Top Drugs.txt

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Top Drugs.txt
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2011-08-15 01:15:39
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med surg top 100 drugs 2011
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  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. various GI symptoms
  4. (Vicodin) hydrocodone &acetaminophen
    Nursing implications and teaching
    Monitor respiratory status. Should not exceed 4 grams of acetaminophen in 24 hrs.Typical opioid precautions. should be taken with food
  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. various GI symptoms
  8. (Oxycontin) oxycodone
    Nursing implications and teaching
    Administer q12 hours for Chronic pain.Typical opioid precautions. Do not crush or chew. should be taken with food
  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. various GI symptoms
  12. (K-Dur ) potassium chloride
    Nursing implications & teaching
    (IV rate should generally not exceed 20 mEq/hr, unless closely monitored.) s/s hypokalemia/hyperkalemia. should be taken with food
  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. various GI symptoms
  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, various GI symptoms
  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. should be taken with food
  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. various GI symptoms
  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/ various GI symptoms
  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. various GI symptoms
  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, various GI symptoms
  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. various GI symptoms
  60. (Flagyl) metronidazole
    Nursing implications & teaching
    Monitor WBC, neurological status, and I/Os. should be taken with food
  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. various GI symptoms
  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.
  85. (Cardiazem) diltiazem
    Classification
    Antianginal antiarrhythimics (classIV) antihypertensive. CA++ channel blocker
  86. (Cardiazem) diltiazem
    Therapeutic effects
    Decreased blood pressure.Coronary vasodilation Antiarrhythmic
  87. (Cardiazem) diltiazem
    Adverse reactions & side effects
    Arrhythmias CHF Peripheral edema, Postural hypotension
  88. (Cardiazem) diltiazem
    Nursing implications & teaching
    Assess for signs of CHF Monitor BP &P, notify < 50 bpm. May cause drowsiness or dizziness. Caution patient to avoid driving until response to medication is known Gingival hyperplasia-teach good oral care
  89. (Cozaar) losartan
    Classification
    Angiotensin II receptor blocker
  90. (Cozaar) losartan
    Therapeutic effects
    Antihypertensive. Decreases risk of stroke.
  91. (Cozaar) losartan
    Adverse reactions & side effects
    Orthostatic hypotension, diarrhea Dizziness, ANGIOEDEMA Use cautiously in CHF
  92. (Cozaar) losartan
    Nursing implications & teaching
    Assess orthostatic blood pressures. Use care when changing positions to prevent orthostatic hypotension. Monitor BUN/Creatinine for possible early renal failure.
  93. Atropine
    Classification
    Antiarrhythmic Anticholinergic
  94. Atropine
    Therapeutic effects
    TX for symptomatic bradycardia & heart block. Decrease GI & respiratory secretions
  95. Atropine
    Adverse reactions & side effects
    Dry mouth, urinary hesitancy, blurred vision, tachycardia
  96. Atropine
    Nursing implications & teaching
    Monitor urinary output esp. in BPH. Assess VS and EKG
  97. (Lanoxin) digoxin
    Classification
    Antiarrhythmic, cardiotonic andinotropic agent
  98. (Lanoxin) digoxin
    Therapeutic effects
    TX of CHF, tachyarrhythmia Antidote immune Fab (Digibind)
  99. (Lanoxin) digoxin
    Adverse reactions & side effects
    NARROW THERAPUETIC RANGE visual disturbances and fatigue, blurred vision, ECG changes. various GI symptoms
  100. (Lanoxin) digoxin
    Nursing implications & teaching
    Monitor apical pulse for one full minute. Hold if pulse is <60. Second person check calculations in IV & Peds Monitor drug levels
  101. (HCTZ ) hydrochlorothiazide
    Classification
    Antihypertensive Non K+ sparing diuretic
  102. (HCTZ ) hydrochlorothiazide
    Therapeutic effects
    Decrease Blood Pressure Increase in Urine output
  103. (HCTZ ) hydrochlorothiazide
    Adverse reactions & side effects
    Hypokalemia Drowsiness Digoxin toxicity Increased glucose levels
  104. (HCTZ ) hydrochlorothiazide
    Nursing implications & teaching
    Monitor blood pressure, I & O, daily wt, Monitor lytes. Administer in am. Change positions slowly to minimize orthostatic hypotension.
