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CAPP III > Top 300 Drugs > Flashcards

Top 300 Drugs Flashcards

1
Q

lorazepam

A

Ativan
May cause drowsiness
avoid alcohol

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2
Q

alprazolam

A

Xanax
May cause drowsiness, avoid driving
Do not crush or break
oral disintegrating tablet may be divided but are unstable
Allow oral disintegrating tablet to dissolve on your tongue
Avoid alcohol

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3
Q

duloxetine

A

Cymbalta
Report withdrawal symptoms
Drug may cause hepatotoxicity
May require 1-4 week for improvement
Report worsening depression, suicidal ideation, or unusual changes in behavior
Watch sign/symptoms of bleeding events and hepatotoxicity
avoid alcohol
monitor cocurrent meds that alter coagulation

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4
Q

escitalopram

A

Lexapro
Avoid activities that require mental alertness
Symptomatic improvement may take several weeks
Report worsening depression
Avoid abrupt discontinutation
Do not drink alcohol
Do not use NSAID or aspirin

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5
Q

eszopiclone

A

Lunesta
Instruct pt to take immediately before bed and to not take with a high fat meal
Seek immediate medical attention if you experience anaphylaxis or angiodema
Warn pt of sleep driving
Avoid activities that require mental awareness
Report insomnia that worsens
advise pt to report abnormal thoughts
instruct pt to take drug only when experiencing insomnia
Should not drink while taking this drug

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6
Q

buspirone

A 
Buspar
Vanspar
Avoid activities that require mental awareness
Advise pt that symptomatic relief may not be seen for several weeks
Advise pt against sudden discontinuation
May take with or without food
Do not drink alcohol or grapefruit juice
Avoid MAOI
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7
Q

clonazepam

A

Klonopin
May cause drowsiness
allow orally disintegrating tablet to dissolve on tongue
Avoid alcohol

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8
Q

diazepam

A

Valium
May cause drowsiness
avoid alcohol

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9
Q

zolpidem

A 
Ambien 
Take on empty stomach
may cause drowsiness
avoid alcohol
take immediately before bedtime
may cause sleep driving, ect
Place sub-lingual tablet under tongue.
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10
Q

temazepam

A 
Restoril
May cause drowsiness
avoid alcohol
Take 30 min before bedtime
May cause complex behavior (sleep driving)
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11
Q

pregabalin

A

Lyrica
Oral solutions must be used within 45 days of first opening bottle
Avoid mental awareness activities
Avoid sudden discontinuation
Avoid drinking alcohol or using CNS depressants

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12
Q

carbamazepin

A

Tegretol
May decrease effectiveness of oral contraceptives, use an alternative form of birth control
avoid activities of mental awareness
Advise pt to report signs and symptoms of serious dermatological reactions
Take with food
Do not take with alcohol or grapefruit juice
Avoid abrupt discontinuation

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13
Q

gabapentin

A 
Neurontin
Avoid mental awareness activities
Report worsening depression
Avoid sudden discontinuation
Wait 2 hours after antacid before taking this medication
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14
Q

divalproex

A

Depakote
Avoid activities requiring mental awareness
Take with food to avoid GI irritation
Patients with convulsive disorder should not discontinue drug therapy abruptly. May precipitate status epilepticus
Avoid alcohol while taking this drug

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15
Q

lamotrigine

A

Lamictal
If rash develops, seek medical attention
Slow titration necessary to minimize side effects
avoid alcohol
Take to doc if you want to become pregnant
Reviewing driving restriction for pt with seizures

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16
Q

oxcarbazepine

A

Trileptal
Suspension should be shaken well and dose prepared immediately usual oral dosing syringe
Suspension can be mixed in a small glass of water just prior to administration
may decrease effectiveness of oral contraceptives
Advise pt to report sign/symptoms of serious dermatological reaction
Take with food. Avoid alcohol and grapefruit juice
Avoid abrupt discontinuation

