Day 4 8 RACHELLALLEN TEST TAKI EGIE! THE ANATOMY OF A MULTIPLE CHOICE QUESTION QUESTION LTOPIC ~ els absat -tne patient nt” fhe conctisions ZSTEM - ‘he part op he austin Vat I acking or a clakment which meccts be completed wale) EXAMPLE: A nurse is conducting a health screening for osteoporosis. The nurse determines that which of the following is at greatest risk of developing osteoporosis? (cen) Take note of the Keywords: Sse Tas Tarrio feria) | anmectiate “wieeverivory Moy imgetant | tiusr concoRn P wionity Lear vivey E xgecked | Keeptecl 3. CHOICES Odo man OUT -» a chuice waich cliprers yon te other cphiCNs ee A vypoerioma 4 © wadycardia 4 © muscle weaves & oe ae tae Unter eprien Quon egitunY “ Conlaing We idea oF -ne other phen Te Try vemenveding cine Difficult Roads often lead to beautiful destinations...Becuen Al LEN TECHNIQUES ’ IF TWO CHOICES OFFER SIMILAR OR ESSENTIALLY THE SAME ANSWER, BOTH ARE PROBABLY FALSE UNLESS "ALL OF THE ABOVE” OR "BOTH 1 & 2” ARE PRESENT. SAMPLE QUESTION: A client receiving blood transfusion reports having a new onset of flank pain and fever. Nursing interventions should include which of the following actions? 1, Obtain another set of vital signs and call the physician 2. Stop the infusion immediately 3. Assess the patient for other symptoms 4. All of the above ¥ THERE ARE QUESTIONS THAT ARE SEEMINGLY ASKING FOR A POSITIVE BUT IN FACT ARE NEGATIVE QUESTIONS. EXAMPLE: needs further teaching except feast important should question most concerned Difficult Roads often lead to beautiful destinations...{ELLALLEN Or SAMPLE QUESTION: Discharge planning for a patient with pancre: includes patient education. The nurse educator recommends further teaching to this patient because: oral event weal, pA. WoC digpiculy'm L.The patient says he will eat his usual big meals. of getter 2. He says he can never have alcohol drink again. 3. He will take his pancreatic enzyme before meals. 4.He will report abdominal pain and yellow skin ¥ QUESTIONS WITH "MOST CONCERNED” INDICATE THAT THERE IS A COMPLICATION. THUS, YOU HAVE TO CHOOSE THE STATEMENT THAT CONTAINS THE MOST COMPLICATION OR PROBLEM. SAMPLE QUESTION: A pediatric nurse takes care of a 6 year old girl who just had tonsillectomy 8 hours ago. Which of the following statement by the mother should the nurse be most concerned? 1."My girl complains of pain in her throat.” y-ic! 2. “I notice she swallows frequently even if she is not drinking,” \ie« 0, 3."She does not like to eat yet.” *)ycie! 4. “She sleeps with open mouth and she’s drooling.” pected Difficult Roads often lead to beautiful destinations...Dy2 RACHELLALLEN WieRe Nunsts Tact —_ = CONCEPT: PHARMACOLOGY NERVOUS SYSTEM al ay wos Control eenier “Weson- vac suid Feces mene Sat of erin Feremical mesenger ‘n-ne bain we lyn eommanicanion cary Yonpafec cwvay Te one newrants rTemnne cell Wocny ancien ping b Whe rat ax _~ ‘The Nervous System cus PNS \centat atone Sy) CHeigherat weavers. Cys) —_—__ Beond Sol euch Somat Nemo Meurdé Neiwtagy voluntary “a co - © tae) = © eomh S (a) ' cp Cyc | ee neces Fit [Hier Reepase ae ecinog ree erviieagic lanier t fesie “Byerything comes to you in the