  105. (Lasix) furosemide
    Classification
    Loop Diuretic
  106. (Lasix) furosemide
    Therapeutic effects
    Diuresis. lowering of blood pressure
  107. (Lasix) furosemide
    Adverse reactions & side effects
    Dehydration, hypochloremia, hypokalemia, hypomagnesaemia, hyponatremia, hypovolemia, metabolic alkalosis
  108. (Lasix) furosemide
    Nursing implications & teaching
    Monitor for thirst, dry mouth, lethargy, weakness, hypotension, oliguria and notify physician. Monitor K+, Ca++, Mg. Can increase BUN, glucose and creatinine. should be taken with food
  109. (Coumadin) warfarin
    Classification
    Anticoagulant. Interferes with hepative syntheses of Vitamin Kdependant clotting factors
  110. (Coumadin) warfarin
    Therapeutic effects
    Prophylaxis/Treatment of venous &/or pulmonary embolism (PE) and atrial fibrillation w/embolization
  111. (Coumadin) warfarin
    Adverse reactions & side effects
    Bleeding. Numerous drugs and natural products affect the activity of warfarin!
  112. (Coumadin) warfarin
    Nursing implications & teaching
    Asses for bleeding, or Ç thrombosis Check INR/PT before administration and regularly PT may be 1. 3-1.5 times greater than control. INR goal dependent on medical diagnosis Maintain consistent vitamin K , Take in evening Avoid ETOH & OTC medications High Alert Medication
  113. (Lovenox) enoxaparin
    Classification
    Anticoagulant Causes the inhibitory effect of anti-thrombin on factor Xa and thrombin
  114. (Lovenox) enoxaparin
    Therapeutic effects
    Prevention of deep vein thrombosis (DVT) and PE Antidote = protamine sulfate.
  115. (Lovenox) enoxaparin
    Adverse reactions & side effects
    Bleeding, anemia,,thrombocytopenia, erythema at injection site, pain. Use only 1 heparin product at a time
  116. (Lovenox) enoxaparin
    Nursing implications & teaching
    Assess for bleeding, CBC, platelet count, neurological impairment.Note pkg info for prefilled syringe- keep air lock. “Lovenoxin the love handles”-no aspiration or massage High Alert Medication
  117. Heparin
    Classification
    Anticoagulant
  118. Heparin
    Therapeutic effects
    Antithrombotic. Prevention of extension of existing thrombi. Antidote = protaminesulfate
  119. Heparin
    Adverse reactions & side effects
    BLEEDING. Thrombocytopenia, anemia. Has multiple drug reactions
  120. Heparin
    Nursing implications & teaching
    Assess for bleeding (nose, gums, urine, stool), anemia, thrombocytopenia Closely monitor aPTT. High Alert Medication. Use heparin nomogram/protocol. Immediate onset when given IV
  121. (Plavix) clopidogrel
    Classification
    Anti-platelet
  122. (Plavix) clopidogrel
    Therapeutic effects
    atherosclerotic events
  123. (Plavix) clopidogrel
    Adverse reactions & side effects
    GI bleed, neutropenia, thrombotic thrombocytopenic purpura
  124. (Plavix) clopidogrel
    Nursing implications & teaching
    Monitor for bleeding, CBC, diff, platelet count, Do not double dose, Avoid NSAIDs. Watch for fever, chills, sore throat, bleeding/bruising. Caution in brushing/flossing teeth
  125. (Ambien) zolpidem
    Classification
    Sedative/hypnotic
  126. (Ambien) zolpidem
    Therapeutic effects
    Sedation and induction of sleep
  127. (Ambien) zolpidem
    Adverse reactions & side effects
    Amnesia, daytime drowsiness, drugged feeling, physical & psychological dependence, tolerance. various GI symptoms
  128. (Ambien) zolpidem
    Nursing implications & teaching
    Assess sleep, mental status, potential for dependence. Don’t use more than 7-10 days. Avoid ETOH & other CNS depressants
  129. (Ativan) lorazepam
    Classification
    Antianxiety Sedative/hypnotic Benzodiazepine
  130. (Ativan) lorazepam
    Therapeutic effects
    Management of anxiety, insomnia, Status Epilepticus Preoperative sedation Postoperative amnesia
  131. (Ativan) lorazepam
    Adverse reactions & side effects
    Dizziness, drowsiness, lethargy, APNEA, CARDIAC ARREST with rapid IVP
  132. (Ativan) lorazepam
    Nursing implications & teaching
    Assess anxiety, mental status, Avoid ETOH & other CNS depressants
  133. Morphine sulfate
    Classification
    Opioid analgesic Opioid agonist
  134. Morphine sulfate
    Therapeutic effects
    pain, pulmonary edema, pain with MI
  135. Morphine sulfate
    Adverse reactions & side effects
    Respiratory depression, confusion, sedation, hypotension, constipation
  136. Morphine sulfate
    Nursing implications & teaching
    Typical opioid precautions. Dilute for IV push and give over 4-5 minutes
  137. (Phenergan) promethazine
    Classification
    Antiemetic Antihistamine (H1) Sedative/hypnotic Phenothiazine
  138. (Phenergan) promethazine
    Therapeutic effects
    symptoms of excess histamine, sedation, N/V
  139. (Phenergan) promethazine
    Adverse reactions & side effects
    neuroleptic malignant syndrome, confusion, disorientation, sedation, dizziness
  140. (Phenergan) promethazine
    Nursing implications & teaching
    Monitor for extrapyramidal side effects; educate on techniques to help dry mouth; oral care, photosensitivity; orthostatic hypotension risk; avoid ETOH & other CNS depressants; monitor sedation. A known Vesicant always dilute before IV administration!!
