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PHARMA MOMENTS

ANTIANXIETY/SEDATIVES MINOR TRANQUILIZERS VLAST ME VAB NM - GABA Valium – ate V Libreum - L Ativan - Ate Guy Seraks – Sera Ulo Tranxene – L.R.Transit Miltown – Happy Meal Equanil – Aqua Kneel Vistaril – largavista Atarax – Mga bato (rocks) BusPar – sasakay ng bus ANTIPSYCHOTIC AGENT MAJOR TRANQUILIZERS SSTTCMHP NM - DOPAMINE Stelazine - sexy star Serentil – serena Thorazine – babaeng Tora Trilafon - tri-band phone Clozaril – closed reel Mellaril – maraming reel Haldol – ha ha ha Prolixin – pero lick scene ANTIPARKINSON CAPABLES NM –ACETYLCHOLINE Cogentin – Cogie Domingo Artane – Pag - Arte Parlodel - Parlor Akineton – Akin Ito Benadryl – Tara Inom tayo Larodopa – Laro Dapa Eldepryl – Madaming Elders Symmetryl – Maraming Sims Anticholinergic Artane Akineton Benedryl Cogentin Dopaminergic Parlodel Larodopa Symmetryl Elderpryl

ANTIDEPRESSANTS ANTSAAVE PPZ NM – SEROTONIN AND NOREPINEPHRINE TCA(TRI CYCLIC ANTIDEPRESSANT) Asendin – ascending Norpramin – sabaw ng knorr Tofranil – Tofu Sinequan – nood ng Sine Quan ang title Anafranil – kina Ana Praning Aventyl – kina Aven Til Midnight tayo Vivactil – Bye Back till next week Elavil – Eh love mo ba ako SSRI (SERETONIN SELECTIVE REUPTAKE INHIBITOR) Prozac – Pero saka na Paxil - Taksil Zoloft – mag Solo ka MONOAMINE OXIDASE INHIBITORS (MAOi) “AR” M PLAN N DIL P NATE SUBSTANCE ABUSE Downers (ABONM INE) Alcohol Morph Barbituates Code Opiates Hero Narcotics Marijuana NARCAN  antidote Uppers (CHA) Cocaine Hallucinogen Amphetamines Magic 2s of Drug Toxicity (Common Drugs) Drug To xi cit y 2 ng /m L 2 m Eq /L Thera peuti c Rang e 0.5 – 1.5 ng/mL 0.5 – 1.5 mEq/L Indicati on

LITHIUM (ANTI - MANIC) L evel 0.5 – 1.5 mEq/L Increase urination Tremors, fine hand Hydration 3 L/day ausea, vomiting, diarrhea Increase Lithium Toxicity Uu  diarrhea a+ Mouth, dry

Digoxin [Lanoxin] Cardiac Glycoside Lithium [Lithane, Eskalith] Anti-manic agent

Congesti ve Heart Failure Bipolar Disorder

diarrhea  Visual disturbances: photophobia.0 mg/dL  Creatinine is the most sensitive indicator of kidney function  Hypoglycemia ƒ . agitation. also called ALT (alanine transaminase)  SGOT (serum glutamic oxaloacetic transaminase). (febrile seizures are outgrown) ƒ Nursing management when giving Dilantin:  Only mixed with plain NSS to prevent formation of crystals/precipitates  Given via “sandwich method” (give NSS  give dilantin  give NSS)  Instruct client to avoid taking alcohol (Dilantin + alcohol can lead to severe CNS depression) ƒ ƒ SSx of Dilantin toxicity: (G. therefore force fluids  Hypothyroidism  Fine tremors ƒ Nursing management for lithium:  Force fluids Increase Sodium intake to 4 to 10 g daily ƒ ƒ Aminophylline Indicated for Chronic Obstructive Pulmonary Disease (COPD) ƒ Bronchodilators dilate the bronchial tree. thereby increasing cardiac output  The normal cardiac output is 3 to 6 L/min.A.Aminoph ylline [Theophyll ine] Bronchodil ator Dilantin [Phenytoin ] Anticonvulsan t Acetamin ophen [Tylenol] Nonnarcotic analgesic 20 m g/ dL 20 m g/ dL 20 0 m g/ dL 10 – 19 mg/dL COPD ƒ restlessness and tremors Nursing management for aminophylline:  AVOID COFFEE – will aggravate CNS excitability  CNS excitability: irritability.)  GINGIVAL HYPERPLASIA (important!)  Remember to provide oral care to patient receiving Dilantin:  use soft bristle toothbrush  instruct client to massage gums  Hairy tongue  Ataxia – positive Romberg’s test  Nystagmus (abnormal movement of the eyes) Lithium Antimanic agent – indicated for Bipolar Disorder Mechanism: decreases acetylcholine (Ach).N. 10 – 19 mg/dL Seizure disorder s 10 – 30 mg/dL Osteoart hritis Digoxin Indicated for Congestive Heart Failure Mechanism of digoxin: increases force of myocardial contractions. XANTOPSIA (seeing yellow spots). withhold drug and notify the physician.H.o. diplopia  Confusion ƒ The antidote for digitalis toxicity is DIGIBIND ƒ ƒ Dilantin Dilantin is an anticonvulsant – indicated for seizure disorders ƒ Seizure is the term for the first convulsive attack that an individual experiences ƒ Epilepsy is the term for the second or succeeding attacks ƒ Febrile seizures are normal for children below 5 y.8 to 1.a Paracetamol] Acetaminophen is the treatment of choice for osteoarthritis  Pathognomonic sign of osteoarthritis: HEBERDEN’S NODES (knobs on finger joints)  Note: osteoarthritis is localized while rheumatoid arthritis is systemic. ƒ Sx of acetaminophen toxicity:  Hepatotoxicity – therefore monitor LIVER ENZYMES:  SGPT (serum glutamic pyruvate transaminase). ƒ SSx of Dig toxicity:  GI DISTURBANCES (Early Sign): Anorexia (loss of appetite is the most evident sign). also called AST (aspartate transaminase)  Nephrotoxicity – therefore monitor Blood Urea Nitrogen (BUN) and Creatinine  Normal BUN is 10 to 20 mg/dL  Normal Creatinine is 0. thereby allowing more air to enter the lungs ƒ SSx of aminophylline toxicity:  Tachycardia  Palpitations ƒ Acetaminophen [a. ƒ Nursing Management when administering Digoxin:  Check apical pulse rate: if below 60. nausea and vomiting. norepinephrine and serotonin ƒ SSx of Lithium toxicity:  Anorexia  Diarrhea and Dehydration.k.

Depression ƒ The antidote for acetaminophen overdose is ACETYLCYSTEINE [Mucomyst]  Note: Acetylcysteine is a mucolytic used for respiratory conditions with excess and thick mucus production (emphysema.  N.Mgt. for administering acetylcysteine: prepare suction apparatus . Tachycardia Irritability Restlessness Extreme Fatigue Diaphoresis. SSx of Hypoglycemia (Remember T-I-RE-D):      Tremors. bronchiectasis)  Oral acetylcysteine comes in granule form and is orange-flavored (like powdered juice)  Acetylcysteine causes outpouring secretions. bronchitis.