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C – anti-acne; decrease sebaceous gland size H – absence of acne E – best taken in the morning with meals, it causes insomnia C – have a pregnancy test, the drug is fetotoxic K – ensure that the patient is not pregnant; discontinue the drug if visual disturbances occur.
• • • • C – antineoplastic; antibiotic H – (-) infection, CBC changes E – best taken in the morning C – may turn the urine red, can cause diarrhea, alopecia • K – increase fluid intake, the drug can cause hyperuricemia; assess for allergy
• C – antihypertensive • H – decrease BP • E – take the drug regularly exactly as prescribed • C – impotence can be expected • K – check the BP, the drug may cause hypotension
AMINOPHYLLINE (Theophylline) C – bronchodilator H – ease of breathing E – best taken in the morning on an empty stomach. the drug may cause tachycardia. because the drug causes insomnia C – stop smoking as it interferes with the drug’s effectiveness K – check the heart rate. avoid caffeine containing foods . maintain adequate urine output.
like muscle weakness . report black tarry stool.AMPHOGEL (Aluminu Hydroxide Gel) C – antacid. monitor for signs and symptoms of hypophosphatemia. it neutralizes or reduces gastric acidity H – decrease phosphate level E – best taken between meals and at bedtime C – the drug may cause constipation K – administer the drug with a glass of water.
drug may cause GI upset • K – perform a sensitivity test before initiating therapy. give it around the clock . probenecid increases the effect of the drug.AMPICIN (Ampicillin) • • • • C – antibitoic H – (-) infection E – best taken on an empty stomach C – report the development of rash.
not administered by push .ANCEF (Cefazolin) • • • • • C – antibiotic H – (-) infection E – no specific C – report the development of rash K – assess for signs and symptoms of nephrotoxicity.
ANTABUSE (Disulfiram) • C – antialcoholic agent. causes an unpleasant reaction when combined with alcohol • H – patients avoids alcohol • E – best taken after abstaining from alcohol for 12 hours • C – instruct patient to avoid alcohol based substances like: M O F F A V S .
skin products ◦K .over the counter cold remedies ◦ F .inspect the patient’s belongings and confiscate alcohol based substances. .fruit flavored extracts ◦ F – food sauces made up of wine ◦ A – after shave lotion ◦ S . monitor liver function test.M O F F A V S ◦ M – mouth wash ◦ O .
APRESOLINE (Hydralazine) • • • • • C – antihypertensive H – decreased BP E – best taken with food C – rise slowly from a lying or sitting position K – monitor for signs and symptoms of orthostatic hypotension. monitor the heart rate for tachycardia .
the drug may cause hypotension . the drug causes blurred vision • K – check the BP.ARTANE (Trihexyphenidyl HCL) • C –anti-parkinsonian agent • H – muscles become less stiff. decreased pillrolling tremors • E – best taken after meals • C – avoid driving.
anti-platelet. inflammation. antipyretic. induce vomiting if overdose occurs .ASA (ASPIRIN) • C – anti-inflammatory. analgesic. avoid the overthe-counter cold remedy • K – assess the patient for bleeding tendencies. pain • E – best taken on full stomach • C – tinnitus indicates toxicity. aggregate • H – (-) fever.
avoid driving. K – keep the siderails up . avoid caffeine containing foods and alcoholic beverages. or on an empty stomach. minor tranquilizer H – decreased anxiety E – best taken at H.S. food delays absorption of the drug C – the drug may cause: dizziness.ATIVAN (Lorazepam) C – anti-anxiety. dry mouth. drowsiness.
constipation. avoid hot environment K – check the BP. drying agent H – it increases heart rate in a patient with heartblock. avoid tasks that require acute vision. and drymouth . the drug causes hypotension. used preoperatively to decrease sectretions E – best taken 30 minutes before meals C – the drug may cause facial flushing.ATROPINE SULFATE C – anticholinergic. vagolytic.
give the drug around the clock . may cause bone marrow depression. used to prevent replication of HIV H – increased CD4 count E – no specific C – eat small frequent meals.AZT (Zidovudine) • • • • C – antiviral. the drug may cause change in taste • K – arrange for frequent blood tests.
ringing in the ears. wear protective clothing. used as a treatment for ulcerative colitis H – (-) infection E – best taken with meals to decrease GI upset C – report blood in the urine. the drug causes photosensitivity.AZULFIDINE (Sulfasalazine) C – antibiotic. turns the urine orange-yellow K – discontinue immediately if hypersensitivity occurs. rash. increased fluid . sorethroat.
