Skills Lab Meds 1-5

Generic Name: Amoxicillin

Trade Name: Amoxil

Pt Name: Antibiotic

Bactericidal action against susceptible bacteria

• *SEIZURES
• * PSEUDOMEMBRANOUS COLITIS *ANAPHYLAXIS
• *SERUM SICKNESS
• *SUPERINFECTION

• diarrhea
• nausea
• vomiting

* Notify if diarrhea, abdominal cramping, fever or blody stools

* Advise PT to report signs of superinfection ( furry overgrowth on the tongue, vaginal itching or discharge, loose or foul-smelling stools).

*Instruct female pts taking oral contraceptives (use judgement here!!!) to use an alternate or additional nonhormonal method of contraception during therapy with amoxicillin.

Generic Name: Diltiazem

Trade Name: Cardizem.

Pt Name: Heart / Blood Pressure Pill

*Systemic vasodilation resulting in decreased blood pressure

* Coronary vasodilation resulting in decreased frequency and severity of attacks of angina

*Reduction of ventricular rate in atrial fibrilation or flutter.

• * ARRYTHMIAS
• * CHF
• * STEVEN-JOHNSON SYNDROME

• *Peripheral edema
• *Hypotension
• * Dry mouth

• * May cause drowsiness or dizziness
• * Notify healthcare professional if irregular heartbeats, dyspnea, swelling of hands and feet, pronounced dizziness, nausea, severe headaches.
• * Caution pt to change positions slowly to prevent orthostatic hypotension

Generic Name: Warfarin (sodiums)

Trade Name: Coumadin

Pt name: Blood pressure pill / stroke pill

Prevention of thromboembolic events (blood clots, emoblism)

• * BLEEDING
• * Cramps
• *Nausea
• *Fever

• * Advise pt to report any symptoms of unusual bleeding or bruising.
• * Advise pt to avoid cranberry juice during therapy ( Vitamin K is antidote for warfarin)
• * Instruct pt to use soft toothbrush, not to floss, and to shave with electric razor during warfarin therapy.

Generic Name: Digoxin

Trade Name: Lanoxin

Pt Name: Heart pill

Increased cardiac ouput and slowing of the heart rate

• * ARRYTHMIAS
• *THROMBOCYTOPENIA
• *YELLOW OR GREEN VISION
• *Fatigue
• *Nausea
• *Anorexia

* Advise pt to inform healthcare professional if cold or flu-like symptoms appear (could indicate digitalis toxicity)

Generic Name: Metformin

Trade Name: Glucophage

Pt Name: Sugar pill

Maintenance of blood glucose

• * LACTIC ACIDOSIS
• * Abdominal bloating
• *Vomiting
• *Diarrhea
• *Unpleasant metallic taste

* Advise pt to report any signs of lactic acidosis (chills, diarrhea, dizziness, hypotension, muscle pain, sleepiness, slow heartbeat or pulse, dyspnea, or weakness)

* Inform pt that unpleasant metallic taste resolved spontaneously.

* Explain that metmorfin helps control hyperglycemia, but does not cure diabetes.