Meds Flashcards
Isoniazid (INH)
Tx for TB
Can cause B6 deficiency
Corticosteroids
Hyperglycemia
Impairs vit D and Calcium metabolism
Increases risk of metabolic bone disease in SBS pts
Amphotericin B
Anti-fungal med used to tx systemic infections
Can cause hypokalemia (in conj with steroids)
Acetoacetate
Preserves jejunum with TPN
Cyclosporine
Immunosuppressant used to prevent transplant rejection
Side effects: HYPOmagnesemia HYPERkalemia HYPERglycemia HYPERcholesterolemia
Cisplatin
Chemotherapy drug
Hypomagnesemia
Adriamycin
Anti-neoplastic/cytotoxic chemo drug
Riboflavin deficiency
Aldactone
aldosterone receptor antagonist that causes the kidneys to remove water and sodium
Potassium sparing
Foscarnet
Anti-viral med
Can impair renal fx
Cimetidine/Ramotidine
H2 blocker added to TPN
May decrease diarrhea by reducing gastric acid hypersecretion
Aminophylline
Bronchodilator
L-cysteine compatibility issues
Loop diuretics (Lasix)
Hypocalcemia
Hypokalemia
Ketoconazole
Anti-fungal med
Cannot place in j-tube – Needs ACID medium
Valproic acid
Anti-convulsant and mood-stabilizer
Carnitine deficiency
Beta-blockers, neuromuscular blockade agents
Decrease caloric needs in trauma
Digoxin
Toxicity enhanced by hypercalcemia, kypokalemia, and hypomag
Loperamide
Imodium/anti-motility agent
Octreotide
Somatostatin analog used in SBS only with refractory diarrhea that isn’t controlled by standard anti-diarrheal
Reserve for pts with high stool OP
Slows jejunal transit
Sulfa
Abx for UTI
Can cause hypercalcemia
Ursodiol
Helps to dissolve gallstones
Bile acid, 300 mg BID to improve lipid absorption
Calcium gluconate
1-2 g for hyperkalemic emergencies
Azathioprine (mercaptopurine)
Used for IBD/Crohns
Dehydration, nausea, metallic taste, tingling
Methotrexate
Med that Interferes with folate absorption
Pancreatic enzyme dosing for infants, kids, and adult TF
Infants: 400-900 units per g fat/feeding
Kids: 500-2500 units/kg/meal (1800 av)
TF: 1800 units per g fat in formula (1/2 dose initial, half dose end)
Do not exceed 10,000 units/kg
Dilantin
Can cause folate and B12 deficiency
90% Albumin bound
Metoclopramide
Prokinetic
May cause neurologic sequelae
Meds that are incompatible with PN
Acyclovir Amphotericin ganciclovir Cyclosporine Midazolam
Alyssa Arielle Gives Cats Mice
Conivaptan and tolvaptan
Vasopressin antagonists
Increases excretion of water without losses of serum electrolytes.
Restores normal serum sodium concentrations
Sirolimus (side effects and NT)
Immunosuppressant drug
may cause hyperlipidemia and GI upset/disorders
☑️ limit fat and simple CHO intake
☑️Maintain weight
Tacrolimus (side effects)
Immunosuppressant drug
Side effects: N/V Abdominal distress Hyperkalemia Hyperglycemia
Tacrolimus (Suggested NT)
Immunosuppressant
☑️ Anti-emetics
☑️ Consider NS if V doesn’t subside
☑️ Avoid high K+ foods
☑️ Monitor need for DM meds and long-term carb controlled diet.
Cyclosporine (Nutrition Therapy)
☑️ Restrict high K+ foods ☑️ Avoid high Sodium foods ☑️ Supp with high Mg foods/supps ☑️ Limit fat and simple CHO ☑️ Monitor BG levels
Proton pump inhibitors
Used to tx gastric hypersecretion
Suppress significant more acid than H2 blockers
Need 50 cm of jejunum to absorb PPIs