  141. (Neurontin) gabapentin
    Classification
    Analgesic adjunct Anticonvulsant
  142. (Neurontin) gabapentin
    Therapeutic effects
    seizures, neuralgias, chronic pain
  143. (Neurontin) gabapentin
    Adverse reactions & side effects
    Drowsiness, ataxia. Avoid in pregnancy/breastfeeding
  144. (Neurontin) gabapentin
    Nursing implications & teaching
    TID dosing should not exceed 12 hr between doses. Do not D/C abruptly; do not take within 2hr of antacid. avoid driving–till MD OK; Avoid use with other CNS depressants
  145. (Dilantin) phenytoin
    Classification
    Antiarrhythmic, Anticonvulsant
  146. (Dilantin) phenytoin
    therapeutic effects
    seizures, control arrhythmias; pain
  147. (Dilantin) phenytoin
    Adverse reactions & side effects
    Agranulocytosis, aplastic anemia, Stevens-Johnson syndrome diplopia, nystagmus,hypotension, gingival hyperplasia, nausea, rashes
  148. (Dilantin) phenytoin
    Nursing implications & teaching
    Assess for hypersensitivity syndrome; monitor CBC, platelet count, avoid driving till MD ok; avoid ETOH & OTC meds; maintain oral hygiene; urine can be pink/red; diabetic-monitor glucose closely; avoid taking within 2-3 hr of antacids/antidiarrheals;↓contraceptive (hormonal). should be taken with food
  149. (Sinemet) levodopa
    Classification
    Antiparkinson agent Dopamine agonist
  150. (Sinemet) levodopa
    Therapeutic effects
    Relief of tremor & rigidity in Parkinson’s
  151. (Sinemet) levodopa
    Adverse reactions & side effects
    Involuntary movements, Avoid with MAO inhibitors, narrow angle glaucoma. various GI symptoms
  152. (Sinemet) levodopa
    Nursing implications & teaching
    Monitor CBC, hepatic & renal function; avoid driving-till MD OK; orthostatic hypotension; oral hygiene-dry mouth; skin lesions-changes; avoid OTC meds. should be taken with food
  153. (Fosamax) alendronate
    Classification
    Bone resorption inhibitor Bisphosphonate
  154. (Fosamax) alendronate
    Therapeutic effects
    TX and prevention of postmenopausal and corticosteroid-induced osteoporosis,
  155. (Fosamax) alendronate
    Adverse reactions & side effects
    Altered taste, photosensitivity, rash, musculoskeletal pain, fluid overload, esophagitis. various GI symptoms
  156. (Fosamax) alendronate
    Nursing implications & teaching
    Take first thing in the AM, before eating anything; then pt must remain upright for at least 30 mins! Take only with plain water. Monitor for GI side effects.Use sunscreen to prevent photosensitivity reactions.
