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[q]What is Norepinephrine? (Levophed) [a]Treats Shock, Cardiac Arrest, Anaphylaxis
[q]What are General shock Meds Side Effects[a] (if alert)Headache, Palpitations, Nervousness
[q]What do Nurses assess for General shock meds [a] Nursing: check VS, Cardiac Output (4-8), BP, Mean Arterial Pressure <60
[q]Dopamine (Intropin) [a] Treats shock, Cardiac Arrest, Anaphylaxis
[q]Epinephrine (Adrenaline) [a] shock, Cardiac Arrest, Anaphylaxis
[q]Isoproterenol (Isuprel) [a]Tx shock, Cardiac Arrest, Anaphylaxis
[q]Phenylephrine (Neo-Synephrine) [a]Tx shock, Cardiac Arrest, Anaphylaxis
[q]Dobutamine HCL (Dobutrex) [a]Tx Shock, Cardiac Arrest, Anaphylaxis
[q]Milrinone (Primacor) [a]Tx Shock, Cardiac Arrest, Anaphylaxis
[q]Sodium nitroprusside (Nitropress) [a]Tx shock, Cardiac Arrest, Anaphylaxis
[q]Diphenhydramine HCL (Benadryll) [a]Tx shock, Cardiac Arrest, Anaphylaxis
[q]Chlordiazepoxide (Librium) [a]Anti-anxiety- Benzo
[q]General Benzos: use, SE, nursing [a]Use: anxiety
[q]General Benzos SE: [a]lethargy, hangover, resp. depression, htn, ortho hypo
Nursing: watch resps
[q]Diazepam (Valium) [a]Anti-anxiety- Benzo & anti-convulsant
[q]Alprazolam (Xanax) [a]Anti-anxiety- Benzo
[q]Clonazepam (Klonopin) [a]Anti-anxiety- Benzo & anti-convulsant
[q]Lorazepam (Ativan) [a]Anti-anxiety- Benzo
[q]Oxazepam (Serax) [a]Anti-anxiety- Benzo
[q]Midazalam (Versed) [a]Anti-anxiety- Benzo
[q]Buspirone (BuSpar) [a]Anti-anxiety- Non-Benzo
[q]Hydroxyzine (Vistaril, Atarax) [a]Anti-anxiety- non-Benzo
[q]Aluminum hydroxide gel (Amphojel) [a]Antacid
[q]General Antacids: use, SE, nursing [a]Use: peptic ulcer, indegestion, esophagitis
[q]General AntacidsSE: [a]CD, rebound, met acidosis
Nursing: watch heart & kidneys
[q]Ca Carbonate (Titralac) [a]Antacid
[q]Magnesium hydroxide (Milk of Mag) [a]Antacid
[q]Aluminum Hydroxide (Maalox) [a]Antacid
[q]Procainamide (Pronestyll) [a]Anti-Dysrhythmic
[q]Lidocaine (Xylocaine) [a]Anti-Dysrhythmic
[q]General Antidysrhythmics: use, SE, [a]Use: Dysrhythmias
[q]General Antidysrthmics- SE: [a]htn, heart failure, bradycardia, fatigue, CNS effects
Nursing: monitor apical HR, watch SOB
[q]Tocainide (Tonocard) [a]Anti-Dysrhythmic
[q]Mexiletne HCL (Mexitil)[a] Anti-Dysrhythmic
[q]Flecainide (Tambocor)[a] Anti-Dysrhythmic
[q]Propafenone HCL (Rhythmol)[a] Anti-Dysrhythmic
[q]Propanolol (Inderal)[a] Anti-Dysrhythmic
[q]Acebutolol (Sectral)[a] Anti-Dysrhythmic
[q]]Amniodorone HCL (Cordarone) [a]]Anti-Dysrhythmic
