Top Drugs

Card Set Information

Author:
Anonymous
ID:
97040
Filename:
Top Drugs
Updated:
2011-08-14 15:08:15
Tags:
Top Drugs
Folders:

Description:
Pharmacology for Med Surg
Show Answers:

Home > Flashcards > Print Preview

The flashcards below were created by user Anonymous on FreezingBlue Flashcards. What would you like to do?


  1. (Vicodin)hydrocodone &acetaminophen
    Classification
    Opioid agonist
  2. (Vicodin)hydrocodone &acetaminophen
    therapeutic effects
    Binds to opiate receptors in the CNS—decreases moderate pain. Suppresses cough reflex
  3. (Vicodin)hydrocodone &acetaminophen
    Adverse reactions and side effects
    confusion, sedation,hypotension, constipation HEPATOTOXICITY
  4. (Vicodin)hydrocodone &acetaminophen
    Nursing implications and teaching
    Monitor respiratory status. Should not exceed 4 grams of acetaminophen in 24 hrs.Typical opioid precautions.
  5. (Oxycontin) oxycodone
    Classification
    Opioid agonist
  6. (Oxycontin) oxycodone
    Therapeutic Effects
    Controlled release for moderate to severe pain Not for PRN
  7. (Oxycontin) oxycodone
    Adverse Reactions and Side effects
    confusion, sedation, constipation RESPIRATORY DEPRESSION
  8. (Oxycontin) oxycodone
    Nursing implications and teaching
    Administer q12 hours for Chronic pain.Typical opioid precautions. Do not crush or chew
  9. (K-Dur ) potassium chloride
    Classification
    Potassium supplement
  10. (K-Dur ) potassium chloride
    Therapeutic effects
    Transmit nerve impulses; contraction of cardiac, skeletal, and smooth muscle; gastric secretion; renal function; tissue synthesis; and CHO metabolism.
  11. (K-Dur ) potassium chloride
    Adverse reactions & side effects
    • ARRHYTHMIAS, ECG changes
    • oral—abdominal pain, diarrhea, flatulence, nausea & vomiting
  12. (K-Dur ) potassium chloride
    Nursing implications & teaching
    (IV rate should generally not exceed 20 mEq/hr, unless closely monitored.) s/s hypokalemia/hyperkalemia
  13. (Celebrex ) celecoxib
    classification
    NSAIDs, COX-2 inhibitor
  14. (Celebrex ) celecoxib
    Therapeutic effects
    Analgesic, anti-inflammatory, & antipyretic
  15. (Celebrex ) celecoxib
    Adverse reactions & side effects
    GI BLEEDING, dermal rash
  16. (Celebrex ) celecoxib
    Nursing implications & teaching
    Assess pain, ROM and swelling. Do not give if allergic to sulfonamides, aspirin or NSAIDs. Watch for tarry stools.
  17. (Nexium) esomeprazole
    Classification
    Antiulcer agents; proton pump inhibitors
  18. (Nexium) esomeprazole
    Therapeutic Effects
    Decrease acid accumulation in the gastric lumen which decreases GI reflex Healing of duodenal ulcers
  19. (Nexium) esomeprazole
    Adverse reactions & side effects
    Headache, constipation, dry mouth,
  20. (Nexium) esomeprazole
    Nursing implications & teaching
    Give 1hr before meals Do not crush or chew pellets Assess for epigastric/abdominal pain, blood in stool, emesis, or gastric aspirate Give slow IVP over 5-6 minutes, diluted with 0.9% NS
  21. (Pepcid) famotidine
    Classification
    Histamine (H2) Antagonist Antiulcer
  22. (Pepcid) famotidine
    Therapeutic effects
    inhibits the action of histamine at H2-receptor site (gastric parietal cells), decreases gastric acid
  23. (Pepcid) famotidine
    Adverse Reactions & side effects
    ARRHYTHMIAS, APLASTIC ANEMIA, AGRANULOCYTOSIS, confusion, dizziness, headache, nausea, black tongue, diarrhea
  24. (Pepcid) famotidine
    Nursing implications & teaching
    Monitor CBC, Dilute IV, rapid administration may cause hypotension.
  25. (Lipitor) atorvastatin
    Classification
    Lipid-Lowering agent
  26. (Lipitor) atorvastatin
    Therapeutic effects
    LDL/VLDL/Triglyceride. HDL (slightly)
  27. (Lipitor) atorvastatin
    Adverse reactions & side effects
    RHABDOMYOLYSIS = muscle cell lysis, toxins into circulation, rashes, constipation, flatus
