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LISPRO (fast-acting, food available)
NPH (intermediate-acting, food available, can mix, clear to cloudy)
LANTUS (long-acting, can't mix, same time every day, 0 peak)
- give: replace insulin, pancreas broken
- a/p: S/S of hypo and hyperglycemia, BS
- teach: S/S of hypo and hyperglycemia, "sugar high/skin dry"
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METFORMIN (type II, slows liver production)
GLYBURIDE (increase insulin, secrete by pancreas, type II)
PIOGLITAZONE (type II, decrease insulin resistance, increase glucose to muscle)
- give: help treat type II
- a/p: BS
- teach: diet, exercise, S/S hypoglycemia
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LEVOTHYROXINE
- give: hypothyroidism
- a/p: blood draw (T3 & T4), weight
- teach: take on empty stomach, 30-60 minutes before meal and drinking coffee
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METHIMAZOLE
- give: hyperthyroid (Graves disease)
- a/p: check T3 & T4 levels, weight
- teach: 3-12 wks to take effect, most likely will radiate thyroid, then will need medicine T4
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VASOPRESSIN
- give: promotes water reabsorption, decease urine output, DM insipidus, cardiac arrest
- a/p: output, pulse, BP, water intoxicity, MI
- teach: measure output, uncontrolled bleeding, avoid alcohol, check VS
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ESTRADIOL (regulating estrogen levels, menopause, prevent of bone loss)
ORAL CONTRACEPTIVES
- give: prevent pregnancy
- hold: blood clots
- after: increase risk clot, CA
- teach: take everyday as prescribed, no smoking
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OXYTOCIN
- give: induction of labor
- a/p: contractions, bleeding, HR, fetal monitoring
- teach: severe contractions
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TESTOSTERONE (can be abused)
- give: boys with delayed puberty, men who have had prostate cancer
- hold: check Hgb/Hct, testosterone levels, prostate cancer
- after: growth roid rage
- teach: can cause moodiness
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SILDENAFIL (0 nitrates)
- give: erectile dysfunction
- a/p: BP, cardiac problems
- teach: seek medical attention for an erection lasting more than 4 hours, don't take within 24 hours of nitrates
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FINASTERIDE
- give: BPH, reduce prostate size
- before: PSA levels, liver function
- after: urinary stream given for male baldness, hypotension, prostate size
- teach: months to take effect, decrease libido, not for pregnant women
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DIPHENHYDRAMINE (rhinitis, allergies, sleepy)
LORATADINE (rhinitis, sometimes sleepy)
PSEUDOEPHEDRINE (rhinitis, limit use, increase HR
- give: allergies, decongestant
- before: LOC, asthma, respiratory issues, glaucoma
- after: respirations, hypersensitivity
- teach: take as prescribed, 0 pregnancy, seasonal or when exposed
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EXPECTORANT
- give: stimulate cough, help to cough stuff up
- a/p: cough, lung sounds
- teach: cough will increase to get mucus out of body
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MUCOLYTIC
- give: break up mucus
- a/p: congestion, lung sounds
- teach: breathing exercises
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BECLAMETHOSONE (typically inhaler takes longer overtime)
PREDNISONE (pill)
- give: for asthma
- before: HR, baselines R, BP, P
- after: HR, BP, chest pain, temp, depression
- teach: rinse mouth after each treatment, weight gain, cardiac collapse if stopped abruptly
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ALBUTEROL (asthma, open airways, emergency)
THEOPHYLLINE (routine use, take as prescribed)
- give: asthma, COPD, widens bronchi, aids respiratory distress
- a/p: R, lung sounds, HR, BP
- teach: 0 smoking, limit caffeine, correct inhaler techniques
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