meds we need to know.txt

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golfdiva
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152729
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meds we need to know.txt
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2012-05-21 15:33:49
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meds medications
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PN 132 unit 1
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  1. imodium
    • slows intestinal mobility to control diarrhea
    • 4 mg then 2 mg after each loose stool, not to exceed 8mg/day
    • drowsy, dizzy
    • take after each loose BM, not to exceed 2 days
  2. lomotil
    • anti diarrheal, decreases movement of bowels
    • 5 mg PO QID, maintenance: as low as 1/4 initial dose
    • nausea, vomiting, loss of appetite, headache
    • not for children under 2 yo,
    • as needed up to 4 times per day
  3. peri-colace
    • ducusate - stool softener
    • senna - bowel stimulate
    • tablet = 8.6mg/50mg
    • 2 - 4 tabs PO qday divided doses
    • rectal bleeding, sever stomach pain, nausea, vomiting, no bowel movement
    • take with a full glass of water at bedtime
  4. colace
    • stool softener
    • 50 - 360 mg/day PO
    • excessive bowel activity, abdominal cramping
    • don't use if: Intestinal obstruction, symptoms of appendicitis or acute surgical abdomen, fecal impaction
  5. miralax
    • osmotic laxative
    • 17g (1 tbsp) in 8 oz water PO qD
    • abdominal distension, flatulence, excessive bowel activity, nausea, abdominal cramping
    • may require 2 - 4 days to produce a bowel movement
  6. Metamucil
    • bulk producing laxative
    • 2.5 - 7.5 g in 8 oz water PO
    • abdominal cramping, constipation, flatulence
    • must be mixed with 8 oz of water or juice
  7. zofran
    • antiemetic
    • 8mg PO q12 hrs
    • headache, constipation, malaise, diarrhea, dizziness
    • use on scheduled basis not PRN,
  8. phenergan
    • antiemetic
    • 12.5 - 25mg PO
    • sedation, confusion, disorientation
    • may impair ability to drive
  9. compazine
    • antiemetic
    • 5 - 10 mg PO q6 - 8 hours
    • akathisia (restlessness)
    • don't crush sl product
    • don't use w/ children w/ Reye Syndrome
  10. vicodin
    • analgesic
    • 1 - 2 tab/cap PO q4 - 6 hours PRN
    • biliary tract spasm, hallucinations, histamine release, dependence, urinary tract spasm
    • education about misuse and abuse
  11. morphine
    • analgesic, pain
    • 15 -60 mg PO q 4 - 6 hours no more than 120 mg/24 hours
    • constipation, drowsiness,
    • monitor resp., education on abuse
  12. dilaudid
    • moderate - severe pain
    • 2 - 4 mg q4 - 6 hr PRN
    • constipation, nausea, vomiting
    • monitor resp., education on abuse
  13. bactrim
    • sulfa drug for UTI
    • DS tablet: 1PO qDay
    • anorexia, nausea, vomiting, rash
    • education to take until med is gone
  14. cipro
    • antibiotic for UTI
    • 250 mg PO q 12 hr for 3 days
    • nausea, abdominal pain, diarrhea, vomiting, headache
    • take with main meal, preferable evening, may be taken w/ or w/o meal, drink fluids liberally
  15. macrodantin, macrobid
    • antibiotics, UTI
    • 50 - 100 mg PO q 12 hours
    • flatulence, headache, nausea
    • take with food or milk,
    • monitor liver functions and possible pulmonary reactions
  16. hytrin
    • alpha blocker, anti hypertensive
    • 1 mg PO qHS ? 1 - 5 mg qDay, may increase to < 20 mg/day
    • dizziness, asthenia
    • may cause syncope/sudden LOC
  17. proscar
    • reduces size of prostrate
    • 5 mg PO qDay, assess after 6 - 12 months
    • rash, breast tenderness/enlargement, decr. libido, decr volume of ejaculate, impotence
    • women should not handle crushed or broken tablets
  18. flomax
    • relaxes prostrate tissue for better stream
    • 0.4mg PO qDay, 30 minutes after same meal each day
    • abnormal ejaculation, dizziness, headache, rhinitis
    • may cause syncope
  19. B & O suppositories
    • belladonna and opium, relaxes bladder muscles, stops spasms
    • 1 suppository PR qDay or q12 hours
    • pruritus, urticaria, nausea, vomiting, photo phobia
    • not to exceed 4 doses /day
  20. pyridium
    • analgesic urinary
    • 200 mg PO TID
    • headache, vertigo, rash, pruritus, mild GI disturbances, skin pigmentation
    • give after meals to minimize GI side effects
  21. mylanta
    • Antacids; buffer or neutralize gastric acid, usually acting locally.
    • 15-45mg PO q3-6hrs
    • 1hour before or 3 hours after meals
    • Antacids interfere with the absorption of many drugs given orally; separate administration times by at least 2 hours.
    • Monitor for constipation or diarrhea resulting from antacid therapy
    • electrolyte imbalances
    • Monitor serum electrolytes, particularly sodium, calcium, and magnesium levelstake antacids for a long as prescribed even if symptoms are gonediarrheaconstipation
  22. pepcid
    • GERD; H2 receptor blocker
    • 20mg PO BID up to 4-6 weeks
    • To ensure absorption, do not give an antacid within 1 hour before or after giving an H2- receptor blocker.
    • When administered intravenously, do not mix with other drugs.
    • When administered intravenously, do not mix with other drugs.
    • H2- receptor blockers may inhibit the metabolism of other drugs, increasing the risk of toxicity.
    • take all the meds even if symptoms are gone
    • Long- term use of these drugs can lead to gynecomastia ( breast enlargement)
    • impotence in men
    • breast tenderness in women.
    • diarrhea
    • confusion,
    • rash
    • fatigue
    • malaise
    • bruising



