Med/Surg Flashcards
Class: Opioid Agonist
Indication: Moderate to severe pain
SE: respiratory depression, nausea
Hydromorphone
Class: Long acting insulin
Indication: T1D/T2D
SE: n/v, hypoglycemia
Insulin Detemir
Class: Narcotic- centrally acting analgesic
Indication: Mod-severe pain - low instance of abuse
SE: sedation, dizziness, HA, dry mouth, constipation
Tramadol
Class: ergot alkaloid
Indication: postpartum bleeding
SE: nausea, headache, hypertension
Methylergonovine
Class: antineoplastic; immunosuppressant
Indication: RA, cancer psoriasis, crohn’s
SE: nausea, elevated LFTs, fatigue
Methotrexate
Class: Anti-convulsant
Indication: partial seizures, neuropathic pain
SE: drowsiness, dizziness, fatigue
Gabapentin
Class: organic nitrate
Indication: angina
SE: HA, hypotension, tachycardia
Nitroglycerin
Class: uterine stimulant
Indication: induce or augment labor; PPH
SE: tachysystole, uterine rupture, elevated BP, fetal hypoxia
Oxytocin/Pitocin
Class: 1st generation NASAID
Indication: analgesia for mild to moderate pain such as OA and RA
SE: dyspepsia, abdominal pain, nausea, long-term use - GI bleeding/perforation
Meloxicam
Class: atypical antipsychotic (2nd gen)
Indication: schizophrenia, acute bipolar disorder, autism
SE: weight gain, dyslipidemia, diabetes
Risperidone
Class: glucocorticoid
Indication: inflammation
SE: euphoria, infection, Cushing’s
Methylprednisolone
Class: glucocorticoid/bronchodilator
Indications: prophylaxis in chronic restrictive airway disease (asthma, COPD)
SE: GI upset, infection
Budesonide/formoterol
Class: uricosuric
Indications: chronic gout
SE: hypersensitivity, fever, nausea, rash
Allopurinol
Acute: Colchicine
Class: antibacterial (glycopeptide)
Indications: C.diff, MRSA
SE: nephrotoxicity, “red man syndrome”
Vancomycin
Monitor BUN and Serum Cr for nephrotoxicity
Class: antibacterial
Indications: bacterial infection
SE: GI upset, leukopenia
Piperacillin/tazobactam (Zosyn)
Class: platelet aggregation inhibitor
Indications: prevent stenosis after cardiac stent placement, MI & CVA
SE: abdominal pain, dyspepsia, diarrhea, bleeding
Clopidogrel
Stop 7-10 days before ANY surgery
Class: mood stabilizer
Indications: bipolar disorder
SE: anorexia, confusion, thirst
Lithium
** <2 is toxic - <2.5 is SEVERELY toxic**
Class: anti-psychotic
Indications: Schizophrenia, acute psychosis, Tourette’s
SE: mild leukopenia, EPS (high risk), TD, laryngospasm, respiratory depression, NMS
Haloperidol
Class: sedative-hypnotic
Indications: insomnia
SE: daytime fatigue, drowsiness, dizziness - sleep activities
Zolpidem (Ambien)
Class: proton pump inhibitor
Indications: GERD, gastric ulcers
SE: nausea, vomiting, abdominal pain
Esomeprazole