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NUR 115 Exam 4, Admin/Teaching
Combined administration/pertinent patient teaching
60
Pharmacology
Not Applicable
04/10/2010

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Cards

Term
penicillin G
(Pentids)
Definition
ANTIBACTERIAL, PENICILLINS:
-PO/IV (mostly PO)
-Hx of allergies (5-10% pts allergic to PCN)
-take w/full glass water
-NOT W/ACIDIC JUICE
-follow-up labs w/hx of renal or CV Dz
-additive FX w/oral anticoagulants
-PCN reduces efficacy of birth cont. pills
-caution w/diuretics
Term
cefotamine
(Claforan)
Definition
ANTIBACTERIAL, CEPHALOSPORINS:
-Allergy Hx (cross sensitivity to PCN)
-follow-up labs (pt. w/renal Dz)
-Report diarrhea or urinary output changes
-NO ALCOHOL USE: SIMULATES DISULFIRAM (ANTABUSE) FX
-additive FX w/oral anticoagulants (reduced vit. K metabolism)
Term
tetracycline
(Achromycin)
Definition
ANTIBACTERIAL, TETRACYCLINES:
-PO/IM/topical
-QID due to short T1/2
-w/full glass of water
-Not w/milk products, iron, Mg (in laxatives/antacids), antilipidemics (these reduce absorption)
-Don't take antacids till 2 Hrs. after
-Don't use in 2nd 1/2 OF PREGNANCY
-not for children <8 yrs. (tooth discoloration)
-not for pt. w/ renal/liver Dz
-Contraception
-Avoid sun exposure (sunscreen)
-HIGH RISK OF NEPHROTOXICITY WITH EXPIRED MEDS
Term
erythromycin
(E-Mycin, Erythrocin)
Definition
ANTIBACTERIAL, MACROLIDES:
-w/full glass of water
-Not w/fruit juices
-
Term
gentamicin
(Geramycin)
Definition
ANTIBACTERIAL, AMINOGLYCOSIDES:
-
Term
ciprofloxacin
(Cipro)
Definition
ANTIBACTERIAL, FLOUROQUINOLONES:
-
Term
trimethoprim-sulfamethoxazole
(Bactrim, Septra)
Definition
ANTIBACTERIAL, SULFONAMIDES:
-
Term
imipenem/cilastatin
(Primaxin)
Definition
ANTIBACTERIAL, CARBAPENEMS (MISC):
Term
nitrofurantoin
(Macrodantin)
Definition
ANTIBACTERIAL, URINARY ANTISEPTICS (MISC):
-
Term
vancomycin
(Vancocin)
Definition
ANTIBACTERIAL, MONOBACTAMS:
-
Term
isoniazid
(INH)
Definition
ANTITUBERCULAR, FIRST-LINE:
-
Term
nystatin
(Mycostatin)
Definition
ANTIFUNGALS, SUPERFICIAL:
-
Term
amphotericin B
(Fungizone)
Definition
ANITFUNGAL, SYSTEMIC:
-
Term
fluconazole
(Diflucan)
Definition
ANTIFUNGAL, SYSTEMIC (may be used superficially also)
-
Term
chloroquine
(Aralen)
Definition
ANTIPARASITIC, ANTIPROTOZOAL:
-
Term
metronidazole
(Flagyl)
Definition
ANTIPARASITIC, ANTIPROTOZOAL:
-
Term
mebendazole
(Vermox)
Definition
ANTIPARASITIC, ANTIHELMINTHIC:
-
Term
zidovudine
(AZT, Retrovir)
Definition
ANTIVIRALS, ANTIRETROVIRALS:
-
Term
nevirapine
(Viramune)
Definition
ANTIVIRAL, ANTIRETROVIRAL:
-
Term
saquinavir
(Invirase, Fortovase)
Definition
ANTIVIRAL, ANTIRETROVIRAL:
-
Term
acyclovir
(Zovirax)
Definition
ANTIVIRAL, ANTIHERPESVIRAL
-
Term
cyclophosphamide
(Cytoxan)
Definition
ANTINEOPLASTIC, ALKYLATING AGENT:
-
Term
methotrexate
(Folex, Mexate)
Definition
ANTINEOPLASTIC, ANTIMETABOLITE:
-
Term
doxorubicin
(Adriamycin)
Definition
ANTINEOPLASTIC, ANTITUMOR ANTIBIOTIC:
-
Term
tamoxifen
(Nolvadex)
Definition
ANTINEOPLASTIC, ANTIESTROGEN:
-
Term
vincristine sulfate
(Oncovin)
Definition
ANTINEOPLASTIC, NATURAL PRODUCTS:
-
Term
calcium gluconate
(Kalcinate)
Definition
CALCIUM REGULATORS, Ca SUPPLEMENTS:
-
Term
calcitriol
(Calcijex, Rocaltrol)
Definition
CALCIUM REGULATORS, VITAMIN D SUPPLEMENTS:
-
Term
etidronate disodium
(Didronel)
Definition
CALCIUM REGULATORS, BIPHOSPHONATES:
-
Term
raloxifene
(Evista)
Definition
