XANAX/ALPRAZOLAM

CLASS: ANTIANXIETY

INDICATIONS: ANXIETY, PANIC ATTACKS, & PMS

SE: DIZZINESS, DROWSINESS, & LETHARGY

INTERACTIONS: CIGERETTE SMOKING, GRAPEFRUIT JUICE.

CONTRAINDICATED: SEVERE UNCONTROLLED PAIN & GLAUCOMA.

CAUTION: HX OF SUICIDE ATTEMPT & FALL RISK.

IMPLICATIONS: ASSESS ANXIETY, DIVIDE DOSE IF ANXIOUS BETWEEN DOSES.

CLASS: OPIOID ANALGESIC

INDICATIONS: MOD.-SEVERE PAIN, ANESTHESIA ADJUNCT, ANALGESIC DURING LABOR, PRE-OP SED. & RIGORS.

SE: SEIZURES, CONFUSION, CONSTIPATION, SEDATION, HYPOTENSION, N&V.

CONTRA: ALLERGY TO BISULFITES & MAOI THERAPY.

CAUTION: HEAD TRAUMA, HYPOTHYROIDISM, ADRENAL INSUFFICIENCY, ADOMINAL PAIN, PROSTATIC HYPERPLASIA, EXTENSIVE BURNS & SICKLE CELL ANEMIA.

IMPLICATIONS: ASSESS VITALS, MONITOR CNS STIMULATION.

ANTIDOTE: NARCAN

CLASS: OPIOID ANALGESIC

INDICATIONS: SEVERE PAIN, PULMONARY EDEMA, PAIN W/MI.

SE: RESPIRATORY DEPRESSION, SEDATION, CONFUSION, HYPOTENSION & CONSTIPATION.

INTERACTIONS: EXTREME CAUTION IN MAOI THERAPY WITHIN 14 DAYS PRIOR, & WARFARIN.

CAUTION: HEAD TRAUMA, HYPOTHYROIDISM, ADRENAL INSUFFICIENCY, ABDOMINAL PAIN, PROSTATIC HYPERTROPHY.

IMPLICATIONS: PTS ON CONTINUOUS INFUSION RECEIVE BOLUS Q 15-30 MIN. ASSESS LOC.

ANTIDOTE: NARCAN

CLASS: OPIOID ANTAGONIST

INDICATIONS: REVERSAL OF CNS & RESPIRATORY DEPRESSION, NARCOTIC INDUCED PRURITIS, & MANAGEMENT OF REFRACTORY CIRCULATORY SHOCK.

SE: HTN, HYPOTENSION, V-FIB, V-TACH, N&V.

CONTRA: CARDIOVASCULAR DISEASE.

IMPLICATIONS: MONITOR VITALS. WATCH FOR WITHDRAWAL & IF NO IMPROVEMENT...DEPRESSION CAUSED FROM SOMETHING ELSE.

CLASS: OPIOID ANALGESIC

INDICATION: MOD.-SEVERE PAIN, ANALGESIA DURING LABOR, PRE-OP SEDATION, & SUPPLEMENT TO BALANCED ANESTHESIA.

SE: CONFUSION, DYSPHORIA, HALLUCINATIONS, SEDATION, NAUSEA & SWEATING.

CAUTION: HEAD TRAUMA, HYPOTHYROIDISM, ADRENAL INSUFFICIENCY, ABDOMINAL PAIN, PROSTATIC HYPERTROPHY.

IMPLICATIONS: ACCIDENTAL OD=FATALITY, RAPID IV ADMIN=INCREASED RESPIRATORY DEPRESSION

ANTIDOTE: NARCAN

CLASS: ANTI-INFECTIVE

INDICATIONS: TX OF INFECTIONS: SKIN & SKIN STRUCTURE, OTITIS MEDIA, SINUSITIS, RESP. TRACT INFECTIONS, GU TRACT INFECTIONS.

SE: SEIZURES, PSEUDO. COLITIS, ANAPHYLAXIS, SERUM SICKNESS, DIARRHEA & RASHES.

INTERACTIONS: WARFARIN & ABSORPTION IS DECREASED BY A HIGH FAT MEAL.

CONTRA: ALLERGY TO PENICILLINS & CLUVULANATE.

IMPLICATIONS: OBSERVE FOR ANAPHYLAXIS. REPORT S/S OF SUPER INFECTION.

CLASS: ANTI-INFECTIVE

INDICATION: INFECTIONS: UPPER & LOWER RESP INFECTIONS, OTITIS MEDIA, SKIN & SKIN STRUCTURE, PERTUSSIS, DIPTHERIA, ERYTHRASMA, INTESTINAL AMEBIASIS, PELVIC INFLAMMATORY DISEASE, NONGONOCOCCAL URETHRITIS, SYPHILLIS, LEGIONNAIRES DISEASE, RF, STREP, SYPHILLIS, GONORRHEA & TX OF ACNE.

SE: QT PROLONGATION, VENTRICULAR ARRHYTHMIAS, N&V, & PHLEBITIS.

