Meds!!! Flashcards
Cisplatin and ADR
chemo med
ADR: ototoxicity
Atropine
anticholinergic (blocks parasympathetic)
decreases saliva before surgery and dilate pupils before eye exam
CHLORDIAZEPOXIDE
for acute alcohol withdrawal
DISULFIRAM
maintain alcohol ABSTINENCE
METHADONE and ADR
opioid withdrawal/maintenance
sedation is a common ADR.
client can develop a physical dependency w/ long-term use
VARENICLINE
for smoking cessation
Nitroglycerin
VASODILATOR
Treats angina/ chest pain
If it’s a patch, rotate location of patch every few days to avoid local skin irritation. There is a delayed onset of action ∴ won’t treat an ongoing episode of chest pain
Donepezil
Treats ALZEIMERS
Can improve cognitive functioning in earlier stages of ALZ
Spironolactone and ADRs
Potassium SPARING diuretic; derived from STEROIDS
Can cause adverse endocrine effects like gynecomastia, impotence in men, and irregular menses
Ginkgo biloba
BLOOD THINNER/ ANTICOAG
Don’t take with other anticoags like NSAIDs or clopidogrel
Risperidone
2nd-gen ANTIPSYCHOTIC
All 2nd-gen antipsychotic ADRs = diabetes, weight gain, and dyslipidemia
Monitor blood sugar
Sumatriptan and ADRs
treats MIGRAINE & CLUSTER HAs
ADR = chest pressure and heavy arms
Phenytoin
ANTICONVULSANT & PREVENTS SEIZURES
ADRs = cardiac dysrhythmias (cardiac monitoring required!!!), bradycardia, hypotension
Lithium
MOOD STABILIZER
Evaluating effectiveness: decreased aggression and impulsivity
Rifampin
ABX FOR TB
ADR = red-tinged urine, saliva, and tears
Propylthiouracil
ANTITHYROID
Treats hyperthyroidism during 1st trimester of pregnancy bc does not cross placenta, so little risk to fetus.
HOWEVER METHIMAZOLE is preferred in 2nd and 3rd trimesters
Meperidine hydrochloride
OPIOID ANALGESIC
For moderate to severe pain during labor
Hydroxychloroquine and its ADR
Used to treat rheumatoid arthritis
Taking high doses = r/f retinopathy (irreversible blindness)
Acyclovir
ANTIVIRAL
Inhibits replication of virus that causes HERPES ZOSTER
Alendronate
BONE HEALTH; BIPHOSPHONATE
Treats/prevents osteoporosis
Take on empty stomach w/ a full glass of water and sit up 30 min to prevent esophagitis
Scopolamine patch
TREATS MOTION SICKNESS & N/V
Clean area w/ soap and water before application
Apply patch behind ear
Replace Q72 hr
Prednisone and its ADRs
CORTICOSTEROID
Long-term use ADR = gastric ulceration, osteoporosis, adrenal suppression
Schedule on alternate days to decrease ADRs
A rash is not an expected ADR ∴ don’t stop taking this med because of it.
Taper gradually to prevent withdrawal syndrome during long-term therapy
Feverfew
MIGRAINE HA PROPHYLAXIS
Herb
Decreases frequency and severity of manifestations
Diltiazem
CALCIUM CHANNEL BLOCKER
Used to slow the ventricular rate in a-fib or a-flutter
Treats HTN, angina, and other supraventricular tachyarrhythmias
Metoclopramide (Reglan)
ANTIEMETIC & GUT MOTILITY STIMULATOR
Decreases N/V by increasing gastric motility and promoting gastric emptying
Contraindicated in client w/ intestinal obstruction
Captopril
ACE INHIBITOR
↓ BP by preventing body from making angiotensin II ∴ preventing vasoconstriction → vasodilator!!!
ADRs = hypotension and dizziness
Bismuth subsalicylate
ANTACID
Eliminates bacteria h. pylori, which can cause PUD
Alosetron and its ADR
DIARRHEA MED, TREATS IBS
ADR = constipation. Call provider
Lidocaine
meds like lidocaine are often administered in combination with a vasoconstrictor such as epinephrine because epi decreases local blood flow and DELAYS SYSTEMIC ABSORPTION OF THE ANESTHETIC PROPERTY OF LIDOCAINE
Methadone ADR
sedation