BACTRIM (Co-trimoxazole) • • • • • C – antibiotic H – (-) infection E – best taken before meals C – changes the color of urine to red orange K – assess for signs and symptoms of nephrotoxicity .
BAL (Dimercarpol) C – antidote. use in the treatment of lead poisoining H – increased lead excretion in the feces and urine E – drug is only given per IM C – treatment may need to be continued for 2-10 days K – monitor for irregular heartbeat. administer deep IM. assess for allergy . monitor BP.
BENADRYL (Diphenhydramine HCL) • C – anticholinergic. antiparkinsonian. antihistamine • H – (-) allergy • E – best taken with food if GI upset occurs • C – avoid alcohol. report difficulty of breathing • K – administer syrup form if patient is unable to take tablets. assess for allergy .
Ca Edta (Edetate Calcium Disodium) • • • • • C – antidote in lead poisoning H – increased urinary excretion of lead E – no specific C – report pain at injection site K – monitor BUN levels. keep the patient supine . can damage the kidneys.
(-) anginal pain E – no specific C – nausea and vomiting may occur K – monitor BP. cardiac output .CARDIZEM (Diltiazem HCL) • • • • • C – antihypertensive. antianginal H – decreased BP.
CELESTONE (Betamethasone) C – steroid. give once-daily dose in the morning to prevent insomnia. given 48-hours before delivery of premature infant to promote fetal lung maturity . stimulates lung development in premature infant H – (-) respiratory distress in premature infant E – given with food to reduce GI irritation C – report signs of infection K – monitor the weight.
ammonia reduction agent H – decreased serum ammonia E – no specific C – report diarrhea K – monitor serum ammonia levels. administer with juice to disguise the taste .CEPHULAC (Lactulose) • • • • • C – laxative.
the drug may depress the bone marrow .CHLOROMYCETIN (Chloramphenicol) • • • • • C – antibiotic H – (-) infection E – best taken on an empty stomach C – report sorethroat and tiredness K – antagonizes the bacterial action of penicillin.
and looseness of association E – best taken after meals C – report sorethroat and avoid exposure to sunlight K – check the BP the drug causes hypotension. assess for akathisia.CLOZARIL (Clozapine) C – antipsychotic H – decreased delusions. usually described by patients as “1 feel as if I have ants in my pants”. hallucinations. assess for tardive dyskinesia initially manifested by tongue twitching or lip smacking .
raise the side rails. narcotic-antagonist. avoid driving K – use laxative to counteract constipation. given to lactating mother women 4-6 hours before feeding to minimize drug in milk C – it can cause constipation.CODEINE PHOSPHATE C – antitussive. analgesic H – relief of pain E – no specific. it may cause drowsiness .
evaluate the effect of the drug after several days . report difficult urination K – the drug causes hypotension. so check the BP.COGENTIN(Benztropine Mesylate) • • • • • C – antiparkinsonian H – muscles become less stiff E – best taken after meals C – avoid alcohol.
avoid contact sports . prevents thrombus formation.COUMADIN (Warfarin Sodium) • C – anticoagulant. it does not dissolve clots • H – (-) thrombus • E – no specific • C – avoid green leafy vegetables as the vitamin K content of these vegetables interfere with the absorption of the drug.
fever. do not give patient any IM injection. environment) may change the body’s response to the drug. many factors (diet. keep vitamin K at bedside.• K – assess for any sign of bleeding. .
flatulence and headache. nausea.CYTOTEC (Misoprostol) • C – synthetic prostaglandin. anti-ulcer (primarily) • H – (+) cervical ripening • E – given in early labor • C – report uterine hyperstimulation. produces cervical dilatation. diarrhea. glaucoma. assess for the presence of asthma. renal or cardiovascular disease .
prostaglandin gel is applied to the interior surface of the cervix by a catheter or supporsitory or to the external surface by the use of a diaphragm.• K – prepare terbutaline at the bedside. it counteracts uterine hyperstimulation. have an IV line. oxytocin induction can be started 6 to 12 hours after the last prostaglandin dose. . monitor FHR for 30 minutes after each application.
report hematuria. dysuria immediately • K – monitor CBC.CYTOXAN (Cyclophosphamide) • C – antineoplastic • H – decreased tumor size • E – best given in the morning to prevent hemorrhagic cystitis • C – alopecia is temporary. increased fluid intake. assess for signs and symptoms of nephrotoxicity . report sorethroat.
avoid caffeine containing foods.DALMANE (Flurazepam Hydrochloride) • • • • C – antianxiety H –decreased anxiety. hallucinations and ataxia. it counter acts the effect of the drug • K – raise bedside rails. assess hepatic or renal function . avoid alcohol it increases CNS depression. adeqaute sleep E – best taken before meals C – causes mental confusion.
