Medication Sheet Flashcards
Acetaminophen Trade Name
Tylenol
Acetaminophen Category
Non-opioid analgesic
Acetaminophen Use
Pain management (mild to moderate)
Acetaminophen Dose
325-650 mg q 4-6hr
max daily: 4000 mg
max geriatric daily: 3000 mg
Acetaminophen CIs
- hypersensitivity
- liver failure
- kidney problems
- shock
Acetaminophen AEs
- usually well-tolerated
- may cause hepatotoxicity, analgesic nephropathy, anemia, blood dyscrasias, rare skin reactions
Ibuprofen Trade Name
Motrin, Advil
Ibuprofen Category
N-NSAID
Ibuprofen Use
Pain mangement (mild to moderate)
Ibuprofen Dose
200-400 mg q 4-6hr
IV 400-800 mg q 6 hr
max 2400 mg/day for pain
3200 mg/day for inflammation
Ibuprofen CIs
- hypersensitivity
- post MI
- HTN, HF, liver problems
- EtOH, smoking
- pregnancy, ulcers, kidney dz
Ibuprofen AEs
- GI dyspepsia and complications
- risk of nephro/hematologic/CV and hepatotoxicities
Celecoxib Trade Name
Celebrex
Celecoxib Category
NSAID/COX-2 inhibitor
Celecoxib Use
OA, RA
Celecoxib OA and RA Doses
OA: 100 mg BID or 200 mg qday
RA: 100-200 mg BID
Celecoxib CIs
- hypersensitivity to celecoxib, aspirin or other NSAIDs
- allergy to sulfonamides
Celecoxib AEs
- GI (dyspepsia, N/D)
- HA
- sinusitis, URI
Oxycodone/APAP Trade Name
Percocet, Tylox
Oxycodone/APAP Category
mu opioid agonist
Oxycodone/APAP Use
Pain management (moderate)
Oxycodone/APAP Dose
(5/325) 1-2 PO q4-6hr PRN
Oxycodone/APAP CIs
- hypersensitivity
- severe resp. depression or severe asthma
- paralytic ileus
Oxycodone/APAP AEs
- dizziness, sedation, hypersensitivity reactions
- N/V
- thrombocytopenia, neutropenia
- serious: respiratory arrest, shock
Tramadol Trade Name
Ultram
Tramadol Category
mu opioid agonist
Tramadol Use
Pain management (moderate)
Tramadol Dose
50-100 mg PO q4-6hr
Tramadol CIs
- hypersensitivity
- acute intoxication w/ EtOH, hypnotics, narcotics, psychotropics (due to resp. depression)
Tramadol AEs
- dizziness/vertigo, HA
- N/V/C
- somnolence
- pruritus
- CNS (anxiety, agitation, euphoria, hallucinations)
Naloxone Trade Name
Narcan
Naloxone Category
mu opioid antagonist
Naloxone Use
Reversal of resp. depression or overdose
Naloxone Dose
IV 0.04-0.4 mg; 2 mg; may repeat q2-3 min
Naloxone CIs
hypersensitivity
Naloxone AEs
- HoTN or HTN
- vtach, vfib, cardiac arrest
- dyspnea, pulmonary edema
Methotrexate Trade Name
Rheumatrex, Trexall
Methotrexate Category
Nonbiologic DMARD
Methotrexate Use
RA
Methotrexate Dose
PO: 7.5-20 mg/week
Inject: 7.5-20 mg/week
Methotrexate CIs
- hypersensitivity
- pregnant or nursing
- relative CIs: liver dz, kidney impairment, lung dz, EtOH abuse
Methotrexate AEs
- stomatitis
- N/D
- possible alopecia
- elevated LFTs, thrombocytopenia, leukopenia
- rare pulm and lymph toxicity
Hydroxychloroquine Trade Name
Plaquenil
Hydroxychloroquine Category
Nonbiologic DMARD
Hydroxychloroquine Use
RA
Hydroxychloroquine CIs
- hypersensitivity
- long term use in kids
- retinal/visual changes due to aminoquinolone meds
Hydroxychloroquine AEs
- rash
- diarrhea, abdominal cramps
- increased risk of retinal toxicity w/ dose >6 gm/kg
Etanercept Trade Name
Enbrel
Etanercept Category
Biologic DMARD - TNF alpha inhibitor
Etanercept Use
RA
Etanercept CIs
- sepsis
- hypersensitivity
Etanercept AEs
- exacerbate or cause CHF
- infection and lymphoma risk
- caution in pts with pre-existing HF
Prednisone Trade Name
Deltasone
Prednisone Category
Corticosteroid (intraarticular)
Prednisone Use
Knee OA
Prednisone Dose
4-80 mg q1-5 weeks
Prednisone CIs
- hypersensitivity
- systemic fungal infection
- peptic ulcers
- osteoporosis
- DM
- HTN
Prednisone AEs
- fluid retention, muscle weakness
- decreased body growth, osteoporosis, hypernatremia
- HTN
- urticaria/hypersensitivity reactions