Pharmacology and Notes

  1. Osteoporosis Meds
    • alendronate (Fosamax)
    • ibandronate (Boniva)
    • risedronate (Actonel)

    • Other:
    • Calcitonin
    • Hormone replacement therapy
    • Parathyroid hormone
  2. Hypothyroidism

    • Empty stomach, in morning
    • HOB elevated
    • Full glass of water
  3. Chronic Asthma, COPD

    • take with food
    • can mix with juice or applesauce
  4. Seizures
    Dilantan 10-20 normal level

    • SHAKE if suspension
    • take same time every day, mornings
    • DO NOT spit, chew, crush


    • DO NOT mix with carbonated drink
    • take with food
    • take in the evenings, S/E dizzness ect.
  5. Anti-hypertensive Meds
    • Beta Blockers
    • headache, depression, confusion, dizziness, nightmares, and hallucinations. Beta blockers that block β2 receptors may cause shortness of breath inasthmatics. As with other drugs used for treating high blood pressure, sexual dysfunctionmay occur. Beta blockers may cause low or high blood glucose and mask the symptoms of low blood glucose (hypoglycemia) in diabetic patients.
    • diarrhea, stomach cramps, nausea,and vomiting. Rash, blurred vision, muscle cramps, and fatigue may also occur.

    • acebutolol (Sectral)
    • atenolol (Tenormin)
    • betaxolol (Kerlone)
    • betaxolol (Betoptic, Betoptic S)
    • bisoprolol fumarate (Zebeta)
    • carteolol (Cartrol)
    • carvedilol (Coreg)
    • esmolol (Brevibloc)
    • labetalol (Trandate, Normodyne)
    • metoprolol (Lopressor, Toprol XL)
    • nadolol (Corgard)
    • nebivolol (Bystolic)
    • penbutolol (Levatol)
    • pindolol (Visken)
    • propranolol (Inderal, InnoPran)
    • sotalol (Betapace)
    • timolol (Blocadren)
    • timolol ophthalmic solution (Timoptic)

    • Ace Inhibitors
    • cough, elevated blood potassium levels, low blood pressure,dizziness, headache, drowsiness, weakness, abnormal taste (metallic or salty taste), andrash.

    • benazepril (Lotensin)
    • captopril (Capoten)
    • enalapril (Vasotec)
    • fosinopril (Monopril)
    • lisinopril (Prinivil, Zestril)
    • moexipril (Univasc)
    • perindopril(Aceon)
    • quinapril (Accupril)
    • ramipril (Altace)
    • trandolapril (Mavik)

    • Calcium Channel Blockers
    • The most common side effects of CCBs are constipation, nausea, headache,rash, edema (swelling of the legs with fluid), low blood pressure, drowsiness, and dizziness. Liver dysfunction and over growth of gums may also occur. When diltiazem (Cardizem) or verapamil (Calan, Isoptin) are given to individuals with heart failure, symptoms of heart failure may worsen because these drugs reduce the ability of the heart to pump blood. Like other blood pressure medications, CCBs are associated with sexual dysfunction.

    • amlodipine (Norvasc)
    • clevidipine(Cleviprex)
    • diltiazem (Cardizem)
    • felodipine (Plendil)
    • isradipine (Dynacirc)
    • nifedipine (Adalat,Procardia)
    • nicardipine (Cardene)
    • nimodipine (Nimotop)
    • nisoldipine (Sular)
    • andverapamil (Calan, Isoptin)
  6. Anti Psychotic
    • ONCE A MONTH- Depo Injection
    • Prolixin IM
    • Halodol
  7. NSAIDs
    • aspirincelecoxib (Celebrex)
    • diclofenac (Voltaren)
    • diflunisal (Dolobid)
    • etodolac (Lodine)
    • ibuprofen (Motrin)
    • indomethacin (Indocin)
    • ketoprofen (Orudis)
    • ketorolac (Toradol)
    • nabumetone (Relafen)
    • naproxen (Aleve, Naprosyn)
    • oxaprozin (Daypro)
    • piroxicam (Feldene)
    • salsalate (Amigesic)
    • sulindac (Clinoril)
    • tolmetin (Tolectin)
  8. Crest Syndrome- connective tissue disease

    Only need 2-3 to be termed "Crest Syndrome"
    • C- Calcinosis (Ca deposists)
    • R- Raynauds Syndrome (most affected by temp. COLD) opposit; beurger, smoking
    • E- Esophageal Dysmotility (associated w/ GERD, difficulty in swallowing)
    • S- Scleraoderma (tough fibrous skin, including internally)
    • T- Tenlangiectasis (blood burst/ broken blood vessels)
  9. Trach to cold mist is more dangerous because there is no alarm, like the trach to vent.

    When a CNA turns a pt on vent and the pt coughs the alarm sounds high pitched

    When vent disconnects the alarm is low pitched.
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Pharmacology and Notes