Pathophysiology Flashcards
Diltiazem
Calcium Channel Blocker that treats HTN, angina, and certain heart rhythm disorders
Check apical pulse and BP before adminstration
Fluoxetine
SSRI (selective serotonin reuptake inhibitor)
Regulates serotonin levels in the brain
Used for depression
Sodium polystyrene sulfonate’s action
Decrease K
Memantine
Used to treat moderate to severe dementia
Corticoid inhaler side effects
Thrush
Rinse and brush after use
Levothyroxine
Treats hypothyroidism and suppresses goiter
Phenytoin
Anticonvulsant (anti seizure)
Adverse effect is aplastic anemia
Causes gingival overgrowth, swelling and bleeding of gums
Dexamethasone
Corticosteroid used to treat severe inflammation with rheumatoid arthritis
Donepezil
Cholinesterase inhibitor
Used to treat mild to moderate dementia caused by alzheimers
Improves function of nerve cells in brain
Prevents breakdown of acetylcholine
SSRI’s
Antidepressants
Antipsychotics and Benzodiazepines
Used for behavioural problems such as agitation, physical aggression, and disinhibition
Zolpidem
Helps with sleep disturbances with alzheimers
Sedative or hypnotic
Used to treat insomnia
People report doing wild things in sleep with no memory later
Hydroxychloroquine
Reduces swelling and joint pain while also decreasing skin problems in patients with lupus
Retinal toxicity is side effect so see Dr. yearly
Mitotic inhibitors
Chemotherapeutic agent
Fludrocortisone
Steroid used in adrenal insufficiency
Monitor weight daily
Education for Isoniazid
Used for TB!
Notify provider if dark urine, jaundice, clay colored stool (sign of hepatotoxicity)
Avoid eating aged cheese and smoked fish
Take B6 along with it, it decreases B6
Take on empty stomach, 1 hr before food or 2 hr after food
Caution against orthostatic hypotension
Sulcrafate
Used to treat and prevent ulcers. Produces a lining over the stomach
Take on empty stomach
Absorbed at increased rate when acidity level of stomach is higher, so avoid antacids 1 hr before/after
Haloperidol extrapyramidal side effects
Antipsychotic used to treat schizophrenia
EPS: restlessness, muscle weakness, drooling, shuffling gait
First action when exhibiting these is to administer PRN Beztropine Mesylate - counteracts EPS
Naproxen
NSAID
Can cause GI bleeding and dyspepsia
Avoid antacids with NSAID use!
Digoxin use and toxicity
Helps heart beat stronger and pump more blood
Used to treat HF
Toxicity is vision issues!
Sublingual nitroglycerin onset
1-3 minutes
Can also be administered buccal
Calcium channel blockers
Help relax the muscles in walls of vessels
Antihypertensive medications
Spironolactone
Potassium sparing diuretic
Sulfonylureas
Treats type II diabetes
Increases release of insulin
Hold for BS<100 until patient eats
Hypothyroid medications
Wait 4 hours before giving iron. Interferes with medication
Acetylsalicyclic Acid
Aspirin!
Administered by chewing or swallowing tab
Faster absorption from chewing
TrandolaPRIL
Ace inhibitor
Diuretics food changes
Lower BP
Limit slat intake and increase potassium
Long term effects of steroids
Decrease calcium, so body takes from bones, increases osteoporosis
Iron administration
Best absorbed on an empty stomach
If N/V occurs, drink with OJ
Glycopyrrolate
Decreases stomach secretions.
Used prior to surgeries to decrease risk of aspiration
Promethazone
Antiemetic
Other side effects: antianxiety, sedation, blurred vision
Diazepam
Do not mix with any other med!
Antianxiety
Iron administration
Z track method!
Preferred site: ventrogluteal
Alendronate
Treats osteoporosis
Take AM!
Pantoprazole
PPI
Aspirin administration
NOT SUBLINGUAL OR BUCCAL!
For faster absorption, chew then swallow
Insulin Aspart mixture
Rapid acting - 15 minutes
This is novolog!
Lantus
Long acting - 45 minutes
NPH
Intermediate acting - 90 minutes
Antidote for warfarin
Phytonadione - man made form of vitamin K
Protamine sulfate
Counteracts lovenox and heparin
Calcium Gluconate
Counteracts magnesium sulfate
Methargine
Increases uterine contractions after delivery
Chelating agents
Used to treat clients with poison from lead or iron
Activated charcoil
Removes noncorrosive poisons