DELTASONE (Prednisone) • C – glucocorticoid. report unusual swelling . avoid exposure to infection. treatment is lifelong if used in Addisson’s disease. anti-inflammatory • H – (-) inflammation • E – best given after meals. administer once a day doses before 9 am to mimic normal peak corticosteroid blood level • C – weight gain and increased appetite are common side effects.
• K – check serum K level. may cause hyperkalemia. MMR) with immunosuppressive doses of corticosteroid . do not give live virus vaccines (OPV.
avoid alcohol.DEMEROL (Meperidine HCL) • C – narcotic analgesic. used to relieve pain of nephrolithiasis • H – (-) pain • E – no specific • C – avoid activities that requires alertness. it may cause facial flushing • K – keep the antidote. naloxone HCL at the bedside .
DEXASONE (Dexamethasone) • C – glucocorticoid. used in the treatment of adrenal insufficiency • H .(-) inflammation • E – no specific • C – avoid exposure to infection. report unusual weight gain. sore throat • K – do not stop abruptly. assess for fluid and electrolyte imbalance .
DIABINASE (Chlorpropamide) • C – antidiabetoc agent. protect the skin from exposure to the sun . stimulates the pancreas to secrete insulin • H – blood sugar level within normal range • E – best given in the morning with food. so sleep will not be disturbed by increased urination • C – take weight daily.
and dizziness .• K – assess for signs and symptoms of hypoglycemia like drowsiness. diaphoresis.
DIAMOX (Acetazolamide) • C – antiglaucoma. antiepileptic. used to lessen the signs and symptoms of Meniere’s disease • H – increased urine output. diuretic. decreased vertigo in Meniere’s disease • E – best taken in the morning with meals • C – avoid driving • K – assess for unusual bleeding .
take pulse everyday . sign of toxicity. increases force of cardiac contraction • H – normal heart rate in patient with atrial fibrillation • E – no specific • C – report greenish vision.DIGOXIN (Lanoxin) • C – cardiac glycoside.
diarrhea). it causes bradycardia. vomiting.• K – assess the patient’s heartrate. monitor serum K level . assess for signs of toxicity (nausea. anorexia.
it causes gingival hypertrophy. red or reddish brown .DILANTIN (Phenytoin) • C – anti-convulsant • H – (-) seizure • E – best taken with food to enhance absorption • C – massage the gums. may turn the urine pink.
use saline flush before and after IV administration. do not discontinue abruptly.• K – monitor for signs and symptoms of bone marrow depression. report skin rash .
muscle weakness in the lower extremities indicate hypokalemia • K – monitor weight . so sleep will not be disrupted by increased urination • C – protect the skin from exposure to the sun.DIURIL (Chlorothiazide) • C – diuretic • H – increased urine ouput • E – best taken with food early in the day.
ELAVIL (Amitriptylline) • C – tricyclic antidepressant. adequate sleep • E – best given after meals • C – therapeutic effects may become evident only after 2-3 weeks of intake • K – check the BP. I causes hypotension: check the heartrate. it causes cardiac arrythmias . prevents the reuptake of norepinephrine • H – increased appetite.
easy breathing • E – best taken in the morning. it causes insomnia • C – avoid driving. bronchodilator • H – increased heart rate. eat small frequent meals • K – assess for tachycardia .EPINEPHRINE • C – cardiac stimulant.
EPOGEN (Epoietin alfa) • C – recombinant human erythropoietin. assess hemoglobin or hematocrit . used to treat anemia associated with chronic renal failure • H – (-) pallor • E – given IV or SC • C – report difficulty of breathing • K – monitor access line for signs of clotting.
assess for signs and symptoms of secondary infection . adminsiter around the clock.ERYTHROCIN (Erythromycin) • • • • • C – antibiotic H – (-) infection E – best taken on an empty stomach C – report the development of rash K – monitor liver function.
c. used in the prevention and treatment of iron deficiency anemia • H – (-) pallor • E – best taken on an empty stomach. if GI upset occurs. give p. these decrease absorption. egg. take the drug with orange juice to promote absorption . • C – avoid milk. coffee and tea.FERROUS SO4 • C – iron preparation.