  28. (Lipitor) atorvastatin
    Nursing implications & teaching
    Avoid grapefruit & grapefruit juice.With unexplained muscle pain/tenderness-monitor CPK --if it increases, d/c med = life threatening. LFTs
  29. (Vytorin) ezetimibe & simvastatin
    Classification
    Lipid-Lowering agent Eze = inhibits intestinal absorption of CHOLS im = inhibits CHOL synthesis
  30. (Vytorin) ezetimibe & simvastatin
    Therapeutic effects
    Lowers Total and LDL CHOL and triglycerides with slight increase in HDL
  31. (Vytorin) ezetimibe & simvastatin
    Adverse Reaction & side effects
    Abdominal pain, diarrhea, epigastric pain, HA, dizziness, anemia, alopecia
  32. (Vytorin) ezetimibe & simvastatin
    Nursing implications & teaching
    Administer once daily in the evening, without regard to food.Wear sunscreen to prevent rare photosensitivity reaction. LFTs
  33. (Wellbutrin) bupropion
    Classification
    Antidepressant Smoking deterrent
  34. (Wellbutrin) bupropion
    Therapeutic effects
    Diminished depression Decreased craving for cigarettes
  35. (Wellbutrin) bupropion
    Adverse reactions & side effects
    SEIZURES, agitation, HA, drymouth, nausea, vomiting, tremor
  36. (Wellbutrin) bupropion
    Nursing implications & teaching
    Monitor mood changes. Assess for suicidal tendencies. Monitor hepatic and renal function in pts with liver or kidney impairments to prevent increased serum levels.
  37. (Zoloft) sertraline
    Classification
    Antidepressant SSRI
  38. (Zoloft) sertraline
    Therapeutic effects
    Decreases panic attacks, OCD, intense fear and helplessness
  39. (Zoloft) sertraline
    Adverse reactions & side effects
    Dizziness, drowsiness, fatigue, HA, insomnia, dry mouth, tremor, sweating, Avoid use with any MAO Inhibitors
  40. (Zoloft) sertraline
    Nursing implications & teaching
    Monitor weight, mood changes, and suicide risk. No alcohol or other CNS depressants Do not D/C abruptly Wear sunscreen to prevent photosensitivity reaction.
  41. (Synthroid) levothyroxine
    Classification
    Thyroid preparation
  42. (Synthroid) levothyroxine
    Therapeutic effects
    Restoration of hormonal balance, suppression of cancer
  43. (Synthroid) levothyroxine
    Adverse Reactions & side effects
    Insomnia, arrhythmias, tachycardia, wt. loss Avoid use in thyrotoxicity
  44. (Synthroid) levothyroxine
    Nursing implications & teaching
    Assess apical pulse and BP prior to admin & during therapy, & for chest pain, tachyarrhythmias Monitor T3 and TSH Important drug interactions
  45. (Rocephin) ceftriaxone
    Classification
    Antiinfective, 3rd generation cephalosporin
  46. (Rocephin) ceftriaxone
    Therapeutic effects
    Bactericidal for bone & joint and lower resp. tract infections; skin infections, some STDs and UTIs
  47. (Rocephin) ceftriaxone
    Adverse reactions & side effects
    PSEUDOMEMBRANOUS COLITIS, SEIZURES, phlebitis at IV site, pain at IM site
  48. (Rocephin) ceftriaxone
    Nursing implications & teaching
    Monitor for super infections Obtain specimens for culture and sensitivity before starting. Instruct patient to notify MD if fever and diarrhea develop, especially if stool contains blood, pus, or mucus.
  49. Gentamicin
    Classification
    Antiinfective, Aminoglycoside
  50. Gentamicin
    Therapeutic effects
    Treatment for enterococcal infections
  51. Gentamicin
    Adverse Reactions & side effects
    Ototoxicity and nephrotoxicity
  52. Gentamicin
    Nursing implications & teaching
    Do peak and trough levels, report to MD for dose adjusting Assess hearing periodically throughout TX Monitor for superinfections
  53. (Levaquin) levofloxacin
    Classification
    Antiinfective Fluoroquinolone
  54. (Levaquin) levofloxacin
    Therapeutic effects
    Broad spectrum against gram positive and gram negative