right moment. BE PATIENT.”Aytoromic. i 1, Ade PNG v BP Temp emytng Fe cuca 8 Ye pe oe en It = cent paien expt 4G cares ees \ Sag = ary elon \s = urirary incontinence. i ai fats * ae dey moatin + salivetion ~* Nospeenstriction + Nosodilation brerchodifettion, + iproncheconttiction Pupil dilation pug enidichon aaron, Cheaey Ps) massing glory a 4 ae tonite 2 sus rok eres? Gloced = prs Hteesergic = . Cholinergic = ANS a soc Blocker = PHS aa su Sympainee = sic _Spatieic= mines MG = Synghactdytice —agies ous PAC ora syinpotinec = PC Raer cympatretrimetic= mints PC= PAS Frm sympbrticiytt ~ agains arcs sXSRACHELLALLEN Dopamine Inhibitory Affects behavior (attention, emotions) Fine movement Acetylcholine Parasympathetic effects sometimes inhibitory Serotonin Control mood and sleep Inhibits pain pathways Norepinephrine Excitatory Mood and overall activity Gamma-Amino Inhibitory Regulates other neurotransmitters Butyric Acid (GABA) NS prope. “TOO LITTLE” “TOO MUCH” Neurotransmission Neurotransmission DEPRESSION - * 8BeRoEpHGne | 4 SemFosin, MANIA ~ * sueptinephiine tercivcin 5 Ma imioatance ANXIETY - 4 Gnoe SEIZURE ~ Anoragnepinnine j # Serotonin, MYASTHENIA GRAVIS -+ 4 S2iy{chotine PSYCHOSIS. | 1 Dopamine PARKINSON'S DISEASE - + Popamie SCHIZOPHRENIA ALZHEIMER'S DISEASE ~ 4 pceiyichoine “Everything comes to you in the right moment. BE PATIENT."RACHELLALLEN Winene NonSts\txcE DEPRESSION CAUSE: ‘THERAPEUTIC GOAL: Yiuepnephrine 7 4 Soxetasin PNeepineporine 7 4 Serotonin ASSOCIATED DISORDERS: EATING DISORDERS ANOREXIA NERVOSA ~ Seip stanvotion, BULIMIA ~ Binge pk Rowge ie 7 Gereat ——Yugnd up ANTIDEPRESSANTS 1.TCAs 2.SSRIs [reinvic omienaessomc | se emacictect Camerereatty “tis ) rerosipanla Cary eos) ech auc: Se i Ce OS) ig porte sland Feet Digagioraition |evesion! welling Chirane Fee CHiRRY Tee | cw enlonyrent) Prototype Drugs: Prototype Drugs: ‘Therapeutic Effect: 2-3 Whe amitripTYLINE Hc (ela) | ctatoPRAM (celexa) | suectece: futctuinergic @D Nortrip TYLINE na. Fluoxet! NE\Prozac) (Pamelor, Avertyh serrall NE nc zoo) ie naag en cet hole ProtripTYLINE (vivactyl) | paroxetine (Pox) | Lorthatatc Mypacasion— fuiten aaaiy | clomiPRAMINE ct 2.D easiest | (anafrani) Means tance 2D jane iPRAMINE ct Bupropion (Wellbutrin) hes cues quincy {Tofrani) Trazodone (Desyrel) NocPRAMINE “Avoid Alcohol and Antibistamines canbe taken inthe AM. Lrecalhecay ‘ Ny ging oP eure mine sat C7 5 iursing Considerations 3. MAOIs wosotning Os oase inns ‘Nursing Considerat Prototype Drugs: Thana tea ‘Tranyleypromine sulfate (PArnate) Common Seth = Sheets le/Rdverse Eft rbiegi Phenelzine sulfate (NArchi) Antichoinergic: G8) 'socarboxazid (MArpian) Moclabemide (MAnerix) Doxepin HC! (Sinequan) | Amoxapine (Asenin | | “Interacts with food and drugs ith INE (petent vawcancticton) = ® BP wAged = Prone = Heedleneese ~ excel mec = egoguct ce = Ear cere ‘Fermented Weer Stine = cream el = = abr Citiage shee ic oe! TROL ~ ten potent cnc + ash eat peivd we ime elle far te medicatin + be eliivesee la 9 = SSR~ Jol pent eb ae — gee te Pent doug MAO! SSRI ~BNIS.