CARDIOVASUULAR MEDS BETA BLOCKERS (curr: -I01) ACTION: Inhibits buta recuptoré from doing ‘thu Job ~>lowur HR/BP KEY: Bota, receptors Work On the (UIQ! so We may wee bronchovpacm—> 00 NOT ve To asthimalcoPo patiy nts CONSIDERATIONS: seine Ceamia) Scan begnento Faves ptr — = AteNDIO >emay nlask sx OF Hy ifeema ~MuToprolot PAIWQUS Check HRIBP NONSELECTIVE: Giving > WOLD IF BPwaten orthostatic hypotension, ~COTarot Wheezing ue ee® CALCIUM CHANNEL BLOCKERS ACTION: BIOCKS movement Of calcium which TolOXUE vOoTh Tauedle ~>¥ resistance VBP TYPES: —DIPINE (Only towers BP) ~ZEM [-AMIL (\owers both HRI BP) CONSIDERATIONS: [. DO NOT quvy to Y Failure pt (will Worsen) 2. AlWAYS Check HR/BP BEFORE giving HOLD If BP <40 /HR at crower ARBie (-wartan) ~ 2nd choice ACTION: i inhibit the normal feriction oF the RAKE yugtean = lowur BP oy getting rid cf Nat/H20 and t Kt KEY Teratogenict 4 > Witls ADE > cough (angioedema (RISK: Atrway} >not Ke In tne ody! CONSIDERATIONS: [Ke OVI > EKG (Peak T wave (ST elevation) ZK? det > avoid K* rich foods 3. Watch BP jor mortaric ypotension DIGOXIN (for Heder FAILURE) con abso be gwen at an antiarrytimic, ACTION: DOES not affect BP, ONLY HR "DiGis for a forceful contracten” RIVERAPEUTIO RANGE: 0.5-2.0 CONSIDERATIONS: 1, DOs NOT waste potassium ~>» Dont change Kr det (WKF = RISK TOXICITY) 2. Monitor Kidnuy function (BVN Cr) (W kidney function = ri6k TOKWGITY) 3.0 TOXIAtY: vision Change, diezy.N/V \reeguiar Puwe, confusion VASODILATORS (ai feured in ACTION: Relaxus Smooth Muscle = VBP, 102 10 NORMAL SIS? neadache Major organs Flush hupetention CONSIDERATIONS: 1.00 NOT take with viagra (sudenafit) 2 HOLD IF BP Systolic <100 ov drops >30rmmHg 3, Monitor BP + OF thosTanG hypotension ex: Navona Hudralazing NITOPHUIAY Isosor nde” KEY TAKEAWAY: 1LOWUTE BP: ALL excupt Digoxin 2 Lowers HR: blockers cee (gem and aval) Digoxin 3. Do NOT qu with Y failure: COBS 4. NEC for Y Faure: Digoxin, BB's, Vasodilators, dwrenos 5. NOT fOr pregnancy : AVE [ARB'S @.WOTCH VITALS: Dont STOR aloruptiy |DIURETIGS © POTASSIUM WASTING (-0e) ACTION? DRY up tne body by excreting (wasting) potassium ~ Increase KEN: ONLY give if Ke lovel IC In ranges 9 3.5-5.Omeq/e Wanarion USE? Heart fallure, Worcening crackles new edema in the lege, rapid wuignt gain A) LOOP DIURETIOS: ae BYTHIAZIDE DIVRETIOS: Hydrochtorotiuazidey umetanide Torcemide Chlorormazide KEN! Watch for decreased Kt = decreated heart beate (flat TWave, ST deprewston, V wave) > Encourage Kt rich f00ds > Bananas, green at veggies. mulon (NO Licoricey ROOT= VE: > Furosemide: given too fast= tinnitus, hypotension quer 100 tong= Kidney darnage. T BUN. TCr, WKt @ POTASSIUM UPARING (srienovactone) AGTION: BLOCKS Aldosterony divectiy=Yuiease Nat and H20 “yparus* potasium in thy body KEN? Watcn for increased Kt= Incrwared heart beats (Peak T wave, sTelevation) >AVOLA K+ rich foods | NO alt suEsTitVTOS > Make dure To puTonacardiac monitor ® MANNITOL cosmonc oweetio) AGTION: y thicknas! Of blood-> 4 cerebral