CALCIUM REGULATORS, SERMS (Selective Estrogen Receptor Modulators):
-
Term
hydroxychloroquine sulfate
(Plaquenil)
Definition
ANTIRHEUMATICS, DMARDs (Disease-modifying antirheumatic drugs)
-
Term
colchicine
Definition
ANTIGOUT, URIC ACID INHIBITOR:
-
Term
lindane
(Kwell)
Definition
ANTIINFECTIVE, ANTIPARASITIC:
-
Term
benzocaine
(Solarcaine)
Definition
ANESTHETIC, LOCAL:
-
Term
isotretinoin
(Accutane)
Definition
ANTIACNE:
-
Term
latanoprost
(Xalatan)
Definition
ANTIGLAUCOMA, PROSTAGLANDIN:
-
Term
timolol
(Timoptic, Timoptic XE)
Definition
ANTIGLAUCOMA, BETA-ADRENERGIC BLOCKER:
-
Term
ranitidine
(Zantac)
Definition
ANTIULCER, HISTAMINE-RECEPTOR ANTAGONIST:
-
Term
omeprazole
(Prilosec)
Definition
ANTIULCER, PROTON-PUMP INHIBITOR:
-
Term
aluminum hydroxide
(Amphojel)
Definition
ANTIULCER, ANTACID:
-
Term
sucralfate
(Carafate)
Definition
ANTIULCER, MISC.:
-
Term
misoprostol
(Cytotec)
Definition
ANTIULCER, MISC.:
-
Term
psyllium mucilloid
(Metamucil)
Definition
LAXATIVES, BULK-FORMING AGENT:
-
Term
docusate sodium
(Colace)
Definition
LAXATIVES, STOOL SOFTENER/SURFACTANT:
-
Term
magnesium hydroxide
(Milk of Magnesia)
Definition
LAXATIVES, OSMOTIC:
-
Term
bisacodyl
(Dulcolax)
Definition
LAXATIVE, STIMULANT:
-
Term
diphenoxylate with atropine
(Lomotil)
Definition
ANTIDIARRHEAL, OPIOID:
-
Term
scopolamine
(Transderm Scop)
Definition
ANTIEMETIC, ANTICHOLINERGIC:
--PO/IV/IM
-for prevention of N, admin. 30-60 min. before activity then q 4-6 hrs
-Parenteral: DO NOT MIX W/OTHER AGENTS
-Take before N/V (if expected)
-Short-term use only
-may sip clear liquids after N/V subside
-Avoid driving w/use
-Reduce activity w/N/V symptoms
-Avoid alcohol & other CNS depressants, antihypertensives, other antihistamines
-follow-up CBC, electrolytes if excessive vomiting has occured
-Multiple antiemetics OK w/o incr. adv. FX
-Contra: children, OAs, Hx of urinary retention/obstruction, some glaucoma
Term
dimenhydrinate
(Dramamine)
Definition
ANTIEMETIC, ANTIHISTAMINE:
--PO/IV/IM
-for prevention of N, admin. 30-60 min. before activity then q 4-6 hrs
-Parenteral: DO NOT MIX W/OTHER AGENTS
-Take before N/V (if expected)
-Short-term use only
-may sip clear liquids after N/V subside
-Avoid driving w/use
-Reduce activity w/N/V symptoms
-Avoid alcohol & other CNS depressants, antihypertensives, other antihistamines
-follow-up CBC, electrolytes if excessive vomiting has occured
-Multiple antiemetics OK w/o incr. adv. FX
-Contra: children, OAs, Hx of urinary retention/obstruction, some glaucoma
Term
prochlorperazine
(Compazine)
Definition
ANTIEMETIC, PHENOTHIAZINE/DOPAMINE ANTAGONIST:
-Rectal, IM/IV
-Parenteral: DO NOT MIX W/OTHER AGENTS
-Take before N/V (if expected)
-Short-term use only
-may sip clear liquids after N/V subside
-Avoid driving w/use
-Reduce activity w/N/V symptoms
-Avoid alcohol & other CNS depressants, antihypertensives, other antihistamines
-follow-up CBC, electrolytes if excessive vomiting has occured
-Multiple antiemetics OK w/o incr. adv. FX
-Contra: children, OAs, Hx of urinary retention/obstruction, some glaucoma
Term
ondansetron
(Zofran)
Definition
ANTIEMETIC, SERATONIN ANTAGONIST:
-PO/IV/IM
-for prevention of N, admin. 30-60 min. before activity then q 4-6 hrs
-Parenteral: DO NOT MIX W/OTHER AGENTS
-Take before N/V (if expected)
-Short-term use only
-may sip clear liquids after N/V subside
-Avoid driving w/use
-Reduce activity w/N/V symptoms