— Yi utes be Ip cng) eh SSREMAOI= BWKS= we tay yw ‘SEROTONIN SYNDROME “> MADI + CCR\ = + VS “Everything comes to you in the right moment. BE PATIENT.”RACHELLALLEN 4. Herbal Medication ‘St John’s Wort s-adenosyl methionine (SAME) Fo POT Ve Wn cahyanction wie | ony one reesctieeo oniocypmaait PARKINSON’S DISEASE CAUSE: THERAPEUTIC GOAL: 4 Dpamule * Dopamine Olle ¥ atorTaw (ano pause ANTL-PARKINSON DRUGS aan 4 Sstcohttortm (ome), gee) 2 Dopamineris (90) ved [2-Acotnergi (005) Aursing Considerations Common Side Effect: ANTICHOLINERGIC SIDE errecr Gs) CerbdopsodopetSemes)/ | Tinenhery sre) srontane mete Sipher hye He era | Bromocriptine (raeca “| Serge tien Peroide mesic) | : | Levodopa (Larodopa, y/ Benztropin mesylate (Cogentin) gree uit COGENTIN- id Apia | © Bleeding, ‘Teamirerore Cini Raper) a ALZHEIMER’S DISEASE CAUSE: THERAPEUTIC GOAL: MECHANISM OF ACTION: ‘Block Acetyicholinesterase> Vheetyl cruiing 4+ Aceljenoting Block Cholinesterase 6) ANTI-ALZHEIMER’S DRUGS Cholinesterase Inhibitors Mechanism of Action: Elevate acetylcholine concentration in cerebral cortex by slowing degradation of acetyleholine released in cholinergic neurons Drugs: ‘Nursing Considerations: | onepen (ace Q, cHolttesicsibe erect | ‘Tacrine (Cognex) SMitana) — # mouth ccuretions Lcumatiog - rears eget [Urinanal — incomtnence DEPECMGS - diarrrea “Everything comes to you in the right moment. BE PATIENT.”MANI RACHELLALLEN lA CAUSE: Na twibalance 4 Niepine pring 1 Sin THERAPEUTIC GOAL: Nh boiance $Woepineplnnne, 4 Serone ; MOOD STABILIZERS 1. Lithium Preparations ‘Mechanism of Action: Correct an ion exchange abnormality Mechanism of Action: Unknown, enhancement of GA Nursing Considerations ie im Therapeutic eve: 0.6 101.2 meat Lithium carbonate (Eskalith, Lithane, Lithobid) | Maintain: << 3b weer thium erste (Ciba iy he it Avoid: set LFengwation - Wake Hina We te % eee he]. ypeenin rine. ore : Lithium toxicity effects: bynkee Na gus gers Wore ating = cehyphettin esa Te 0 tes Chiah move D+ typrctremi | AMREHCA Report! ee Nome NOR Li ver rave nee wo wemay | ate | sonoeieg a Atedomiral Gran | | life of oowpination -(Mony) ANTICONVULSANTS. \BA neurotransmission postulated amazepine (Tegretol), ———} | Mat | Oxcarbazepine (Trileptal) nbn Divalproex sodium (Depakote) | Gabapentin (Neurontin) | Topiramate (Topamax) Tenn hss OH e Digeatial | emorin tamil) ————_—— Poensriin cone Ki) + Ginga Cn bo) Pi gor engechion XY immunocampromifac ok rath 2) YI eee) long ck evs ; Keay j het, cmnalesses- Hperpiacy Comcgrwth of gum fssne) ete oral hygiene [nde cave ‘sh cr pl teh lly h ating (meclicamm sterins +H anne) “Everything comes to you in the right moment. BE PATIENT.”RACHELLALLEN PSYCHOSIS/ SCHIZOPHRENIA CAUSE: ‘THERAPEUTIC GOAL: A Dopamine 4 4 (P= kolizin ) FLuphenezing — wed im patients with hichay o ron a wrpione | (S~reoquet) Sueriaving — * arypren” Cried) ~ FA en Bop _- face ‘ cous EPSE - aioe " rapyrcoidal Sele eypecs) (C= LoroRit) ehozopine —~ Aty pical Agremulocytosis (ied wee) CH ALD0K) HaLopenioo — came os Tolixin (O-vamppme) Faypexc? ~~ Ay pict? ANTIPSYCHOTICS/NEUROLEPTICS Mechanism of Action: Block dopamine in the post synapse Classification [Generic Name] _ Adult Daily Therapeutic Notes (Trade Name) | Dosage Range PPhenothiazines —[Chiorpromazinefs0-2000 