Medications: Adverse Reaction (2)

Question 1

-illins

Answer 1

Ask about any antibotic reactions, personal and familial, any skin rash needs to be checked (steven-johnson syndrome), angeodemia (swelling above face)

Question 2

Vancomycin

Answer 2

Vancomycin Infusion Reaction (red man syndrome) can cause kidney failure, need peak and troughs

Question 3

-cycline

Answer 3

NEVER GIVE EXPIRED, cramping, N+V

Question 4

Erythromycin

Answer 4

Severe N+V, can lead to superinfections

Question 5

Azithromycin

Answer 5

Less N+V, more expensive

Question 6

Gentamicin

Answer 6

Ototoxic and nephrotoxic, may be deaf/on dialysis but will be alive

Question 7

Clindamycin

Answer 7

GI distress can be fatal, 1x day diahrea okay, more than that is dangerous

Question 8

Sulfa-

Answer 8

N+V, watch creatin and BUN levels

Question 9

Ciprofloxacin

Answer 9

Severe 2019 black box warnings not used as much, N+V, depression

Question 10

Metformin

Answer 10

does not cause hypoglycemia, can cause liver issues (pt symptoms tired/muscles hurt), can cause lactic acidosis (pt symptoms malaise, hyperventilation)

Question 11

Glipizide

Answer 11

can increase weight and cause hypoglycemia, slowly loses affect

Question 12

Glimepiride

Answer 12

can increase weight, can cause hypoglycemia, overtime does not work as well

Question 13

Pioglitazone

Answer 13

causes bladder cancer, heart failure possible from fluid overload

Question 14

Rosiglitazone

Answer 14

heart failure from possible fluid overload, weight gain 4-7lbs

Question 15

Levothyroxine

Answer 15

Thermostat turned up, nervousness, insomnia, tremors, tachy, headache, palpitation, hypertension

Question 16

Prednisone

Answer 16

appetite raises, headaches, mood changes, depression, tachy/hypertension, hyperglycemia