Clinical Meds

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Author:
CharlieSCC
ID:
183516
Filename:
Clinical Meds
Updated:
2012-11-13 21:05:52
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Clinical Meds
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Description:
meds administered info
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  1. Generic - torsemide

    Trade?
    Demadex
  2. Trade - Demadex

    Generic ?
    torsemide
  3. torsemide - Demadox

    Classification ?
    Therapeutic - antihypertensive

    Pharmacologic - loop diuretic
  4. torsemide - Demadox

    Usual dosage range?
    10 - 200mg/day
  5. torsemide - Demadox

    MOA?
    Inhibits reabsorbtion of sodium & chloride from loop of Henle & distol Renal tubule

    increases renal excretion of water, sodium, chloride, magnesium, hydrogen, calcium
  6. torsemide - Demadox

    Therapeutic use?
    Mobilization of excess fluid of edema

    decrease B/P
  7. torsemide - Demadox

    Side effects?
    dehydration

    hypokalemia

    hypochloremia

    hypovolemia

    metabolic alkalosis
  8. torsemide - Demadox

    implications
    assess fluid status by weight & I&O

    assess edema, lung sounds, skin turgor

    monitor BP

    assess tinnitis & hearing loss

    assess frequently for skin rash

    give in AM with food or milk to minimize gastric irritation
  9. torsemide - Demadox

    Evaluation?
    decrease edema, BP, abdominal girth, & Weight

    increase urinary output
  10. Prenatal Plus - multivitamin

    MOA?
    supplement vitamin for increased overall health by providing a number of vitamins
  11. Prenatal Plus - multivitamin

    Therepeutic use?
    improve nutritional status and prevent vitamin deficiency
  12. Prenatal Plus - multivitamin

    side effects
    N/D

    constipation

    Life threatening - allergic reaction
  13. Prenatal Plus - multivitamin

    implications
    assess drug interactions

    do no take with antacids, thyroid meds, & some antibiotics

    Not a substitute for a proper diet

    don't double dose a missed dose
  14. Prenatal Plus - multivitamin

    evaluation
    provision of essential vitamins to assist with maintaining health
  15. Prinivil, Zestril

    generic?
    lisinopril
  16. lisinopril

    trade?
    Prinivil, Zestril
  17. lisinopril - Prinivil, Zestril

    classification?
    pharmacologic - ACE inhibitor

    therapeutic - antihypertensive
  18. lisinopril - Prinivil, Zestril

    usual dosage?
    10 - 40 mg/day
  19. lisinopril - Prinivil, Zestril

    MOA
    Block conversion of angiotensin I to angiotensin II (vasoconstrictor)

    increase renin levels, decrease aldosterone levels for systemic vasodilation
  20. lisinopril - Prinivil, Zestril

    Therapeutic use
    Lower BP, manage HTN

    decrease development of HF, stroke, MI
  21. lisinopril - Prinivil, Zestril

    Side effects
    cough, hypotension, taste disturbances

    Life threatening - agranulocytosis, angioedema
  22. lisinopril - Prinivil, Zestril

    implications
    monitor bp & P, weight, & resolution of fluid overload

    assess for angioedema - dyspnea, facial swelling
  23. lisinopril - Prinivil, Zestril

    Evaluation
    decrease BP without excessive side effects

    decrease risk of HF
  24. Dulculax, Colase, Correctol

    generic
    docusate sodium
  25. docusate sodium

    trade
    Dulculax, Colase, Correctol
  26. docusate sodium - Dulculax, Colase, Correctol

    Classification
    Pharmacologic - stool softener

    therapeutic - laxative
  27. docusate sodium - Dulculax, Colase, Correctol

    usual dosage range
    50 - 400 mg in 4 divided doses
  28. docusate sodium - Dulculax, Colase, Correctol

    MOA
    promotes incorporation of water into stool, resulting in softer fecal mass. 

    May promote electrolyte and water secretion into the colon
  29. docusate sodium - Dulculax, Colase, Correctol

    Therapeutic
    softening and passage of stool

    prevent constipation
  30. docusate sodium - Dulculax, Colase, Correctol

    Side effects
    mild cramps

    D

    rash

    dependance possible over prolonged use
  31. docusate sodium - Dulculax, Colase, Correctol

    implications
    give with full glass of water or juice

    don't give within 2 hours of another stool softener

    does not stimulate peristalsis
  32. docusate sodium - Dulculax, Colase, Correctol

    evaluation
    soft, formed bowel movement within 24 - 48 hours
  33. CeleXA

    generic
    citalopram
  34. citalopram

    trade
    CeleXA
  35. citalopram - CeleXA

    classification
    Pharmacologic - SSRI

    Therapeutic - antidepressant
  36. citalopram - CeleXA

    usual dosage
    20 - 40 mg/day
  37. citalopram - CeleXA

    MOA
    selectively inhibits the reuptake of seratonin in the CNS
  38. citalopram - CeleXA

    therapeutic
    Antidepressant
  39. citalopram - CeleXA

    Side effects
    drowsiness, insomnia, weakness, N/D, dyspepsia, apathy, confusion, abdominal pain, anorexia, dry mouth, flatulence, increased saliva, sweating, tremors

    Life Threatening - Neuroleptic malignant syndrome, suicidal thoughts, Torsade De Pointes, serotonin syndrome
  40. citalopram - CeleXA

    implications
    assess for suicidal tendancies, mood changes

    assess for serotonin syndrome, autonomic instability, & negative GI symptoms
  41. citalopram - CeleXA

    evaluation
    increased sense of well being

    renewed or increased intrests in surroundings
  42. aspirin

    classification
    pharmacologic - salicylate

    therapeutic - antipyretic, nonopiod analgesic
  43. aspirin

    usual dosage range
    50 - 325 mg/day
  44. aspirin

    MOA
    decrease platelet aggregation

    produce analgesic and decreased inflamation & fever by inhibiting the production of prostaglandins
  45. aspirin

    therapeutic use
    Prophylaxis - decreased incidence of transient ischemic attacks & MI
  46. aspirin

    Side effects
    dyspepsia

    epigastric distress

    N
  47. aspirin

    implications
    patients having asthma, allergies, & nasal polyps or allergic to tartrazine have increased risk to develop hypersensitiviy reactions

    assess for rashperiodically

    assess for pain and note time of med administration & determine peak

    assess for fever and note associated signs

    monitor hepatic function
  48. aspirin

    evaluation
    increase ease of joint movement

    prevention of transient ischemic attacks & MI

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