Special Considerations Flashcards
Endocrine, GI, Reproductive, Natural Meds
Oral form of this hypothyroid med should be taken on an empty stomach
Liothyronine (Cytomel)
This combination hypothyroid med should be taken on an empty stomach
Levothyroxine/liothyronine (Armour Thyroid)
TFTs will be monitored for these endocrine meds
Thyroid meds
This hypothyroid med should be avoided in patients with a porcine (pig) allergy
Armour Thyroid
This hyperthyroidism med is a NIOSH med and should be avoided in pregnant patients
Methimazole (Tapazole)
This class of endocrine meds should be separated from aluminum, calcium, and magnesium products by at least 4 hours
Hypothyroid
TFT stands for…
thyroid function test
This class of endocrine med are Beers and high-alert, may cause hypoglycemia and weight gain, and should be avoided in patients with sulfa allergy or kidney disease
Sulfonylureas
These diabetes medications are high-alert
Metformin
Glimepiride, glipizide, glyburide
All insulins
Oral version of this diabetes med should be taken 30 min before food/beverage
Ozempic (semaglutide)
This diabetes med is high-alert and can cause various side effects like n/v, lactic acidosis (BW), constipation or diarrhea, etc.
Metformin (Glucophage)
This type of insulin can be combined with protamine forms to create a mix
Rapid-acting insulin
Humalog Mix, Novolog Mix
This insulin is a Beers med
Insulin regular (Humulin R, Novolin R)
The U-500 strength of this insulin requires a special syringe
Insulin regular (Humulin R, Novolin R)
Side effect of insulins
Hypoglycemia, weight gain
This non-insulin diabetes med is a Beers med
Pioglitazone (Actos)
This diabetes med is also used for weight loss
Liraglutide (Victoza)
(also Ozempic)
This diabetes med may cause swelling, along with hypoglycemia and weight gain. It should also be avoided in patients with heart failure
Pioglitazone (Actos)
This class of GI meds, except for Dexilant, should be taken at least 30-60 minutes before a meal. This class is also on the Beers list due to osteoporosis and fractures
Proton Pump inhibitors
This GI med can interact with many other meds (fluoxetine, statins, etc.)
Cimetidine (Tagamet)
All GI meds, except for which class, are Beers meds
Antacids
This GI med should be avoided in pregnant patients
Pepto-Bismol
This GI med may cause constipation and turning of stools and tongue black
Pepto-Bismol
This GI med may cause constipation and can interact with many meds (levothyroxine, ciprofloxacin, etc.)
Calcium carbonate (Tums)