  157. (Imuran) azathioprine
    Classification
    Immunosuppressant
  158. (Imuran) azathioprine
    Therapeutic effects
    Prevent renal transplant rejection. Treat Rheumatoid arthritis and Crohn’s
  159. (Imuran) azathioprine
    Adverse reactions & side effects
    Blood dyscryasias, hepatotoxicity. various GI symptoms
  160. (Imuran) azathioprine
    Nursing implications & teaching
    CBC, LFT Assess for infection, fluid retention, bleeding. Contraception and teratogenic concerns. Do not d/c abruptly
  161. (GlucophageXR) metformin
    Classification
    Anti-diabetic Biguanide
  162. (GlucophageXR) metformin
    Therapeutic effects
    Decrease hepatic glucose production & intestinal absorption, ↑ receptor site sensitivity
  163. (GlucophageXR) metformin
    Adverse reactions & side effects
    Abdominal bloating. Lactic acidosis. Metallic taste. various GI symptoms
  164. (GlucophageXR) metformin
    Nursing implications & teaching
    Educate about lactic acidosis when food or fluid is decreased. (S/S – chills, diarrhea, dizziness, low BP, weakness, muscle pain, slow HR. Notify MD IMMEDIATELY) Stop drug before dye based studies. Renal function. should be taken with food
  165. (Avandia) rosiglitazone
    Classification
    AntidiabeticThiazolidinediones
  166. (Avandia) rosiglitazone
    Therapeutic effects
    Decrease insulin resistance
  167. (Avandia) rosiglitazone
    Adverse reactions & side effects
    Edema, anemia, wt gain, increased cholesterol
  168. (Avandia) rosiglitazone
    Nursing implications & teaching
    Monitor for fluid retention, hypoglycemia. LFTs & CBC High Alert Medication
  169. (Micronase) glyburide
    Classification
    Antidiabetic sulfonylurea
  170. (Micronase) glyburide
    Therapeutic effects
    Stimulates release of insulin from the pancreas,↑receptor site sensitivity
  171. (Micronase) glyburide
    Adverse reactions & side effects
    Photosensitivity, hypoglycemia. APLASTIC ANEMIA
  172. (Micronase) glyburide
    Nursing implications & teaching
    Observe s/s of hypoglycemia. High Alert Medication. Do not take glyburide if you are unable to eat. Avoid alcohol.
  173. insulin glargine
    Classification
    Antidiabetic; pancreatic hormone. Long acting 24 hours
  174. insulin glargine
    Therapeutic effects
    Lowers blood glucose by increasing transport into cells and promoting conversion of glucose to glycogen. Inhibits release of free fatty acids.
  175. insulin glargine
    Adverse reactions & side effects
    HYPOGYCEMIA, lipodystrophy, anaphylaxis
  176. insulin glargine
    Nursing implications & teaching
    For all insulins: typical diabetic teaching and concerns.Watch for interactions with beta blockers, thiazide diuretics, corticosteroids. Know peaks, onsets, durations High Alert Medications
  177. (Humulin 70/30) NPH/Regular insulin mixture
    Classification
    Anti-diabetic; pancreatic hormone. Onset 30 minutes
  178. (Humulin 70/30) NPH/Regular insulin mixture
    Therapeutic effects
    Lowers blood glucose by increasing transport into cells and promoting conversion of glucose to glycogen. Inhibits release of free fatty acids.
  179. (Humulin 70/30) NPH/Regular insulin mixture
    Adverse reactions & side effects
    HYPOGYCEMIA, lipodystrophy, anaphylaxis
  180. (Humulin 70/30) NPH/Regular insulin mixture
    Nursing implications & teaching
    For all insulins: typical diabetic teaching and concerns.Watch for interactions with beta blockers, thiazide diuretics, corticosteroid. Humulin 70/30: 2 Peaks. Know peaks, onsets, durations. High Alert Medications
  181. (Humalog) insulin lispro
    Classification
    Anti-diabetic pancreatic hormone Onset < 15 minutes
  182. (Humalog) insulin lispro
    Therapeutic effects
    Lowers blood glucose by increasing transport into cells and promoting conversion of glucose to glycogen. Inhibits release of free fatty acids.