  55. (Levaquin) levofloxacin
    Adverse Reactions & side effects
    Dizziness, drowsiness, headaches,
  56. (Levaquin) levofloxacin
    Nursing implications & side effects
    Watch for anaphylactic rxn Do not administer <4 hr before or 2 hr after giving an Al/Mg/ Fe or Zn preparation Monitor for superinfections
  57. (Flagyl) metronidazole
    Classification
    Antiinfective, antiulcer, Antiprotozoal
  58. (Flagyl) metronidazole
    Therapeutic effects
    Treatment of anaerobic and parasitic infections
  59. (Flagyl) metronidazole
    Adverse reactions & side effects
    SEIZURES, dizziness, HA, anorexia, nausea
  60. (Flagyl) metronidazole
    Nursing implications & teaching
    Monitor WBC, neurological status, and I/Os.
  61. (Zestril) lisinopril
    Classification
    Antihypertensive ACE inhibitor
  62. (Zestril) lisinopril
    Therapeutic effects
    Lowers BP, decreases afterload in CHF & LV remodeling & mortality
  63. (Zestril) lisinopril
    Adverse reactions & side effects
    Cough, proteinuria, taste impairment, clinically significant hyperkalemia, ANGIOEDEMA
  64. (Zestril) lisinopril
    Nursing implications & teaching
    Monitor BP, pulse, fluid retention, dry persistent cough, rash, mouth sores, swelling of face, dizziness
  65. Transderm Nitro, nitroglycerin
    Classification
    Antianginal
  66. Transderm Nitro, nitroglycerin
    Therapeutic effects
    Relief or prevention of anginal attacks; increase cardiac output; decrease blood pressure
  67. Transderm Nitro, nitroglycerin
    Adverse reactions & side effects
    dizziness, headache, restlessness, syncope, hypotension, contact dermatitis, blurred vision
  68. Transderm Nitro, nitroglycerin
    Nursing implications & teaching
    -Wear gloves during removal/application- Remove patches before cardioversion or defibrillation- D/C if low BP Rotate sites of application to prevent skin irritation
  69. (Nitrostat) nitroglycerin
    Classification
    Antianginal Nitrate
  70. (Nitrostat) nitroglycerin
    Therapeutic effects
    Increases coronary bloodflow to decrease angina attacks. Decrease BP. Increase cardiac output.
  71. (Nitrostat) nitroglycerin
    Adverse reactions & side effects
    Dizziness. HA. Blurred Vision. Hypotension. Tachycardia. Flushing.
  72. (Nitrostat) nitroglycerin
    Nursing implications & teaching
    Tablets should be kept in original container & cotton should be removed. Do not open bottle frequently or handle tablets. Replace q 6 months after opening
  73. (Toprol-XL) metoprolol
    Classification
    Beta blocker
  74. (Toprol-XL) metoprolol
    Therapeutic effects
    Antihypertensive Antianginal, Prev & decr mortality in recent MI pts
  75. (Toprol-XL) metoprolol
    Adverse reactions & side effects
    BRADYCARDIA, PULMONARY EDEMA, CHF. fatigue, weakness, impotence
  76. (Toprol-XL) metoprolol
    Nursing implications & teaching
    Hold HR <60. Monitor I & O, daily weight. Assess for HF, bronchospasm
  77. (Zyrtec) cetirizine
    Adverse reactions & side effects
    2nd generation (nonsedating) Antihistamine
  78. (Zyrtec) cetirizine
    Therapeutic effects
    Relief of seasonal and perennial allergic rhinitis
  79. (Zyrtec) cetirizine
    Adverse reactions & side effects
    Dizziness, fatigue, dry mouth
  80. (Zyrtec) cetirizine
    Nursing implications & teaching
    Administer once daily without regard to food
  81. Albuterol Aerosol
    Classification
    Bronchodilator Beta 2 agonist
  82. Albuterol Aerosol
    Therapeutic effects
    Bronchodilation for asthma, COPD, acute bronchospasm
  83. Albuterol Aerosol
    Adverse Reactions & side effects
    Nervousness, restlessness, tremor, chest pain, palpitations.
  84. Albuterol Aerosol
    Nursing implications & teaching
    Observe for paradoxical bronchospasm (wheezing). Consider aerochamber. Monitor K+ and glucose.

What would you like to do?

Home > Flashcards > Print Preview