Exam 1 Meds (Category, Class, SE/AE, Nursing Consideration/Intervention)) Flashcards

1
Q

amoxicillin (Amoxil)

A

cell wall synthesis inhibitor
broad spectrum penicillin antibiotic
SE: allergic reaction
Nrsg: Assess for allergy to penicillin or cephalosporin/obtain C&S before abx therapy

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2
Q

ceftriaxone (Rocephin)

A

cell wall synthesis inhibitor
3rd gen cephalosporin antibiotic (respiratory infection)
SE: nephrotoxicity, pseudomonas colitis, anaphylaxis (contraindicated for PCN), superinfection of oral or vaginal candidiasis

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3
Q

vancomycin

A

cell wall synthesis inhibitor
glycopeptide antibiotic (for MRSA, pseudomembranous colitis caused by C. diff)
SE: red man syndrome (occurs when IV is administered too rapidly), ototoxicity, nephrotoxicity
Nrsg: administer over 1-2 hrs IV

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4
Q

azithromycin (Zithromax)

A

protein synthesis inhibitor
macrolide antibiotic
SE: photosensitivity, nephrotoxicity, hepatotoxicity
Nrsg: penicillin substitute

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5
Q

doxycycline (tetracycline)

A

protein synthesis inhibitor
tetracycline antibiotic (acne, H. Pylori, STIs)
SE: discoloration of teeth; CNS toxicity (nightmares)
Nrsg: NO antacid; can take have food and milk products (2hr before or after); do NOT give to children <8 y/o; pregnancy cat D

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6
Q

tetracycline (Sumycin)

A

protein synthesis inhibitor
tetracycline antibiotic (acne, H. Pylori, STIs)
SE: discoloration of teeth; CNS toxicity (nightmares)
Nrsg: NO antacid; NO food or milk; do NOT give to children <8 y/o; pregnancy cat D

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7
Q

gentamicin (Geramycin)

A

protein synthesis inhibitor
aminoglycoside antibiotic (serious systemic infections)
SE: ototoxicity and nephrotoxicity
Nrsg: narrow TI so check P&T; check for hearing loss and renal function

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8
Q

ciprofloxacin (Cipro)

A

DNA synthesis Inhibitor
fluoroquinolone (bacteriostatic)
SE: tendon rupture; tendonitis; serious heart dysrhythmias
Nrsg: NO antacids; monitor HR, increase fluids; monitor blood glucose

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9
Q

levofloxacin (Levoquin)

A

DNA synthesis Inhibitor
fluoroquinolone (bacteriostatic)
SE: tendon rupture; tendonitis; serious heart dysrhythmias
Nrsg: NO antacids; increases effect of oral hypoglycemic and caffeine, monitor HR, increase fluids; monitor blood glucose

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10
Q

trimethoprim/sulfamethoxazole (Bactrim)

A

Metabolism inhibitor
sulfonamide (bacteriostatic) (for UTI)
SE: crystalluria, photosensitivity
Nrsg: increase fluids b/c crystallization my cause kidney stones or kidney failure

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11
Q

isoniazid (INH)

A

1st line TB drug (inhibit cell wall synthesis)
SE: peripheral neuropathy; liver toxicity
Nrsg: vitamin B6; eat 1-2 hrs before or after; NO alcohol; no OTC drugs

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12
Q

rifampin

A

1st line TB drug (inhibits enzymes needed for protein synthesis)
SE: reddish-orange secretions; liver toxicity
Nrsg: no alcohol; do NOT take with food; no OTC drugs

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13
Q

ethambutol

A

1st line TB drug (inhibits cell wall synthesis)
SE: optic neuritis; increase uric acid; liver toxicity
Nrsg: no alcohol; no OTC drugs

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14
Q

amphotericin B (Fungizone)

A

antifungal
polyene (serious systemic fungal infection)
SE: “shake and bake” within 1-3 hrs (fever, chills, HA, tachycardia, hypotension); electrolyte imbalance (hypokalemia), nephrotoxicity
Nrsg: pretreat 30-60min before with acetaminophen, diphenhydramine, hydrocortisone; monitor BUN and creat; watch for OTC b/c of drug interactions

