-
Cholinesterase inhibitors
- dementia
- they do not increase the amt of acetylcholine but prolong its presence
- inhibits the breakdown of actylcholine
- dizzy, diarrhea, weight loss, insomnia
-
Donepezil (aricept)
- dementia. early/middle stage AD
- Cholinesterase inhibitor
- dizzy, diarrhea, weight loss, insomnia
-
Galantamine (razadyne)
- early/middle stage AD
- Cholinesterase inhibitor
- dizzy, diarrhea, weight loss, insomnia
-
Rivastigmine (exelon) (patch)
- Cholinesterase inhibitor
- early/middle stage AD
- dizzy, diarrhea, weight loss, insomnia
-
*Memantine (Namenda)
- moderate to late AD
- reduces glutamic acid
- SOB, hallucinationsuse in combination with aricept
-
TPA (alteplase)
- ischemic stroke, PE
- fibrinolysis, clot buster
- hemorrhage
-
coumadin
- ischemic stroke
- Anticoagulant
- reduces synthesis of active clotting factors.
- bleeding, headache, N/V
-
heparin
- ischemic stroke
- Anticoagulant
- prevents formation of fibrin
- bleeding
-
lovenox
- ischemic stroke
- Anticoagulant
- prevents formation of fibrin
- bleeding
-
ticlid
- ischemic stroke
- Anti platelet
- blocks platelet form
- low platelet, WBC, diarrhea
-
plavix
- ischemic stroke
- Anti platelet
- blocks platelet form.
- itching, bleeding, bruising, nosebleed
-
persantine
- ischemic stroke
- Anti platelet
- inhibits platelet aggregation, vasodilates
- dizzy, headache
-
furosemide/Lasix
- acute renal failure
- diuretic
- inhibits the reabsorption of sodium and chloride, thus excreting more water, sodium, chloride, potassium, magnesium, washes out toxins, establish urine output to prevent oliguria
- dizzy, headache, n/v, low potassium
-
Kayexalate
- acute renal failure
- removes potassium by switching out K for sodium
- n/v, constipation, anorexia, low potassium
-
Streptokinase
- PE
- disolves blood clots
- hypotension, bleeding, respiratory depression
-
Beta 2 stimulates
- COPD
- relaxes smooth muscle, dilates bronchioles
- stimulates heart
- short acting: keep track of how often used, too much indicates need for better long acting tx
- long acting: maintainence, take at same time each day
- brady, mouth sores, dizziness, headache, N/V, insomnia
-
metaproterenol,
- COPD - give first
- Beta 2 stimulate
- short acting bronchodilator
- cardiac stimulation
-
alupent
- short acting bronchodilator
- cardiac stimulation
- Beta 2 stimulate
- COPD - give first
-
albuterol
- COPD - give first
- Beta 2 stimulate
- less heart stimulation
- short acting bronchodilator
- cardiac stimulation
-
proventil,
- COPD - give first
- Beta 2 stimulate
- short acting bronchodilator
- less heart stimulation
-
ventolin,
- COPD - give first
- Beta 2 stimulate
- short acting bronchodilator
- less heart stimulation
-
Formoterol ( Perforomist)
- COPD
- Beta 2 stimulate
- long acting bronchodilator
- cardiac stimulation
-
salmeterol (Serevent)
- COPD
- Beta 2 stimulate
- long acting bronchodilator
- cardiac stimulation
-
Arformoterol tartrate (Brovana)
- COPD
- Beta 2 stimulate
- long acting bronchodilator
- cardiac stimulation
-
Anticholinergic bronchodilators
- COPD
- bronchodilation
- relaxation of the large airways-Bronchi
- good for cardiac pt as it is gentler on the hearts
-
Ipratropium (Atrovent)
- COPD
- anticholinergic bronchodiator
- short acting
-
Tiotropium (Spiriva)
- COPD
- anticholinergic bronchodiator
- longer acting
-
inhaled steroids
- COPD
- Inhaled steroids are not fast-acting medicines, so you must take them on a daily basis in order to obtain the full benefit., for inflammation, not rescue, use short acting meds first
- nasal stuffiness, mouth sores, lung infections
-
Budesonide (Pulmicort)
- COPD - give second
- inhaled steroid
- give second
- nasal stuffiness, mouth sores, lung infections
-
Fluticasone (Flovent)
- COPD
- inhaled steroid
- give second
- nasal stuffiness, mouth sores, lung infections
-
Triamcinolone (Azmacort)
- COPD
- inhaled steroid
- give second
- nasal stuffiness, mouth sores, lung infections
-
Combivent
- COPD
- combination meds
- 2 bronchiostimulants + anticholinergic
- less side effects
-
Advair
- COPD
- combination meds
- steroid + long acting beta antagonist
- give second
- nasal stuffiness, mouth sores, lung infections
-
Symbicort
- COPD
- combination meds
- steroid + long acting beta antagonist
- give second
- nasal stuffiness, mouth sores, lung infections
-
methylxanthines:
- for: asthma, bronchiospasms, constriction
- direct relaxation of bronchi, pulm. vessels
- IV or oral
- heart stimulate
-
aminophylline
- COPD
- methylxanthines
- direct relaxation of bronchi, pulm. vessels
- IV or oral
- heart stimulate
-
theophylline
- COPD
- methylxanthines
- direct relaxation of bronchi, pulm. vessels
- IV or oraL
- heart stimulate
-
Mucolytic:
- COPD
- pill, mist,
- emphysema won't use
- N/V, cough
-
mucomyst,
- COPD
- Mucolytic
- thins mucus so it can be coughed up
-
guaifenesin
- COPD
- Mucolytic
- thins mucus so it can be coughed up
-
-
-
-
-
PZA(Pyrazidimine):
- TB
- bactericidal and bacteristatic
-
Aripaprazole (abilify)
- delirium
- atypical antipsychotic
- limited research
- serotonin reuptake transporter
- dizzy, high blood sugar, headache, N/V, weight gain
-
Olanzapine (zyprexa)
- delirium
- atypical antipsychotic
- dizzy, constipation, high chol, hostility
-
Quetiapine (seroquel)
- delirium
- atypical antipsychotic
- dizzy, constip. high BP, high chol, & triglycerides,
-
Risperidone (risperdal)
- delirium
- atypical antipsychotic
- dizzy, insomnia, high BS,
-
Haloperidol (haldol)
- delirium
- typical antipsychotic
- blocks post synaptic dopamine
- dizzy, nervous, constipation, weight gain
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