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17
Q

phenobarbital

A

Luminal
Avoid mental alertness activities
This drug may decrease effectiveness of oral contraceptives
Report signs/symptoms of withdrawal upon dose reduction or d/c.
advise pt against sudden d/c
Do not drink alcohol
Do not use other CNS depressants

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18
Q

levetiracetam

A

Keppra
Keppra XR
Instruct pt to swallow extended release tab whole, do not break or chew
Avoid activities requiring mental alertness
Report mood swings, agitation, hostile behaviors, suicidal idealization, or unusual changes in behavior
Avoid sudden d/c

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19
Q

phenytoin

A

Dilantin
Swallow extended release capsule whole, do not crush
Avoid activities that require mental awareness
Report signs/symptoms of pancytopenia, hepatotoxicity, SLE, severe skin rxn or toxic epidermal necrolysis
Do not drink alcohol

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20
Q

topiramate

A

Topamax
Avoid activities that require mental aware
May cause nausea, diplopia, nervous, confuse
Do not d/c suddenly

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21
Q

epinephrine

A

EpiPen
EpiPen Jr
May cause palpitation, tachy, pale skin, sweat, nausea, vomit, asthenia, dizzy, HA, tremor, pain in eye, anxiety
Instruct pt on proper administration

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22
Q

meloxicam

A

Mobic
Take with food or milk to dec GI upset
For suspension shake gently before using

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23
Q

naproxen

A

Naprosyn
Elderly pt are at inc risk of GI ulceration
pt with underlying heart dysfxn are at inc risk of CVS effects
Use lowest dose for shortest period of time to minimize toxicity
Naproxen is available in 220 mg OTC
If taken for fever, do not take longer than 10 days unless directed by doctor

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24
Q

nabumetone

A

Relafen

Take with food or milk to dec GI upset

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25
Q

indomethacin

A

Indocin

Take with food or milk to dec GI upset

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26
Q

ibuprofen

A

Motrin

Take with food or milk to dec GI upset

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27
Q

diclofenac SR

A

Voltaren XR

Take with food or milk to dec GI upset

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28
Q

etodolac

A

Lodine

Take with food or milk to dec GI upset

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29
Q

celecoxib

A

Celebrex
Take with food or milk to dec GI upset
If you cannot swallow capsule, you may open it and pour med over a tsp of applesauce

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30
Q

acetaminophen

A

Tylenol
Do not exceed max recommended daily dose
avoid alcohol

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31
Q

tramadol/acetaminophen

A

Ultracet
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

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32
Q

tramadol

A 
Ultram 
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants
To take the disintegrating tablet, peel back the foil on blister pack and remove tablet. Do not chew or crush
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33
Q

oxycodone

A

Oxycotin
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

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34
Q

morphine ER

A

MS Contin
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

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35
Q

methadone

A

Dolophine
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

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36
Q

hydrocodone/ibuprofen

A 
Vicoprofen 
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants
Take with food or milk to dec GI upset
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37
Q

hydrocodone/acetaminophen

A

Vicodin
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

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38
Q

fentanyl transdermal

A 
Duragesic 
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants
Apply to clean, dry skin. Skin breaks may inc absorption
Remove old patch when new patch applied
Febrile pt may have inc absorption
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39
Q

acetaminophen/codeine

A

Tylenol with Codeine #3
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

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40
Q

hydroxychloroquine

A

Plaquenil
If taking weekly, take on same day each week
Take with food or milk

41
Q

allopurinol

A

Zyloprim
Take after meals to lessen gastric irritation
Maintain adequate hydration during therapy
Pt should avoid alcohol or caffeine
Seek medical attention if signs/symptoms of myleosuppression, agranulocytosis, or stevens johnson syndrome occur

42
Q

benzonatate

A

Tessalon Perles
Do not chew capsule or allow capsules to dissolve in mouth as oropharyngeal anesthesia will occur
Accidental ingestion of as few as 1-2 capsules by kids < 2 y/o have been fatal

43
Q

colchicine

A

Colcrys

Instruct pt on appropriate dosing strategy for gout flares

44
Q

dicyclomine

A

Bentyl
May case drowsy
In the presence of a high enviornmental temp, heat prostration can occur