[q]Ibutilide fumarate (Corvert)[a] Anti-Dysrhythmic
[q]Dofetilide (Tikosyn)[a] Anti-Dysrhythmic
[q]Verapamil (Calan)[a] Anti-Dysrhythmic
[q]Diltiazem HCL (Cardizem)[a] Anti-Dysrhythmic
[q]Gentamicin (Garamycin) [a]Antibiotic/anti-infective
[q]General Anti-infectives: use, SE, nursing[a] Use: infections
[q]General Antifectives SE: [a]ototoxicity, nephrotoxicity, anorexia, NVD, ab pain
check hearing (8th cranial nerve), renal function, push fluids
[q]Neomycin (-mycins) [a]Antibiotic/anti-infective
[q]Cephalexin (Keflex) Cephalosporins- [a]used for -itis
[q]Cefaclor (Ceclor); Cefs- [a]Cephalosporins- used for -itis
[q]Ciprofloxacine (Cipro) [a]Fluoroquinolones- txs E. Coli
[q]Levofloxacin (Levequin) [a]Fluoroquinolone
[q]Amoxicillin (Amoxil) [a]Penicillins
[q]Sulfisoxazole (Gantrisin) [a]Sulfonomide
[q]Doxycycline (Vibramycin) [a]Tetracycline- STDs
[q]Propantheline bromide (Pro-Banthinc) [a]Anti-cholinergic
[q]Belladonna [a]Anticholinergic
[q]Atropine sulfate[a] Anticholinergic
[q]Iproproprium (Atrovent)[a] Anticholinergic
[q]Benztropine (Cogen) [a]Anticholinergic
[q]Scopolamine (Transderm-Scop)[a] Anticholinergic
[q]Heparin & Enoxaparin [a]Anti-coagulant
check PTT (20-40secs)
[q]Warfarin (Coumadin) [a]Anti-coagulant
check PT (9.5-12)/INR (2-3.5)
[q]Fosphenytoin (Cerebyx) [a]Anticonvulsant
[q]Levetiracetam (Keppra) [a]Anticonvulsant
[q]Phenytoin (Dilantin) [a]Anticonvulsant
[q]Phenobarbital (Luminal) [a]Anticonvulsant
[q]Primidone (Mysoline) [a]Anticonvulsant
[q]Valproic acid (Depakote) [a]Anticonvulsant & Bipolar Disorder
take w/ food
[q]Carbamazepine (Tegretol) [a]Anticonvulsant & Bipolar Disorder
[q]Ethosuximide (Zarontin) [a]Anticonvulsant
[q]Gabapentin (Neurontin) [a]Anticonvulsant
[q]Lamotrigine (Lamictal) [a]Anticonvulsant
[q]Topiramate (Topamax) [a]Anticonvulsant
[q]General Anti-convulsant knowledge:
use, SE, Nursing [a]Use: seizures
SE: CV & resp depression, agranulocytosis, aplastic anemia
Nursing: tolerance develops, don’t stop abruptly, MAOIs lower seizure thresh-hold
[q]General Anticoagulant:
use, SE, nursing [a]Use: prophylaxis and DVTs
SE: hemorrhage, nausea, alopecia, urticaria
Nursing: check blding, no NSAIDs, check plts
[q]General Antacid:
use, SE, nursing [a]Use: peptic ulcer, indigestion
SE: C,D, acid rebound, metabolic acidosis
Nursing: decreased OCP effectiveness
[q]General Anti-anxiety:
use, SE, nursing [a]Use: anxiety disorders, insomnia, petit mal seizures, panic attacks, manic episodes
SE: sedation, depression, confusion, dry mouth
