Card Set Information

2011-10-25 02:50:17

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  1. Norcuron
    • Adjuvant in surgical anesthesia to relax skeletal muscle for surgery
    • Often used to facilitate endotracheal intubation, laryngoscopy,bronchoscopy, and esophagoscopy in combination with general anesthetics
    • Side effects include skeletal muscle weakness with prolonged use
  2. Aminophylline
    (Phyllocontin, Truphylline)
    • Aminophylline is used to prevent and treat wheezing, shortness of breath, and difficulty breathing caused by asthma, chronic bronchitis, emphysema, and other lung diseases
    • It relaxes and opens air passages in the lungs, making it easier to breathe
    • Take the tablets or oral liquid with a full glass of water on an empty stomach, at least 1 hour before or 2 hours after a meal
    • Do not chew or crush the long-acting tablets; swallow them whole.
    • Tell your doctor if you have or have ever had seizures, heart disease, an overactive or underactive thyroid gland, high blood pressure, or liver disease or if you have a history of alcohol abuse
    • Drinking or eating foods high in caffeine, like coffee, tea, cocoa, and chocolate, may increase the side effects
    • May cause upset stomach, stomach pain, diarrhea, headache, restlessness, insomnia, irritability
  3. Primaxin
    (Imipenem and Cilistatin)
    • Antibiotic
    • Stops the growth of bacteria
    • Treats only bacterial infections
    • This medication is given by injection into a muscle or vein, usually every 6 to 8 hours or as directed by your doctor
    • Antibiotics work best when the amount of medicine in your body is kept at a constant level. Therefore, use this drug at evenly spaced intervals. The dosage is based on your medical condition and response to treatment
    • Swelling, redness, pain, or soreness at the injection site may occur
    • May also infrequently cause upset stomach, nausea, vomiting, or diarrhea
    • Unlikely but serious side effects occur: dark urine, easy bruising/bleeding, hearing changes (e.g., decreased hearing, ringing in the ears), mental/mood changes (e.g., confusion, hallucinations), persistent sore throat/fever, swollen tongue, tingling hands/feet, yellowing eyes/skin, muscle twitching/spasms
    • Rare but very serious side effects occur: seizures, unusual weakness
    • May rarely cause a severe intestinal condition (Clostridium difficile-associated diarrhea)
    • Use of this medication for prolonged or repeated periods may result in oral thrush or a new vaginal yeast infection
    • Tell your doctor or pharmacist if you are allergic to either of its ingredients; or to penicillins or cephalosporins
    • Tell your doctor or pharmacist your medical history, especially of: brain disorders (e.g., seizures, head injury, tumor), kidney disease, liver disease, stomach/intestinal diseases (e.g., colitis)
    • This medication is removed by the kidneys
    • Laboratory and/or medical tests (e.g., complete blood count, kidney/liver function tests) may be performed periodically to monitor your progress or check for side effects
  4. Albuterol
    • Bronchodilator
    • Albuterol is used to prevent and treat wheezing, difficulty breathing and chest tightness caused by lung diseases such as asthma and chronic obstructive pulmonary disease (COPD; a group of diseases that affect the lungs and airways)
    • Works by relaxing and opening the air passages to the lungs to make breathing easier
    • Swallow the extended-release tablets whole with plenty of water
    • Tell your doctor if you have or have ever had an irregular heartbeat, heart disease, high blood pressure, hyperthyroidism, diabetes, or seizures
    • Albuterol sometimes causes wheezing and difficulty breathing
    • May cause nervousness, shakiness, dizziness, headache, uncontrollable shaking of a part of the body, muscle cramps, excessive motion or activity, sudden changes in mood, nosebleed, nausea, increased or decreased appetite, difficulty falling asleep or staying asleep, pale skin
  5. Versed
    • Benzodiazepine
    • Used for treatment of acute seizures, moderate to severe insomnia, and for inducing sedation and amnesia before medical procedures
    • Profoundly potent anxiolytic, amnestic, hypnotic, anticonvulsant, skeletal muscle relaxant, and sedative properties
    • Flumazenil is a benzodiazepine antagonist drug that can be used to treat an overdose of midazolam as well as to reverse sedation
    • Intravenous midazolam is indicated for procedural sedation (often in combination with an opioid, such as fentanyl), for preoperative sedation, for the induction of general anesthesia, and for sedation of ventilated patients in critical care units
