Term
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Definition
SE: Angioedema, 1st dose phenomenon
(give first dose at night),
cough
(change med to an ARB… –sartan)
hyperkalemia, syncope, change in taste |
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Term
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Definition
Antiviral for herpesvirus Caution: renal failure--> use lower dose administer for at least 1 hr to prevent renal tublar damage!!!! |
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Term
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Definition
• BEST IF ADMINISTERED 3-6 HOURS AFTER ONSET OF SYMPTOMS! (So first thing to ask pt: “when did symptoms first start?”) |
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Term
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Definition
First line asthma use!Prevention, ongoing Tachycardia , drymouth, HA , nervousness, restlessness, paradoxical bronchospasms, throat irritaion rinse mouth out with water and spit out to avoid swallowing med |
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Term
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Definition
| Dont eat with grapefruit , APPLE or ORANGE |
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Term
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Definition
Use: Prevention 70% patients for influenza A
Cont: sucidal ideation
Se: antiparkinsonian effects |
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Term
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Definition
Use:Enterococci, E.coli, proteus mirabilis, Neisseria gonorrhea, H. influenza
Contra: Allergy to any drug in the penicillin class
S/e: pseudomembranous colitis (belly cramps, bloody stool= flame colon-stop drug)
Take on empty belly w/ 8 0z h20
decreased absorbtion w/ food
monitor 30 min after parenteral
DO NOT treat diarrhea w/ OTC |
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Term
| ANCEF (cefazolin sodium) – |
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Definition
• USE: Infections of the respiratory tract, urinary tract, skin structures, biliary tract, bones, and joints, genital infections, septicemia, and endocarditis. Infection prophylaxis in surgical patients
• Caution: Hypersensitivity to penicillins |
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Term
| APRESOLINE (Hydralazine) – |
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Definition
Administer 2-4 times/ day with food to increase bioavailablity
Rebound HTN
this drug decreases peripheral resistance, increases after load and increases cardiac output |
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Term
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Definition
Meds for malaria must be started before arrival to the endemic area nad continue throughout and 4-6 weeks after leaving area
s/e: cardiotoxicity
dd: antacids, laxatives must not use w/in 4 hrs
Urine may be rusty brown or yellow
wear dark glassess in sunligh or bright
ECG b4 and after treatment |
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Term
| ASPIRIN (acetylsalicylic acid) – |
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Definition
Use:Pain/Fever/antiplatelet
GI Bleeding
Children under 18 |
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Term
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Definition
Bronchodilator; anticholonigeric
not for acute asthma
2 puffs 1 min. w/ albuterol wait 5 min |
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Term
| AZATHIOPRINE (azasan, imuran) – |
|
Definition
Use: prophylaxis of kidney transplant rejection
s/e: Bone marrow supression (bleeding, SOB and infection
No vaccines, avoid large crowds, use birthcontrol 4 months b4 and after. |
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Term
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Definition
Use: Arthritis
s/e:GI bleeding/abdominal pain
expensive drug but is only 1 day dosage |
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Term
| CIPRO (ciprofloxacin HCI) – |
|
Definition
Use: Bacteral dna replication inhib. (floroquinolone)
Use: treatment of UTI---NOT PROPHALXSIS, Gonorrhea
Teach: drink 2-3 L of fluid per day |
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Term
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Definition
Safe to use on children/safest of all asthma meds
If aerosol spray such as Albuterol is used in addition use bronchodilator first |
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Term
| CYCLOSPORIN (sandimmune) – |
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Definition
Use: Organ tissue transplants
No grapefruit juice increase levels by 200%
Stay away from crowds! |
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Term
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Definition
| •Class of choice for vasospastic angina |
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Term
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Definition
Use: leprae infections
Photosensitivity
Reddish-brown discoloration of skin, cornea, conjuctiva and body fluids
Minimize the use of soap and rinse thouroughly. |
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Term
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Definition
Motion sickness, altitude sickness
Check for Symptoms of mild or moderate metabolic acidios and potassium loss, increase risk in early therapy
Adequate fluid intake to decrease the risk of kidney stones |
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Term
|
Definition
caution: renal impairment should be monitored close for change in urinary values
se: can cause unusal type of liver abonomality called lactic acidosis and hepatomegaly with steatosis
nursing: monitor blood counts 2-3 hrs
teach: at least 4 weeks may be needed before any improvment in symptoms are noted |
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Term
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Definition
Use: Alternative for patients allergic to PCN, Anaphylaxis, Hearing loss (ototoxicity), vertigo, dizziness, cardiotoxicity with risk for torsades de pointes.