deferoxamine mesylate. at the bedside .• K – keep the antidote.
turns the urine brownish • K – interacts with antabuse to cause a psychotic reaction. instruct patient to take entire recommended dose . report severe GI upset.FLAGYL (Metronidazole) • • • • C – antihelmintic H – (-) helminths E – best taken with food C – avoid alcohol. the drug is teratogenic.
bactericidal H – (-) infection E – no specific C – increase fluid intake.GARAMYCIN (Gentamicin) • • • • C – aminoglycoside. nephrotoxicity and nuerotoxicity . tinnitus indicates ototoxicity • K – monitor for signs and symptoms of ototoxicity.
looseness of association • E – best taken after meals • C – avoid exposure to sunlight • K – monitor BP.HALDOL (Haloperidol) • C – antipsychotic. The long acting type (Haloperidol decanoate) is given once a month . it causes hypotension. major tranquilizer • H –decreased delusions. hallucinations.
keep protamine SO4 (antidote) at the bedside.• C – anticoagulant. do not give by IM injection HEPARIN . used toprevent clot enlargement • H – prolonged PTT • E – no specific • C – report signs and symptoms of bleeding • K – monitor the patient partial thromboplastin time.
antihypertensive. antiarrythmic. do not discontinue abruptly • K – check BP. it may cause hypotension . reduces portal pressure and decreases the risk of bleeding from esophangeal varices • H – decreased BP • E – best taken with meals • C – avoid driving.INDERAL (Propanolol Hydrochloride) • C – antianginal.
it indicates peripheral neuropathy. avoid alcohol .INH (Isoniazid) • • • • C – antituberculous agent H – (-) infection E – best taken on an empty stomach C – report tingling sensation in the lower extremities.
therapeutic effects generally occur in 2-3 weeks. adminsiter with Vit B6 to prevent peripheral neuropathy .• K – liver function studies should be done before the start of therapy.
INSULIN (NPH. nervousness) • K – serve meals on time to prevent hypoglycemia . Regular) • • • • C – hypoglycemic agent H – normal blood sugar level E – best given before breakfast C – report signs and symptoms of hypoglycemia (tremors.
relaxes smooth muscles H – decreased BP E – best taken on an empty stomach C – change position slowly.ISORDIL (Isosorbide dinitrate) • • • • C – antianginal. instruct the patient not to chew the sustained relaease form . may cause facial flushing • K – check the BP frequently.
ISUPREL (Isoproterenol hydrochloride)
• • • • • C – bronchodilator, antiasthma H – releief of bronchospasm E – no specific C – avoid driving K – assess the heart rate, it causes tachycardia
KAYEXALATE (Sodium Polysterene Sulfonate)
• C - potassium removing resin; promotes potassium excretion • H – decreased serum potassium levels • E – no specific • C – may cause constipation • K – if given as an enema, have the patient assume a knee-chest position or retain the solution for 30-60 minutes; monitor serum potassium
KEFZOL (Cefazolin sodium)
• • • • • C – antibiotic H – (-) infection E – best taken with food C – avoid alcohol K – assess for severe diarrhea, difficulty of breathing
do not apply to face • K – use gloves to remove nits by using fine-toothed comb rinsed in vinegar .KWELL (Lindane) • C .pediculicide/scabicide • H – effective if there are no lice in the hair and there are no eggs attached to hair shaft • E – applied twice: immediatley after diagnosis and a week after • C – may be adminsitered to all individuals living in the house.
it may cause urinary retention .LARADOPA (Levodopa) • • • • C – anti-parkinsonism H – muscles become less stiff E – best taken with meals C – avoid foods containing Vit B6 or protein rich foods since it decreases the absorption of the drug • K – ensure that the patient voids before receiving dos.
it can cause hypokalemia .LASIX (Furosemide) • • • • C – diuretic H – increased urine output E – best given in the morning C – eat bananas and citrus fruits because they are good sources of potassium • K – monitor serum potassium levels.
LITHIUM CARBONATE • • • • C . .best taken after meals C .increase fluid intake (3 L/day) and sodium intake (3 gm/day).decrease hyperactivity E . avoid activities that increase perspiration • K .antimanic H .it takes 10-14 days before therapeutic effect becomes evident.
