Term
| What are some nephrotoxic drugs? |
|
Definition
| aminoglycosides, -myocins, cyclosporin, prograf |
|
|
Term
| Describe the use of kayexalate to treat hyperkalemia |
|
Definition
| promote exchange of K for Na in GI system; need to hear bowel sounds prior to administration |
|
|
Term
| Describe the use of insulin and glucose to treat hyperkalemia? |
|
Definition
| uptake of glucose into the cell brings K with it |
|
|
Term
| Describe the use of alkalinizing agents to treat hyperkalemia |
|
Definition
| increase pH causing temporary K shift; bicarb |
|
|
Term
| What should be avoided if digoxin toxicity is suspected? |
|
Definition
|
|
Term
| What are the meds for CRF and why? |
|
Definition
| epoetin alfa (anemia), iron (prevent small pale RBCs), darbepoetin (stimulates erythropoeisis) |
|
|
Term
| What drug can stimulate appetite? |
|
Definition
|
|
Term
| What are the phosphate lowering agents used in treating CRF? |
|
Definition
| calcium acetate, ca carb, calcitriol, sevelamer |
|
|
Term
| What types of meds may potentially affect the hematologic system? |
|
Definition
| antibiotics, blood thinners, nsaids |
|
|
Term
| what are the mouth care products for compromised host patients? |
|
Definition
| nystatin/mycostatin (swish and swallow), mycelex troche, peridex (contains alcohol) |
|
|
Term
| what drug is given to neutropenic patient if fever persists? |
|
Definition
|
|
Term
| What antifungals are given to neutropenic patients? |
|
Definition
| amphotericin B, amblicet, diflucan |
|
|
Term
| What are the 3 anticoag therapies that are an alternative to coumadin? |
|
Definition
| dabigatran, xarelto and eliquis |
|
|
Term
| What are 4 antiplatelet meds? |
|
Definition
| plavix, ECA (entero coated aspirin), Persantine, integrilin |
|
|
Term
| What is an important side effect of erythropoietin use? |
|
Definition
| increased risk of blood clots; monitor WBC and ANC; ANC will decrease, then skyrocket |
|
|
Term
| Describe the administration of erythropoietin |
|
Definition
| SQ; DVT prophylaxis should be used; allow medication to warm up so it doesn't burn |
|
|
Term
| What is the purpose of Neupogen? |
|
Definition
| granulocyte colony stimulating factor for aplastic anemia treatment |
|
|
Term
| What are the side effects of neupogen use? |
|
Definition
| bone pain, thrombocytopenia, anemia |
|
|
Term
| What is another name for dilaudid? |
|
Definition
|
|
Term
| What are the CNS depressants? |
|
Definition
| barbituates (benzos, valium, versed, -pam, -lan) |
|
|
Term
| What are 5 types of adjunctive therapy for sickle cell pain? |
|
Definition
| antihistamines, sedatives, antiemetics, laxatives, and non pharmacolgic approaches |
|
|
Term
| What are 3 main drugs used in treatment of sickle cell? |
|
Definition
| penicillin (helps fight infection fom spleen loss), folic acid (healthy blood cell production), and hydroxyurea (anticancer drug to reduce pain) |
|
|
Term
| How does hydroxyurea work? |
|
Definition
| causes large increase in fetal hemoglobin which carries more O2; takes a long time to work |
|
|
Term
| What type of condition does allopurinol treat? |
|
Definition
|
|
Term
| What are the 3 types of steroids for management of idiopathic thrombocytopenic purpura? |
|
Definition
| prednisone (PO), solumedrol (IV), Decadron (both) |
|
|
Term
| What drug used to treat DIC is also used to treat hemophilia? |
|
Definition
|
|
Term
| What is the drug name for FActor 8 concentrate? |
|
Definition
|
|
Term
| Describe desmopressin acetate |
|
Definition
| DDAVP; synthetic vasopressin (antidiuretic hormone) |
|
|
Term
| What is the main risk associated with amicar? |
|
Definition
| increased risk of thrombosis |
|
|
Term
| What is a side effect of too much tylenol |
|
Definition
|
|
Term
| What is an option for parenteral anticoag treatment |
|
Definition
| idraparinux sodium; taken once per week |
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