  23. prilosec
    • GERD
    • Proton- pump inhibitor, inhibit the hydrogen- potassium- ATP pump, reducing gastric acid secretion.
    • 20mg PO qDay for 2-4 weeks
    • Administer 30 minutes before breakfast ( and at bedtime if ordered twice a day). Do not crush tablets.
    • can interfere with calcium absorption
    • black tarry stools (melena)
    • abdominal pain
    • diarrhea
    • Monitor liver function tests
    • take all meds, even if symptoms are gone
  24. reglan
    • promotility agent;
    • acting on the central nervous system,
    • stimulates upper gastrointestinal motility and gastric emptying
    • 10-15mg PO q6ht 30 min before meals and HS
    • no more than 80 mg qday
    • drowsiness
    • tardive dyskinesia
    • difficulty speaking or swallowing
    • loss of balance
    • Do not administer this drug to patients with possible gastrointestinal obstruction or bleeding, or a history of seizure disorders, pheochromocytoma, or Parkinson’s disease.
    • Give oral doses 30 minutes before meals and at bedtime.
  25. carafate
    • anatiulcer agent;
    • reacts with gastric acid to form a thick paste that adheres to damaged gastric mucosal tissue.
    • 1g PO BIDAdminister on an empty stomach,
    • 1 hour before meals and at bedtime.
    • constipation
    • Do not crush tablets.
    • Separate administration time from antacids by at least 30 minutes.
    • Take as directed, even after symptoms have been relieved.
    • Increase your intake of fluids and dietary fiber to prevent constipation.
  26. Insulin aspart
    NovoLog
    • onset: 10-20 minutes
    • peak: 1-3 hours
    • duration: 3-5 hours
    • clear
    • dose time: 5-10 minutes before meals
  27. Regular Insulin
    • onset: 30-60 minutes
    • peak: 1-5 hours
    • duration: 6-10 hours
    • clear
    • dose time: 30 minutes before meals
  28. Insulin glargine
    Lantus
    • onset: 1.1 hours
    • peak: none
    • duration: 24 hours
    • clear - do not mix
    • dose time: usually HS but any time
  29. actos
    • diabetes - improves cell response to insulin, decreases liver release of glucons
    • dose: 15-45mg
    • dose time: same time every day

  30. glucophage
    • diabetes - increases glucose uptake, decreases liver production of glucone, ldl, trig., choles
    • dose: 500-1000mg, 1-3 times / day
    • max dose: 2500mg/day
    • dose time: with meals
  31. Glucotrol
    • diabetes - stimulates pancreas, inhibits liver
    • dose: 5-10mg
    • dose time: 1/2 hour ac meals
  32. prandin
    • diabetes - stimulates panreas to produce a small burst of insulin
    • dose: 1- 8 mg, max dose 16mg/day
    • dose time: 0-30 minutes before each meal
  33. precose
    • diabetes - delays digestion of carbs, inhibits metabolism of glucose
    • dose: 35mg-100mg
    • dose time: before each meal

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