Nursing: check LFTs & therapeutic levels, avoid alcohol
[q]Phenelzine sulfate (Nardil) [a]MAOI
[q]Isocarboxazide (Marplan) [a]MAOI
[q]Tranylcypromine (Parnate) [a]MAOI
[q]General MAOI: use, SE, nursing [a]Use: depression, chronic pain
SE: HTN crisis w/ tyramine, wt gain, ortho hypo
Nursing: don’t take w/ SSRIs, watch tyramine foods (age cheeses, raisins, beef, salami, figs, red wine, bologna)
[q]Fluoxetine (Prozac) [a]SSRI
[q]Citalopram (Celexa) [a]SSRI
[q]Escitalopram (Lexapro)[a] SSRI
[q]Fluvoxamine (Luvox) [a]SSRI
[q]Paroxetine (Paxil) [a]SSRI
[q]Sertraline (Zoloft) [a]]SSRI
[q]General SSRI: use, SE, nursing [a]Use: depression, OCD, obesity, bulimia
SE: h/a, dizziness, nervousness
Nursing: take in am, 4wks for full effect, don’t take w/ MAOIs
[q]Amitriptyline (Elavil) [a]Trycyclic anti-depressant
[q]Imipramine (Togranil) [a]]Tricyclic anti-depressant
[q]General Tricyclics: use, SE, nursig [a]Use: depression, obstructive sleep apnea
SE: sedation, anticholinergic effects (dry mouth, blurred vision)
Nursing: 1-3wks to work, SEs decrease over time, no alcohol
[q]Bupropion (Wellbutrin, Zyban) [a]Heterocyclic anti-depressant
[q]Trazodone (Desyrel) [a]Heterocyclic anti-depressant
[q]General Heterocyclics: use, SE, nursing [a]Use: depression & smoking cessation
SE: Dry mouth, nausea
Nursing: gradual decrease b4 stopping, no alcohol or other CNS depressants
[q]Glimepride (Amaryl)[a] Oral Hypoglycemic
[q]Glipizide (Clucotrol)[a] Oral Hypoglycemic
[q]Metformin (Glucophage)[a] Oral Hypoglycemic
[q]Acarbose (Precose) [a]Oral Hypoglycemic
[q]Rosiglitzone (Avandia)[a] Oral Hypoglycemic
[q]Repaglinide (Prandin) [a]Oral Hypoglycemic
[q]General Oral Hypoglycemics: use, SE, nursing [a]Type 2 Diabetes
SE: GI upset, ND, ab discomfort
Nursing: check glucose, avoid alcohol, skin care
[q]Bismuth subsalicylate (Pepto-Bismol, Kaopectate)[a] Anti-diarrheal
[q]Diphenoxylate HCL & Atropine sulfate (Lomotil) [a]Anti-diarrheal
[q]Ioperamide (Imodium) [a]Anti-diarrheal
[q]General Anti-diarrheals: use, SE, nursing [a] diarrhea
SE: C, impaction, anticholinergic effects
Nursing: don’t use w/ ab pain of unknown origin
[q]Trimethobenzamide HCL (Tigan) [a]Anti-emetic
[q]Prochlorperazine dimaleate (Compazine)[a] Anti-emetic
[q]Ondansetron (Zofran) [a]Anti-emetic
[q]Thiethylperazine maleate (Torecan) [a]Anti-emetic
[q]Metoclopramide (Reglan) [a]Anti-emetic
[q]Promethazine (Phenergan) [a]Anti-emetic
[q]General Anti-emetic: use, SE, nursing [a]Use: NV caused by surgery, chemo, etc.