45
Q

hydrocodone/chlorpheniramine syrup

A

Tussionex
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

46
Q

guaifenesin/codeine

A

Cheratussin AC
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants

47
Q

methotrexate

A 
Trexall 
Causes nausea/vomit
Use anti emetics if necessary
avoid sun exposure
Take with food
48
Q

promethazine/codeine

A 
Antituss 
Use a stool softener or laxative
May cause drowsy
Avoid alcohol or CNS depressants
May cause dark urine
49
Q

prednisolone oral

A

No Brand
Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection

50
Q

prednisone

A

Deltasone
Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection

51
Q

methylprednisolone

A

Medrol
Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection

52
Q

dexamethasone

A

Decadron
Counseling dependent on dose and intended length of treatment. For short term, inform pt to take doses with meals to prevent GI upset. For long term, inform pt to monitor for signs of hyperglycemia, osteoporosis, adrenocortical insufficiency and infection

53
Q

ferrous sulfate

A 
Feosol 
May require several weeks to work
Stools will turn black
Take on empty stomach
Avoid Calcium
54
Q

epoetin

A

Epogen
Do not shake, dilute, or expose to light.
Store in fridge in box
Do not combine remainders from different syringes
May require several weeks to work

55
Q

darbepoetin

A

Aranesp
Do not shake, dilute, or expose to light.
Store in fridge in box
Do not combine remainders from different syringes
May require several weeks to work

56
Q

cyanocobalamin

A

Cobolin-M
May require several weeks for max effect
take extended release products with food
Avoid alcohol because it inhibits B12 absorption

57
Q

folic acid

A

Folacin-800
May require several weeks to work
Avoid alcohol

58
Q

montelukast

A

Singular
Not indicated for acute asthma attaks
report increased use or frequency
should take in the evening

59
Q

tiotropium

A

Spiriva
Not indicated for rescue therapy/acute brochcospasm
drug may increase heart rate, mouth dryness, constipation, urinary difficulty, resp tract infection, sinusitis
capsules are for inhalation only and for device

60
Q

levalbuterol

A

Xopenex HFA
shake inhaler before using, canister should be at room temp, prime for first use
breath out fully through mouth close lips around it, hold in for 10 seconds
wash mouthpiece and air dry at least once a week
store at room temp

61
Q

ipratropium/albuterol

A

Combivent
proper technique
wash mouthpiece
store at room temp

62
Q

fluticasone oral inhaler

A

Flovent HFA
proper technique
monitor for toxicity, adrenal insufficiency, oral candidiasis, worsening pulmonary function

63
Q

fluticasone/salmeterol

A

Advair Diskus
proper technique
monitor for renal insufficiency, oral candidasis, and worsening pulmonary function

64
Q

budesonide/formoterol

A 
symbicort 
proper technique
wash mouth piece
store at room temp
not for acute asthma attack
65
Q

budesonide

A

Pulmicort Resuples
Pulmicort Flexhaler
proper technique
not for acute asthma attack

66
Q

albuterol sulfate

A

ProAir HFA
proper technique
wash mouth piece
do not crush ER tablets

67
Q

mometasone nasal inhaler

A

Nasonex
proper technique
monitor for adrenal insufficiency

68
Q

triamcinolone nasal inhaler

A

Nasacort AQ
proper technique
monitor for adrenal insufficiency

69
Q

azelastine

A

Astelin
avoid spraying in eyes
somnolence has been reported
avoid alcohol

70
Q

Fexodenadine

A

Allegra

avoid mental alertness activity

71
Q

fluticasone nasal inhaler

A

Flonase
proper technique
monitor for adrenal insufficiency

72
Q

cetirizine

A

Zyrtec

avoid mental alertness activity

73
Q

thyroid

A

Armour Thyroid
6-8 weeks before symptoms improvement
do not stop suddenly
take on empty stomach with water

