Unit 9 Flashcards
what is the antiparkinson drug of this unit
levodopa/carbidopa
what is the mechanism of action for levodopa
increase levels of dopamine in the CNS
what are some adverse reactions of levodopa
- n/v/a
- orthostatic hypotension
- psychosis/hallucinations
- dystonia
- choreiform movements (abnormal muscle activity)
what are some nursing mgmt/teachingsof levodopa
-always administer on time
-report abnormal muscle activity
-take with food
- assess for osteoporosis
- report behavioral or mood changes
what are some contraindications of levodopa
-psychiatric disorders
- high protein foods
- MAOI antidepressants
what are the antiepileptic meds of this unit
Phenytoin
valproic acid
Levetiracetam
what is the mechanism of action for the antiepileptic meds
CNS depressant
what is the adverse reactions of phenytoin?
- gingival hyperplasia
- SJS vs TENS
what is the adverse reaction of valproic acid?
liver failure
pancreatitis
what is the adverse reaction of levetiracetam
infection
SJS vs TENS
what are the adverse reactions of all epileptic meds
- CNS depression
- dizziness
- drowsiness
- ataxia
- confusion
- pancytopenia
what are the nursing mgmt/teaching of the epileptic meds
- wear a med alert bracelet
- do not discontinue abruptly
- seizure mgmt
- CBC w/all
- monitor liver function when taking Valproic acid
- monitor phenytoin levels (10-20 mcg/ml)
what are the mgmt/teachings of Phenytoin
avoid grapefruit juice
what are the mgmt/teachings of valproic acid
report signs of liver dysfunction
what are the mgmt/teachings of levetiracetam?
instruct family to monitor for suicidal ideation
infection prevention
what are the contraindications of phenytoin?
pregnancy and lactation
what is the skeletal muscle relaxant med of this unit
cyclobenzaprine
what is the mechanism of action of cyclobenzaprine
decrease in muscle spasms
CNS depressant
what is cyclobenzaprine used for
relieve pain associated with acute musculoskeletal conditions
what are some adverse reactions of cyclobenzaprine
drowsiness
blurred vision
cardiac arrhythmias
what are some mgmt/teachings of cyclobenzaprine
avoid ETOH
avoid other meds that are CNS depressants
what is the bisphosphonates med in this unit
alendronate
what is the mechanism of action of alendronate
increase bone density
what are some adverse reactions of alendronate
esophageal reflux
bone pain
what are some mgmt/teachings of alendronate
sit upright for 30 mins after taking medication
what are some contraindications of alendronate
pregnancy
patients unable to sit upright
what is the DMARD med of this unit
adalimumab, hydroxychloroquine, and methotrexate
what is the mechanism of action of DMARDS meds
immunosuppression
what do you use DMARD meds for? adverse reaction for all?
rheumatoid arthritis
all: immune suppression
what are some adverse reactions of adalimumab
flu-like symptoms
what are some adverse reactions of hydroxychloroquine
retinopathy
cardiomyopathy
dysrhythmias
what are some adverse reactions of methotrexate
bone marrow suppression
hepatotoxicity
nephrotoxicity
alopecia
what are the mgmt/teachings of the DMARD meds
infection prevention
signs of infection
what are the mgmt/teachings of methotrexate
use contraception
avoid etoh
what is a contraindication of DMARD meds
patients with active infections
what is the anti-gout med of this unit
allopurinol
what is the mechanism of action of allopurinol
reduces the production of uric acid
what is allopurinol used for
prevention of gout
what are some adverse reactions of allopurinol
n/v/d
rash
bp changes
renal/hepatic failure
what are the mgmt/teachings of allopurinol
-take with food/milk to decrease GI upset
-take everyday to prevent gout attacks
-dietary restrictions-purines avoidance