DIDOd flow > V Diood volume | \OP ULE! Treat Increased Intracranial presiure ; lower eyu pressure SIDE EFFECTS: Headache, Nausea, acuTe: renal Faliure (large doses) MON (Tor: NeUurologio and ronal cats KEN: Fog Porasnum wasting + paring: > Always Meck BP; HOLO If CYsTOG <100 >No vodtum mods > ALWOYS CHECK BUN, Cre, Keievelss HOGHE monitor! — (COUgNIEIY, antacids. NIAIDE) > Give NTNU Morning, Not at Night! viwach orthostario Hypo, > DAILY WELGHTS Risk CunbUKSRESPIRATORY MEDS () BETA, AGONISTS (cueeix: -terol) AOTION: Enhance the effects of Buta 2. te: body = BRONCHODILATION TYPES: SHORT ACTING LONG ACTING >For acuTy attack NOT For outer attack, > Not used FOr dally TX (>2xAVK=BAD) >vhould ONLY be Taken > can by vsed with steroid or in-combo with a artticholinergie Corticosteroid (newer alone) EX! ALBUTEROL’ EX VALMETEROL NIDE EFFECTS: tachycardia, jutury, nervous, palpitations, tremor KEN: If Wed In combo with yterold or anticnoiner \u> >THUSY ary all Typically inhaled 4 me ART @ CORTIGOSTEROIDS (eurri: -sone ~ide/) USED FOR: Acthma, rainnitus, autoimmune disordere AGTION: Rudvcy thy Inflammatory yurponse by vuprevsing the (ramune cystom >can bu used alony or With a Beta, agorivt SIDE EFFEOTS: ovtuoporosie (affect? calaum) Tglucow, VK, fluid retention t UNnary ruTeNtion PUD, IMMUNOCUPRESSION! MAY CAWE? >huacache Romembor: i Seat >tetan = may need t dose rhoareness > Nuver stop abruptly = TAPER o> candidiaeis © >montior vje oF Geno CRA THCDEA > AVOID NEALOE usu a vpacer $ ving mouth! EX: buclomethagone, Fluticagone, Budesonide, PrednivonyRESPIRAIORY MEDS @ INHALED ANTICHOLINERGION (surFM: -yopwm) AED FOR: COPD, bronchitw, emnpnyrema, asthma, allergies AUTION: Block the parasympathetic nervy reflexes that cause the awway to conctriat = BRONCHODILATION can ye used with > Short acting: (PRATROPIUM qlovtoral” DUCNEB >Long acting: TIOTROPIUM SIDE EFFECTS: Ory movih . throat wwritarion 7 yey. } KEY: give eugariess hodrceness, bitter tasty candy ort fluid @ LEUKOTRIENE MODIFIERS (sure: -\ukast) USED FOR: Acthima, exercise Induced bronchoconstrietion AGTION: Blocks the normal functiond luvKOtreine tO dilate the tmooth Musdy and v mucus KEY: LuukoTreInY TypiCdlly caUIES ErnootA Muscle to cONstrioT and increase Mucus production WY are CTOPPING This WIDE EFFECTS? nuadache, wore throat, Old vyrnprome KEN? NOT for dcvty attack | MONTELEVKANT + Toke in the evening or 2hir before exercise” ZAFIRLUKANT? Take on empty sTomach . chuck Iver enzymes © YANTHINES cmaeorayuine) VOED FOR: Long term asthma | COPD ; = KEY Avoid caffeine! ee ‘ened Not as commen Toxarty UVULS \O- >gl upset >guizure (OvUl T0-zomeg (rm >Huadache *dycrnytamiag >nUrvous eenRESPRATORY MEDS EXPECTOR ANTS USED FOR: Nonproductive cough secretions; Tae WIL Make MUGOLYTION thick tusvs (CF, COPD, PNA) USED FoR: Pulmonary diworders wita ACTION: Ducryase neagiy of lung he cough more productive C\DE EFFECTS: Huadache, dizzy. N/V , Prone’ Wu: May Mask an uniderluttig serious condition fov Which