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Furadantin (nitrofurantoin)
- Use: treatment of UTI
- Side effect: asthma attacks, diarrhea
- Nursing: anti-infective, give with food or milk, monitor pumonary status, to be taken with cranberry juice
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Pyridium (phenazopyridine)
- Use: UTI, decreases pain (urinary tract anagesic)
- Side effects: headache, vertigo, turns urine orange
- Nursing: to be taken with meals
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Heparin
- Action: blocks conversion from prothombin to thrombin
- Use: PE, venous thrombosis, MI
- Side effects: hematuria, tissue irritation
- Nursing: monitor PTT, nml 20-45 sec, therapeutic level 1.5-2.5 times control, antagonist protamine sulfate, give SC or IV, avoid use of ASA and NSAIDs
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Coumadin (warfarin)
- Action: interferes with synthesis of vitamin k - dependent clotting factors
- Use: PE, venous thrombosis, prophylaxis post acute MI
- Side effects: hemorrhage, alopecia
- Nursing: monitor PT, nml 9-12 sec, therapeutic level 1.5 times control, antagonist: vitamin K, monitor for bleeding, give PO, monitor for hematuria, bleeding gums, black tarry stools, avoid ASA and NSAIDs, avoid foods with vit K (green vegetables, pork, rice, yogurt, cheese, fish, milk), vit C decrease effect, vit E increase effect, Garlic / Ginkgo / Ginger: increase effect
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Insulin: Regular, Humulin R
- Type: fast acting
- Onset: .5 - 1 hour
- Peak: 2-4 hours
- Duration: 6-8 hours
- Midmorning see hypoglycemia
- Only one to be given IV or pump
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NPH, Humulin N
- Type: intermediate
- Onset: 2 h
- Peak: 6-12
- Duration: 18-26
- Early evening reaction
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Ultralente, Humulin U
- Type: long acting
- Onset: 4 h
- Peak: 8-20 h
- Duration: 24-36 h
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Humulin 30/70
- Type: short to intermediate
- Onset: .5
- Peak: 2-12
- Duration: 24
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