Anorexia. Vomiting. Monitor serum level. Diarrhea and Abdominal Cramps: Mannitol is administered if toxicity occurs .5 meq/L. NAVDA (acronym for lithium toxicity: Nausea.• K .antipsychotic is administered during the first two weeks to manage acute symptoms of mania until lithium takes effect.5 – 1. normal is 0.
report severe stomach pain with a nausea.LOPID (Gemfibrozil) • • • • C. fever.normal triglycerides levels E . blood glucose.antihyperlipidemic H.best taken with meals or milk C. chills or sorethroat. lipids especially during long term therapy . vomiting. vision changes • K –arrange check-up including CBC. severe headache.
blurred vision. for enhanced absorption • C – drug causes: headache. it worsen hepatotoxicity .LOVASTATIN (Mevacor) • C – anti-lipemic agent. pruritus.best given with evening meal. constipation.decrease LDL levels • E . restrict alcohol intake. rash. reduces low density lipoprotein (LDL) • H .
store the tablets at room temperature in a light resistant container . monitor liver function test.• K – therapeutic response occurs in about 2 weeks with maximum effects in 4 to 6 weeks.
report signs of bleeding: Nose bleeding. Black or Starry stools . prevents the formation of clots • H . Bleeding Gums.usually given as soon possible or as ordered after hip surgery • C – use soft toothbrush and electric razor to prevent bleeding.(-) thrombosis • E .antithrombotic.LOVENOX (Enoxaparin) • C .
alert the patient for signs of bleeding. check the patient for signs of bleeding. alert all health care providers that the patient is on Enoxaparin. the antidote. Monitor the patient’s Partial Thromboplastin Time . not given by IM. abdominal fat roll is the best site. keep protamine sulfate. at the bedside.• K – administered by deep SC injection.
calcium gluconate at the bedside.MAGNESIUM SULFATE • • • • • C .diarrhea is a side effect K – keep the antidote.no specific C . (should be at least 30 ml/hr) . (should be at least 12/min) deep tendon reflex and urine output. assess the patient’s respiratory rate. tocolytic H .anticonvulsant.(-) convulsion E .
avoid alcohol and prolonged exposure to sunlight • K – monitor BP and serum potassium .diuretic.MANNITOL • • • • C . use to treat cerebral edema H .increase urine output E .best given in the morning C .
serum creatinine .no specific C .antibiotic H .(-) infection E .MEFOXIN (Cefoxitin Na) • • • • • C . monitor renal status: I & O.report the development of rash K – probenecid may inhibit excretion of the drug.
cholinesterase inhibitor. used for treatment for myasthenia gravis • H .MESTINON (Pyridostigmine) • C .increased muscle strength • E .report the development of rash. atropine SO4 at the bedside .usually administered before meals • C . keep the antidote. drug may increase peristalsis • K – monitor for muscle weakness.
firmly contracted uterus • E .no specific • C .report difficulty of breathing • K – monitor the BP.METHERGIN ( Methylergonovine Maleate) • C . it causes hypertension .oxytoxic. used as treatment for potassium atony and hemorrhage • H .
avoid alcohol. the drug depresses the bone marrow .antineoplastic H .evaluate tumor size E .no specific C . leucovorine at the bedside. administer antiemetic to counteract nausea and vomiting. report black tarry stool and sorethroat • K – keep the antidote. may cause birth defects.METHOTREXATE • • • • C .
adequate sleep E . avoid tyramine containing foods like ABC’S (acronym) .increased appetite.MONOAMINE OXIDASE INHIBITOR (MAOI) • • • • C .antidepressant H . it indicates hypertensive crisis.best taken after meals C – report headache.
avocado B .cheddar and aged cheese S – soy sauce and preserved foods • K – monitor the BP .banana C .A .
relief of pain • E .avoid driving.best taken with food • C . given to decrease anxiety in a patient with pulmonary edema. promotes venous pooling of blood in the periphery. report severe nausea and vomiting MORPINE SO4 . analgesic. so it decreases venous return to the heart • H .• C .narcotic agonist.
instruct the patient to lie down during IV administration. .• K – keep naloxone HCL (antidote) at the bedside. morphine causes more pain in pancreatitis because it increases the spasm of the sphincter of oddi. so avoid giving it.