SE: drowsiness, sedation, anticholinergic effects
Nursing: may cause Reye’s syndrome
[q]Amphotericin B (Fungizone) [a]Antifungal
[q]Nystatin (Mycostatine) [a]Antifungal
[q]Flucanozal (Diflucan) [a]Antifungal
[q]Metronidazole (Flagyl) [a]Antifungal
[q]General Antifungal: use, SE, nursing Use: [a]systemic fungal infections
SE: hepatotoxicity, dec. RBCs/WBCs, pruritis
Nursing: w/ food, check liver, take full course
[q]Colchicine (Colsalide) [a]Anti-gout
[q]Probenecide (Benemid) [a]Anti-gout
[q]Allopurinol (Zyloprim) [a]Anti-gout
[q]General Anti-gout: use, SE, nursing [a]Use: Gout, uric acid stone formation
SE: aplastic anemia, agranulocytosis, renal calculi, GI irritation
Nursing: check for renal calculi
[q]General Antihistamine: use, SE, nursing [a]]Use: allergies
SE: depression, sedation, dry mouth
Nursing: w/ food, skin & mouth care, no alcohol
[q]Cholestyramine (Questran) [a]Anti-lipemic (lipid lowering agent)
[q]Colestipol (Colestid) [a]Anti-lipemic (lipid lowering agent)
[q]Lovostatin (Mevacor) [a]Anti-lipemic (lipid lowering agent)
[q]Pravastatin (Pravachol)[a] Anti-lipemic (lipid lowering agent)
[q]General Anti-lipemics (lipid lowering agents): use, SE, nursing [a]Use: elevated cholesterol, dec. CV disease
SE: liver issues, ab pain/bloating, rash, C, gout
Nursing: use med w/ diet & exercise, check lipids q6wks then 4-6mo after normalized
[q]Niacin (Niacor) [a]Anti-lipemic (lipid lowering agent)
[q]Captopril (Capoten) [a]Anti-HTN- ACE inhibitor
[q]Foinopril (Monopril) [a]Anti-HTN- ACE inhibitor
[q]General Anti-HTN- ACE inhibitors: use, SE, nursing [a]Use: HTN, CHF
SE: GI irritation, tachycardia, MI, proteinuria
Nursing: 1hr ac or 2hr pc, small freq meals
[q]Atenolol (Tenormin) [a]Anti-HTN- Beta-blocker
[q]Pindolol (Visken) [a]Anti-HTN- Beta-blocker
[q]General Anti-HTN Beta-blockers: use, SE, nursing[a] Use: HTN w/ diuretics, angina, SVT, prevent recurrent MI
SE: GI pain, brady/tachycardia, acute severe heart failure, impotence
Nursing: taper to stop, w/ food, masks hypoglycemia S&S
[q]Nifedipine (Procardia) [a]Anti-HTN: Ca-Channel Blocker
[q]Amlodipine (Norvasc) [a]Anti-HTN: Ca-Channel Blocker
[q]Anti-HTN: Ca-Channel Blockers: use, SE, nursing [a]Use: angina, HTN, dysrhythmias
SE: dizziness, h/a, nervousness
Nursing: contraindicated in heart block
[q]Candesartan (Atacand) [a]Anti-HTN: ACE Receptor Blocker (ARBs)
[q]Irbesartan (Avapro) [a]Anti-HTN: ACE Receptor Blocker (ARBs)
[q]General Anti-HTN: ACE Receptor Blockers (ARBs): use, SE, nursing [a]Use: HTN, heart failure, diabetic neuropathy, MI, stroke prevention
SE: angioedema, renal failure, ortho hypo
Nursing: check edema and kidneys
[q]Doxazosin (Cardura) [a]Anti-HTN: Alpha-1
[q]Terazosin (Hytrin) [a]Anti-HTN: Alpha-1
[q]Prazosin (Minipress) [a]Anti-HTN: Alpha-1
[q]General Anti-HTN: Alpha-1: use, SE, nursing [a]Use: HTN, BPH, pheochromocytoma, Raynaud’s disease
SE: ortho hypo, reflex tachycardia, nasal congestion, impotence
