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Flashcards in Drugs Deck (39):
1

Antianxiety common drugs (4)

Benzodiazepines:
Lorazepam
Ativan
Versed (Midazolan)
Valium (Diazepam)

2

Antianxiety drug adverse reactions (8)

Drowsiness*
Confusion
Memory loss
Headache
Clumsiness (from slowed reflexes)
Blurred vision
Depression
Addiction
Anxiety Drugs Can Make Her Calm But Depressed

3

Antianxiety Special considerations for rehab

peak at 2-4 hours. will calm patient, but may also cause sedation

4

Antidepressant SSRIs (4)

Lexapro (escitalopram)
Prozac (fluoxetine)
Paxil (peroxetine)
Zoloft (Sertraline)

5

Antidepressnat SSRI adverse reactions (6)

Insomnia
Dry mouth
Anxiety
Nausea
Headaches
Weight gain
Antidepressant Drugs Won't Hurt Normal Idiots

6

Antidepressent SSRI considerations for rehab

May cause orthostatic hypotension and tachycardia, especially in the elderly
takes 5-6 weeks to reach full potential
May increase suicidal thoughts

7

Skeletal muscle relaxant common brands (5)

Flexeril (cyclobenzaprine)
Skelaxin (metaxalone)
Zanaflex (tizanidine)
Robaxin (methocarbamol)
Soma (carisoprodol)

8

Skeletal muscle relaxant adverse effects (6*)

Dizziness
Fatigue
Dry mouth, nausea, vomiting, headache
Confusion
Low BP/HR (Zanaflex)
Addiction (Soma)
Sedation

9

Skeletal muscle relaxant considerations for rehab

drowsiness/dizziness
might advise patient to take at night to decrease effects of sedation

10

Opiod analgesic common brands (9)

Duragesic (fentanyl)
Dilaudid (hydromorphone)
Demerol (meperidine)
Oxycontin (oxycodone)
Tylenol 3 (codeine + acetaminophen)
Lorcet/Lortab/Vicodin (hydrocodone + acetaminophen)
Percocet (oxycodone + acetaminophen)
Morphine/Tramadol/Ultram

11

Opiod analgesic adverse reactions

Mood swings, confusion, dulled cognitive function
Orthostatic hypotension
sedation
constipation
nausea/vomiting, vertigo
allergic reactions
Physical dependence, tolerance
Analgesics Can't Stop Nausea

12

Opiod analgesic special considerations

Schedule ~2hrs after administration
masked pain
respiratory depression
diminished bone density w/ chronic use

13

Antiemetics common brands (6)

Antivert (meclizine)*
Phenergen (promethazine)*
Benedryl
Relgan
Zofran (ondansetron)

14

Antiemetic adverse reactions

dizziness
headache
constipation
drowsiness*
Don't Drive Horny Cats

15

NSAIDs common brands (14)

Advil/Motrin (ibuprofen)
Aleve/Naprosyn (naproxen)
Celebrex (cox-2 inhibitor)
Bufferin
Bayer
Excedrin (aspirin/acetylsalicylic acid)
Lodine
Toradol
Daypro
Mobic
Relafen
Voltaren

16

NSAIDs adverse reactions

Nausea, vomiting, vertigo
GI bleed (not Celebrex)
Kidney damage (from reduced blood flow)
Elevated blood pressure (from increased retention)
Can cause extreme allergic reactions in those w/ astma

17

NSAIDs special considerations

Pts at risk for masked pain
provides analgesia w/o sedation
Caution against mixing OTC w/ other prescribed meds

18

Adrenocorticosteroids common brands (5)

Medrol (dosepack)
Hydrocortisone (cortisol)
Prednisone
Solu-Medrol (Methylprednisone)
Decadron (Dexamethasone)

19

Adrenocorticosteroid adverse reactions

suppression of adrenal glands
↑ fat deposition in shoulders, face, and abdomen (weight gain)
Hypertension
↑ body hair
Glucose intolerance (diabetes)
Osteoporosis
Breakdown of collagen in bones/ligaments/tendons/skin
↑ susceptibility to infections (↓ inflammatory response)

20

Antibiotic common brands

Amoxicillin
Cefazolin (ancef)
Keflex (cephalosporin)
Neomycin
Gentamycin
Streptomycin (aminoglycocides)
Zithromax (Macrolide)
Cipro
Levaquin (quinolones)
Vancomycin (glycopeptides)
Zyvox (oxazolidonone)

21

Antibiotic adverse reactions

rash
diarrhea
dizziness
nausea/vomiting
headache

22

Antibiotic special considerations

Watch for hypersensitivity reactions (itching, rashes, wheezing)
Patients on Vancomycin or Zyvox may have MRSA

23

Antivirals/antiretrovirals common medications

Tamiflu - flu
Acyclovir - shingles / herpes
Retrovir / Norvir - HIV
Adefovir - Hep B
Valomaciclovir - Mono

24

Antivirals adverse reactions

nausea
diarrhea
rash
decreased renal function
may interact w/ other drugs

25

Antihypertensives common medications

Diovan (valsartan)
Benicar (olmesartan)
Lotensin (benzapril)
Avapro (Irbesartan)
Norvasc (amlodipine)
Procardia (nifedipine)
Isoptin (verapamil)
Lasix (furosimide)
Captopril
Ramipril

26

Antihypertensives adverse reactions

changes in fluid balance
heart rate
myocardial contractility
fatigue
orthostatic hypotension
headache
nausea
cough
dizziness

27

Antihypertensive special considerations

systemic heat or whirlpool my cause excessive vasodilation
exercise tolerance may be impaired
postural changes may lead to orthostatic hypotension

28

Treatment of angina drugs

Nitro
(beta blockers / ca channel blockers may also be prescribed to reduce workload)

29

Angina drug adverse effects

Uneven heart rate
blurred vision
headache
dizziness
orthostatic hypotension

30

CHF drugs

Digoxen
in addition to beta blockers / ca channel blockers and diuretics

31

CHF drugs adverse reactions

GI distress (nausea/vomiting)
Heart rhythm disturbances
delirium
overdose can be fatal

32

Adrenocorticoid PT considerations

Therapist must wear mask w/ pts on glucocorticoid therapy b.c of immune system.
Signs of toxicity: moon face, buffalo hump, personality changes
pts are at risk of osteoporosis and muscle wasting

33

DMARDs side effects

nausea
headache
joint pain/swelling
toxicity
GI distress
soar throat
fever
liver dysfunction
hair loss
potential for sepsis
retinal damage

34

Antispasticity drugs

Baclofen
diazepam (valium)
Dantrium
Zanaflex

35

Antispasticity side effects

drowsiness,
confusion
headache
dizziness
weakness
hepatotoxicity (w/ dantrium)
tolerance/dependence

36

Dopamine releasing drugs

Levodopa (sinemet or madopar)
amantadine (symmetrel)

37

Dopamine releasing drug side effects

arrythmias
GI distress
orthostatic hypotension
dyskinesias
mood / behavior changes
tolerance

38

ACE inhibitor side effects

hypotension
dizziness
hyperkalemia
hyponatremia

39

Beta blocker side effects

bradycardia
cardiac arrythmias
fatigue
depression
dizziness
weakness
blurred vision