-
Alprazolam / benzodiazipine
Xanax
- *anti anxiety
- *treats general anxiety disorder
- *contra: hypersensitivity, CNS depression
- *Adv: dizziness, drowsiness, lethargy, confusion, blurred vision, physical dependency
- *interaction: alcohol, concurrent use with opioids, or other anti pshycotics
- *assess for drowsiness, anxiety, mood, CNS effects
- *EDU: no grapefruit
-
Fluphenazine
- *anti psycotic
- *action: alters CNS dopamine
- *cont: liver disease, severe CNS depression
- *adverse: NMS and sedation, tardive dyskinisea, HTN, Hypotension, tachycardia, dvt's, no alchohol, or other CNS medss
- * asses: mental status, bp, ecg, hr, and rr
- *edu: signs of tardive dyskinesea, drowsness,
-
haloperidol
- anti psychotic
- *used for acute psychotic disorder
- *alters effect of dopamine in he CNS
- *adverse: seizures, confusion drowsiness, tardive dyskinesia, respiritory depression
- *interacations: cardio meds, anti depressents and no alcohol
- *assess: vitals, ecg and for dehydration,
- *EDU: inform may cause drowsiness, no alcohol, report weakness, visual disturbances, dark urine, sore throat
-
Aripiprazole
abilify
- *atypical anti psychotic
- *schizophrenia
- *action: psychotropic agonist
- *adverse: suicidal, dtowsiness, confusion, depression, fatigue, seizures, tardive dyskinesia, dysphnea, bradycardia
- * assess: mental status, vitals, weights
- *EDU, drowsiness, ortho hypotension, no driving
-
Lorazepam
Ativan
- * no alcohol
- *can be habit forming
- *side effects: drowsiness, dizzy, weak,
- *action: depresses CNS inhibits nuerotransmitters
- *contra: hypersensitivity, severe hypotension, sleep apnea
- *adverse: dizzy, drowsiness, lethargy, hangover, confusion, mental depression, bradycardia,
- *EDU: short term use, decrease gradually to avoid withdrawl
-
Fluoxetine
Xanax
- SSRI anti depressant
- *used for major depressive disorder
- *action inhibits the reuptake of serotonin in in CNS
- *adverse: NMS, seizures, suicidal thoughts
- *interactions: no MAOI's, no alcohol
- *asses: mood, appetite, assess for sensitivity
- *EDU: may cause dizzy, drowsiness, impaired judgement, blurred vision, no driving
-
Venlafaxine
Effexor
- Anti Depressant
- *used for major depressive disorder
- *action: inhibits seretonin and norephiephrine reuptake to the CNS
- *adverse: NMS, seizures, suicidal thoughts, anxiety, dizzy, headache, insomonia, nervous, weak, abnormal thinking, confusion, drowsiness, emotional liability, worsening depression
- *No maoi's, no alcohol, no CNS depressants
- *EDU: report signs of suicidal, thoughts dizzy, take meds as directed
-
Phenelzine
Nardil
- anti depressant
- *treatment for atypical depression
- *action: inhibits the enzyme monoamine oxidase
- *contra: Liver disease, severe renal disease, HF, no caffine, no SSRI's, or foods with high levels of tyramine
- *adverse: seizures, dizzy, drowsy, fatigue, headache, hyperflexia, insomnia, tremor, twitching, euphoria, paresthesia, restlessness, blurred vision, hypertensive crisis
- *interacts: SSRI's bupropion, tricyclics, tetracyclics, trazadone and heart meds
- *assess: bp, hr, mental statuse, mood, anxiety level, suicidal tendency
- *EDU: no alcohol, no tyramine, no CNS depressants, report dizzy or drowsy
-
Lithium
- *mood stabalizer
- *used for manic episodes, bipolar disorder
- *action: alters cation transport
- *contra: severe cardio or renal issues, brugada syndrome, adverse dizzy, headace, fatigue, memory, sedation, confusion, drowsiness, psycohomotor restless
- *caution when using with haldol, diuretics, nsaids and ace inhibitors
- *asses: mental status, mood, initiate suicide precautions, monitor output rations, intake of at least 2000-3000 mL/day fluids
- *EDU: dizzy, drowsiness, no driving, watch sodium levels if too low may cause toxicity
-
amitriptyline
- tricyclic anti depressant
- *used for depression
- *action: effect on seretonin and norephinephrine in the CNS
- *contra: glaucomea, recent MI, or HF
- *adverse: sedation, lethargy, blurred vision, hypotensin, QT interval prologation
- *interaction: antidepressants, phenothiazine
- *asses: weight, glucose, bp, hr, suicidal tendencies,
- EDU: may cause drowsiness, blurred vision, ortho hypotension, sedation, confusion especially in Geri patients
-
conjugated estrogen replacement
- *hormone
- *treats meopause
- *action: growth and developement of female sex organs and women features
- *adverse: headache, dizzy, insomnia,lethargy, mental depression
- *interaction: warfarin, carbamezipine, rifampin
- *asses: bp, weight, output ratios
-
testosterone
- *hormone
- *action: normal growth and development of males
- *contra: hypersensitivity, breast or prostate cancer, severe liver or renal or cardiac disease, hypersensitivity to benzyl alcohol
- *adverse: deep voice, MI, stroke, venous thromboembolism, change in libido, prostate enlargement, male pattern baldness
- *interacts: warfarin, oral hypoglycemic agents and insulin, corticosteroids
- *asses: monitor output ratios, weights twice a week, edema or fluid retention
- *EDU: report priapism, problems urinating, gynecomastia, edema or unexpected weight gain, swelling of feet, hepatitis, unusal bleeding or bruising
- *
-
Sildenafil
viagra
- *vasodilators
- *action: enhances nitic oxide released during sexual stimulation
- *contra: hypersensitivity, use with other nitrates or riociguat, pulmonary veno occlusive disease
- *adverse: headache, dizzy, insomnia, epistaxis, hearing congestion, vision loss, MI, sudden death, hypotension, vaso occlusive crisis, flushing, rash
- *contra: nitrates, concurent use with riociguat, antivirals, heart meds,
- *EDU: take as directed, do not double dose,
-
Tamsulosin
Flomax
- *alpha blocker
- *used to manage benign prostatic hyperplasia (BPH)
- *action: decreases contraction of smooth muscle by preferentially binding to alpha adrenergic receptors
- *contra: hypersensitivity
- *adverse: dizzy, headache, ortho hypotension,
- *interaction: cimetidine incr toxicity, viagra meds will increase hypotenstion
- *assess: bp, urinary completion, syncope, input and output rations
|
|
