pharm final

reyes syndrome

pts taking blood thinners

• PT because it may increase clotting time
• my affect cholesterol potassium decreasing serum level
• T3
• T4
• cause abnormal liver function tests

that therapy could last between 6-24 months, but are unlikely to transmit infection after being antiboitics for 2-3 weeks, b12 may be needed supplemented, effects of meds to report are N/V, diarrhea, epigastric pain , anaphylaxis, neuropathy, optic neuritis, hepatotoxicity, blood dyscrasias

• increased blood pressure
• abnormal breath sounds (crackles)
• SOB
• electrolyte imbalance
• jugular vein distension
• weight gain

• decreased blood pressure
• concentrated urine
• poor skin turgor
• flushed dry skin
• dry membranes in mouth
• tachycardia

• rash
• puritus
• diarrhea
• nausea
• fever
• anaphylaxis
• nephrotoxicity
• circulatory collapse
• cardiac arrest
• angioedema

same as penicllin and fatugue, oral vaginal cadidiasis, pseudomembranous colitis, nephrotoxicity, anaphylaxis

• cephalosporins
• the reaction includes severe vomiting, weakness, blurred vision, hypotension

• N/V
• abd cramping
• gas
• diarrhea
• phototoxicity
• dizziness
• stinging
• anaphylaxis
• secondary infection
• heapttoxicity
• exfoliative dermatitis

• do not give to children and prego women because of discolaration of teeth
• do not take within 2-3 hours of antacids
• do not take with milk, iron supplements, magnesium cantainin laxatives or antacids
• drugs to lower lipid levels will reduce the levels of antibiotics

• same as other antibiotics
• along with ototoxicity
• hepatotoxicity
• suprerinfection

• do not take with fruit juice
• report pale stool
• dark urine
• jaundice
• itching
• rash hives
• difficulty swallowing

• anesthetics
• anti convulsant drugs may cause toxic effects
• if on warfarin there may be a decrease in metabolism and excretion

• tinnitus
• anaphylaxis
• nephrotoxicity
• irreversible ototoxicity
• superinfections
• pts. with myasthenia gravis and parkinsons my have greather muscle weakness due to neuromuscular blockade
• vertigo

• the same as the others
• restlessness
• corneal irritation in eye drops
• tendon rupture (kids)
• superainfections
• photosensitive
• pseudomembranous colitis

• antacids and ferrous sulfate - take at least 2 hours before these drugs
• may increase warfarin and theophylline
• report inflammation
• tendon pain
• dizziness
• restlessness
• stomach distress
• diarrhea fast heart rate
• confusion
• psychosis

• crystalluria
• steven johnson syndrome
• blood dyscrasia
• hepatic necrosis

• N/V
• anorexia
• rash

• intake of 3000 ml to avoid crystalluria
• hypersenitivity with diuretics (acetazolamides and tiazides)
• photosensitive
• report cramping
• hematuria fever
• if have megaloblastic anemis take trimethoprime (bactrim, septra)

• hard on liver and kidneys
• C/S
• eat foods with live cultures to help with flora
• take as directed, finish
• CBC
• WBC

• for gout and gouty arthritis
• SE- n/v, diarrhea, gi upset, bone marrow depression , kidney toxic, thrombocytopnia and agranuloctosis, leukopenia, aplastic anemiz
• take on empty stomach, monitor CBC
• report chane in urine output
• weakness
• pain
• diarrhea
• coombs test for hemolytic anemia
• swelling
• Increase fluids to 3-4 liters per day
• avoid alcohol

• urinary retention
• hyppotension
• extrapyramidal excitation
• agranulocytosis
• resp depression
• thick secretions
• dry mouth
• headache
• dizziness
• paradoxal excitement
• sedation
• hypersensitivity

• narrow angle glaucoma
• elderly (LOC)
• BPH

• cushings
• use decongestant before glucocorticoid
• may take 2-4 weeks for max effect
• use humidifier avoid swallowing when taking med
• clear nose before spray
• normal SE
• nasal irritaion
• burning
• sneezing
• dryness
• hypercorticism (if large amount swallowed

• nasal irritation
• burning
• sneezing
• headache
• severe vasoconstricion
• difficulty urination
• rebound congestion use 3-5 days only
• palpitations
• chest pain
• dizziness
• dry mouth
• confusion
• numbness
• tingling of face or limbs
• nosebleeds restlessness

• Cardiac
• HTN pts

• pancrelipase
• cotazym
• pancrease

• give 1-2 hours before meals or with
• monitor for hypercapnia
• antacids will decrease effect of med
• do not give in pts allergic to pork
• contrindicated in pts with pancreatitis
• monitor liver labs
• avoid trigger foods
• observe stool
• lo fat
• small frequent meals
• positioning may help with pain

• side effects
• dry eyes, agranulocytosis, dry mouth , constipation, extrapyramidal excitation, drowsiness, photositive
• neuroleptic malignant syndrome
• administration/pt teaching
• reglan can be used to accerlate gastric emptying, or as and antiemetic, change positions slowly due to hypotension and dizziness
• report vomiting with or without blood if with a severe headache

• lasix SE hypokalemia, ototoxicity, electrolye imbalances, tinnitus, nausea, diarrhea, dizziness, fatigue, blood dyscrasias, dehydration, circulatory collapse.
• pt teaching I & O
• BUN
• creatinine
• electrolytes (potassium)
• uric acid levels
• breath sounds
• hold med if BP is low, in dehydration and hypokalemia

• take in the morn when you will be near a BR
• expect to pee alot
• know S/S to watch for- weakness, cramps, changes in pulse rate

• same as loops + coma
• teaching same as loops

• minor hyperkalemia, headache, agranulocytosis
• blood dyscrasias
• dehydration
• hyponatremia
• dysrhythmias
• gynecomastia
• pt teaching
• like loops with these drugs do not give potassium supplements, somtimes combined with other diuretics to conserve potassium

• used for diabetes insipidus
• s/s headache, drowsiness, restlessness, confusion, coma. these can be avoided if pt reduces fluid intake
• overdose- excessive fluid retention, water intoxication