indicate early toxicity**
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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primidone

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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magnesium sulfate

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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valproic acid

adverse reax
client education

PROLONGED BLEEDING TIME- monitor drug levels
client education: take after meals, do not break tablets,
anticonvulsant

do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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carbamazepine

adverse effects
nursing considerations
client education

anticonvulsant

AE: myelosupression, rash

nursing consideration: I&O, supervise ambulation, monitor CBC

take with meals, wear protective clothing

regular anticonvulsant info:
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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ethosuximide

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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gabapentin

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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lamotrigine

STEVEN JOHNSONS SYNDROME- RASH
ATAXIA

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

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TOPIROAMATE

ATAXIA

anticonvulsant
do not stop abruptly (withdrawal symptoms)
notify hcp if risk of suicide (thoughts/mood)
use cautiously in renal hepatic heart dx

LITHIUM**

hypothyroidism
hyponatremia
weigh client
at risk for dehydration
monitor liver, renal, electrolytes
diuretics increase reabsorption --> liver toxicity

NITROFURANTOIN

UTI MEDICATION
GIVE W/ FOOD
PERIPHERAL NEUROPATHY
INCREASE FLUIDS-- renal toxicity
IF DIARRHEA-- WILL STOP AFTER TX
REPORT PULMONARY PROBLEMS TO HCP TO DECREASE DAMAGE TO LUNGS****
ASSESS PULMONARY FUNCTION

PHENAZOPYRIDINE

UTI MEDICATION
VERTIGO
URINE WILL BE BRIGHT ORANGE
DISCOLORATION OF SCLERA- REMOVE CONTACTS

LISPRO

ONSET
PEAK
duration
TIME OF ADVERSE REAX

RAPID ACTING eat 5-15 min before injection
15-30 MIN onset ACTION
PEAK= 30 min - 2.5 HRS
duration: 4 hrs

MIDMORNING

ASPART

ONSET
PEAK
duration
TIME OF ADVERSE REAX

RAPID ACTING EAT 5-15 MIN AFTER INJECTION

ONSET = 15-30 MIN
PEAK 1-3 HOURS
duration 3-5 hrs

GLULISINE

RAPID ACTING
EAT 5-15 MIN AFTER INJECTION

onset 10-15 min
peak 1-1.5 hours
duration 3-5 hours

REGULAR INSULIN

SHORT ACTINGEAT 20-30 MIN AFTER INJECTION

NPH INSULIN

INTERMEDIATE ACTING

INSULIN DETEMIR

INTERMEDIATE ACTING

GLARGINE

LONG ACTING ONSET 1 HR GIVEN AT BEDTIME, CANNOT BE MIXED WITH OTHER INSULINS, MAINTAINS BLOOD GLUCOSE LEVELS REGARDLESS OF MEALS

ISONIAZID

``` ANTITUBERCULOSIS DEC EFFECTIVNESS OF ORAL CONTRACEPTIVES HEPATOTOXICITY, VISUAL CHANGES SEIZURES PERIPHERAL NEUROPATHY ```

ETHAMBUTOL

``` ANTITUBERCULOSIS DEC EFFECTIVNESS OF ORAL CONTRACEPTIVES HEPATOTOXICITY, VISUAL CHANGES SEIZURES PERIPHERAL NEUROPATHY ```

RIFAMPIN

ANTITUBERCULOSIS ***ORANGE TEARS, SALIVA, URINE, CONTACT LENSES STAINED ORANGE WARFARIN INTERACTION ``` DEC EFFECTIVNESS OF ORAL CONTRACEPTIVES HEPATOTOXICITY, VISUAL CHANGES SEIZURES PERIPHERAL NEUROPATHY ```

cholestyramine

ANTILIPEMIC MEDICATIONS | if reports muscle aches-- stop!

colestipol

ANTILIPEMIC MEDICATIONS | if reports muscle aches-- stop!

nicotinic acid

ANTILIPEMIC MEDICATIONS | if reports muscle aches-- stop!

niacin

ANTILIPEMIC MEDICATIONS | if reports muscle aches-- stop!

folic acid like fenofibrate, gemfibrozil

ANTILIPEMIC MEDICATIONS | if reports muscle aches-- stop!

maintenance dose of digoxin | serum levels

0.25-0.5 mg serum levels- .5-2 nanograms/ml numbers flipped

chlorodiazeoxide

benzo antianxiety longer acting

disulfram use

used to maintain alcoholic sobriety

colchicine

antigout bone marrow supression antigout- GI upset, avoid sardines, organ meats, peas, lentils, (anything that would create more uric acid) cataracts increase fluids bone marrow supression uric acid builds up in kidney- check kidney takes several weeks to work

probenecid

allergy to sulfa skin rash antigout- GI upset increase fluids avoid sardines, organ meats, peas, lentils, (anything that would create more uric acid) cataracts bone marrow supression uric acid builds up in kidney- check kidney takes several weeks to work

allopurinol

asprin inactivates drug antigout- GI upset increase fluids avoid sardines, organ meats, peas, lentils, (anything that would create more uric acid) cataracts bone marrow supression uric acid builds up in kidney- check kidney takes several weeks to work