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Medications
Medications to study before taking the NCLEX-RN
76
Nursing
Undergraduate 1
07/09/2011

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Term
Haloperidol
Definition
Antipsychotic; extrapyramidal; neuroleptic malignant syndrome
Term
Rifampin
Definition
May be given with a positive PPD; adds color to secretions; liver toxic; no ETOH (Alcohol)
Term
Glucophage
Definition
Used in type II DM to help carry glucose into cells; may cause lactic acidosis so DC prior to tests with contrast; No ETOH (adds to effect of lactate metabolism)
Term
Synthroid
Definition
Replacement therapy for myxedema; teach not to D/C without medical advice; increases HR, so give in AM
Term
Pitocin
Definition
Uterine muscle stimulant; contraction greater than 90 seconds or < 2 minutes apart; late decelerations; stop infusion
Term
Heparin
Definition
Anticoagulant titrated by PTT; Protamine Sulfate is the antidote
Term
Calcium Channel Blockers
Definition
A classification of drugs that lowers BP by decreasing force of contractions and decreases HR; constipation; avoid grapefruit; most ends in "mil" or "dipine"
Term
Reglan
Definition
GI stimulant used in GERD/NV, post-op and chemotherapy
Term
Clozaril
Definition
Atypical antipsychotic medication used in the treatment of schizophrenia; shown to cause agranulocytosis and requires weekly blood monitoring
Term
Insulin
Definition
Give regular IV, allows glucose molecules to cross the cell membrane; clear to cloudy; rotate sites
Term
Lipitor
Definition
Decreases production of CHO; AKA "statins"; check liver enzymes; no grapefruit
Term
Morphine
Definition
Decreases pain/preload; watch respirations; decrease in HR/RR; decrease O2 demand during MI
Term
Ambien
Definition
Used for short term treatment of insomnia; rapid onset; short acting benzo hypnotic with reports of automatism, addiction and abuse
Term
Prozac
Definition
SSRI (bicyclic antidepressant), can take 1-3 weeks for effects to be present
Term
Cogentin
Definition
Centrally acting anticholinergic, causes N/V, atropine effects, antihistamine effects. Start with small doses and take with food
Term
AZT
Definition
Antiviral drug given most commonly to people with HIV
Term
Ritalin
Definition
Stimulant used to treat ADHD; do not give after 1600
Term
Levodopa
Definition
Used with Parkinson's Disease; watch for neuroleptic malignant syndrome (fever/muscle rigidity)
Term
Elavil
Definition
Tricyclic antidepressant; blocks to reuptake of monoamine neurotransmitters norepinephrine and seratonin; used in depression and bipolar disorders
Term
Calcium
Definition
Used for parathyroidectomies and osteoporosis antidote is magnesium sulfate (MgSO4) or Procardia
Term
Lasix
Definition
Loop diuretic that washes out Potassium and Magnesium
Term
Keflex
Definition
First generation cephalosporin; more effective against gram negative and anaerobes; more bleeding tendencies and cross allergy to Penecillin
Term
Amphotericin
Definition
Antifungal drug associated with serious acute infusion reactions; nephrotoxic and hepatoxic; digoxin toxicity  and risk of increased potassium
Term
Digoxin
Definition
Cardiac glycoside; hypokalemia precipitates toxicity, bradycardia, photophobia, N/V; toxic at 2.0; antidote is Digibind; used in Heart Failure and atrial fibrillation
Term
Lidocaine
Definition
Antiarrythmic used to treat ventricular arrythmias; watch for convulsions
Term
Antacids
Definition
Give after meals in Peptic Ulcer Disease; watch sodium content in some formulas; aluminum = constipation; magnesium= diarrhea
Term
MMR Vaccination
Definition
Immunization with doses at 12-15 months then 4-6 years
Term
Neurontin
Definition
Originally developed for the treatment of epilepsy; widely used to treat neuropathic pain; no antacids for 2 hours; do not stop abruptly
Term
Botox
Definition
A highly toxic neurotoxin protein produced by the bacterium clostridium botulinum; used in minute doses both to treat painful muscle spasms and as a consmetic treatment; excessive swelling; dysphagia; temporary or permanent muscle weakness
Term
Kayexalate
Definition
Removes potassium from the intestine
Term
Dilantin
Definition
Anticonvulsant with gingival hyperplasia, give IV only with saline, teach need for calcium and vitamin D
Term
Coumadin
Definition
Titrated by PT/INR; teach to report signs of bleeding and need for lab work; vitamin K is antidote
Term
Cyclosporine
Definition
Immunosuppresant used in the treatment of organ transplant (prevent rejection), give in the AM at the same time each day, measure dose carefully, may take with meals
Term
Captopril
Definition
Ace Inhibitor; ends in pril; antihypertensive; blocks angiotension 1 to 2; blocks aldosterone
Term
Remicade
Definition
Use to treat autoimmune disorders (Crohn's Disease, Psoriasis, Rheumatoid Arthritis, Ulcerative Colitis); may cause pancytopenia, lymphoma, increased liver enzymes; administer by IVPB at 6-8 week intervals
Term
Protonix
Definition
Proton pump inhibitor drug used for short-term treatment of erosion and ulceration of the esophagus caused by GERD; avoid St. John's Wort and sun
Term
Narcan
Definition
Narcotic antagonist that can be given via Endotracheal Tube; also down the ETT- NEAL (Narcan, Epinephrine, Atropine, and Lidocaine)
Term
Atenolol
Definition
Beta blocker; antihypertensive; ends in 'olol'; decreased morality post MI; decreased HR/ Contractility
Term
Lithium
Definition
Antimanic; teach to report signs of toxicity (polyuria, prolonged vomiting, diarrhea); take with food; therpeutic at 0.6-1.2
Term
Magnesium Sulfate
Definition
A "cardiac" electrolyte; prevents seizures in pregnancy induced hypertension; watch deep tendon reflexes
Term
Acetaminophen
Definition
OTC analgesic and antipyretic; watch liver enzymes; mucomyst is the antidote
Term
Ciprofloxacin
Definition
Treatment of choice for anthrax and UTI; no caffeine with this medication
Term
Mannitol
Definition
Diuretic; used with increased intercranial pressure; oliguric phase of Acute Renal Failure; NOT used with CHF; check electrolytes
Term
Dobutamine
Definition
Beta 1 agonist (increased HR, myocardial contractility, increased conduction through AV node); given with heart failure
Term
Neupogen
Definition
Used to increase WBC production
Term
Hepatitis
Definition
B Vaccine given at birth, 1-2 months, 6-18 months; contraindicated with allergy to bakers yeast
Term
Imitrex
Definition
Treats migrains by vasoconstriction
Term
Lactulose
Definition

