Spring 2014 Final Medication Review Flashcards Preview

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Flashcards in Spring 2014 Final Medication Review Deck (59)
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1

Demerol

Therapeutic: opioid analgesics
Pharmacologic: opioid agonists
For: moderate to sever pain
Side Effects: Seizures, Allergic reactions, confusion, sedation, hypotension, N/V, constipation.

2

Solumedrol

Therapeutic: anti-inflammatoires (Steroidal), immunosupressant
Pharmacologic: corticosteroids
For: Suppression of inflammation and modification of the normal immune response. Replacement therapy in adrenal insufficiency.
Side Effects: Peptic Ulceration, Thromboembolism, depression, euphoria, hypertension, anorexia, N/V, acne, decreased wound healing, ecchymoses, fragility, hirsutism, petachiae, adrenal suppression, muscle wasting, osteoporosis, cushingoid appearance (moon face, buffalo hump)

3

Capoten

(benazepril)(enalapril)
Therapeutic: antihypertensives
Pharmacologic: ACE inhibitors
For: management of HF. Reduction of risk of death or development of HF following an MI. Decrease progression of diabetic neuropathy.
Side Effects: Agranulocytosis, angioedema, hypotension, cough, taste disturbances.

Decrease BP watch for non productive dry irritating cough, agranulocytosis (decrease in WBC), kidney failure, HA, and dizziness.
TEACH: how to avoid orthostatic hypotension.

4

Aldactone

Therapeutic: diuretics
Pharmacologic: Potassium-sparing diuretics
For: weak diuretic and antihypertensive response when compared with other diuretics. Conservation of potassium.
Side Effects: Stevens Johnson Syndrome, Toxic Epidermal Necrolysis, hyperkalemia, clumsiness, headache.
Watch for Hyperkalemia
F/E loss
Give in AM so they have several hours to pee before bed.

5

AZT

Part of HAART regimen
Therapeutic: antiretrovirals
Pharmacologic: nucleoside reverse transcriptase inhibitor.
For: HIV infection (with other antiretrovirals) Reduction of maternal/fetal transmission of HIV.
Side Effects: Seizures, Hepatomegaly, Pancreatitis, Lactic Acidosis, headache, weakness, abdominal pain, diarrhea, nausea, anemia, granulocytopenia.
Resistance to medication if missed dose!!

6

Retrovir

Part of HAART regimen
Therapeutic: antiretrovirals
Pharmacologic: nucleoside reverse transcriptase inhibitor.
For: HIV infection (with other antiretrovirals) Reduction of maternal/fetal transmission of HIV.
Side Effects: Seizures, Hepatomegaly, Pancreatitis, Lactic Acidosis, headache, weakness, abdominal pain, diarrhea, nausea, anemia, granulocytopenia.
Resistance to medication if missed dose!!

7

Albuterol

Therapeutic: bronchodilators.
Pharmacologic: adrenergics
For: Bronchodilation.
Side Effects: Paradoxical Bronchospasm, nervousness, restlessness, tremor, chest pain, palpitations.

8

Heparin

Therapeutic: anticoagulants
Pharmacologic: antithrombotics
Prevents a thrombin from converting to fibrinogen to fibrin. prevents clots

Side Effects: Bleeding, heparin-induced thrombocytopenia(little clots) (HIT), anemia, osteoporosis.
Monitor APTT&PTT want higher than control since they are clotting you want their blood thinner.
Antidote is protamine sulfate!

Fast acting, does not dissolve clot! sometimes used with Coumadin until Coumadin can reach therapeutic effect.

Reteplace is not compatible!!!!

9

Dilaudid

Therapeutic: allergy, cold, and cough remedies (Antitussives), opioid analgesics.
Pharmacologic: opioid agonists.
For: moderate to severe pain, antitussive
Side Effects: Confusion, sedation, hypotension, constipation.

10

Antabuse

Therapeutic: alcohol abuse therapy adjuncts
Pharmacologic: enzyme inhibitors
For: Alcohol abstinence
Side Effects: Hepatoxicity, drowsiness, fatigue, headache, psychoses, metallic/garlic-like taste.

11

Cogentin

Therapeutic: antiparkinson agents
Pharmacologic: anticholinergics
For: Treatment of drug-induced extrapyramidal effects and acute dystonic reactions. Treatment of Parkinson's disease.
Side Effects: blurred vision, dry eyes, constipation, dry mouth, (can't see, can't pee, can't sit, can't shit)
Married to Diphenhydramine.

12

Narcan

Therapeutic: antidotes (for opioids)
Pharmacologic: opioid antagonists
Reversal of CNS depression and respiratory depression because of suspected overdose.
Side effects: ventricular arrhythmias, hypertension, hypotension, nausea, vomitting

13

INH

Therapeutic: antitubrculars
For: First-line therapy of active tuberculosis, in combination with other agents. Prevention of tuberculosis in clients exposed to active disease (alone).
Side effects: Drug-induced hepatitis. Peripheral neuropathy.

