Comprehensive Final (Meds) Pharm Flashcards
(41 cards)
Triptans: Sumatriptan (imitrex)
Adverse: dizziness, drowsiness, flushing, warm sensation, decreased carotid blood flow, serotonin syndrome; contraindicated for CVD, CAD, Stroke, HPTN, MI or Angina
Ergot Alkaloids
Promotes vasoconstriction- terminated ongoing migraines, numbness and tingling, myalgia, GI upset, and weakness in the legs
Lipid souble vitamins
K, A, D, E
Total enteral feeding care and maintenance: (9)
Check placment, ensure it does not dislodge, change tubing and bag, maintaining asepsis, maintain patency, monitor labs, start at 20-30ml/hr and gradually increase, check residual, 30 degrees HOB
Orlistat:
Fatty stools, flatus with discharge, fecal urgency and abdominal pain
Adverse effects for all antineoplastics:
Alopecia, mucositis (stomatitis), anorexia, n/v, diarrhea, neutropenia, anemia, thrombocytopenia, preg cat D or X, temporary or permanent infertility, fatigue
Alkylating Agents: Cyclophosphamide (cytoxan)
Hemorrhagic Cystitis, caustic to the tissue, maintain hydration to protect the bladder- COLD compress for IV site
Antimetabolites: Methotrexate
BB: Fatal- hemorrhagic enteritis, pneumonitis, SJS, folic acid anemia, caustic to the tissues, Use COLD for extravasation
Antitumor: Doxorubicin
Cardiotoxicity, severe vesicant, large bore IV, apply ICE
Vinka Alkaloid: Vincristine (oncovin)
Neurotoxicity: (numbness, tingling) constipation, severe vesicant, apply HEAT
Tamoxifen:
Uterine cancer, menopausal symptoms (vaginal dryness, moodiness, hot flashes), blood clots
Desmopressin
S/S of water intoxication, hptn, nausea, contraindicated w/ kidney disease and clotting patients
Levothyroxine (Synthroid)
Hyperthyroidism: tachycardia, anxiety, insomnia, wt. loss, anorexia, heat intolerance, diarrhea, menstrual irregularities, contraindicated with cardiovascular disease, monitor serum TSH 6 weeks after initiation and change of dose
Propylthiouracil
Hypothyroidism: bradycardia, wt. gain, fatigue, cold intolerance, hair loss; rash, and transient leukopenia- can cause severe liver toxicity
Bigs and Pitc
Increase in blood pressure, irritability, glucose, sodium
Decrease in Potassium, Immunity, Thyroxine, and calcium
Nursing implications for all antibiotics
Take the full medication to reduce resistance, take probiotics to prevent super infection, specificity- obtain a culture prior to starting antibiotic, monitor for allergies
Penicillins
Decreased effectiveness of oral contraceptives, do not give the same time as aminoglycosides, assess allergies
Cephalosporin’s (Cefazolin)
Seizures (rare) nephrotoxicity, allergies to penicillins
Tetracyclines: Sumycin
Photosensitivity, esophageal irritation, discoloration of the teeth, do not take with milk, or antacids
Macrolides: erythromycin
Hearing loss, cardiotoxic effects, may increase effects of warfarin, Do NOT give with juices
Aminoglycosides (gentamicin)
3 N’s: neurotoxicity (ototoxicity, loss of balance) nephrotoxicity, neuromuscular toxicity (severe muscle weakness, respiratory arrest), draw peaks and troughs
Fluoroquinolones: Ciprofloxacin
Tendonitis, tendon rupture, extreme muscle weakness, phototoxicity, hepatoxicity
Sulfonamides: Trimethoprim-Sulfamethoxazole
Crystalluria, oliguria, renal failure (increase fluid intake) , photosensitivity, hyperkalemia, allergies to sulfas
Isoniazid:
Neuropathy, numbness, and tingling, take vitamin B6, take on an empty stomach, monitor liver enzymes