Nursing: monitor BP, wt, BUN/creatinine, edema
[q]Methyldopa (Aldomet) [a]Anti-HTN: Central Acting Alpha
[q]Clonidine (Catapres) [a]Anti-HTN: Central Acting Alpha
[q]General Anti-HTN: Central Acting Alphas: use, SE, nursing [a]Use: HTN
SE: drowsiness, sedation, ortho hypo
Nursing: don’t stop suddenly, check for fluid retention
[q]Hydralazine (Apresoline) [a]Anti-HTN: Direct-Acting Vasodilator
[q]Minoxidil [a]Anti-HTN: Direct-Acting Vasodilator
[q]General Anti-HTN: Direct-Acting Vasodilator: use, SE, nursing[a] Use: HTN
SE: drowsiness, sedation
Nursing: check for fluid retention
[q]Lithium Bipolar Disorder
General Bipolar Disorder: use, SE, nursing [a]Use: manic episodes
SE: GI upset, tremors, polydipsia/uria
Nursing: check serum levels, severe tox= exaggerated reflexes, seizures, coma
[q]Levodopa (L-Dopa) [a]Anti-parkinson
[q]Carbidopa-Levodopa (Sinemet) [a]Anti-parkinson
[q]Aantadine (Symmetrel) [a]Anti-parkinson
[q]General Anti-parkinsons: use, SE, nursing [a]Use: Parkinson’s Disease
SE: dizziness, ataxia, confusion, psychosis, hemolytic anemia
Nursing: check urinary retention, large doses of vit B6 reverse effectiveness, avoid CNS depressants
[q]Copidrogel (Plavix) [a]Anitplatelet
[q]Adenosine Diphosphate (ADP) [a]Antiplatelet
[q]Dipyridamole (Persantine) [a]Antiplatelet
[q]Aspirin [a]Antiplatelet
[q]General Antiplatelet: use, SE, nursing [a]Use: Thrombosis, pulmonary emboli, CVA
SE: hemorrhage, bleeding, hematuria, hemoptysis
Nursing: teach to check for blding, inform PCP/DDS b4 procedures, avoid gingko, ginger, and garlic
[q]Haldol [a]Anti-psychotic
[q]Fluphenazine (Prolixin) [a]Anti-psychotic
[q]Perphenazine (Trilafon) [a]Anti-psychotic
[q]Risperidone (Risperdal) [a]Anti-psychotic
[q]Quetiapine (Seroquel) [a]Anti-psychotic
[q]Ziprasidone (Geodon) [a]Anti-psychotic
[q]Aripiprazole (Abilify)[a] Anti-psychotic
[q]Clozapine (Clozaril) [a]Anti-psychotic
[q]Olanzapine (Zyprexa) [a]Anti-psychotic
[q]General Anti-psychotic: use, SE, nursing [a]Use: acute & chronic psychosis
SE: akathisia (motor restlessness), dyskinesea, dystonias, parkinson syndrome, tardive dyskinesea
Nursing: lower seizure threshold, avoid alcohol
[q]Methimazole (Tapazole) [a]Anti-thyroid
[q]Prophlthiouracil (PTU) [a]Anti-thyroid
[q]Lugol’s Iodine solution [a]Anti-thyroid
[q]General Anti-thyroid: use, SE, nursing [a]Use: Hyperthyroidism, thyrotoxic crisis
SE: NVD, rashes, dec. RBC/WBC
Nursing: watch change in VS or wt
[q]Levothyroxine (Synthroid, Levothroid) [a]Thyroid Replacement
[q]Liothyronine sodium (Cytomel) [a]Thyroid Replacement
[q]General Thyroid Replacement: use, SE, nursing [a]Use: Hypothyroidism
SE: Nervousness, tachycardia, wt loss
Nursing: check wt, avoid OTC drugs
[q]Isoniazide (INH) [a]Anti-TB
-Don’t combine w/ Dilantin, b4 meals, watch for hepatitis, check LFTs
[q]Ethambutol (EMB) [a]Anti-TB
-check kidneys & visual acuity
[q]Rifampin, (RIF, Rifadin) [a]Anti-TB
-Orange body fluids, LFTs
[q]Dextromethorphan hydrobromide (Vicks, Benylin DM)[a] Anti-tissue/expectorant
