Medications Flashcards
Discontinuation Syndrome
STOP
• Stomach pain (nausea, vomiting, diarrhea)
• Trouble sleeping
• Off balance ( ataxia, dizzy)
• Peculiar sensations (numbness & tingling
Selective Serotonin Reuptake
Inhibitors
SSRI’s
• A group of meds that blocks the reuptake of neurotransmitter serotonin.
• Do not mix SSRI’s w/MAOI
• Do not stop taking med abruptly
• Slowly taper off w/ assistance from HCP
• Don’t mix w/OTC cold meds/ triptans, migraine meds and St.John worts
Serotonin Syndrome
Signs and symptoms
• Sweaty ( shivering)
• Elevated temp. & hr
• Rigidity of muscles
• Opthalamic changes
• Tremors/ twitching ( seizures)
• Overactive reflexes
• Nausea/Vomiting
• irritable/confused
• Nervousness ( anxiety)
STEROIDS
Side Effects
7S’s
• Sick : easier to get sick
• Sad : sadness depression
• Sex : libido decreased
• Sugar: high blood sugar
• Swelling of extremities
• sores in the mouth
• Slowly taper off
BETA BLOCKERS
end “lol” =Atenolol, propranolol , labetalol, carveidolol,
• decrease BP & HR = bradycardia
• bpm 60-100
ANTI-Depressants
• Side Effects
• causes weight gain
• decrease BP
• increased risk of suicide
• slow onset & slowly taper off
• never mix: St. John’s Wort
• MAOI’s & anti-depressant
ACE INHIBITORS
end “pril” = lisinopril, enalapril
• Angioedema (swelling eyes) airway
• Cough (nagging) dry, itching of throat
• Excessive K+
• Instead use ARBS (hyperkalemia)
ARBS
ANGIOTENSIN RECEPTORS BLOCKERS
end in “sartans”
• causes excessive k+
• Losartan are teratogens (crosses BBB) in pregnancy
SSRI’s
Side Effects
Glid(w)
• GI = nausea/vomiting and diarrhea
• low libido ( erectile dysfunction)
• dry mouth
• weight gain
Antibiotics
6 tips of ABX
• Finish medication
-To prevent super infection such as
• c-diff & Mrsa
• Accidental Pregnancy
PERI
• Pyrazinamide (kills the bacteria)
- watch in patients w/diabetes
- monitor Uric Acid
• Ethambutol (stop RNA synthesis)
- prevents bacteria from reproducing
- reg eye exams
• Rifampin stops RNA polymerase (kills bacteria) changes body fluids to Orange.
• Isoiazid. Kills bacteria stops growth
- decreased vitamin B6
- hepatic toxicity
MAOI
• Anti- depressant
- used for: depression/ panic disorder & social phobias
• M = Massive HTN
- massive headache
- hypertension
• Avoid Tyramine
- No wine or beer
- No meats such as salami, sausage
• OTC drugs
- Calcium, Antacids, Acetaminophen,
Naproxen
• Increased suicide risk
- Adults
- Young adults
- Adolescent
BARBITURATES
• Used for : tonic clinic or focal seizures & status eliplepticus
• stimulates GABA receptors & helps inhibit neurotransmissions
S.E : drowsiness & ataxia
Therapeutic levels: 15- 40
Amiodarone
CLASS: anti-arrhythmics
BRAND: Nexterone/Pacerone
Used : only in patients w/ life threatening recurrent ventricular filbrillation or hemodynamically unstable ventricular tachycardia
SAT for a photo
S ulfa drugs
A miodarone
T etracyclines
