-
cyclosporine (Sandimmune)
side effect
immunosuppressant; used for organ transplant to prevent rejection
tremor, nephtrotoxicity, inf, htn, hirsutism
-
mycophenolate mofetil (CellCept)
adver effect
how to adminiter
immunosuppresant to prevnet organ rejection
adverse effect: unusual bleeding, bruising, sorethroat, mouth sores, abd pain, fever
with empty stomach
-
Epoetin alfa (Epogen)
adverse effect
increase hct
htn, tachycardia
-
antidote for cholinergic overdose
atropine sulfate
-
antidote for coumadin
vit K
-
nalidixic acid (NegGram)
cautious with what disease
used for acute and chronic UTIs, especially with gram-negative bacterial inf.
cautious for pt with hx of seizures
-
bethanechol chloride (Urecholine)
cautious with what condition
for urinary retention
urinary strictures; urinary tract obstruction or weakness of bladder wall
-
anticholinegic agent
for myasthenia gravis
-
cholinergic crisis indication
htn, GI disturbances, n/v, diarrhea, abd cramps, increased salivation and tearing, miosis, sweating, increased bronchial secretions
-
antidote for heparin
protamine sulfate
-
antidote for acetaminophen
how to administer
acetylcysteine (Mucomyst)
mix med in flavored ice drink and allow pt to drink fr straw bec of pervasive odor of rotten eggs.
-
to determine if pt is having cholinergic crisis edrophonium (Tensilon) is used
- what would indicate that the pt is in cholinergic crisis after the administration
a temporary worsening of the condition (mysthenia gravis)
-
levadopa (Dopar)
adverse effect
for parkinson's disease
adverse effect: impaired "voluntary movements; nausea, anorexia, dizziness, orthostatic hypotension, bradycardia, akinesia
-
iron should be taken with what
vit c to increase absorption (orange juice0
-
ibuprofen (motrin)
should be taken with what
Nsaid
given with milk or food to rpevent GI irritation
-
meperidine hydrochloride (Demerol)
side effect
narcotic
respiratory depression, urinary retention, tachycardia, orthostatic hypotension, mental clouding, constipation
-
Baclofen (Lioresal)
adverse effect
- skeletal muscle relaxant and cns depressant
- decreases muscle spasms in pt with spinal cord injuries or disease such as multiple sclerosis
drowsiness; dizziness, weakness, fatigue, nausea, constipation, urinary retention
-
dantrolene sodium (Dantrium)
adverse effect
acts directly on skeletal muscle to relieve muscle spasticity
adverse effect: hepatotoxic
-
cyclobenzaprine (Flexeril)
caution with what disorder
treat muscle spasms
glaucoma bec of med's anticholinergic effect, ICP
-
alendronate (Fosamax)
how to administer
for osteoporosis
take with full glass of water upon rising in the morning. take with empty stomach. pt should not eat or drink anything for 30 minutes following administration
-
allopurinol (Zyloprim)
how to administer
when is the therapeutic effect
for treatment of gout
give with meals or milk to prevent GI irritation
1 wk or longer
-
clozapien (Clozaril )
what lab should be monitored
treatment of schizophrenia
wbc bec this can cause milk leukopenia
-
disulfiram (Antabuse)
what to know before initial administration
treatment for chronic alcoholism
pt must abstain from alcohol intake for at least 12 hrs before the initial does of the med is administred.