Ammonia detoxicant

 

Term
Neostigmine
Definition
Antidote for Mysethenia Gravis and muscle relaxants
Term
Halothane
Definition
Inhalation anesthesia that produces loss of conciousness, loss of all sensation; must be supported with respiratory and circulatory equipment
Term
Allopurinol
Definition
Decreased uric acid production
Term
Aspirin
Definition
Common OTC drug, teach to take with food; antiinflammatory, pain, pyretic, platelet; risk for Reyes Syndrome in children
Term
Aldactone
Definition
Potassium sparing diuretic
Term
Albuterol
Definition
Bronchodilator; increases HR
Term
Acyclovir
Definition
Antiviral, antiinfective, used in treating genital herpes, chickenpox, and herpes zoster
Term
Amioderone
Definition
Antiarrythmic agent used for tachyrrthymias; recurrent ventricular or supraventricular tachycarida in origin
Term
Fentanyl
Definition
extensively used for anesthesia and analgesia; patch form allows for long lasting relief from pain; heat increases toxicity
Term
Thiopental
Definition
IV anesthetic adjunct (Barbitutrates) to inhalation therapy, respiratory and cardiac depression
Term
Gentamicin
Definition
Aminoglycoside; given cautiously in elderly and renal disease due to ototoxicity and nephrotoxicity; small therapeutic window
Term
Plaquenil
Definition
Slows the progession of immunologic disease of Rheumatoid Arthritis and Systemic Lupus Erythematosus
Term
Aminophylline
Definition
Bronchodilator; teach not to take with H2 anatagonist; toxicity= vomiting; therapeutic level 10-20
Term
Questran
Definition
decrease Cholesterol by binding to bile acids; works in GI system
Term
Famotidine
Definition
H2 receptor antagonist for treatment of duodenal or gastric ulcers, side effects include headache, palpitations, diarrhea, constipation, can use antacids concurrently
Term
Methotrexate
Definition
A cytoxic agent, causes hepatic fibrosis, bone marrow suppresion, GI ulceration. Need baseline CBC and platelets. Repeat every 3-6 months
Term
Benadryl
Definition
First generation antihistamine; antiemetic; sedative hypnotic; and an anticholinergic; used for the treatment of Extrapyramidal Symptoms; Not in Benign Prostatic Hyperplasia, glacoma, hypertension, hyperthyroid
Term
Atropine
Definition
Common pre-op; can't see, can't pee, no stool, no drool
Term
Restoril
Definition
Benzodiazepines to treat anxiety/insomnia
Term
Thorazine
Definition
Antipsychotic associated with extra pyramidal symptoms; teach to avoid sunlight; stop hiccups and shivering
Term
Tagamet
Definition
Histamine H2 antagonist; available OTC; given with meals and at bedtime; do not give with antacids, rifampin or dilantin
Term
Beclomethasone
Definition
Inhaled steriods for long-term asthama control, Do not use in acute treatment, works by suppressing the immune response and reducing airway inflammation
Term
Procrit
Definition
used to treat anemia; monitor hemoglobin and hematocrit; sub q or IV
Term
Codeine
Definition
Antitussive; increases viscosity of secretions
Term
Nitroglycerin
Definition
Decrease preload, afterload; used with angina pectoris; contraindicated with viagra
Term
MAOI Inhibitors
Definition
Psycotropic drug; teach takes 2-3 weeks to be effective; avoid tyramine (beer, wine, cheese, cola, chocolate, OTC cold remedies)
Term
Neomycin
Definition
aminoglycoside antibiotic; kills bacteria in the intestinal track; keeps ammonia levels low and prevents hepatic encephalopathy; nephrotoxic; used to decrease risk of infeciton during surgery of bowel
Term
Steroids
Definition
Causes hyperglycemia, fluid retention, GI upset and decreased healing; reduces the inflammatory process; give with Rheumatoid Arthirits, Systemtic Lupus Erythematosus, asthma; withdraw gradually
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