mg Potent hypotensive elfect (thorazine) [Thiovidazine — [150-800 mg |ay eause retinitis pigmentosa n Goses above BOD (Mella) Fre IMesoridazine [30-400 me Serenti) [Trifluoperazine [iz-6 me Stelazine) Fluphenazine [40mg wvallable in long acting form, may be used in cients Prolixin) ith a history of noncompliance [Ihioxathenes _|hiothixene —J&-30me (Navane) [Butyrophenone Waloperidol {1-100 me \vallabie In long acting form; may be used in cients (Haldol) ith a history of noncompliance [Dihydroindolone [Molindone [iS 225 me (Moban) [Dibenzoxazesine Jloxapine __ p0-250me Loxitane) bDibenzodiaze ypine [300-900mg __Jncreased risk for agranulocytosis; higher Inddence (Clozaril) seizures reported Benzisoxazole fRisperidone Joeme 20mg “Everything comes to you in the right moment. BE PATIENT." = Bed Genevertion Gem py chstic v Yast Acting bee RSEAripiprazole (Abilify) | Olanzapine (Zyprexa) RACHELLALLEN ATYPICAL ANTIPSYCHOTICS Tiprasidone (Geodon) Clozapine (Clozaril Auetiapine (Seroquel) [sere (oitane) Aisperdone (Reda) Soqiemuloyose” vonage Fasting Pradluanacles : Aqenutocybers les vee. Sigute Side Effects and Nursing Interventions Side Effect ‘Nursing intervention [anticholinergic Symptoms [Dry mouth [Encourage frequent sips of water, good oral hygiene, chew tugarless gum lurred vision JReassure client of transient nature of blurred vision Retinitis pigmentosa [Urinary retention or hesitancy lotify physician ['&0, notify physician [Constipation High fiber diet, increase fluid intake and exercise paralytic eus INotify physician Sedation Tient teaching regarding need to restrict driving or operation oF lmachinery JOrthostatic hypotension Dermatologic Effects instruct client to rise slowly from a lying or sitting position Photosensitivity instruct the client to wear protective sunscreens, clothing and [sunglasses, and to limit exposure time in the sun [Hormonal Effects [Decreased libido [Explain that this may be transient Amenorrhea [Explain that this is reversible Instruct client not to discontinue the use of birth control as, ovulation is continuing and pregnancy is possible eight gain [Encourage proper diet and exercise “Everything comes to you in the right moment. BE PATIENT."RACHELLALLEN EXTRAPYRAMIDAL SIDE EFFECTS ystonia (involuntary muscular movements of face, _ Notify physician ms, legs, and neck) |Antiparkinsonian Drug spasms (uncontrolled rolling back of the |Notify physician intiparkinsonian Drug inticipate need for respiratory/ emergency support PRN kinesia (muscular weakness and fatigue like INotify physician symptoms) [Antiparkinsonian Drug fAkathisia (restlessness, fidgeting, pacing beyond the |Notify physician onscious control ofthe client [antiparkinsonian Drug ae b ait still [Pseudo parkinsonism ~ win sicy oak [Notify physician stlnaat wa eae fAntiparkinsonian Drug Dot caroidopa ievidogs (Sinemet) [Tardive dyskinesia (bizarre facial and tongue |Notify physician Jrovements, stiff neck, cficulty swallowing) lip aodhayantipsychotic may be discontinued or changed “F PeeemareN) and reversible condition |Neuroleptic Malignant Syndrome (NIMS) ithhold antipsychotic medication until discussion