Term
|
Definition
* pre op sedation
* CNS depressant
* anti anxiety
* hypersensitivity |
|
|
Term
|
Definition
* moderate to severe pain
* binds to opiate receptors in CNS
* opioid analgesic
* fall risk, resp. depression, assess pain |
|
|
Term
|
Definition
* pre op sedation
* prevent N+V
* alters dopamine in CNS
* hypersensitivity, glaucoma
* antiemetic, antihistamine
* BP, pulse, resp. rate
* orthostatic HTN
* check glucose |
|
|
Term
| morphine sulfate (Astramorph) |
|
Definition
* severe pain
* binds to opiate receptors in CNS
* opioid analgesic
* confusion, sedation, resp. depression
* assess pain before/after, level of sedation
* half life = 4 hr |
|
|
Term
|
Definition
* NIDDM, IDDM
* increase transport of glycose-->glycogen
* RAPID
* hypoglycemia, anaphylaxis
* interacts - Beta blockers, coritcosteroids
* PEAK - 1-2hr
* monitor K, Mg |
|
|
Term
|
Definition
* prevention of DVT and pulmonary embolism
* anticoagulant
* inhibitory effect of factor Xa on thrombin
* bleeding, hypersensitivity
* SE = bleeding
* interacts - NSAIDS, OTC
* signs of bleeding, tarry stool
* CBC, plt |
|
|
Term
|
Definition
* anticoagulant
* A-fib, pulmonary emboli
* inhibitory effect of antithrombin on factor Xa of thrombin
* SE=bleeding, anemia
* 5000 units
* interacts - aspirin, NSAIDS
* APTT - 1.5-2 times normal control |
|
|
Term
| insulin glargine (Lantus) |
|
Definition
* LONG acting
* control of hyperglycemia
* glucose uptake in skeletal muscle and fat
* interacts - Beta blockers, corticosteroids, thyroid
* no peak, 24 hr duration
* Mg, K |
|
|
Term
| NPH insulin (Humulin, Novolin) |
|
Definition
* control of hyperglycemia
* stimulates glucose uptake in skeletal muscle
* antidiabetic
* allergy, hypoglycemia
* diuretics, corticosteroids
* 4-12 hr
* Hgb A1C |
|
|
Term
| Regular insulin (Humulin, Novolin) |
|
Definition
* hyperglycemia
* interacts - Diltiazem, corticosteroids
* 15-30 min before meal
* check blood glucose |
|
|
Term
| nitroglycerin transdermal |
|
Definition
* angina pectoris, CHF
* dilates coronary arteries
* antianginal, nitrate
* half life - 1-4 min
* HA, hypotension, tachycardia
* BP, pulse
* urine panel |
|
|
Term
|
Definition
* inflammatory, allergic, autoimmunie disorders
* suppress inflammation
* corticosteroid
* cause hypokalemia
* I+O, adrenal insufficiency |
|
|
Term
|
Definition
* panic disorder, PTSD, PMDD
* inhibits neuronal uptake of serotonin in CNS
* antidepressant, SSRI
* fatal interaction w/MAOIs
* drowsiness, diarrhea, dry mouth |
|
|
Term
|
Definition
* type 2 DM
* antidiabetic
* decrease hepatic glucose production
* diarrhea, N+V
* check hypoglycemic reactions
* Hgb A1C |
|
|
Term
|
Definition
* HTN, angina
* inhibits transport of Ca into myocardial and smooth muscle cells
* systemic vasodilation; decrease BP
* Ca channel blocker, antihypertensive
* dont give HR < 50
* K, hepatic function
* BP, pulse |
|
|
Term
| Aspirin (acetylsalicylic acid) |
|
Definition
* inflammatory disorders, pain, fever
* inhibits production of prostaglandins
* antipyretic, nonopioid analgesic
* dont give if have bleeding disorders
* GI bleeding, NSAIDS, heparin
* assess pain, fever, tinnitus |
|
|
Term
|
Definition
* HTN, prevent MI
* blocks B1 adrenergic receptors
* beta blocker
* bradycardia, weakness
* BP, ECG, pulse, glucose |
|
|
Term
|
Definition
* strokes, venous thrombosis
* synthesis of vitamin K clotting factors
* anticoagulant
* PT/INR (2-3 times control)
* signs of bleeding, no foods high in vitamin K |
|
|
Term
|
Definition
* HTN, edema due to heart failure, hepatic impairment
* inhibits reabsorption of Na and Cl from loop of henle
* loop diuretic
* orthostatic HTN
* BP, pulse, fluids, take in morning |
|
|
Term
|
Definition
* heart failure, a-fib
* increases force of myocardial contraction
* antiarrhythmics, slows heart beat
* monitor apical pulse, HR <60 withhold
* monitor electrolytes
* interacts - loop diuretics corticosteroids |
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