• • • • C- antidepressant (MAO inhibitor) H- increased appetite; adequate sleep E- best taken after meals C- report headache; it indicates hypertensive crisis; avoid tyramine containing foods like: ABC’S, it takes 2-3 weeks before initial therapeutic effects become noticeable
• K- monitor the BP; there should be at least a two-week interval when shifting from one anti-depressant to another
NEBUPENT (Pentamide Isothionate)
• C -antiprotozoal; used in the treatment and prevention of pneumocystis carinii pneumonia • H -(-) infection • E -no specific • C -change position slowly • K –check the BP, blood test and blood sugar level
(-)infection.NEOMYCIN SULFATE • C . nephrotoxicity and ototoxicity . decreased ammonia levels • E .no specific • C .aminoglycoside. used to reduce ammonia forming bacteria in the GI tract of a patient in hepatic coma • H . increase fluid intake • K – assess the patient for signs and symptoms of neurotoxicity.report hearing changes or tinnitus.
decreased BP E .antihypertensive H .NIPRIDE (Nitroprusside Sodium) • • • • • C .no specific C – change position slowly K – check BP every 5 minutes .
best taken before any strenuous activity • C – place a tablet under the tongue at the first sign of chest pain “Burning Sensation” under the tongue is a sign of potency of the drug.antianginal. causes generalized vasodilation which promotes blood flow to the heart muscles • H .relief of chest pain • E . NITROGLYCERIN .• C .
monitor the BP and heart rate . do not chew the tablet.• C .facial flushing is a side effect. keep the tablets in a dark container • K .
no specific C . nausea. use birth control. vomiting and constipation.evaluate tumor size E . it is teratogenic • K – instruct the patient that the drug is not taken during pregnancy .antineoplastic H .may cause: alopecia.ONCOVIN (Vincristine) • • • • C .
use to treat cerebral edema H .best given in the morning C .diuretic.increase urine output E .OSMITROL (same “mannitol”) • • • • C .avoid alcohol and prolonged exposure to sunlight • K – monitor BP and serum potassium .
helps in the digestion of fats in patients with cystic fibrosis and pancreatitis • H .pancreatic enzyme.absence of fat in the stool • E .PANCREAS (Pancreatin/Pancrealipase) • C .administer with each meal and snack • C .do not chew enteric coated capsules. the drug may cause abdominal discomfort or diarrhea • K – assess the patients’ stool .
PAVABID (Papaverine Hcl) • C . shortness of breath.peripheral vasodilator. (-) leg cramps • E . numbness.(-) intermittent claudication. it causes orthostatic hypotension . tingling in the lower extremities • K . improves blood circulation in the lower extremities • H . chestpain.best taken with meals or antacids • C .monitor the BP.report severe headache.
(-) infection • E .best taken on an empty stomach with a full glass of water • C .antibacterial • H .report the development of rash • K – keep the antidote.PENICILLIN • C . epinephrine at the bedside .
antihistamine H .do not administer SC.PHENERGAN (Prometazine Hydrochloride) • • • • C .avoid alcohol and prolonged exposure to sunlight • K . tissue necrosis may occur .no specific C .(-) allergy E .
no specific • C . discontinue if hypertension develops .firmly contracted uterus • E .oxytocic.PITOCIN (Oxytocin) • C . used to induce labor after articificial rupture of the membranes • H .report the development of rash • K – monitor the BP.
stimulate immunity through antipneumococcal antibody production • H . myalagia. fever.(-) pneumonia • E .PNEUMOVAX (Pneumococcal vaccine) • C .no specific • C . induration.report the presence of erythema.vaccine. and rash . soreness at injection.
000 available at the bedside. indicated for patients’ at risk for pneumonia (children over 2-year-old. have epinephrine 1:1. adult with chronic illness. do not dilute. refrigerate vials.• K – administer SC or IM only preferably in the deltoid muscle or lateral mid thigh. elderly) . do not administer less than 10 days prior to or during treatment for Hodgkin’s-disease.
POVAN (Pyrvinium pamoate) • • • • • C -antihelminthic H -(-) pinworm E -no specific C -the drug may discolor the stool K -assess the patient’s stool. assess for common side effects: nausea. anorexia .
used as a uricosoric drug in gouty arthritis.PROBENECID (Benemid) • C -antigout. delays the excretion of penicillin • H -decreased uric acids levels • E -best taken with meals • C -change position slowly • K –increase fluid intake .
pralidoxime chloride (PAM) or atropine at bedside . abdominal pain and muscle weakness.PROSTIGMIN (Neostigmine) • C -cholinesterase inhibitor. antimyasthenic agent • H -increased muscle strength • E -no specific • C -report diarrhea. avoid hot and excessively humid environment • K -keep the antidote.
it indicates agranulocytosis • K –monitor the heart rate. it causes tachycardia contraindicated in pregnant patients . adequate sleep • E -take the drug around the clock at 8 hour interval • C -treatment is lifelong.PTU (Propylthiouracil) • C -antithyroid. inhibit synthesis of thyroid hormone • H -decreased heart rate. report the development of sorethroat.