[q]Guaifenesin (Robitussin) [a]Anti-tissue/expectorant
[q]General Anti-tissue/expectorant: use, SE, nursing [a]Use: Coughs for URI, COPD
SE: resp depression, htn, bradycardia
Nursing: avoid alcohol
[q]Acyclovir (Zovirax)[a] Anti-viral
[q]Ribavarin (Virazole) [a]Antiviral
[q]Zidovudine (AZT) [a]Antiviral
[q]General Antivirals: use, SE, nursing Use: [a]HSV, encephalitis, herpes zoster, HIV
SE: vertigo, depression, h/a, hematuria
Nursing: fluids, skin care, these only relieve symptoms (not cure)
[q]Methylphenidate (Ritalin) [a]ADHD
[q]Dextroamphetamine sulfate (Dexedrine)[a] ADHD
[q]General ADHD: use, SE, nursing [a]Use: ADHD, narcolepsy
SE: restlessness, insomnia, tremors, tachycardia, seizures
Nursing: monitor kids growth rate
[q]Alendronate ( Fosamax) [a]Biophosphonate
[q]Risedronate (Actonel) [a]Biophosphonate
[q]Ibandronate (Boniva) [a]Biophosphonate
[q]General Biophosphonates: use, SE, nursing[a] Use: Osteoporosis- prevention & tx
SE: esophagitis, ND
Nursing: upright for 30min after med taken, check bone density
[q]Aminophylline (Truphylline) [a]Bronchodilator
[q]Terbutaline sulfate (Brethaire)[a] Bronchodilator
[q]Ipatropium bromide (Atrovent) [a]Bronchodilator
[q]Tiotropium (Spiriva) [a]Bronchodilator
[q]Albuterol (Proventil)[a] Bronchodilator
[q]Salmeterol (Serevent)[a] Bronchodilator
[q]General Bronchodilators: use, SE, nursing[a] Use: asthma, breathing problems
SE: nervousness, tachycardia, fatigue, tremors, dry mouth, nausea, dizziness
[q]Acetazolamide (Diamox) [a]Glaucoma
SE: blurred vision, lacrimation, pulmonary edema
-Watch for systemic effects
[q]Digoxin (Lanoxin) [a]Cardiac Glycoside
Normal level: 0.5-2
tx Heart failure & dysrhythmias
Toxicity: nausea, vomiting, blurred vision
Eat high K foods
Herbal no-nos= licorice, hawthorn, ginseng, ma-huang (ephedra)
[q]Sucralfate (Carafate) [a]Duodenal Ulcers
[q]Hydrochlorathiazide (Hydrodiruil[a]) Thiazide Diruetic
[q]Chlorothiazide (Diuril) [a]Thiazide Diruetic
[q]Spironlactone (Aldactone) [a]Potassium-Sparing Diuretic
[q]Furosemide (Lasix) [a]]Loop Diuretic
[q]Ethacrynic acid (Edecrin)[a] Loop Diuretic
[q]Mannitol [a]Osmotic Diuretic
[q]General Diuretics: use, SE, nursing [a]Use: Heart failure, HTN, renal disease, DI
SE: dizziness, vertigo, dry mouth, ortho hypo, leukopenia, impotence
Nursing: take w/ food/milk, take in morning, check wt & electrolytes, watch K depending on med high or low
No: licorice, aloe, gingko
[q]Nitrofurantoin (Furadantin) [a]Genitourinarty anti-infective
[q]Phenazopyridine (Pyridium) [a]Urinary Tract Analgesic
[q]Cortisone acetate [a]Glucocorticoid
[q]Hydrocortisone [a]Glucocorticoid
[q]Dexamethasone [a]Glucocorticoid
[q]Prednisone (Deltasone)[a] Glucocorticoid
[q]General Glucocorticoids: use, SE, nursing[a] Use: Addison’s disease, Crohn’s dx, COPD, lupus erythematosus, etc.
SE: psychoses, depression, wt gain, low K, low Ca
Nursing: check F&E, don’t stop abruptly, check for infection.
