EXAM Flashcards
*AMOXICILLIN
Amoxicillin
Use/Indication:
- Bacterial infections (e.g., respiratory, ear, urinary tract)
Route(s):
- Oral
Side effects:
- Nausea, diarrhea, rash, allergic reactions
Contraindications:
- Hypersensitivity to penicillin
Cautions:
- Caution in renal impairment
- Monitor for signs of superinfection or allergic reactions
*OMEPRAZOLE
Use/Indication: GERD, peptic ulcers,
Route(s): Oral, IV
Side effects: Headache, nausea, diarrhoea, abdo pain
Contraindications: Hypersensitivity (Allergy), liver impairment
Cautions/Nursing Considerations: Monitor liver function, give 30 min before meals
Use cautiously in pregnancy and breastfeeding
*MORPHINE
Morphine
Use/Indication:
- Severe pain relief
Route(s):
- Oral, IV, IM, subcutaneous
Side effects:
- Sedation, constipation, nausea, respiratory depression
Contraindications:
- Respiratory depression, acute abdominal conditions, hypersensitivity
Cautions:
- Monitor for respiratory depression, especially with high doses
- Caution in elderly, renal/hepatic impairment, and opioid tolerance
*SODIUM VALPROATE
Use/Indication: Epilepsy, bipolar disorder, migraine prevention
Route(s): Oral, IV
Side effects: Drowsiness, nausea, tremor, weight gain, liver toxicity
Contraindications: Hepatic impairment, urea cycle disorders, pregnancy (unless necessary)
Cautions: Monitor liver function, especially in the first 6 months in pregnancy (teratogenic) and with other CNS depressants
*PARACETAMOL
Paracetamol (Acetaminophen)
Use/Indication:
- Pain relief, fever reduction
Route(s):
- Oral, IV
Side effects:
- Liver toxicity (in overdose), rash (rare)
Contraindications:
- Severe liver disease, hypersensitivity
Cautions:
- Weight of patient (under 50kg)
- Avoid alcohol use, monitor liver function with prolonged use
- Caution in renal impairment
*PREDNIDSOLONE
Prednisolone
Use/Indication:
- Inflammation, autoimmune disorders, allergies
Route(s):
- Oral, IV, IM
Side effects:
- Weight gain, fluid retention, increased blood sugar, mood changes
Contraindications:
- Systemic fungal infections, live vaccines
Cautions:
- Monitor for signs of infection, blood sugar, and bone health
- Taper dosage to avoid withdrawal symptoms
*IBUPROFEN
Ibuprofen
Use/Indication:
- Pain relief, inflammation, fever
Route(s):
- Oral, IV
Side effects:
- Stomach upset, gastrointestinal bleeding
Contraindications:
- Active peptic ulcer, severe renal or liver impairment
Cautions:
- Use lowest dose for shortest duration
- Caution in cardiovascular, GI, and renal conditions
*SALBUTAMOL
Salbutamol
Use/Indication:
- Asthma, COPD (bronchodilator), used for hyperkalaemia (shifts into cells)
Route(s):
- Inhalation (MDI, nebulizer), oral
Side effects:
- Tremor, tachycardia, headache, nervousness
Contraindications:
- Hypersensitivity
Cautions:
- Use cautiously in heart disease or hypertension
- Overuse may lead to decreased effectiveness and increased side effects
*CITALOPRAM
Use/Indication:
- Depression, anxiety
Route(s):
- Oral
Side effects:
- Nausea, insomnia, sexual dysfunction, dry mouth
Contraindications:
- Hypersensitivity, MAO inhibitors
Cautions:
- Monitor for suicidal thoughts, QT prolongation risk
*SERTRALINE
Use/Indication:
- Depression, anxiety, OCD, PTSD
Route(s):
- Oral
Side effects:
- Nausea, insomnia, sexual dysfunction, headache
Contraindications:
- poorly controlled epilepsy Hypersensitivity,
Cautions:
- Monitor for suicidal thoughts, serotonin syndrome risk with other serotonergic drugs
LANTUS
Lantus (Insulin Glargine)
Use/Indication:
- Type 1 and Type 2 diabetes (long-acting insulin)
Route(s):
- Subcutaneous
Side effects:
- Hypoglycemia, injection site reactions, weight gain
Contraindications:
- Hypersensitivity to insulin glargine
Cautions:
- Monitor blood glucose levels, especially during dose adjustments
- Avoid sudden changes in insulin or diet
RANITIDINE
Ranitidine
Use/Indication:
- GERD, peptic ulcers, Zollinger-Ellison syndrome
Route(s):
- Oral, IV
Side effects:
- Headache, dizziness, constipation, diarrhea
Contraindications:
- Hypersensitivity, acute porphyria
Cautions:
- Monitor for signs of gastrointestinal bleeding
- Caution in renal or hepatic impairment
QUETIAPINE
Use/Indication: Schizophrenia, bipolar disorder, depression
Route(s): Oral
Side effects: Drowsiness, weight gain, dizziness, dry mouth
Contraindications: Hypersensitivity, severe CNS depression, coma
Cautions: Monitor for metabolic changes (e.g., weight, blood glucose)
Caution in elderly, heart disease, or risk of seizures
METOCLOPRAMIDE
Metoclopramide
Use/Indication:
- Nausea, vomiting, GERD, gastroparesis
Route(s):
- Oral, IV, IM
Side effects:
- Drowsiness, diarrhea, restlessness, tardive dyskinesia (long-term use)
Contraindications:
- GI obstruction, pheochromocytoma, seizures
Cautions:
- Monitor for extrapyramidal symptoms (e.g., tremors)
- Use cautiously in elderly and patients with Parkinson’s disease
TRIMETHOPRIM
Trimethoprim
Use/Indication:
- Urinary tract infections (UTIs), respiratory infections, prophylaxis for Pneumocystis jirovecii pneumonia
Route(s):
- Oral
Side effects:
- Nausea, rash, hyperkalemia, elevated liver enzymes
Contraindications:
- Hypersensitivity to trimethoprim, folate deficiency anemia
Cautions:
- Monitor renal function and potassium levels
- Caution in patients with liver disease or folate deficiency