• Give oral medicine with 8 ounces of water on an empty stomach 1 hour before or 3 hours after eating; Give enteric coated tablets without regard to meal; Report any ototoxic effects
Caution: Grapefruit
Anaphylaxis, Hearing loss (ototoxicity), vertigo, dizziness, cardiotoxicity with risk for torsades de pointes |
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Term
|
Definition
Antilipidmeic
statins MUST be admin with this |
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Term
|
Definition
Use: toxoplasmosis, Malaria
Cont: Patients w/ Sulfer allergy
S/E: Folic acid deficiency; avoid sun
DO NOT USE FOLIC ACID SUPPLEMENTS |
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Term
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Definition
uSE: Trich
Cont: Bone Marrow Suppression
Darkens urine = toxicity |
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Term
| FLORINEF (Fludrocortisones) – |
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Definition
Mineralcorticoid
s/e: sodium and fluid retention biggest concern
cont: systemic fungal infection |
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Term
|
Definition
(-AZOLE)Infections by Candida albicans
sse: Hepatoxic, Steven J. in immunosupporessed |
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Term
| FUNGIZONE (amphotericin B deoxycholate) – |
|
Definition
Use: Severe systemic mycoses, PROPHALATIC antifungal
cont: Bun >40, Serum Creatine >3
monitor these b/c hepatox
Admin IV slow 2-6hrs
Premed with antiemetic
Assess for ototoxicity |
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Term
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Definition
•Now mostly used for TB
Increased risk of ototoxicity with other drugs affecting the 8th cranial nerve
• Draw blood for peak serum gentamicin concentration 30 minutes to 1 hour after IM; 30 minutes after a 30-60 minute IV infusion
Avoid direct exposure to sunlight; Wear protective clothing; Sunglasses, and sunscreen |
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Term
| HCTZ (Hydorcholorthiazide) – |
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Definition
| Sodium and Potassium restrictions |
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Term
|
Definition
| • Antagonist: Protamine sulfate IV (1 mg for every 100 units of heparin) |
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Term
| HEPATITIS B VACCINE (Engerix – B) – |
|
Definition
Use: immunization
made from yeast cells
check for egg allergy |
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Term
| HYDROCORTISONE (Aeroseb-HC) – |
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Definition
For Inflammation; asthma
nr: d/c gradually in client w/ longer than 2 weeks therapy, baseline weight, check levels of stress |
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Term
|
Definition
Use: Fever/Pain
s/e:GI bleeding
Can take with food or Milk=prevention belly issues |
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Term
| INTRON A (INTERFERON Alfa-2B) |
|
Definition
use:Cancer melonomia, Leukemia
S/e: Flu like symptoms
No ETOH at all= dehydration |
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Term
|
Definition
|
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Term
| KETAMIN (Ketalar) (aka: “Special K”) |
|
Definition
Anethesia- safe for children
produces a feeling of seperation from the enviorment |
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Term
|
Definition
Loop diurect
do not take with digoxin
ability to remove large amounts of edema from body in short amount of time
se: greatest concern is extensive fluid loss and electrolyte imbalance.
Dehydration
must have 30 ml urine output
calf pain
ototoxicity
hypokalemia |
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Term
|
Definition
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Term
|
Definition
Antihypertensive
Use: HTN that has not responded adequaltley to safer antihypertensives
Nursing: Minimize day time seation by take medications at bed time |
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Term
|
Definition
| SE: hot flashes- give asprin 30 min prior |
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Term
| NITROFURANTOIN (furadantin) |
|
Definition
Use: PROPHYLLAXIS /recurrent UTI's
Teach: inform client of urine being discolored and take medication for full treatment |
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Term
| NITROPRESS (Nitropruside Sodium) – |
|
Definition
Use: Life threatening HTN
se: skin flusing
Nursing: titrate.
check drug solution periodically to protect from light |
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Term
|
Definition
Consent befor they get the gas-
NPO pre op |
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Term
|
Definition
Do not consume hot foods, chew gum after dental procedures until sensation returns
hypotension is the most common and severe complication |
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Term
|
Definition
Candida infection in mouth, vagina, skin intestines
Teach: Apply to treat thrush meals and at bedtime.