IMPLICATIONS: FILM COATED TABLETS ARE ABSORBED BETTER ON AN EMPTY STOMACH.

CLASS: ANTI-INFECTIVE

INDICATIONS: UTI, GYNECOLOGIC INFECTIONS, GONORRHEA, & PROSTATITIS.

SE: SEIZURES, ARRHYTHMIAS, PSEUDO. COLITIS, ANAPHYLAXIS, STEVEN JOHNSON SYNDROME, DIZZINESS, DROWSINESS, HA, INSOMNIA, ABDOMINAL PAIN, DIARRHEA, & NAUSEA.

INTERACTIONS: CONCURRENT TUBE FEEDING, YOGURT & MILK

CONTRA: SUNLIGHT

IMPLICATIONS:OBSERVE FOR ANAPHYLAXIS, NOTIFY IS FAMILY HX OF PROARRHYTHMIC CONDITIONS, NOTIFY IF FEVER, DIARRHEA, OR STOOL W/PUS, BLOOD OR MUCUS OCCURS, NOTIFY IF RASH, TENDON PAIN, OR INFLAMMATION OCCUR, & REPORT S/S OF SUPER INFECTION.

CLASS: BRONCHODILATOR

INDICATIONS: BRONCHOSPASM DUE TO REVERSIBLE AIRWAY DISEASE(SHORT TERM)

SE: TACHY, PARADOXICAL BRONCHOSPASM, TURBINATE EDEMA, ANXIETY, DIZZINESS, HA, NERVOUSNESS, INCREASED COUGH, DYSPEPSIA, HYPERGLYCEMIA, HYPOKALEMIA & TREMOR.

INTERACTIONS: TRICYCLIC ANTIDEPRESSANTS, MAOIs, BBs, POTASSIUM LOSING DIURETICS, DIG, HYDROCARBON INHALATION ANESTHETICS.

CAUTION: CD, HX OF SEIZURE, HYPOKALEMIA, HYPERTHYROIDISM, DM, UNUSUAL SENSITIVITY TO ADRENERGIC AMINES.

IMPLICATIONS: ASSESS LUNG SOUNDS, PULSE & BP B/4 & DURING PEAK OF MED. (PEAK 90MIN); MONITOR PULMONARY FUNCTION TESTS B/4 & AFTER THERAPY; OBSERVE FOR PARADOXICAL BRONCHOSPASM, ALLOW 1 MIN BETWEEN INHALATIONS; USE B/4 OTHER INHALANTS & WAIT 5 MIN BETWEEN.

CLASS: ANTIULCER

INDICATIONS: PREVENTION OF GASTRIC MUCOSAL INJURY FROM NSAIDs, ASPIRIN, HIGH RISK PTS W/MIFEPRISTONE FOR TERMINATION OF PREGNANCY, & TX OF DUODENAL ULCERS.

SE: ABDOMINAL PAIN, DIARRHEA, MISCARRIAGE.

INTERACTIONS: MAG CONTAINING ANTACIDS.

CAUTION: WHEN USED FOR CERVICAL RIPENING MAY CAUSE UTERINE RUPTURE.

IMPLICATIONS: ASSESS FOR ABDOMINAL PAIN, ASSESS FOR PREGNANCY (USED ON 2ND OR 3RD DAY AFTER PERIOD), ANTACIDS FOR PAIN RELIEF, NOTIFY IF BLACK TARRY STOOL.

CLASS: ANTIEMETIC, ANTIHISTAMINE, SEDATIVE/HYPNOTIC

INDICATIONS: TX OF ALLERGIC CONDITIONS, MOTION SICKNESS, PRE-OP SEDATION, TX & PREVENTION OF N&V, ADJUNCT TO ANESTHESIA & ANALGESIA.

SE: NEUROLEPTIC MALIGNANT SYNDROM

CONTRA: CAMATOSE PT, PROSTATIC HYPERTROPHY, BLADDER NECK OBSTRUCTIONS, GLAUCOMA.

CAUTION: HTN, SLEEP APNEA, EPILEPSY, & BONE MARROW DEPRESSION.

IMPLICATIONS: MONITOR VITALS & SEDATION LEVEL; ASSESS FOR S/S OF ALLERGIES; MAY CAUSE FALSE + OR - PREGNANCY RESULTS; STRESS MOUTH CARE; AVOID ORTHOSTATIC HYPOTENSION; FOR MOTION SICKNESS, TAKE 30MIN-2HR B/4.

CLASS: ANTIULCER

INDICATIONS: EROSIVE ESOPHAGITIS ASSOC. W/GERD & GASTRIC HYPERSECRETORY CONDITIONS.

SE: HA, ABDOMINAL PAIN, DIARRHEA, ERUCTATION, FLATULENCE, & HYPERGLYCEMIA.

IMPLICATIONS: ASSESS FOR ABDOMINAL PAIN; MAY CAUSE ABNORMAL LIVER FUNCTION FUNCTION TESTS; AVOID ALCOHOL, ASPIRIN OR NSAIDs; REPORT BLACK TARRY STOOLS.