-
hydrochloride (Aricept)
cholinergic agent used to treat mild to moderate dementof the Alzheimer type
-
fluoxetine (Prozac)
when to administer
adverse effect
mood stabilizer
adminsiter early morning without consideration to meal
adverse effects: CNS and GI system dysfunction; causing n/v, cramping, and diarrhea
-
buspirone (BuSpar)
adverse effect
for treatment of anxiety and aggression
adverse effect: dizziness, headache, nausea, nervousness, lightheadedness, and excitement
-
simethicone (Mylicon)
antiflatulent to relief pain caused by excessive gas in teh GI tract
-
Droeridol (Inapsine)
used to treat postoperative n/v
-
Magnesium hydroxide (milk of magnesia)
antacid and laxative
-
NPH is what type of insulin
action hrs
peak
duration
intermediate-acting insulin
action is 1-2 1/2 hrs
peak 4-12 hrs
duration 24 hrs
-
when would hypoglycemic reactions likely occur when giving insulin
during peak time
-
HCTZ is what type of diuretic
k-wasting
-
triamterene (Dyrenium)
K-sparing diuretic
-
what is the length of usual prescribed course of Isotretinoin (Accutane) for acne treatment
15-20 wks
-
sutilains (Travase)
for ulcer
-
coal tar will be prescribed for
psoriasis
-
Lindane
how to used
for scabies
applied in a thin layer to the entire body below the head. removed by washing 8-12 hrs later. only application is required
-
why would codeine sulfate be used for pt after craniotomy for pain
bec this does not alter respirations or mask neurological sign as do other opioids
-
when using tensilon to determine if pt is having myasthenic crisis what would the result be
a temporary improvement in the condition
-
Mannitol (osmitrol)
if ICP
-
-
Carisoprodol (Rela)
relieve of muscle spasms
-
haloperidol (Haldol)
adverse effects
antipsychotic
adverse effect: drowsiness, lethargy, excessive salivation, a fixed stare
-
clomipramine (Anafranil)
adverse effect
for Obsessive-compulsive disorder
adverse effect: wt gain, tachycardia and sedatioin
-
tricyclic antidepressant side effect
dry mouth
-
benztropine (Cogentin)
adverse effect
for Parkinson's disease
adverse effect: dry mouth, constipation,nausea , ileus
-
clonazepam (Klonopin)
expected effect
anticonvulsant
expected effect: drowsiness, unsteadiness, clumsiness are all expected outcome
-
valproic acid (Depakene)
how to administer
anticonvulsant, antimanic, and antimigraine med.
administer with or w/o food. and taken AT THE SAME TIME EACH DAY to maintain therapeutic serum levels
-
carbamazepine (Tegretol)
side effect
anticonvulsant
side effect: photosensitivity reactions, dry mouth
-
ergotamine (Ergostat)
side effect
for migraine
side effect: caused vasoconstriction; htn, cool, numb fingers and toes, muscle pain and n/v
-
trihexyphenidyl (Artane)
adverse effect
Parkinson's disease
may cause urinary hesitancy and retention, constipation, dry mouth, and decreased sweating
-
amantadine (Symmetrel)
expected effect:
antiparkinson agent
expect decrease in akinesa and rigidity
-
phenytoin (Dilantin)
monitor what lab
what to be cautious about
anticonvulsant
monitor CBC bec of hematolical side effect of med including aplastic anemia, agranulocytis, leuopenia, and thrombocytopenia
bleeding
-
genfibrozil (Lopid)
lipid-lowering agent
-
bumetanide (Bumex)
loop diuretic
-
tirofiban (aggrastat)
antiplatelet and antithrombotic med
-
efavirenz (Sustiva)
when to take
antiviral for HIV
at bedtime bec it causes CNS side effec the first 2-4 wks of therapy
-
rifampin (Rifadin)
for TB treatment
-
methylergonovine (Methergine)
adverse effects
- treats postpartum hemorrhage
- an ergot alkaloids (vasoconstrics)
- causes uterus to contract and control excessive blood loss
vasoconstriction
should be avoided for pt with cardio disease, peripheral vascular disease, htn, eclampsia, preeclampsia, bec conditions are worsened by vasocontrictive effect.
-
drug to treat metabolic alkalosis
acetazolamide (Diamox) ; a diuretic..causes excretion of Na, K, and bicarbonate and water by inhibiting the actin of carbnic anhydrase
-
potassium wasting diuretics
- Bumetanide (Bumex) - loop diuretic
- Lasix
-
potassium sparing diuretics
- spironolactone (Aldactone)
- Triamterene (Dyrenium)
-
prochlorperazine (compazine)
antiemetic
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