you have the cough EX: GUAIFENESIN ACTION: Breaks down tenacity and VAScos ity OF CeCreTIONIe Wl SIDE EFFEOTS: Broncospasm (Word DN, RAN itn >Huadache, dizzy WATCH ets wart PUD, astima, esophageal , ACENLCYSTEINE EX DORNAGE ALFA DEGONGESTANTS dorststoncaty | ANTIHISTAMINES USED FOR: Reunuitus, cinusitus, Common Cold ACTION: VasConstrioTt thy respiratory MuUCOd =v inflammation ¥RUNIUF OF pain and congestion * WIDE EFFECTS: Palpitationy, restlurs (WED FOR: Ceaiondl atterqus, wticaria, angioedema, hlergio conjunctwitly AGTION: Blocks istamine at Histornine-4 (UCUPTON CITOS > AItHICnoLUNUrgu + antipyretic eect > wuaknuss ATN, NUrvous IDE EFFECT: ioming, mmeezing nwes, Gt J REBOUND CONGECTION $ WATLH If taking with oTYT OT products Ex: PSEUDOEPHEDRINE PHENYLEPHRINE NONSTEROIDAL ANTIAWERGY GROMOLYN USED FOR: 4rd tne drug for mastocytosi¢ AGTION: TOPS Mast Coll’ from secreting wiCTaraine CIDE EFFECTS: Burr tn nose ireny. ater nen Gad Taste tn Mouth SEN NOT QUIOK= LONG TERM! SFAULRISK Us NaUieA, dey motrin, COMTIPSTION, Fedation, drowsy CONTRAINDICATED: PREGGO S EX: AStGEN: DIPHENHYDRAMINE 2N0 GEN: LORATADINE /CETIRIZINE SUBCUTANEOUS ANTI-INFLAMMATORY OMALIZUMAB WED FOR! Allutgio astama . caronic \diopatnig vrtioania AUTIONE Blocks te row oF IgE =P, aHergiy CIDE EFFEGTE: (tenting. rita rasa >NOUIOd, dizzy, var Pain > cold eymprornig ¥ or auc PAIN AN ONTAY OF Logs Ket NO AVE RACINE dl mnmunanygpHYPERLIPIDEMIG. MEDS KEN: For alt mudications in this clase: LAN Will affect they Liver aiid (pid profiles ZMudications Will Most IKYIy NOT by Prescribed to lower chowsTurol during pregnancy. DLETCS ACTH10-40 U/L LIPID PANEL + Total chotesrerol: <200 ALT: 1-50 UL Trgiycerndes: «150 ALP: 40-120 VIL LOL: <100 Bit: <4 mgidl HOL: >@0 0 t TATING (SUFFIX: ~Statin) USED FoR: Ducrease cholesterol + Reduce visk OF ML or vtrOke ACTION: locks the enzyme HMG-CoA reductase, 10 slow down cholesterol ANDE EFFEGTS: Liver toniorty Production >rriyopatay (muscle pain) >rrdodomyory sis ; ATCH: LET'S and OK ovals (Nent 22-198 UIL) > Muvraboilzwd In IIWeY . >Avord Alcohol ’ excuted by Kidney! 2 oTOKE IN THE EVENING @ BILE ACID SEQUESTRANTS (rRerix: cote) AKA? RECING USED FOR: lowering cholesterol (LOL) AGTION: VLDL by binding bile acids in the gui = peu OUT= pulls Morey Cholusterol From bloodtream to make bi\w SOE EFFEC: COMTIPATION, Flatulence 6\ ditturbancy, bad Tarte” KEY! >Tuach *fiver(TFluide = Inturfores wrt absorption OF fat solvable” > TAKE WITH Fo0p Vifamine A, D,E K (a fat DEK of card’) Be COLESEVELAM COLESTEPALHYPERLPIDEMIC, MEDS © CHOLESTEROL ABJORPTION INHIBITORS (EEE, USED FOR: lowering chotestero| (LDL) AUTON? ¥ LOL by Inhibiting absorption OF cholesterol in The IntesTINes SIDE EFFEGTE: Liver TOXIATY) > Muyopathy (musde pain) > rraldomyotosie > May caure headache, drzinuss, fatigue WATOH® LETC + CK (UVa (NIMH 22-198 ULL) > Watdn in prugnancy IF given ® NAIGIN/ NIGOTINIG ACID (vre63) USED FOR? fowing choiwsTerol (LOL) and Triglycerides ‘HOLY AGTION: wren gwen