Pharm final

• Troph

  Right before the next dose
• Heparin/enoxaparin (Lovenox)

  • Monitor aPTT
  • Antidote: Protamine sulfate
  • Used to prevent blood clots
• Alteplase(tPA)

  • Clot buster
  • Antidote =amino Caproic acid
  • Monitors neuro status
  • Lathergy
  • Hold pressure on IV if taking blood 30 mins after
• Warfarin (Coumadin)

  • Monitor Pt/INR
  • Antidote= vitamin K
  • Avoid green leafy vegetables
  • ADR:Bleeding and toxicity
• Epoetin Alfa (Epogen)

  • Increase B/P (monitor)
  • Stimulates growth of RBC
• Nitroglycerin

  • Vasodilator
  • Decreases B/P at risk For Hypotension headache
  • Can take every 5 mins For 3 times
  • Tachycardia
• Montelukast

  • ADR: neuropsychiatric
  • Give 2 hours prior to exercise
• Phenylephrine

  • Contraindicated for people with heart problems
  • ADR: tachycardia, heart
• Dextromethorphan and Codeine Are both used for dry cough
• Beclomethasone/prednisone/ Fluticasone

  • Give bronchodilator then Steroid
  • Can cause Candidiasis
  • Rinse mouth out after taking it
  • Do not use PRN uses is a routine medication
  • Do not take as Crisis medication
  • Do take it with beta 2 agonist(albuterol).
• Albuterol

  • ADR: tachycardia, palpitations, angina, tremors, nervousness
  • rescue medication
  • Causes hyperglycemic affect(diabetic pt)
• Ipratropium

  • Blocks acetylcholine and reduce secretions causing bronchodilations
  • Antichlorgenic affects is constipation and urine retentions
  • Know causes Changes in urine and call doctor immediately
• Aspirin

  • Salicylism
  • Reye's syndrome
  • GI ulceration and renal dysfunction
• Acetaminophen(Tylenol)

  • Have Pt read the labels of cold meds as it is located in most
  • ADR: Liver toxicity, HTN
  • Antidote: acetylcysteine
• Morphine

  • Can cause respiratory depression
  • Antidote = naloxone
  • ADR: Constipation, urinary retention
• Alendronate

  • Sit upright 30 min
  • Drink with glass of water
  • Calcium/dairy impairs absorption
  • Avoid in renal insufficiency and Hypocalcemia
• Psyillum(metamucil)

  • ADR: Esophageal obstruction
  • Bulk fiber medication
  • Drink with lots of water ( Least 8 oz)
• Sucralfate

  • Coats GI to prevent ulcers
  • Well-tolerated medication
  • Give on empty stomach 1 hour before meals
  • Avoid all other other medications 2 hours before or after taking
• Diphenoxylate + atropine/ loperamide

  • Opioid medication
  • Used for diaherra
  • Antidote = Naloxone
• Misoprostol

  • Acid reducer
  • Used to induce labor
  • Teratogenic medication
  • Miscarriages and gastro discomfort
• Ondansetron

  • Anti-nausea medication
  • Serotonin syndrome
• Metformin

  • Hold 24 hours when having lV contrast
  • Heavy on kidneys
  • Used for type 2 diabetes
• Glucagon

  • Nausea & vomiting when given
  • Used For low blood sugar
• Levothyroxine

  • Give PO on an empty stomach
  • Treats hypothyroidism
  • Life long medication
• Idoine-131

  • Treats hyperthyroidism
  • Radiation Precautions
  • teratogenic
• Tetracycline

  • Avoided in Children in less than 8
  • Teeth discoloration
  • don't take with calcium impairs absorption
  • Photosensitivity
  • Bone growth suppression
• Ciprofloxacin

  • Deep tendon rupture
  • Causes C. Diff
  • Uses: severe UTIs, anthrax exposure
• Cephalexin

  • Cross-sensitivity with penicillin
  • Disulfiram reaction
  • superinfx
• Gentamicin

  • Troph is 30 min Before
  • PEAK is done 30 min after
  • ADR: Ototoxicity, nephrotoxicity
• Trimethoprim + sulfamethoxazole (bactrim)

  • Steven Johnson syndrome
  • Disulfiram type reaction
• Metronidazole

  • Disulfiram-type reaction with many drugs and alcohol
  • Dark urine
• Amphotericin B

  • IV form very toxicity
  • infusion reactions
• Acyclovir

  • Local reaction around the Site
  • Thrombophlebitis with IV (doesn't need to happen)
  • Uses: herpes simplex & herpes zoster
• Erythromycin

  • Prolong QT intervales
• human chorionic gonadotropin(hCG)

  • Promotes ovulation for fertility
• Methylergonovine

  • Causes uterine contractions & stops uterine hemorrhaging
  • Given post-partem, not during labor
  • ADR: GI, uterine cramping, HTN crisis, CVA, arrhythmias,
• Dinoprostone

  • Dilates cervix
  • ADR: hyperthermia/chills, GI
• Terbutaline

  • betamethasone are given together
  • used for off label use is to stop uterine contractions in preterm labor
• Magnesium sulfate

  • Muscle weakness, Flushing, decreased urine output all the
  • ADR: flushing, muscle weakness, CNS effects, decreased UO, toxicity
  • Prevents preterm labor & prevents seizuresin women withpreeclampsia/eclampsia/HELLP syndrome•Antidotes = Ca Gluconate or Ca Chloride
• oxytocin (Pitocin) Uterine Stimulant

  • Uterine stimulant: induces labor
  • Anti-chlorogenic affect