Patient Meds

Question 1

Coumadin (Jantovin) 3mg 1X daily

Answer 1

For: DVT (assoc with sluggish blood flow due to bed rest)
Absorption: GI tract after admin orally
Metabolized: by the liver
Half-Life: 42 hrs
Contraindications: bleeding, bruising, open wounds
Side effects: Cramps, nausea, dermal necrosis, bleeding, fever

Question 2

DULoxetine (Cymbalta) 60 mg 1 cap 1X pm

Answer 2

For: depressive disorder, chronic musculoskeletal pain
Absorption: well absorbed after oral admin
Metabolized: by enzyme pathways
Half-Life: 12 hr
Contraindications: hypersensitivity, angle closure glaucoma, MAO inhibitor therapy, renal disease, hepatic impairment
Side effects: drowsiness, insomnia, dizziness, nightmares, seizures, suicidal thoughts

Question 3

Lantus solostar (Long acting) 33units subcutaneous

Answer 3

For: Type II diabetes (check FBS 1X daily)
Absorption: long-acting result in delayed absorption
Metabolized: by liver, kidney, spleen, and muscle
Contraindications: hypoglycemia, allergy
Side effects: hypoglycemia, lipodystrophy, pruritis,erythema, allergic rxn - anaphylaxis

Question 4

Lasix 40 mg 1X daily

Answer 4

For: Edema (fluid retention)
Absorption: 60 - 67% absorbed after oral admin
Metabolized: mostly by liver
Contraindications: Hypersensitivity, cross-sensitivity w/ thiazides and sulfanomides, hepatic coma or anuria
Side effects: blurred vision, dizziness, headache, tinnitus, hearing loss, hypotension, consipation, diarrhea, dry mouth, dispepsia, excessive urination, photosensitivity, pruritis, anemia, fever

Question 5

Lisinopril (Prinivil, Zestril) 5 mg 1 tab 1X daily

Answer 5

For: hypertension (ACE inhibitor)
Absorption: 25% after oral admin
Metabolized: 100% by kidneys
Half-life: 12 hr
Contraindications: Hypersensitivity, angioedema with previous use of ACE inhibitors
Side effects: dizziness, drowsiness, headache, insomnia, vertigo, cough, hypotension, chest pain, edema, tachycardia, constipation, diarrhea, nausea, hyperkalemia, neutropenia

Question 6

potassium chloride 10 mEq 1 tab 1X daily

Answer 6

For: Hypokalemia (low levels of potassium)
Absorption: well absorbed after oral admin
Excreted: by kidneys
Halk-life: unknown
Contraindications: Hyperkalemia, renal impairment, Addison’s disease, tissue trauma,
Side effects: Confusion. restlessness, weakness, arrhythmias, abdominal pain, diarrhea, nausea, paralysis