with physi HYPERTHERMIA tlyperpjema ~ Feuer - emp [Monitor vs. Initiate supportive measures to lower temperature [ALTERED LEVEL OF CONSCIOUSNESS ~ corgasien a aN en] AFAR compton [MUSCLE RIGIDITY siffyess Dod: pamTaene SOW _Cpariven) ANXIETY CAUSE: THERAPEUTIC GOAL: + 6080 t chen Gloxsrropnantn ercloecl paces ASSOCIATED DISORDERS: Oguapnonia = open paces LPHOBIA ~ watoral fear @ saetiegy Wat pues litte UHH RRL bE dager —MHOPMOMA~ corms 2-Obsessive Compulsive Disorder (OCD) rnctryve Thaghts. munigesteh ly eegfitve Acker B.PANIC ~ sudden sengaton of pear that Males ene VWogleal oF iremtonel “Everything comes to you in the right moment. BE PATIENT.”RACHELLALLEN => _ANXIOLYTICS AND SEDATIVES [1 Benzodiazepines (825) [2 Barbiurtes ] 3: Nonbenzodiazapines/ L - | Nonbarbiturates AlprazoLAM (xanax) | PhencBARBITAL (Luminal) Syspicone: (Buspar) | | boc: Anni chy diezePAM (valium) secoBARBITAL ( | | Chlordiazepoxide (Librium) z ane | 2aterter VAmblen) = aiety ~ anaety Seige igwe iarele anes Ha = Rak paying, attention, i : ADHD ~ ATTENTION DEFICIT HYPERACTIVITY DER Faeacte ~samping =o Acoso L less brain ache ome = MEDICATIONS TO TREAT ADHD : ai (HENS iengevent [ne eegare cl | CNS Stimulants Drags ; ‘Nursing Considerations | Amphetamine S/E: Decreased appetite and slp | | Atomoxetine (Strattera) Headache aa 1 | Dextroamphetamine (Dexedrine, Addera) naw (Us caoees Methamphetamine (Desoxyn) Growth retardation CI —'p, Se Methylphenidate HCI (Ritalin) LP) Holsony LA | Pemoline (yer) Parent stent | Mech etion os oftuitecl by doctor | apie, repetitive ticks * dene cauring lweger vocalan| brat | |S Ca ep ort ‘MEDICATION ADMINISTRATION: fa OD~ murling bere beakgust C8 bepore YH haus oF Seep BO PBqee. brakgast + funch a ae ee ® Pepare Ineatgass + bepee Wecttime NEUROLOGICAL AND MUSCULOSKELETAL MEDICATIONS MYASTHENIA GRAVIS 4 AcetylcVoling [ Pruss:_cieanemic reer enevicenion, | earonhONIUM chloride (Tension) @> ‘Nursing Considerations: )4 ] | ate mee one Feature: Desrending mucie weutners Ceo Hoe) Doe Initial s/sx: PIOSIS Celreeping oF eyeticts) idos TIGMINE bromide (Mestinon) Piplopictl doable vise) | DuTest: tenciken Tec} NeosTIGMINE bromide (Prostigmine) | amen cherie (mye) Result:-improverrant M~te eenctinten l “Hin mucie. weoienece |_ BEST TIME TO TAKE MEDICATIONS: MpRNING Yefoee ReencEas] “Everything comes to you in the right moment. BE PATIENT.” ADL'SRACHELLALLEN CENTRALLY ACTING MUSCLE RELAXANTS: "Mechanism of Action: Decrease synaptic responses at neurotransmitters to decrease Irequency of spasms. Drugs: | Nursing Considerations: - 1 Baclofen (ores . Dantrolene sodium (Dantium) | Common side effect: Diapidece Carisoprodol (Soma) | Ofeobenzaprine HC Fexerin Action: Relieve. Spaeme Af Methocarbamol (Rebaxin) CCONTRAINDICATED IN: *ycUsthemiA Grows CN) Guillain Barce! Syrtrome | C6) pate Bate te poratis ; OSTEOPOROSIS. +... demineralization ‘Mechanism of Action: Improve bone mineralization a Drugs: ] Nursing Considerations Calcium and vt. D supplements (QukiiRih) | -netases calcium aloac pun wwe Gt Estrogen replacement "be PALOKITENS: cevis) T promos one Formeston, * Caleitonin (Calcimar, Miacalein) T* Brings caldum back