Medications & Adverse Reactions Flashcards
Acetaminophen
Nausea | Upper abdominal pain | Skin rash | Itching | Loss of appetite | An OD can cause hepatotoxicity
AcetaZOLAMIDE (Diamox, Diamox Sequels)
Fluid and electrolyte imbalance | Metabolic acidosis | Seizures | N/V | Anorexia | Orthostatic hypotension
Acetic Acid (Vinegar)
Skin irritation | Sensitivity | Stinging sensation
Acetylcysteine (Mucomyst, Acetadote)
Urticaria | Flushing | Rash | Itching | Angioedema | N/V | Bronchospasm | Wheezing | Respiratory distress | Tachycardia | Hypotension
Activated charcoal
Emesis (if apsirated from emesis or misplaced NG tube, can induce a fatal form of pneumonitis) | Constipation | Black stools | Diarrhea | Bowel obstruction
Adenosine (Adenocard)
Generally transient and of short duration | Flushing, sweating, dizziness, nervousness, paresthesia, hypotension, feeling of impending doom, severe bronchospasm | A brief period of most any dysrhythmia (like asystole) can occur during pharmacologic conversion
Albumin (Albumarc, Albutein, Flexbumin)
N/V | Itching/hives | Abdominal pain | Angioedema | Dysrhythmias | Bronchospasm
Albuterol
Often dose-related: Tremors, headaches, nervousness, dizziness, dysrhythmias, chest discomfort, palpitations, N/V, and dry mouth
Amiodarone (Cordarone, Pacerone)
Hypotension | Heart failure | Worsening of dysrhythmias | Prolonged QT interval | Bradycardia | AV block | Dizziness | Fatigue | Cough | Progressive dyspnea | N/V | Burning at the IV site | Stevens-Johnson syndrome
Aspirin (Acetylsalicylic Acid)
Anaphylaxis | Bronchospasm/wheezing in allergic patients | GI bleeding | Epigastric distress | N/V | Heartburn | Reye syndrome
Atropine sulfate
Drowsiness | Confusion | Headache | Palpitations | Dysrhythmias | N/V | Pupil dilation | Dry mouth/nose/skin | Blurred vision | Urinary retention | Constipation | Flushed, hot, dry skin
Benzocaine Spray (Hurricane)
Signs of methemoglobinemia (include pale, gray- or blue-coloured skin, lips, and nail beds) | Headache, light-headedness, shortness of breath | Anxiety, fatigue, and tachycardia
Bumetanide (Bumex)
Dehydration | Dizziness | Headache | Hypotension | ECG changes due to electrolyte depletion | N/V | Itching (in pts w/ liver disease) | Fatigue
Calcium chloride
Syncope | Bradycardia | Asystole | Hypotension | N/V | Metallic taste with rapid injection | Tissue necrosis at injection site | Coronary and cerebral artery spasm
Calcium gluconate
Syncope | Cardiac arrest | Dysrhythmias | Hypotension | Asystole | Peripheral vasodilation | Hypotension | N/V | Metallic taste | Tissue necrosis at injection site | Coronary and cerebral artery spasm
Cimetidine (Tagamet)
Headache | Dizziness | Diarrhea | Muscle aches | Skin rashes | Fatigue
Hetastarch (Hespan)
N/V | Mild febrile reactions | Chills, itching, urticaria | Rare severe anaphylactic reactions have been reported
Plasma Protein Fraction (Plasmanate)
Chills, fever, hives, N/V
0.9% Sodium Chloride (Normal Saline)
Rare with therapeutic dosages
0.45% Sodium Chloride
Rare with therapeutic dosages
Lactated Ringer Solution (Hartmann Solution)
Rare with therapeutic dosages
3% Sodium Chloride (Hypertonic Saline)
Increases sodium levels | Seizures | Neurologic deficits
5% Dextrose in 0.45% Sodium Chloride
Rare with therapeutic dosages
5% Dextrose in 0.9% Sodium Chloride
Rare with therapeutic dosages
5% Dextrose in Lactated Ringer Solution
Rare with therapeutic dosages
Total Parenteral Nutrition
Vary based on the specific mixture
Dexamethasone sodium phosphate (Decadron)
Headache | Restlessness | Nervousness | Increased appetite | Insomnia | Sodium and water retention | None from a single dose
Dextran
Rash, itching, dyspnea, chest tightness, mild hypotension | Incidence is very low, and reactions are generally mild | Increased bleeding time has also been reported due to the interference of dextran with platelet function
Bacteriostatic Water
None noted if used according to the manufacturer’s recommendations
5% Dextrose in Water
Rare with therapeutic doses
10% Dextrose in Water
Rare with therapeutic doses
Dextrose
Cerebral hemorrhage | Cerebral ischemia | Warmth, pain, burning, or phlebitis from IV infusion
Diazepam (Valium, Diastate, AcuDial)
Dizziness | Drowsiness | Confusion | Headache | Respiratory depression | Hiccups | Hypotension | Reflex tachycardia | N/V | Muscle weakness | Ataxia | Thrombosis | Phlebitis
Digoxin (Lanoxin)
N/V | anorexia (early sign of toxicity) | fatigue | headache |blurred yellow or green vision | seizures | confusion | dysrhythmias | skin rash
Diltiazem (Cardizem, Dilacor, Diltiaz)
Dizziness | Weakness | Headache | Dyspnea | Dysrhythmias including cardiac arrest | Heart failure | Peripheral edema | Hypotension | Syncope | Chest pain | N/V | Dry mouth
DiphenhydrAMINE HCl (Benadryl)
Drowsiness | Sedation | Seizures | Dizziness | Headache | Blurred vision | Wheezing | Thickening of bronchial secretions | Palpitations | Hypotension | Dysrhythmias | Dry mouth | Diarrhea | N/V | Hallucinations, confusion, and paradoxical CNS excitation can occur in children
DOBUTamine Hydrochloride (Dobutrex)
Headache | Dyspnea | Tachycardia | Hypertension | Chest pain | Dysrhythmias | N/V
DOPamine Hydrochloride (Intropin)
Headache | Anxiety | Dyspnea | Dysrhythmias | Hypotension | Hypertension | Palpitations | Chest pain | N/V
Droperidol (Inaspine)
QT interval prolongation | VT | TdP | Cardiac arrest | Mild to moderate hypotension | Hypertension | Tachycardia | Dizziness | Drowsiness | Restlessness | Anxiety | Dysphoria | Hyperactivity | Hallucinations | Extrapyramidal symptoms (from extended use)
EPINEPHrine
Nervousness | Restlessness | Headache | Tremor | Dysrhythmias | Chest pain | Increased myocardial oxygen demand | Hypertension | Palpitations | Nausea/vomiting