-Avoid alcohol & other CNS depressants, antihypertensives, other antihistamines
-follow-up CBC, electrolytes if excessive vomiting has occured
-Multiple antiemetics OK w/o incr. adv. FX
-Contra: children, OAs, Hx of urinary retention/obstruction, some glaucoma
Term
dronabinol
(Marinol)
Definition
ANTIEMETIC, CANNABINOIDS:
-PO/IV/IM
-for prevention of N, admin. 30-60 min. before activity then q 4-6 hrs
-Parenteral: DO NOT MIX W/OTHER AGENTS
-Take before N/V (if expected)
-Short-term use only
-may sip clear liquids after N/V subside
-Avoid driving w/use
-Reduce activity w/N/V symptoms
-Avoid alcohol & other CNS depressants, antihypertensives, other antihistamines
-follow-up CBC, electrolytes if excessive vomiting has occured
-Multiple antiemetics OK w/o incr. adv. FX
-Contra: children, OAs, Hx of urinary retention/obstruction, some glaucoma
Term
metoclopramide
(Reglan)
Definition
ANTIEMETIC, PROKINETIC:
-PO/IV/IM
-for prevention of N, admin. 30-60 min. before activity then q 4-6 hrs
-Parenteral: DO NOT MIX W/OTHER AGENTS
-Take before N/V (if expected)
-Short-term use only
-may sip clear liquids after N/V subside
-Avoid driving w/use
-Reduce activity w/N/V symptoms
-Avoid alcohol & other CNS depressants, antihypertensives, other antihistamines
-follow-up CBC, electrolytes if excessive vomiting has occured
-Multiple antiemetics OK w/o incr. adv. FX
-Contra: children, OAs, Hx of urinary retention/obstruction, some glaucoma
Term
sibutramine
(Meridia)
Definition
ANOREXIANT:
-
Term
pancrelipase
(Cotazym, Pancrease)
Definition
NUTRITIONAL REPLACEMENT, PANCREATIC ENZYME:
-
Term
vitamin A
(Aquasol)
Definition
NUTRITIONAL REPLACEMENT, VITAMIN:
-
Term
folic acid
(Folacin, Folvite)
Definition
NUTRITIONAL REPLACEMENT, VITAMIN:
-
Term
hepatitis B vaccine
(Recombivax HB, Engerix-B)
Definition
IMMUNIZATION AGENT, VACCINE:
-IM (3 dose series) in deltoid for adult
--in anterolateral thigh for neonate
-Shake vial for uniform suspension
-Doc. lot# after admin.
-Contra: active infection or fever; immunocompromised pt.; compromised CV status, pregnancy
-Teach risk of contracting vacc. Dz and CDC immun. recommendations (adult/child)
-Contraception for 1 mo. after vaccination
-Provide evidence of immunization
-Provide date for next vaccination
-discuss side-FX and reportable symptoms (allergies)
Term
interferon alfa-2A
(Roferon-A)
Definition
IMMUNOSTIMULANT, INTERFERONS:
-SQ/IM (SQ w/bleeding risk)
-Take baseline weight, mental status, CBC, platelet count, liver/renal funct.
-good hydration before administration
-Contra: renal/liver Dz;
-NEONATES/INFANTS/PREGNANCY, hepatitis, blood dyscrasias, CP Dz, neuropsychiatric disorders
-teach proper injection technique
-avoid alcohol use (HEPATOTOXIC)
-Report adv fx immediately, esp. INFECTION or BLEEDING
Term
cyclosporine
(Sandimmune, Neoral)
Definition
IMMUNOSUPRESSANT, CALCINEURIN INHIBITOR:
-PO/IV (slow IV first 30 min.)
-Neoral and Sandimmune differ in dosage
-baseline CBC, kidney/liver funct., electrolytes
-dilute, but no grapefruit juice w/PO
-Contra: renal/liver Dz; pregnancy/lactation; recently admin. live vaccine (esp. viral or blood dyscrasias)
-w/meals
-mix w/milk, choc. milk, orange juice
-Use glass not plastic container
-Contraception
-report s/sx of infection, urinary changes
-Follow-up: CBC, electrolyte, BUN, Cr; AST, ALT; peak/trough
-Infection & injury prevention
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