[q]Bisacodyl (Ducolax) [a]Laxative
[q]Docusate (Colace) [a]Stool softener
[q]Pilocarpine (Isopto-carpine, Pilocar)[a] Miotic Eye Med
[q]Carachol (Carbacel) [a]Miotic Eye Med
[q]General Miotic Eye Meds: use, SE, nursing [a]Use: ocular surgery, open-angle glaucoma
SE: h/a, htn, bronchoconstriction
Nursing: teach instillation, check systemic effects
[q]Methotrexate (Rheumadex) [a]DMARD
[q]Hydroxychloroquine sulfate (Plaquenil)[a] DMARD
[q]Sufasalazine (Azulfidine) [a]DMARD
[q]Entanercepts (Enbrel) [a]DMARD
[q]Infliximab (Remicade) [a]DMARD
[q]Adalimumab (Humira) [a]DMARD
[q]General DMARDs (disease-modifying antirheumatic drugs): use, SE, nursing [a]Use: rheumatoid arthritis, psoriasis, IBS
SE: stomatitis, liver tox, bleeding, anemia, infections, kidney failure
Nursing: check liver/kidneys, s/s infec. avoid alcohol, no live vaccines
[q]Edrophonium (Tensilon) [a]Musculoskeletal Med
[q]Neostigmine (Prostigmin) [a]Musculoskeletal Med
[q]Pyridostigmine bromide (Mestinon) [a]Musculoskeletal Med
[q]General Musculoskeletal Meds: use, SE, nursing [a]Use: Myasthenia gravis, functional urinary retention
SE: bronchoconstriction, diarrhea, resp paralysis, muscle cramps
Nursing: w/ milk/food, dose varies w/ activity level
[q]Morphine sulfate [a]Narcotic (opioid analgesic)
[q]Codeine [a]Narcotic (opioid analgesic)
[q]Methadone (Dolophine)[a] Narcotic (opioid analgesic)
[q]Propoxyphene (Darvon)[a] Narcotic (opioid analgesic)
[q]Merperidine (Demerol)[a] Narcotic (opioid analgesic)
[q]Hydromorphone (Dilaudid)[a] Narcotic (opioid analgesic)
[q]Oxycodone acetaminophen (Percocet) or oxycodone aspirin (Percodan) [a]Narcotic (opioid analgesic)
[q]Hydrocodone/Acetaminophen (Vicodan) [a]Narcotic (opioid analgesic)
[q]General Narcotics (opioid analgesics): use, SE, nursing[a] Use: mod-severe pain, chronic pain, preop med
SE: dizziness, sedation, resp depression, cardiac arrest, htn
Nursing: give Narcan if needed, watch resps, no alcohol/other sedatives
[q]Nitroglycerin (Nitro-Bid) [a]Nitrate/Antianginal
[q]Isosorbide (Isordil) [a]Nitrate/Antianginal
[q]General Nitrates/Antianginals: use, SE, nursing[a] Use: angina, CHF w/ MI, Raynaud’s disease
SE: htn, tachycardia, h/a, dizziness, syncope, rash
Nursing: sublingual
[q]Indomethacin (Indocin) [a]NSAID
[q]Naproxen (Anaprox)[a] NSAID
[q]Celecoxib (Celebrex) [a]NSAID
[q]Ketoralac (Toradol) [a]NSAID
[q]General NSAIDs: use, SE, nursing [a]Use: pain, fever, arthritis
SE: h/a/ eye changes, dizziness, GI upset, constipation
Nursing: w/ food, check liver/kidney function
[q]Calcitonin (Calcimar) [a]Paget’s Disease
[q]Etidronate disodium (EHDP) [a]Paget’s disease
[q]Mithramycin (Mithracin) [a]Paget’s disease
[q]General Paget’s Disease Meds: SE, nursing [a]Paget’s= weak bones
SE: low Ca, facial flushing
Nursing: check Ca levels
[q]Reteplase (Retavase) [a]Thrombolytic
[q]Alteplase (Activase) [a]Thrombolytic
[q]Tissue plasminogen activator (t-PA) [a]Thrombolytic
[q]General Thrombolytics: use, SE, nursing [a]Use: clots- 6hrs after symptoms, CVA
SE: bleeding
Nursing: check bleeding, minimize punctures
[q]Cimetidine (Tagamet) [a]Ulcer med
[q]Omeprazole (Prilosec)[a] Ulcer med
[q]Lansoprazole (Prevacid)[a] Ulcer med
[q]Esomeprazole (Nexium) [a]Ulcer med
[q]General Ulcer Meds: SE, nursing [a]SE: dizziness, diarrhea, confusion
Nursing: no smoking/alcohol