to-tne toones| Biphosphonates: [> “token ia the mining epuie bralqact | r tre pal gla op node tL apres | ale DRONATE frosamax) TE TST TA GT) pt oe ins? | | Risedconate Actone!) Seer arnt ‘banronate (Sonive) J+ given One @ worthy ARTHRITIS - Goal of Treatment: Decrease inflammation and pain @ @ RHEUMATOID OSTEOARTHRITIS GOUTY Autoimmune Degeneration Faulty purine metabolism “wear and tear” funic had Momrieg) Sippress Teche’ | Aveiclt Purine diet gh: warm chawerin tre int Poin Anchovies Feature i incr al yest cars Beoruthing’ Biytoe” Beers.peans gH ea Qroan reat Yenc C Mcines Steet “Everything comes to you in the right moment. BE PATIENT.”Nonsteroidal A\ inflammatory Drugs Fenoprofen (Nalfon) Ibuprofen (Motrin) Ketoprofen (Orudis) ‘Naproxen (Naprosyn| Cyclooxygenase-2 Int Celecoxib (Celebrex) Etoricoxib (Arcoxia) RACHELLALLEN Other NSAIDs Diclofenac (Voltaren; Diflunisal (Dolobid) Indomethacin (Indocin| Ketorolac (Toradol) Meloxicam (Mobic) Piroxicam (Feldene) Sulindac (Clinoril) GOUT [Drags is | Nursing Considerations: Gj rtess — wih ca | cothicine —“agralocyinas™ | Prevents deposition of rc Ald int Jone “agro | Yi Allopurinol (Zyloprim) t— Headache ness, |Pewnsomtenet ica on rrobenecid (Benemid) + Swi Rash Promotes Uric Acid excretion CARDIOVASCULAI HEART FAILURE |_ Wate Daw penty ug-Woker abd ace dag .R MEDICATIONS CAUSE: © Seerease Ganvachliny ~ CINETROPIC) Senos wort tend (oieororgaic) THERAPEUTIC GOAL: P oymnaciay (@ voreeric) 4 Heart _wiewonn «@ coeororweric) Drage Trelis Digoxin (Lanoxin) Digitoxin (Cystodigin) oe Digon Lemnune Feo | CDigiond) ‘Nursing Considerations: “Everything comes to you in the right moment. BE PATIENT.” < £° vp ‘Therapeutic lev 0.5 t02 ng/ml (SYPOKALEMIA an cause-sigoxin toxicty> eat DIGOXIN ToxIETY: Vortitirgy |Viewal ethene Arorovic | Nausea | Dicrrneer Alectuiredt cece 7 ‘ (withholcl yepli'ccetions \ imnmaco” syle NOTE: feof Tote. € 1c0 prt ‘5 ap | + 10 vio « 10 lopn 7M Go toenoA DIURETICS RACHELLALLEN Wil POTASSIUNWASTING Tx POTASSIUM/SPARING) uate: Texcieed Spironolactone, (eudectne) Wiel op F weosmicle Chosix) Bumetanide (eumey) Poktia € chin | Avi \ortche ( wichamar) Epler enone (inspra) Ayporennin) » qweiciny CAUSE: THERAPELTIC GPA: VYoounerionys! Vaso DVO MECHANISM OF ACTION: Oranges: anna sa Triamirene (yeni) Divait) ehtorotmiagide / Prsiet- ay ci ‘ Syroch a. WOF: fy pokalenia Statery | WO i nvice & cs. Yyperialemia MANAGEMENT Wage DRUG OF CHOICE: (Kauye Celcate ) Secliiin |qolyticrene = Odd Kt Rich toods Sipernte fed © ehuride supplements eoairieWOF: Brwek walernertt Corotiy? L__CHotinen Dacatey cnet oY reheition enema caquler atairnea the HYPERTENSION Selon CAUSE: THERAPEUTIC GOAL: INCREASE CARDIAC OUTPUT DECREASE HEART WORKLOAD Lt contraetinity DECREASE HEART CONTRACTILITY AS Workload ‘Cental antiadrenergics Conine[eatapressy Sie effec Methyldopa (Aldomet} Hypotension Bradveardia blockers), | Cowealiot Contraindicated: “lol | Atenoioi Asthma ~ Gonctte censtrichion meropretet Heare Block — 4 4 Proponote\ 4 inputs ‘aicimm-channel blockers Prinze Side effec Ot tos Wt ppetirns | Hypotension Orage ye J Cen) | Rapa Bradyeardia aoe Niredqoine Contraindicated: 2 Pape ft