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DRUG OF CHOICE

*Anaphylaxis & bronchospasm: epinephrine (Adrenalin Chloride)


*Status asthmaticus: epinephrine (Adrenalin Chloride)
*Pre-term labor: ritrodine (Yutopar) & terbutaline sulfate (Brethine)
*Hypertensive crisis: alpha blockers --- nitroprusside (Nipride)
*Bradycardia: atropine sulfate
*Pre-op med (to decrease salivation & prevent aspiration): atropine sulfate & scopolamine
*Glaucoma: pilocarpine (Akarpine)
*To diagnose myasthenia gravis: edrophonium chloride (Tensilon)
*Alzheimer’s disease: donepezil (Aricept) & tacrine (Cognex)
*Parkinson’s disease: levodopa (Larodopa)
*Epilepsy: phenobarbital sodium (Luminal)
*Status epilepticus: diazepam (Valium)
*Trigeminal Neuralgia: (Tegretol)
*Alcohol withdrawal: chlordiazepoxide (Librium)
*Antianxiety (pre-op meds): lorazepam (Ativan) – safe for elderly
*Alcoholism: disulfiram (Antabuse)
*Mostly recommended antidepressant: SSRI fluoxetine (Prozac), sertraline (Zoloft)
*Avoid tyramine foods: tranylcypromine (Parnate), phenelzine (Nardil), isocarboxazid (Marplan)
*Manic: lithium carbonate (Eskalith)
*Tourette’s Syndrome: haloperidol (Haldol)
*Common effect – agranulocytosis: clozapine (Clozaril)
*Drugs for extrapyramidal symptoms (EPS):
benztropine mesylate (Cogentin)
​trihexiphenidyl ( Artane)
​diphenhydramine (Benadryl)
​biperidine HCl (Akinetone)

procyclydine HCl ( Kemadrin)
*Neuroleptic malignant Syndrome: dantrolene (Dantrium)
*Osteoporosis: alendronate (Fosamax)
*Acute Gouty: colchicine (Colgout)
*Chronic Gouty: allopurinol (Zyloprim)
*Analgesic for Osteoarthritis: acetylsalicylic acid (Aspirin)
*Transient Ischemic Attack: acetylsalicylic acid (Aspirin)
*Dysmenorrhea: ibuprofen (Motrin, Advil)
*NSAID of choice for Patent Ductus Arteriosus: indomethacin (Indocin)
*Pancreatic pain: morphine (Morphine SO4) -updated
*Advance cancer pain: morphine (Morphine SO4)
*Opioids withdrawal: methadone (Dolophine)
*Less Respiratory Depression: codeine (Codeine SO4)
*Treat Asthma: bronchodilator
*Prevent Asthma (Prophylaxis): chromolyn (Intal) –prevent histamine release
*Prophylaxis for TB: isoniazid
*Histoplasmosis: ampothericin B
*Legionnaire’s Disease: erythromycin (Erythrocin) ​
*Angina Pectoris: nitroglycerine (Nitrostat, Nitrolingual)
*Coronary Artery Disease: “statins”
*Coronary Artery Spasm: nifedipine (Procardia)
*MI Pain: morphine sulfate
*Congestive Heart Failure: digoxin (Lanoxin) *if with Renal Failure: digitoxin (Crystodigin)
*Antihypertensive DOC for CHF: ACE Inhibitors
*Raynaud's Disease: nifedipine (Procardia) –for spasm
*Premature Ventricular Contraction (PVC): lidocaine (Xylocaine)
*Atrial Tachycardia: adenosine (Adenocard) ​
*Urinary Analgesic: phenazopyridine (Pyridium)
*DOC to Decrease Potassium: kayexalate
*Diuretic of choice for cerebral edema: mannitol (Osmitrol)

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*DOC for Hepatic Encephalopathy: lactulose (Cephulac)
*Acromegaly: octreotide (Sandostatin)
*Diabetes Insipidus: vasopressin (Pitressin)
*Hyperthyroidism: propylthiouracil (PTU), methimazole (Tapazole)
*Hypothyroidism: levothyroxine (Synthroid)
*Corticosteroid for cerebral edema: dexamethasone (Decadron)
*DOC for Pheochromocytoma: phentolamine (Regitine) – to decrease BP
*Promote Fetal Lung Maturity: betamethasone (Celestone)
*DOC for HIV (AIDS): zidovudine (AZT)
*Antibiotic of choice for Pneumonia: pennicilin
*Antifungal for Pneumocystis Carinii Pneumonia: pentamidine (Pentam)
*Promote Uterine Contraction: oxytocin (Pitocin)
*After Delivery of Placenta: methylergonovine (Methergine)
*DOC for Breast Cancer: tamoxifen (Nolvadex)
*Cervical Cancer: cisplatin (Platinol)
*Metabolic Acidosis: Na HCO3

ANTIDOTES
*epinephrine: phentolamine (Regitine)
*pilocarpine (Akarpine): atropine sulfate
*ANTICHOLINESTERASE -- neostigmine (Prostigmin) & pyridostigmine (Mestinon): atropine sulfate
*ANTIANXIETY DRUGS / BENZODIAZEPINES: flumazenil (Romazicon)
*lithium carbonate (Eskalith): osmitrol (Mannitol) – treatment if toxicity occurs
*acetaminophen (Tylenol): acetylcysteine (Mucomyst)
*narcotics: naloxone (Narcan)
*heparin: protamine sulfate
*warfarin: Vitamin K
*digoxin: digoxin immune fab (Digibind)
*thrombolytics: amino caproic acid (Amicar)
*iron: deferoxamine (Desferal)
*magnesium sulfate: calcium gluconate
*cyanide: amyl nitrate
*lead poisoning: EDTA and BAL, dimercaprol
*ANTIMETABOLITES methotrexate: leucovorin (Wellcovorin)
*VINCA ALKALOIDS vincristine: hyaluronidase
*ALKYLATING (cyclophosphamide Cytoxan): Mesna (to prevent Hemorrhagic Cystitis)
*doxorubicin (Adriamycin): Zinecard

DRUGS THAT CAUSE BONE MARROW SUPPRESSION:


​*carbamazepine (Tegretol)
​*chemotherapeutic drugs
​*antiviral drugs
​*antithyroid drugs

PRINCIPLES
*Best way to assess the identity of the infant: Compare the ankle band with the name on the care plan.
+If does NOT have a readable identification band: Ask the client his name
*Which of the following indicates absorption: transportation of the drug from absorption to the site of action
+Health teachings by the nurse will be MOST appropriate in home medication administration: demonstrate to the
mother how to measure a dose
+Accidentally administer 40 mg of Propranolol (Inderal) to a client instead of 10 mg. Although the client exhibits no
adverse reactions to the larger dose, you should: complete an incident report

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