Troches take 30 min to dissolive and not food or drink for 30 min after
Vulvovagina can take 2 weeks and continue during menustration |
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Term
| ORTHOCLONE (muromonab – CD3) – |
|
Definition
Use: Prevent acute transplant rejection of solid organs like liver
s/e: cytokine release syndrome (fever chills tremor) --> give steroid or antihistimine before treatment.
Do not give with active infection |
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Term
|
Definition
Used for emergencies!
Decreases ICP-head trauma= decrease in pressure
Nursing: Most effective if given bolus instead of continous infusion.
administer with filter in IV tube or use filter needle when drawing to prevent microscopic crystals |
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Term
|
Definition
Use: Gram + bacteria, endocarditis
Cont: Heart Failure (sodium salt) allergies
S/E: anaphylaxis--> edema of mouth, tounge pharynx
When giving IM stay w/ pt for 20 min (allergy check) |
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Term
| PREDNISONE (Meticorten) – |
|
Definition
Anti inflammator and Immunosuppressnat
Irritability and mood swings |
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Term
| PRIMAXIN (imipenem-cilastatin) – |
|
Definition
Use: Broad spectrum alternative to PCN; most gram + and Gram -
Determine sodium content for sodium restricted patients |
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Term
|
Definition
• USE: atrial and ventricular dysrhythmias
• DRUG OF LAST CHOICE B/C OF TOXICITY |
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Term
|
Definition
Use: Mestac renal carcinmoa
S/e: Capillary leak syndrom--> listen to lungs if you hear wet cracks = this. |
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Term
|
Definition
use: BPH and H irsuitism in femals
The max benifit from the drus is achieved 6-12 months
Improvments will last for as long as the med is taken after that amount of time
X |
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Term
| QUESTRAN (cholestyramine) |
|
Definition
Antihyperlipidemic; bile acid sequestrant
Causes: Constipation
Tri >400 do not give |
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Term
|
Definition
Use: HIV- PROPHYLACTIC in health care works; decrease vertical transmission
administer on empty belly w/ water only
start at 14-34 weeks in prego hiv
iv infusion during labor and infacnt will have to have oral med for first 6 weeks of life |
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Term
| RHOGAM (Rh0[D] immune globulin) – |
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Definition
passive immunity
within 72 hours
• MOA: Suppression of the immune response of Rh-mothers to Rh+ fetuses |
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Term
| SPIRONOLACTION (Aldactone) – |
|
Definition
|
|
Term
| TESTOSTERONE (Androgen) – |
|
Definition
Prego: X
Use:Hypogonadism, Androgen responsive to breast cancer |
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Term
|
Definition
Use: Gram + gram - bacteria, Chlamydia
Widespread resistances has happened
DNA <8 yrs age
Discoloration of teeth/photsensisitvity
Admin w/ full glass of water on empty stomach.Skin may look yellow under blk light.
takes up to 12 weeks |
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Term
|
Definition
Use: UTI from e. coli
Cont: sulfa or thiazide diuretics
S/e: crystalluria, photosensitivity
encourge lots and lots of water~ |
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Term
| TYLENOL (acetaminophen) – |
|
Definition
Use: Fever/pain
Caution: Hepatic
S/E: hepatic failure
Antidote: Mucomyst |
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Term
|
Definition
Use:severe infections resistant to safer antibiotics
Caution: history of hearing loss
assess baseline hearing
S/E: Red Man syndrome (flushing, hypotension, tachycardia)- infuse over 60 min slow to avoid
Note oliguria or cloudy pink urine=nephrotoxicity. |
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Term
|
Definition
Uses: Round worm, pin worm parasites
teach: good hygine, hand washing changing of towels and undergarments.
TREAT ENTIRE FAMILY
report fatigue and sever diarrhea fever or chills
chew and take w/ fatty meals |
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Term
|
Definition
Heart failure
increase contract/decrease HR
se: dysrythmias
0.5-1
toxic more than 2
n/v = toxicity also yellow green halos
<60 apical dont give
check k+ levels
client should be on k+ sparing drug |
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Term
|
Definition
Sodium and potassium restrictions
Antihypertensive
causes nasal congestion |
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