14

Robitussin

(guaifenesin)
Therapeutic: allergy, cold, and cough remedies, expectorant.
For: Coughs associated with viral upper respiratory tract infections.
Side Effects: dizziness, headache, nausea, diarrhea, stomach pain, vomiting, rash, uticaria

15

Robitussin DM

Therapeutic: allergy, cold, and cough remedies, antitussives.
For: Symptomatic relief of coughs caused by minor viral upper respiratory tract infections or inhaled irritants. Most effective for chronic nonproductive coughs.
Side Effect: high dose- dizziness, sedation. nausea.

16

Tessalon Perles

Therapeutic: allergy, cold, and cough remedies, antitussives (local anesthetic)
For: relief of nonproductive cough due to minor throat or bronchial irritation from inhaled irritants or colds.
Side Effects: headache, mild dizziness, nasal congestion, constipation, chest numbness

17

codine elixir

Therapeutic: allergy, cold, and cough remedies, antitussives, opioid analgesics.
For: Management of mild to moderate pain. Antitussives.
Side Effects: confusion, sedation, hypotension, constipation, nausea, vomitting,

18

Plavix

Therapeutic: antiplatelet agents
Pharmacologic: platelet aggregation inhibitors
For: decreased occurrence of atherosclerotic events in clients at risk.
GI Bleeding, Thrombotic Thrombocytopenic Purpura, Bleeding, Neutropenia.

19

Lovenox

Classification: anticoagulant
Pharmacologic: antithrombotics
For: Prevention of thrombus formation.
Side Effects: bleeding, anemia, dizziness, headache, insomnia, edema.

20

Humalog

Therapeutic: anti-diabetics, hormones
Pharmacologic: pancreatics
For: Control of hyperglycemia in diabetic clients.
Side Effects: Hypoglycemia, Allergic reactions
Rapid Acting Insulin

21

Vasotec

(enalapril)
Therapeutic: antihypertensive
Pharmacologic: ACE inhibitors.
For: Lowering of BP in hypertensive clients. Improved symptoms in clients with HF. Decrease development in overt heart failure.
Side Effects: hypotension, agranulocytosis, angioedema, taste disturbances, cough

Watch for dry non productive cough., agranulocytosis, kidney failure, and dizziness.
Teach how to avoid orthostatic hypotension.

22

Lithium

Therapeutic: mood stabilizer
For: Prevents/decreases incidences of acute manic episodes.
Side Effects: sizers, fatigue, headache, impaired memory, ECG changes, abdominal pain, anorexia, bloating, diarrhea, nausea, polyuria, folliculitis, hypothyroidism, leukocytosis, muscle weakness, tremors
**From notes pg. 89**
Bipolar disorder/ Mood stabilizer: may require multiple medications. Lithium is 1st choice of treatment,
Therapeutic blood levels in 7-14 days.
During acute phase, 300-600mg orally is given 2-3 times a day.
maintenance blood level is 0.3-1.3mEq/L.

23

Haldol

Therapeutic: antipsychotics
Pharmacologic: butyrophenones
Nausea and vomiting from surgery or chemotherapy.
For: Acute and chronic psychotic disorders including: Schizophrenia: manic states: drug-induced psychoses.
Side Effects: Seizures, extrapyramidal reactions, blurred vison, dry eyes, constipation, dry mouth, Agranulocytosis, Neuroleptic Malignant Syndrome.

24

Aricept

Therapeutic: anti-Alzheimer's agents
pharmacologic: cholinergics
Therapeutic: may temporarily lessen some of the dementia associated with Alzhiemers disease. Enhances cognition. Does not cure disease!
Side Effect: headache, diarrhea, nausea.
**From notes pg 102 Alzheimer Disease**5mg P.O. daily at bedtime. After 4-6 weeks increase to 10mg. Classification: cholinesterase inhibitor. Action: improves cholinergic function by inhibition acetylcholinesterase. Improves cognitive function. Missed doses should be skipped and regular schedule returned to the following day.

25

Thorazine

Therapeutic: anti-alzeimer's agents
Pharmacologic: cholinesterase inhibitors.
May temporarily lessen some of the dementia associated with Alzheimer's disease. Enhances cognitive disease.

26

NPH Insulin

(isophane insulin suspension)
Therapeutic: antidiabetics, hormones
Pharmacologic: pancreatics
For: control on hyperglycemia in diabetic clients.
Side Effects: Hypoglycemia, Allergic reactions
INTERMEDIATE ACTING INSULINE
Novalin N or Humulin N
Starts working in 2-4 hours. peak: 4-10hours: Duration: 10-18 hours.

27

Glucophage

Therapeutic: antidiabetics
Pharmacologic: biguanides
For: maintenance of blood glucose

28

Theophylline

Therapeutic: bronchodilators
Pharmacologic: xanthines
For: long term control of reversible airway obstruction caused by Asthma or COPD.

29

Ativan

Therapeutic: analgesic adjuncts, anti anxiety agents, sedatives/hypnotics.
Pharmacologic: benzodiazepines
For: Anxiety disorder. Preoperative sedation. Decreases preoperative anxiety and provides amnesia.
Side Effect: Apnea, cardiac arrest, dizziness, drowsiness, lethargy.

30

Catapres

Therapeutic: antihypertensive
Pharmacologic: adrenergics
For: Decreases BP. Decreases pain. Improves ADHD symptoms.
Side Effects: drowsiness, dry mouth, withdrawal phenomenon, depression, dizziness, nervousness, bradycardia, hypotension.