  183. (Humalog) insulin lispro
    Adverse reactions & side effects
    HYPOGYCEMIA, lipodystrophy, anaphylaxis
  184. (Humalog) insulin lispro
    Nursing implications & teaching
    For all insulins: typical diabetic teaching and concerns.Watch for interactions with beta blockers, thiazidediuretics, corticosteroids Lispro: Do not give sooner than 15 minutes before a meal. Know peaks, onsets, durations. High Alert Medications
  185. (Flomax) tamsulosin
    Classification
    Peripherally acting antiadrenergic
  186. (Flomax) tamsulosin
    Therapeutic effects
    Decreased symptoms of prostatic hyperplasia, i.e. male urinary outflow obstruction
  187. (Flomax) tamsulosin
    Adverse reactions & side effects
    Dizziness, headache, orthostatic hypotension, retrograde/diminished ejaculation. Cautious in patients at risk for prostate carcinoma
  188. (Flomax) tamsulosin
    Nursing implications & teaching
    Monitor for dizziness, hypotension. Have patient change positions slowly to minimize symptoms.
  189. (Deltasone) prednisone
    Classification
    Anti-inflammatory (intermediate acting) corticosteroid
  190. (Deltasone) prednisone
    Therapeutic effects
    Suppression of inflammation & modification of the normal immune response; replacement therapy in adrenal insufficiency. Management of cerebral edema. Potentiates anti-N/V action of Zofran.
  191. (Deltasone) prednisone
    Adverse reactions & side effects
    PEPTIC ULCERATION, THROMBOEMBOLISM, mood changes, hypertension, anorexia, nausea, acne, decreased wound healing, ecchymosis, fragility, hirsutism, petechiae, adrenal suppression, muscle wasting, osteoporosis, cushingoid appearance. various GI symptoms
  192. (Deltasone) prednisone
    Nursing implications & teaching
    Monitor for fluid retention, hyperglycemia, infections, bleeding, steady weight gain, crackles, dyspnea. Do not D/C abruptly. Monitor serum electrolytes, cholesterol/lipids. avoid people w/contagious illnesses, should be taken with food
  193. (Decadron) dexamethasone
    Classification
    Anti-inflammatory (long acting) corticosteroid
  194. (Decadron) dexamethasone
    therapeutic effects
    Suppression of inflammation & modification of the normal immune response; replacement therapy in adrenal insufficiency. Management of cerebral edema. Potentiates anti-N/V action of Zofran.
  195. (Decadron) dexamethasone
    Adverse reactions & side effects
    PEPTIC ULCERATION, THROMBOEMBOLISM, mood changes, hypertension, anorexia, nausea, acne, decreased wound healing, ecchymosis, fragility, hirsutism, petechiae, adrenal suppression, muscle wasting, osteoporosis, cushingoid appearance. various GI symptoms
  196. (Decadron) dexamethasone
    Nursing implications & teaching
    Monitor for fluid retention, hyperglycemia, infections, bleeding, steady weight gain, crackles, dyspnea. Do not D/C abruptly. Monitor serum electrolytes, cholesterol/lipids. avoid people w/contagious illnesses, should be taken with food
  197. (Zofran) ondansetron
    Classification
    Antiemetic 5-HT3 receptors antagonist
  198. (Zofran) ondansetron
    Therapeutic effects
    Prevention of nausea & vomiting associated with chemotherapy or radiation therapy. Prevention/treatment of postop nausea/vomiting.
  199. (Zofran) ondansetron
    Adverse reactions & side effects
    HA, dizziness, diarrhea
  200. (Zofran) ondansetron
    Nursing implications & teaching
    Advise patient to notify MD for involuntary movement of eyes, face, or limbs.
  201. acyclovir (Zovirax)
    Classification
    Antiviral
  202. acyclovir (Zovirax)
    Therapeutic effects
    Inhibition of viral replication against genital herpes, cold sores, & chickenpox. Does not eradicate the latent herpes virus.
  203. acyclovir (Zovirax)
    Adverse reactions & side effects
    Headaches, lightheadness, phlebitis, diarrhea, nausea, vomiting. Use cautiously with lactating mothers. RENAL FAILURE, SEIZURES and dehydration. Adjust dose in obesity
  204. acyclovir (Zovirax)
    Nursing implications & teaching
    Monitor for infiltration and/or tissue damage; maintain hydration (esp. x 2hrs. after infusion) to prevent precipitation of drug in renal tubules; monitor baseline renal functioning
  205. adenosine (Adenocard)
    Classification
    Antiarrhythmic
  206. adenosine (Adenocard)
    therapeutic effects
    Slows conduction through the AV node. Restores sinus rhythm inpatients with PSVT.