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15
Q

nystatin (Mycostatin)

A

antifungal
polyene (serious candida infection)
“swish and swallow”
SE: electrolyte imbalance (hypokalemia), nephrotoxicity
Nrsg: monitor BUN and creat ; watch for OTC b/c of drug interactions

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16
Q

diphenhydramine (Benadryl)

A

H1 Receptor Antagonist (antihistamine)
1st generation (allergy/common cold)
SE: drowsiness; dry mouth; urinary hesitancy; photosensitivity
Nrsg: avoid CNS suppressants

17
Q

cetirizine (Zyrtec)

A

H1 Receptor Antagonist (antihistamine)
2nd generation, non-sedating (allergy/common cold)
SE: fewer anticholinergic side effects

18
Q

albuterol (Proventil)

A

Bronchodilators
Short-acting beta agonist (rescue treatment)
SE: tachycardia, palpitations, tremor
Nrsg: avoid caffeine

19
Q

salmeterol

A

Bronchodilator
Long-acting beta agonist (prevent asthma attacks)
SE: tachycardia, palpitations, tremor
Nrsg: avoid caffeine

20
Q

theophylline (Thodur)

A

Bronchodilator
Methylxanthine
SE: N/V, tachycardia, palpitations, tremor
Nrsg: reduce caffeine intake

21
Q

Beclomethasone

A

Inhaled Corticosteroid (prevent respiratory distress)
SE: oral candidiasis, dysphonia
Nrsg: use spacer and rinse mouth

22
Q
insulin lispro (Humalog)
Additional: peak? onset? duration?
A
rapid-acting insulin
onset: 5-15 mins
peak: 30min-1hr
duration: 2-4 hrs
SE: increased hypoglycemia with alcohol, BBs/decreased hypoglycemia with thiazides, glucocorticoids, smoking, beta agonists
23
Q

regular human insulin (Humalin R)

Additional: peak? onset? duration?

A
short-acting insulin
onset: 30-60 mins
peak: 2-3 hrs
duration: 3-4 hrs
SE: increased hypoglycemia with alcohol, BBs/decreased hypoglycemia with thiazides, glucocorticoids, smoking, beta agonists
24
Q

Humilin N

Additional: peak? onset? duration?

A
intermediate-acting insulin
onset: 2-4 hrs
peak: 4-12 hrs
duration: 18-24 hrs
SE: increased hypoglycemia with alcohol, BBs/decreased hypoglycemia with thiazides, glucocorticoids, smoking, beta agonists
25
Q
insulin glargine (Lantus)
Additional: peak? onset? duration?
A
long-acting insulin
onset: 1 hr
duration: 24 hrs
(given at bedtime)
SE: increased hypoglycemia with alcohol, BBs/decreased hypoglycemia with thiazides, glucocorticoids, smoking, beta agonists
26
Q

glipizide (Glucotrol)

A

2nd generation sulfonylurea
(stimulate pancreatic beta cells to secrete more insulin)
Nrsg: administer with food; NOT recommended for peds, pregnancy, or breastfeeding

27
Q

glyburide (Diabeta)

A

2nd generation sulfonylurea
(stimulate pancreatic beta cells to secrete more insulin)
Nrsg: administer with food; NOT recommended for peds, pregnancy, or breastfeeding

28
Q

metformin (Glucophage)

A

Biguanide
(act on liver to reduce release of glucose from stored glycogen)
AE: lactic acidosis with pts with HF or RF
Nrsg: hold for 48 hrs before and after iodinated contract media; may take 3-4 mos to start working; for those OVER 10 y/o; NOT recommended for pregnancy or breastfeeding

29
Q

dapagliflozin (Farxiga)

A

Selective Sodium-Glucose Transporter 2
(prevents kidneys from reabsorbing glucose that was filtered from the blood into the urine)
AE: vaginal/urinary tract infections; hyperkalemia; dehydration