Medications

Question 1

Benzos

Answer 1

Ativan, Valium, ‘Pams’

Pre-op, anxiety, detoxing, epilepsy, nausea

falls
sedation
weakness
confusion
decreased coordination

Question 2

Neuroleptics

Answer 2

Haldol

Schizophrenia, delirium, behavioural conditions, agitation

sedation
confusion
postural hypotension
extra-pyramidal effects 
falls

Question 3

Tricyclic anti-depressants

Answer 3

depression & neuropathic pain

sudden cardiac death
arrhythmias
sedation
anticholinergic

Question 4

SSRI anti-depressants

Answer 4

Prozac, Celexa

depression, affect disorders

falls
sedation
excitation

Question 5

Anti-convulsants / Anti-epileptics

Answer 5

Gabapentin, Phenytin

neuropathic pain, lots of stroke pts

sedation
confusion
ataxia
falls

Question 6

Anti-cholinergics

Answer 6

increase Ach in brain for dementia
used selectively in geriatrics

constipation
urinary retention -> acute renal failure
confusion -> delirium

Question 7

Narcotics / Opioids

Answer 7

Morphine, cocaine, oxycodone

pain, diarrhea, chronic cough

sedation
confusion/delirium
decreased coordination
constipation

Question 8

Anti-hypertensives

Answer 8

HTN, Angina, PVD, CHF

dizziness
hypotension
falls

Question 9

Diuretics

Answer 9

CHF, HTN, fluid overload

fatigue
electrolyte imbalance
hypotension
arrhythmias
falls

Question 10

Corticosteroids

Answer 10

Asthma, COPD, RA, IBS, oncology

short-term long-term
infection OP
mood change glaucoma
insomnia myopathy
fluid retention dyslipidemia

Question 11

Pulmozyme

Answer 11

for CF

aka - Dornase Alfa

selectively cleaves DNA

administered via nebulisation and airway clearance done 40 min after

Question 12

Kalydeco

Answer 12

for CF

CFTR potentiator - helps transport chloride

Question 13

Botox

Answer 13

Spasticity

effect lasts 4-6 months (3-4 months best)

Question 14

Intrathecal baclofen

Answer 14

Spasticity - tone throughout, pain bc tone, problems of care bc tone

pump into spinal cord