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Flashcards in revised med cards Deck (14)
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1

Wellbutrin

Antidepressant/Smoking cessation

Therapeutic outcome: decreased symptoms of depression after 2-3 weeks

*Monitor BP with pt lying/standing, if systolic B/P drops 20mmHg, hold product

BB warning: assess MENTAL STATUS, mood, affect, suicidal tendencies/ Risk of seizures is increased if dose is exceeded or pt has seizure disorder

Adverse side effects: seizures, suicidal ideation, mania

Education:
- therapeutic effects may take 2-3 weeks
- avoid rising quickly from sitting to standing

2

Relafen

NSAID

Therapeutic outcome: decreased pain and swelling in joints

**THIS DRUG IS NEPHROTOXIC, MAKE SURE WE DO LIVER/KIDNEY FUNCTION TESTS: BUN, AST, ALT, CREATININE**

BB warning: can cause GI issues, ulceration, bleeding, hematuria

Tip to remember: give with food/milk to decrease gastric symptoms and sit upright

Education:

- caution pt to report bleeding, bruising, fatigue, dark stools, change in urine pattern

3

Ranitidine

Acid reducer, H2 histamine receptor antagonist

Therapeutic outcome: prevention/healing of gastric/duodenal ulcers, decrease symptoms of GERD

**HEPATOTOXIC, WANT TO ASSESS AST, CREATININE, ALT, I/O RATIO, BUN**

Adverse side effects: abdominal pain, diarrhea, impotence (may occur and is reversible after tx is discontinued)

Education:

-inform pt to report diarrhea, black tarry stools, sore throat, rash immediately

4

Prilosec

Antiulcer, proton pump inhibitor

Therapeutic outcome: absence of duodenal ulcers, decreased GERD

Adverse side effects: diarrhea, acid regurgitation, constipation

Education:

-teach pt to take as directed even if feeling better since prilosec can take up to 4 days for full effect

- report severe diarrhea, black tarry stools

5

Prednisone

Corticosteroid

Therapeutic effect: decreased inflammation. Used for severe inflammation and MS

**CHECK BLOOD SUGAR BECAUSE THIS DRUG CAN CAUSE HYPERGLYCEMIA**

**CHECK POTASSIUM LEVEL**

**ASSESS FOR ADRENAL INSUFFICIENCY: N/V, ANOREXIA, CONFUSION, HYPOTENSION, WEIGHT LOSS**

Adverse side effects: osteoporosis, joint pain, dypsnea

Education:
- can increase cholesterol levels
- monitor I/O, be alert for decreasing output and increasing edema
- notify if pregnancy is planned or suspected

6

Lotensin

Antihypertensive/ACE inhibitor

Therapeutic outcome: decreased B/P

**TAKE BLOOD PRESSURE/PULSE BEFORE GIVING**

**THIS MEDICATION MAY IMPAIR RENAL/LIVER FUNCTION SO BASELINES NEED TO BE ESTABLISHED BEFORE THERAPY BEGINS**

Adverse side effects: SOB, dizziness, light headedness, fainting

Education
- switch positions slowly- rise slowly to sitting or standing to avoid orthostatic hypotension
- notify us if you develop rash, fever, itching

7

Lipitor

Anti-lipidemic

Therapeutic outcome: decreased cholesterol levels and LDL's, increased HDL's

**PRECAUTIONS: ASK PT ABOUT PAST LIVER DISEASE, ALCOHOLISM, ELECTROLYTE IMBALANCE B/C THIS DRUG CAN CAUSE LIVER DYSFUNCTION**

Adverse side effects: diarrhea, abdominal cramps

Education
- avoid grapefruit juice
-decrease CV disease risk factors such as high-fat diet, smoking, avoiding alcohol and promote exercise
- advise pt that tx will take several years and blood work and eye exams will be necessary

8

Digoxin

Anti-dysrhythmic

Used for atrial fibrillation- helps regulate heart rhythym

**CHECK APICAL PULSE TO SEE IF BELOW 60 FOR 1 MIN, IF IT IS..HOLD**

**MONITOR ELECTROLYTES (POTASSIUM, SODIUM, CHLORIDE, MAG), RENAL FUNCTION STUDIES: BUN, CREATININE, BEFORE TX**

**CHECK DIG LEVEL: WANT BETWEEN .5-2**

Adverse side effects: blurred vision, yellow-green halos, vomiting (signs of toxicity)

Education:
- don't take with antacids such as tums, rolaids- this will decrease absorption
- report SOB, weight gain, edema

9

Cardizem

Calcium channel blocker, antihypertensive, antianginal, antidysrhythmic

Therapeutic effect: decreased angina, dysrhythmias, BP

**CHECK BP/PULSE**
**KIDNEY FUNCTION TESTS**

Adverse side effects: dizziness, SOB, orthostatic hypotension

Education:
- change positions slowly
- notify MD of irregular heartbeat and swelling of feet and hands

10

Ciprofloxacin

Broad spectrum anti-infective

**OBTAIN C/S BEFORE USE**

BB Warning: CAN LEAD TO TENDON PAIN/RUPTURE/TENDONITIS, ESPECIALLY WHEN TAKING CORTICOSTEROIDS

Adverse side effects: c.diff, abdominal pain, anaphylaxis (rash, hives, itchiness)

**ID URINE OUTPUT, IF DECREASING, NOTIFY PRESCRIBER- CAN INDICATE NEPHROTOXICITY)

Education
- teach patient to report tendon pain, chest pain

11

Ceftriaxone Sodium

broad spectrum antibiotic

*OBTAIN C/S*
*CHECK RENAL/LIVER FUNCTION LABS BEFORE SINCE ITS NEPHROTOXIC**

*ID urine output, if decreasing- notify prescriber- can indicate nephrotoxicity**

Education
- Report diarrhea with blood or pus (may indicate c.diff)

- report rash, itching, chills, fever, joint pain)

12

Cefazolin sodium

broad spectrum antibiotic

*OBTAIN C/S*
*RENAL/LIVER FUNCTION LABS*
*ASSESS PT FOR PREVIOUS SENSITIVITY TO PENICILLINS*

*ID urine output- if decreasing- may indicate nephrotoxicity*

Education
- report perineal itching, rash, diarrhea (superinfection)

- report furry tongue, loose foul smelling stools (superinfection)

- notify MD of diarrhea with blood, pus, mucus

13

Ampicillin/Sulbactam

Broad spectrum aniinfective

**C/S BEFORE**

** RENAL STUDIES: URINALYSIS, PROTEIN, BUN, CREATININE **

** ASSESS PT FOR PREVIOUS SENSITIVITY REACTION TO PENICILLINS OR CEPHALOSPORINS**

*ID urine output, if decreasing, notify MD- may indicate nephrotoxicity*

Assess for allergic reactions (RASH, ITCHINESS, CHILLS, FEVER)

Education
- report furry tongue
- diarrhea with pus, blood or mucus

14

Clindamycin

Anti-infective

**OBTAIN C/S**
BB warning: can cause c.diff, diarrhea

**ID urine output, if decreasing- could be nephrotoxicity**

Assess for allergic reactions: rash, itching, chills fever

Education
- take with full glass of water to prevent GI upset
- complete entire course of med
- REPORT DIARRHEA WITH PUS, BLOOD, MUCUS
- Advise pt to report sore throat, fever, fatigue (superinfection)