74
Q

levothyroxine

A 
Synthroid
6-8 weeks before symptoms improvement
do not stop suddenly
take on empty stomach with water
avoid antacids and iron within 2 hours of dose
75
Q

levocetirizine

A

Xyzal

avoid mental alertness activity

76
Q

ibandronate

A

boniva
take as soon as you get up in morning before you eat or drink
swallow tablet with entire glass of water
do not chew/suck
wait to eat/drink for 30 minutes
do not lie back down after taking med for at least 30 minutes

77
Q

raloxifene

A

Evista
inc risk of blood clot
avoid sitting for long time
calcium and vit D supplementation should be considered

78
Q

risendronate

A

Actonel, Atelvia
take as soon as you get up in morning before you eat or drink
swallow tablet with entire glass of water
do not chew/suck
wait to eat/drink for 30 minutes
do not lie back down after taking med for at least 30 minutes

79
Q

testosterone

A

AndroGel,
apply to clean dry skin
not applied to genitals
swimming/showering should be avoided for 5-6 hours after application
keep site covered
be aware of changes in female family members
call doc if you have persistent erection

80
Q

progesterone

A

Prometrium

menstrual bleeding should occur 3-7 days after last dose

81
Q

alendronate

A

fosamax
take as soon as you get up in morning before you eat or drink
swallow tablet with entire glass of water
do not chew/suck
wait to eat/drink for 30 minutes
do not lie back down after taking med for at least 30 minutes

82
Q

medroxyprogesterone

A

Provera

menstrual bleeding should occur 3-7 days after last dose

83
Q

estradiol transdermal patch

A 
Vivelle-DOT, Estraderm
report abnormal vaginal bleeding
do not smoke
place patch on clean dry skin 
do not apply to breast or waistline
84
Q

Estradiol oral

A

Estrace
report abnormal vaginal bleeding
do not smoke

85
Q

conjugated estrogens/medroxyprogesterone

A

Prempro, Premphase
menstrual bleeding should occur 3-7 days after last dose
long term ADR: MI, stroke, DVT, PE, and breast cancer

86
Q

conjugated estrogens

A

Premarin

long term ADR: MI, stroke, DVT, PE, and breast cancer

87
Q

sitagliptin

A

Januvia
monitor BG 2-4 times per day
take with morning meal if once daily dosing
avoid alcohol = may cause disulfiram rxn

88
Q

repaglinide

A

Prandin
monitor BG 2-4 times per day
take 15-30 minutesbefore each meal
up to four times/day

89
Q

pioglitazone

A

Actos
monitor BG 2-4 times per day
may take weeks to see max effect
may take without regard to food

90
Q

metformin

A 
Glucophage
monitor BG 2-4 times per day
take with morning meal
drink plenty of liquids
avoid alcohol
91
Q

insulin aspart

A 
NovoLog, NovoLog FlexPen
monitor BG 2-4 times per day
store in fridge
dispose of needles
rotate injection site
92
Q

insulin glargine

A 
Lantus
monitor BG 2-4 times per day
store in fridge
dispose of needles
rotate injection site
93
Q

insulin lispro

A 
Humalog
monitor BG 2-4 times per day
store in fridge
dispose of needles
rotate injection site
94
Q

insulin detemir

A 
Levemir
monitor BG 2-4 times per day
store in fridge
dispose of needles
rotate injection site
95
Q

glimepiride

A 
Amaryl
monitor BG 2-4 times per day
take with food or milk
use sunscreen
avoid tanning bed
do not drink alcohol
96
Q

Glyburide

A 
Micronase
monitor BG 2-4 times per day
take 30 minutes before morning meal
use sunscreen
avoid tanning bed
do not drink alcohol
97
Q

glipizide

A 
Glucotrol
monitor BG 2-4 times per day
take 30 minutes before morning meal
use sunscreen
avoid tanning bed
do not drink alcohol
do not chew or crush
98
Q

exenatide

A 
Byetta
prefilled pen that you inject
use this medicine 1 hour before eating
store unused medicine in fridge
open pens, store at room temp
throw pen away after 30 days
monitor BG levels

CAPP III (1 decks)

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