Unit 4 Exam Medications Flashcards
Naloxone
Opioid antagonist
IV , IM , SQ, nasal spread
Staying w pt if they withdraw and need another dose
Flumazenil
Benzo antagonist , given for benzo OD
Use cautious in long term benzo user- can cause seizures ( due to sudden with draw)
If pt has resp issues they may need to be intubated and monitor RR
May have to be given multiple times
N&V ( turn pt head to side )
Agitation
Dyspnea , gerneral weakness
Avoid alcohol the 1st 24 hours
Gabapentin
Anticonvulsant, nerve pain (peripheral neuropathy)
Treats seizures
Causes sedation , avoid driving
High risk for falls
Contraindicated in suincide ideation
Used for Migraines and bipolar disorder
Ketorlorac
NSAID
For moderate to severe pain
IV or IM
Can take for only 5 days after 1st dose
Do not breastfeed , risk for GI bleed
Anaphylactic
Steven Johnson syndrome
Methotrexate
DMARD
Treats RA and cancer
Liver toxic ( monitor enzymes)
Avoid alcohol
Causes bone marrow suppression
Anemia , increase risk of infection , and bleeding
GI disturbances ( nausea)
Don’t give to pregnant women
lorazepam
Anxiety , seizures, alchol withdrawal
Slows everything down , CNS depression
Causes sedation , take in the evening , dont drive
Causes dependence
Antidote- Flumazenil
Levofloxcin
Broad spectrum
Avoid sun exposure ( photosensitivity)
Achilles tender rupture
Watch bp
Avoid if pregnant
Broad spectrum
GI distresss
Avoid milk products or antacid products
Slow IV infusion
Myasthenia Travis
haloperidol
Typical antipsychotic
EPS symptoms
Used for restlessness for EOL or for positive symptoms in schizophrenia..
Given with diphenhydramine
Since ketolorac can cause GI bleeding what do we teach d
Avoid garlic , ginger,
And watch for blood in the stool
Ketalorac can cause Steven Johnson syndrome.. what do we assess and teach
Assess for rashes
And teach to report odd rashes
What reverses methotrexate
Folate for GI disturbances but too much can interrupt the effect of methotrexate so
Consult doctor