PYRIDIUM (Phenazopyridine hydrochloride) • • • • C -urinary analgesic H -(-) pain E -best taken after meals to decrease GI upset C -inform the patient that the drug colors the urine orange or red • K -assess for jaundice .
food delays absorption • C -it will take several weeks (usually 6 weeks) before therapeutic effects become noticeable • K -urine and saliva are slightly radioactive for. adequate sleep • E -instruct patient to fast overnight before administration.RADIOACTIVE IODINE • C -antithyroid. 24 hours after administration . limits thyroid hormone secretion • H -normal heart rate.
RESERPINE (Serpasil) • • • • • C -antihypertensive H -decreased BP E -best taken with meals C -avoid sudden position changes K -monitor BP and heart rate .
RhoGAM (Rho Immune Globulin)
• C -prevents sensitization to the Rho factor • H -(-) erythroblastosis fetalis • E -administer within 72 hours after Rh incompatible delivery • C -report pain and soreness at injection site • K -given to Rh (-); coombs (-) mother with and Rh (+), coombs (-) baby
• C -antibiotic; used in the prevention of disseminated Mycobacterium Avium Complex (MAC) disease in patients with advanced HIV infection • H -(-) infection • E -no specific • C -report nausea, vomiting, diarrhea; body fluids may turn reddish-orange, contact lenses may be stained • K -monitor CBC, it may cause bone marrow depression
• • • • C -antituberculous H -(-) infection E -best taken on an empty stomach C -may cause body fluid discoloration (reddish orange urine or sputum) • K -monitor CBC, it may cause bone marrow depression
RITALIN (Methylphenidate) • C . give it in the morning or at least 6 hours before bedtime since it causes insomnia • C -may cause growth retardation • K –monitor growth and development . used to increase attention span in a child with attention deficit hyperactivity disorder • H -decreased hyperactivity • E -best given after meals because it suppresses the appetite if given before meals.stimulant.
urine may turn brown.ROBAXIN (Methocarbamol) • • • • C -skeletal muscle relaxant H -relief of muscle spasm E -no specific C -report skin rash. black or green in color • K –keep epinephrine at the bedside . avoid alcohol.
keep epinephrine at the bedside . stomach upset and/or diarrhea may occur • K -discontinue if hypertensitivity reaction occurs.ROCEPHIN (Ceftriaxone sodium) • • • • C -antibiotic H -(-) infection E -no specific C -avoid alcohol.
it indicates nephrotoxicity . used to destroy the vestibular apparatus to decrease vertigo in a patient with meniere’s disease • H -(-)infection • E -best taken after meals.STREPTOMYCIN • C -aminoglycoside. to decrease GI upset • C -report oliguria.
monitor BP and pulse. the drug causes ototoxicity. nephrotoxicity and nuerotoxicity .• K -ncrease fluids.
decongestant • H -(-) allergy. relieves • E -best taken in the morning.SUDAFED (Pseudoephedrine) • C .antihistamine. to prevent insomnia • C -avoid taking the drug near bedtime • K -monitor BP and pulse rate .
SULFAMYLON (Mafenide) • • • • • C -anti-infective H -(-) infection E -no specific C -cover burns at all times with the drug K -apply to debrided wound with gloved hands. metabolic acidosis) . bathe the patient in a whirlpool daily to aid debridement. depression. monitor for toxicity (nephrotoxicity. bone marrow.
SYMMETREL (Amantadine) • C -antiparkinsonian. antiviral • H -muscle become less stiff • E -no specific • C -report swelling of fingers • K –do not discontinue abruptly . dopaminergic.
SYNTHROID (Levothyroxine sodium) • C -thyroid hormone replacement • H -normal T4 levels. in female patients there will be resumption of menstruation • E -best taken in the morning. to prevent insomnia • C -treatment is lifelong • K -monitor BP and pulse .
when administering it with an antacid. acid indigestion • E -best given with food. inhibit gastric acid secretions • H -relief of symptoms of heartburn. it decrease drug efficacy . give • C -avoid smoking.TAGAMET (Cimetidine) • C -histamine antagonist.