  207. adenosine (Adenocard)
    Adverse reactions & side effects
    Contraindicated in 2nd and 3rd degree. AV heart blocks. Headache, lightheadness, dizziness, SOB, transient facial flushing & nausea.
  208. adenosine (Adenocard)
    Nursing implication & teaching
    Monitor for S/S of bronchospasms in asthma patients, use hemodynamic system while administering; Do not confuse with Adenosine Phosphate. Monitor for orthostatic hypotension.
  209. amiodarone (Cordarone)
    Classification
    Antiarrhythmic
  210. amiodarone (Cordarone)
    Therapeutic effects
    ↑ VFib threshold. Management of supraventricular & life-threatening ventricular tachyarrhythmias.
  211. amiodarone (Cordarone)
    Adverse reactions & side effects
    Bradycardia, hypotension, CHF, ARDS, blurred vision, nausea & vomiting, ataxia.
  212. amiodarone (Cordarone)
    Nursing implications & teaching
    Monitor ECG, BP, HR, RR carefully during infusion & until drug response has stabilized. Periodic labs should be checked, esp. liver & thyroid function.
  213. dolasetron (Anzemet)
    Classification
    Antiemetic 5-HT3 receptor antagonist
  214. dolasetron (Anzemet)
    Therapeutic effects
    Decreased incidence & severity of N/V associated with chemotherapeutic and postop pts.
  215. dolasetron (Anzemet)
    Adverse reactions & side effects
    Fever, fatigue, headache, dizziness, diarrhea, urinary retention.
  216. dolasetron (Anzemet)
    Nursing implications & teaching
    Hypokalemia and hypomagnesemia should be corrected before initiating therapy. Monitor cardiac status with electrolyte imbalance. Monitor ECGs for prolonged QT interval.
  217. dopamine (Intropin)
    Classification
    Adrenergic agonist Vasopressor + Inotrope
  218. dopamine (Intropin)
    Therapeutic effects
    Increases cardiac output, + BP. Utilized in low dosages to possibly improve renal perfusion. High dosage – similar effects of epinephrine
  219. dopamine (Intropin)
    Adverse reactions & side effects
    High dose-VASCULAR COLLAPSE, arrhythmias, hypotension
  220. dopamine (Intropin)
    Nursing implications & teaching
    Monitor cardiac pressures, BP & urinary output. Administer into a large vein. Usually titrated & must be on a pump.
  221. epinephrine (Adrenalin, EpiPen)
    Classification
    Vasopressor Bronchodilator Cardiac stimulant
  222. epinephrine (Adrenalin, EpiPen)
    Therapeutic effects
    Used for VFib and decreased BP. Severe allergic reactions & anaphylactic shock, acute asthma
  223. epinephrine (Adrenalin, EpiPen)
    Adverse reactions & side effects
    Tachycardia, HTN, bronchospasm Arrhythmias, restlessness, tremors
  224. epinephrine (Adrenalin, EpiPen)
    Nursing implications & teaching
    Can be given SQ, IV, inhalation, intracardiac, endotracheal. Monitor HR, BP, ECG, and resp rate
  225. fentanyl (Sublimaze)
    Classification
    Opioid Analgesic
  226. fentanyl (Sublimaze)
    Therapeutic effects
    Pre- & postop analgesia. Supplement in general anesthesia induction/maintenance. 80-100 X more potent than Morphine.
  227. fentanyl (Sublimaze)
    Adverse reactions & side effects
    APNEA, LARYNGOSPASM. CNS and Respiratory depression. Facial, esp. Nasal itching, hypotension, constipation.
  228. fentanyl (Sublimaze)
    Nursing implications & teaching
    Monitor respiratory rate and BP closely and frequently. Resp. depression may last longer than analgesia. Direct IV route, undiluted. Have Narcan readily available.
  229. fluticasone/salmeterol (Advair )
    Classification
    Combo drug Corticosteroid/Bronchodilator
  230. fluticasone/salmeterol (Advair )
    Therapeutic effects
    Treatment of COPD and asthma
  231. fluticasone/salmeterol (Advair )
    Adverse reactions & side effects
    Because it is a combination drug, you need to make sure that you watch for side effects from both drugs such as chest pain arrhythmia, N/V, diarrhea, and dry mouth.
  232. fluticasone/salmeterol (Advair )
    Nursing implications & teaching
    Make sure patient understands how to use this unusual inhaler. Monitor lung function. Rinse mouth after use.

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