Week 1 Med Cards Flashcards by Abby Yaske

Acetaminophen/analgesic (non-opioid): assessment

Pain, fever, liver enzymes/history of liver disease

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Acetaminophen/analgesic (non-opioid): diagnosis

Pain/fever

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Acetaminophen/analgesic (non-opioid): plan

3 mg / day
Check OTC meds
Should not be taken with other hepatotoxic meds or alc

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Acetaminophen/analgesic (non-opioid): implementation

Can be given IV or oral

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Acetaminophen/analgesic (non-opioid): Evaluation

Pain level, follow LFTs

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Acetaminophen/analgesic (non-opioid): interactions

Alcohol, anticoagulants, all hepatotoxic medications

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Acetaminophen/analgesic (non-opioid): side effects

Hepatotoxic, N/V, hemolytic anemia

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Acetaminophen/analgesic (non-opioid): teaching considerations

3mg per day
Check OTC medications
Should not be taken with other hepatotoxic medications or alcohol

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Ibuprofen (NSAID): assessment

Cross sensitivity to sulfa
Asthma patients may be allergic
BUN/creatinine

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Ibuprofen (NSAID): diagnosis

Pain/fever

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Ibuprofen (NSAID): plan

800 mg TID for short time
Increase fluids
Report GI pain/bleeding/upset

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Ibuprofen (NSAID): implementation

Should take with food to decrease risk of GI upset

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Ibuprofen (NSAID): evaluation

Pain/fever/kidney function

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Ibuprofen (NSAID): interactions

Risk for lithium toxicity
Decrease anti-hypertensive effect
Decrease effect with loop diuretics

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Ibuprofen (NSAID): side effects

Nephrotoxic
Bone marrow suppression
GI bleeding/upset

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Asprin (NSAID)

Analgesia
Decrease platelet aggregation in CAD/AMI
Increased risk of bleeding with anticoagulants
Decrease anti hypertensive affect

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Asprin (NSAID) side effects

Bleeding
Ototoxic
Reye’s syndrome
Photosensitive

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Garlic use

Decrease cholesterol

Increase anticoagulation

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Garlic side effects

Bad breath

Bleeding

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Ephedra (sympathomimetic) use

Weight loss

Asthma

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Ephedra (sympathomimetic) side effects

Hypertension
Cardiac arrhythmia
Anxiety

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Saw palmetto use

BPH

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Saw Palmetto side effects

Constipation
Headache
May interfere with hormonal therapy

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St. John’s Wort: use

Mood stabilizer

Liver disease

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How is St. John’s Wort thought to work as a mood stabilizer

Though to inhibit serotonin and reputable GABA

St. John’s Wort special precautions / side effects

Do not take with anti-depressants HA N/V Photosensitivity

Black Cohosh use

Menopausal symptoms | HA

Black Cohosh side effects

Non-significant side effects

Ginger usage

N/V r/t pregnancy

What does ginger interact with that should be taken into consideration

Anti-coagulants

Ginger side effects

GERD Diarrhea Bleeding

Ginseng usage

Anti-inflammatory | Can help stabilize hyperglycemia

What can Ginseng interact with that should be taken into consideration

Anticoagulants and hypoglycemics

Ginseng side effects

Nausea Diarrhea Insomnia

Glucosamine usage

OA/RA

What does glucosamine enhance the effects of?

Anticoagulants

Where can glucosamine be found ?

Naturally occurring in human joints

Side effects of glucosamine

Reflux | Diarrhea

Red yeast use

Hyperlipidemia

Red yeast side effects

Liver toxicity Rash HA

Echinacea use

Immune stimulant | Cough/URI

When should you not use echinacea?

If you have an autoimmune illness

Echinacea side effects

Nausea | Dizziness

Naproxen (NSAID) usage

Inflammation

What other drugs interact with Naproxen (NSAID)

ACE inhibitors, anticoagulants, digoxin

Naproxen (NSAID) side effect

Nephrotoxic Abdominal pain Bleeding

What is vitamin K

Fat soluble vitamin, coagulant

Vitamin K is a direct antagonist with what

Warfarin

When is vitamin K used?

Used with newborns at risk for hemorrhage

Vitamin K side effects

Hypotension | Dizziness

Vitamin K education considerations

Education on foods (found in green, leafy veg.)

What is milk of magnesia

Laxative

Milk of magnesia use

Constipation

When should you not take milk of magnesia

If you have renal failure

Milk of magnesia teaching

Drink lots of water | Do not take within 2 hours of other medications

Milk of magnesia side effects

Diarrhea

Diphenhydramine (antihistamine) use

Allergies

Diphenhydramine (antihistamine)side effects

Photosensitivity, sedation, hypotension, confusion

When should you not take diphenhydramine (antihistamine)?

Do not use with other CNS depressants When you are drinking If you have glaucoma

Gingko usage

Memory, anxiety

What properties does gingko have?

Anticoagulant properties

Gingko side effects

GI upset | Headache

What is digoxin?

Cardiac glycoside - comes from herb foxglove

What should you assess pre administration when giving digoxin?

HR pre administration

When should you use digoxin?

Heart failure

What are the therapeutic levels of digoxin?

0.5-2

How is digoxin administered?

PO or IV

What should you evaluate after you have given your pt. Digoxin?

Heart rate

Digoxin side effects

Brady and near heart block arrhythmia’s Blurred vision (green/yellow halos) N/V

What is something to keep in mind when teaching your patient about digoxin?

Hypokalemia increases risk for toxicity

Feverfew (herbal supplement) use

Decrease severity/frequency of migraine through inhibition of platelet and leukocyte secretion of serotonin, histamine

Feverfew asses

Migraine prophylaxis, headaches,

Feverfew administration

I would assume orally

Feverfew: negative interactions

Hypersensitivity to chrysanthemums, daisies, marigolds, asteraceae/compositae plants, lactation, pregnancy, ragweed allergies

Feverfew administrations

Extract: 50-100 mg PO daily Fresh leaf: 2.5 leaves daily Freeze dried leaf: 50-150 mg PO gD/BID

Feverfew side effects

``` N/V Diarrhea Allergic reaction Flatuence Indigestion Mouth ulcers Abdominal pain ```