    • Oral midazolam is indicated for the short term treatment of moderately severe insomnia in patients who have not reacted adequately to other hypnotics, and who have persistent trouble in falling asleep
    • Benzodiazepines require special precaution if used in the elderly, during pregnancy, in children, in alcohol or drug-dependent individuals or individuals with comorbid psychiatric disorders
    • Kidney or liver impairments may slow down the elimination of midazolam leading to prolonged and enhanced effects
    • Contraindications include hypersensitivity, acute narrow angle glaucoma, shock, hypotension or head injury. Most are relative contraindications
    • Benzodiazepines can cause or worsen depression
    • Paradoxical excitement occasionally occurs with benzodiazepines, including a worsening of seizures
    • Children and elderly individuals or those with a history of alcohol abuse and individuals with a history of aggressive behavior or anger are at increased risk of paradoxical effects
    • If IV midazolam is given too quickly, hypotension may occur
    • In susceptible individuals, midazolam has been known to cause a paradoxical reaction-when this occurs, the individual may experience anxiety, involuntary movements, aggressive or violent behavior, uncontrollable crying or verbalization, and other similar effects
    • Known to cause respiratory depression
  6. Alupent
  7. Lasix
    • Diuretic
    • Inhibits the reabsorption of sodium and chloride from the loop of Henle and distal renal tube
    • Increases renal excretion of water, sodium, chloride, magnesium, potassium, and calcium
    • Effectiveness persists in impaired renal function
    • Diuresis and subsequent mobilization of excess fluid
    • Decrease blood pressure.
    • Used for edema due to heart failure, hepatic impairment, or renal disease. Hypertension.
    • Contraindications-hypersensitivity, cross-sensitivity with thiazides and sulfonamides may occur, hepatic coma or anuria, some liquid products may contain alcohol, avoid in patients with alcohol intolerance.
    • Side effects include aplastic anemia, agranulocytosis, hypochloremia, dehydration, hypokalemia.
    • Assess fluid status, monitor daily weight, intake and output ratios, amount and location of edema, lung sounds, skin turgor, and mucous membranes
    • Monitor blood pressure and pulse before and during administration
    • Assess patient for tinnitus and hearing loss
    • Monitor electrolytes, renal and hepatic function, serum glucose, and uric acid levels before and periodically throughout therapy
    • Advise patient to contact health care professional of weight gain more than 3 lbs in one day
  8. Heparin
    • Anticoagulant
    • Prevents further extension of existing thrombi or new clot formation-no effect on existing clots
    • Prophylaxis, treatment of thrombo-embolic disorders
    • Prevention of thromboembolus in cardiac and vascular surgery, dialysis procedures, blood transfusions, blood sampling for laboratory purposes
    • Side effects pruritus, burning caused by vasospastic reaction, pain
    • Monitor aPTT diligently
    • Assess Hct, platelet count, AST, ALT, urine and stool for occult blood
    • Avoid IM injections of other medications due to potential for hematoma
  9. Coumadin
    • Anticoagulant
    • Prevents further extension of formed existing clot; prevents new clot formation, secondary thromboembolic complications.
    • Anticoagulant, prophylaxis, treatment of venous thrombosis, pulmonary embolism
    • Treatment of thromboembolism associated with chronic atrial fibrillation
    • Adjunct in the treatment of coronary occlusion
    • Prophylaxis, treatment of thrombolembolic complications associated with cardiac valve replacement
    • Reduces risk of death, recurrent MI, stroke, embolization after MI
    • Side effects-nausea, abdominal cramps, anorexia
    • Monitor INR reports diligently
    • Assess Hct, platelet count, urine/stool for occult blood, AST, ALT
    • Decrease in B/P, increase in pulse rate may be signs of hemorrhage
  10. Solumedrol
    • Anti-inflammatory
    • Decreases inflammation
    • Used systematically and locally in a wide variety of chronic diseases
    • Suitable for alternate day dosing in the management of chronic illness, replacement therapy in renal insufficiency
    • Side Effects-Insomnia, heartburn, anxiety
    • Assess emotional status, ability to sleep
    • Monitor daily pattern of bowel activity and stool consistency
    • Take oral dose with food or milk
  11. Metaproterenol
  12. Terbutaline