Jive 4 peetveess | ening. Heart block ‘Alpha-adrenergic blockers PreZOSIN (osinipress) ; Teeazosin) Cityrrin) ASinbnr CaptoPRIL (Capoten) ‘Apgloteaain'n Antagoniste LoSARTAN (cozaar); Conpesartan CATA CanD) Direct-acting vasodilators Hydralazine (Apresoline) Nitroprusside (Nipride) “Everything comes to you in the right moment. BE PATIENT.”RACHELLALLEN Fast koheg, , ANGINA PECTORIS Baeryen@) chest ean” VASODILATORS Drugs: ] Nursing Considerations: Nitcoalycerin (Ntrostat) — 4 cosingus. @) | 16 op na Vhrarstema ph rhe evi =e ene ~ nat hoy arta oF cheat Cc MOCHE AtLoNoe PROLLY Mae nye Cfepoce twice 4 gear ea “%. : Ca Be open Be. Deing interval | - I2-Wu' ow oe \ any dase + et gee y ; pee cug toc le Fae ich Geriraingicatedl: Ereetie Pyspanction Isosorbide mononitrate {Imdur) 1 hover in ‘medi'certon [sosonideamvaetioan J Are | ieingenorce COMMON ANTIDYSRHYTHMIC DRUGS | Group I-A Drugs SODIUM CHANNEL BLOCKERS (fast sodium blockers): Disopyramide (Norpace) Prana ronety) M4 bt we oi Quinigine (Quinagiute) | | Group -8 Drugs (suppress automaticity in the | bundle of His-Purkinje System) | Lidocaine (Xylocaine) — yatkc ber} ih ‘te weahncies | Tecainide (fonocara) Mexietine(Mexii) Group I-€ (decrease automaticity and conductivity through AV node and ventricles) Flecainide (Tambocor) ANTI-DYSRHYTHMIA MEDICATIONS Propafenone (Rhythmal) CALCIUM CHANNEL BLOCKERS Diltiazem Group | Drug (A, 8c) ‘Verapamil Moriciine (Ethmozine) Nifedipine Amlodipine Group il Drags BETA-ADRENERGIC BLOCKERS, depines Carvedilol ~ enc worn tre’ pobent's ewncihon clung initia? +e Atenolol Metoprolol Propranolol Group I Drugs POTASSIUM CHANNEL BLOCKERS Bretvium @reyle) Gg Amiodarone (Cordarone),~" Bich clicoldraion Dottie (Convert (im ase Cupceren Sotalol Betapace) — |" Bpevent uy recuse Ventricular tio Group v Drugs “Everything comes to you in the right moment. BE PATIENT." the seta, or orton -RACHELLALLEN WHeRt NURSES EXCEL HPL Rein ont) 9 popes ce VASCULAR OCCLUSION — 1?" > bY nis) bP YGAUse: A Ghileserel ANTIHYPERLIPIDEMICS “hewpeuie Goal: 4 Ghutetero| L.HMG-CoonzymeA reductase inhibitors "yin C02 ~ z yc eh) Cesta ales atovaSTATIN tuitos) Statins aa appens. 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Hydroxyzine (Atarax) Fluticasone propionate (Fovene) Second Generation Triamcinolone acetonide Loratadine (Claritin) (&zmacort) Catritine (Zyrtec) Fexofenadine (Allegra) Astemizole (Hismanal) ‘GENITOURINARY MEDICATIONS RINARY ANT URINARY ANALGESIC] ANTISPASMODIC | CHOLINERGHAGENTS INFECTIVES ‘Methenamine (Hiprex, | Phenazopyridine Hyoscyamine Bethanecholchioride Mandelamine) {Pridium)~ yori | (Crstospan) (Ureeholine) “pio mk RIN | farodie artata , {Betro!) = Prec Urinoctt Nalini acid (egram) Oybutyin chloride Nitrofurantoin ced ary (Ditropan) — P Blaclcter muaife (tMacrodantin) Flavoxate (Urispas) ond. Ewin eau Sulfisoxazole (Gantisin) TwP-Stz (Bactrim) GASTROINTESTINAL MEDICATIONS TREATMENT REGIMEN FORH.PYLORI [> Lansoprazole, amoxillin, clarithromycin (Prevpak) i+ Bismuth subsalicyiate, metronidazole, tetracycline Veit) Oop crtvemen Benhlaates: > Lansoprazole, amoxcillin 4 PA “Everything comes to you in the right moment, BE PATIENT.”