• K –administer IM dose undiluted deep into large muscle. infusion should be diluted in at least 50 cc of D5W .
stay cool environment. it causes hot flashes • K -not given during pregnancy . it causes corneal opacity. it causes nausea and vomiting.TAMOFEN (Tamoxifen) • C -anti-estrogen • H -decreased tumor size • E -usually taken twice in the morning and in the evening • C -avoid driving. have small frequent meals.
and apical pulse above 200 beats per minute .THEODUR (Theophylline) • C -bronchodilator • H -easy breathing • E -best taken in the morning to prevent insomnia • C -avoid smoking • K -signs of toxicity include: vomiting. agitation.
THORAZINE (Chlorpromazine Hydrochloride) • C -antipsychotic. delusions and looseness of association • E -best given after meals • C -avoid exposure to sunlight • K –monitor the BP. it can cause hypotension . anti-emetic • H -decreased hallucinations.
TIMOLOL MALEATE (Timoptic) • • • • • C -antihypertensive. the drug may cause hyperglycemia or hypoglycemia . antiglaucoma H -decreased BP. IOP E -no specific C -avoid driving K -administer opthalmic eye drops in the lower conjunctival sac.
it may cause palpitations or cardiac arrythmias . adequate sleep E -best taken after meals C -change position slowly K -monitor the heart rate.TOFRANIL (Imipramine) • • • • • C -tricyclic antidepressant H -increased appetite.
TYLENOL WITH CODEINE • C -analgesic. used to treat headache in a patient taking heparin • H -(-) pain • E -no specific • C -hard stools is a common side effect • K -assess the patients bowel elimination pattern .
fever E -take with food if GI upset is noted C -it can cause hepatoxicitty K –keep acetylcysteine (antidote) at the bedside .TYLENOL (Acetaminophen) • • • • • C -analgesic. antipyretic H -relief of pain.
VACCINES (MMR. keep the vaccines refrigerated. OPV beginning at 2 months • C -have written record of the vaccines • K -before administering the vaccines. OPV) . taking steroids. ask the parent if they are living with an immunosuppressed individual (those with AIDS. polio • E -MMR is given at 12 months. undergoing chemotherapy.• C -live attenuated virus vaccines • H -(-) measles.
since it alters the effect of the drug • K –administer it separately. adequate sleep • E -best taken before meals.VALIUM (Diazepam) • C -antianxiety. given as a muscle relaxant to patient’s in traction • H -decreased anxiety. intake of alcohol and caffeine containing foods. food in the stomach delays absorption • C -avoding driving. it is incompatible with any drug .
drug of choice for methicillin resistant staphylococcus aureus • H -(-) infections • E -no specific • C -report ringing in the ears.VANCOVIN (Vancomycin Hcl) • C -antibiotic.red man syndrome . may cause nausea and hypotension • K. flushing. difficulty of voiding. rah.
erythema of the neck and back) . chills. fever. monitor renal function test with prolonged therapy. paresthesias.• K –dilute the contents of 500 mg vial for injection. in 30 ml of water for oral or nasogastric tube administration administration. Monitor the patient for signs of “red neck” or “red man syndrome” (sudden and profound fall in BP.
to determine dosage effectiveness . given in neonates to prevent bleeding • H -(-) bleeding • E -no specific • C -report the development of rash • K -monitor prothrombin time. promotes formation of prothrombin.VITAMIN K • C -antidote.
tinnitus is a side effect • K .antiarrhythmic.XYLOCAINE (Lidocaine) • C . anesthetic. used to treat premature ventricular contractions • H .no specific • C .normal heart rate • E .monitor BP and serum electrolytes. convulsion is the first sign of toxicity .
YUTOPAR (Ritodrine) • C . it causes palpitations .no specific • C .relaxed uterus • E .tocolytic. used to treat pre-term labor by decreasing the intensity and frequency of uterine contractions • H .report increase in pulse rate.
hypertension. bleeding disorders and spontaneous abortion . in patients with hemorrhage.• K .contraindicated before 20th week of pregnancy. infection.
decreased uric acid levels • E .antigout. used to prevent or treat attacks of gout • H . it signals the development of agranulocystosis .best taken with food • C .ZYLOPRIM (Allupurinol) • C .instruct the patient to report sore throat.
most of these contain vitamin C which can increase the likelihood of renal stone formation .• K – increased fluid intake to facilitate excretion of uric acid crystals. avoid over the counter medications.
. GOD BLESS EACH ONE OF YOU! .THE END….
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