well doove the vitamin requirement tt wil reduce tne reluase of fatty acids SIDE EFFECTS: Liver foKiorty > myopathy , govt (ryperuricemia) > NIV/D, hyperglucumia &> FlUgning— WE ATPIRIN WATCH: LETC # CK (aves (Nt 22-198 U/L) , (vcore Bim GernFibr Oz! ® FIBRATES (ALL include “fib” in the name) > ae WED FOR: lowernng triglyceride wovets tHOLY ; ( KEY: Givy Jom before” ACTION: Liproproren lipolyeNe + qinnyrt AIDE EFFECTS Liver toxtoity bruakfast * dinner! Myoratny GAUTTONGS, GI VPSUT N/V WATCH: LET'S CK (OVOLS (NIM 22-148 UIL)ANTIGONVULSANTS © PHENYTOIN ACTION: Slows GOWN WipUlses In the brain That Cause SelZures WE! Treat and prevent veizures gv AIDE EFFECTS: GINGIVAL HYPERPLASIA! SIGNS of TOXIOITY: > Diplopia, Rash, W BP Nystagmnus , slurred speech 5 veeareuTic RANGE: l-2omegimt ATOKIG., vomiting KEN! Wetfectiveness OF oral contracepTIves Avoid Milkt antacids ( apsorprion) Take with f00d » Requiar dental checkups © LAMOTRIGINE ACTION: (nabITs Nat transport > v veizures KEY: Watch for worsen USE? Bect for partial veizures, Mood vTabIIZY —_gepyussion oY Hood catiges CIDE EFFECTS: TRISK OF SUICIAAL thoughts > DO NOT VTOP ABRUPTLY Dovolw Vision, Hyadachie OrOWEsY, Dizzy. NIV © BARBITUATES (euenowarertar) ACUION: Stimulates GABA > elevates eelzure thieshold-> vexcitermnent in Drain USE: TONIC clonic, FOCal, Ftatus eplleprous SIDE EFFECTS: Drowsy. Ataxia, Respiratory depression, ¥ 6P © THERAPEUTIC RANGE # 15-40 megimt KEY: Monitor breathing and rovtine nevrocnecks @VALPROATES (vavegote Aco) ACTION: not fully Understood, may + levels OF GABA USE: Cimply + COMPO WelzUTES VDE EFFECTS: NIVID, dizzy drowsy KEN Mmowttor WBO'r. platelerr, TeMOor, Tantus AINey eNeUMeS, LETS + bleeding time V PlatuluT count ry evectivenest for oral Contraceptives © CARGAMEZEPINE KEY: waten for Worden ACTION: INhiDITS Nat Trantport > Celzures depression or moo iE: TONG clonlo, partial, mood eTabilizur change NIDE EFFECTS: AGRANULOCYTOSIS! > infection riwk Hyponatremia, Dizzy. drowsy, NIV DO NOT «TOP ABRUPTLYANTIPSYCHOTICS KEY: For ail psychiatric conditions: DOPAMINE (Think “D0r") NOREPINEPHRINE (Trunk "NoR") — GEROTONIN (Thun, D:dererminarion fora reward — Ne Alo hesitation tHe t BP eoeep ER’) 0: Ovswssion (addioTing) 0: on Alert & emotion P Pluasurer R: Rucail Ws good! R: Remember (quod rnernory) GAO SCHIZOPHRENIA CX: experiencing things you THOULDNT be (HatlucinaTtons, Delusions, P\sorganuzea Thinking ) () SCHIZOPHRENIA OX lack OF CharactyrimMos ThaT CnoULD Ov There (Flat olunt affect, wolation , lack of interact, v dpeech) OFIRST GENERATION cars TYPICAL /CONVENTIONAL) SUFFIG ~ZINE * HALOPERIDOL (Haldol) AOTION: Block D2 r&cuptore on ALL PaTnWays Of tay brain se: (4) vCnizophrenia symptoms WIDE EFFECTS: WEKtrapyramidal CYmptoMs: Parkinsons “KY CX, dysTONia, CnufFling REY: GIVE BENZTROPINE gait. Tarde duskinesia 2) Neurolwptiy Malignant syndrome: High Fevov, variably BP. THR, REY: GIVE MUSCLE RELAXANT murde rigidity, contusion 5.) ANTIChOLINONGIO vx, OFThOsTaTIY hypotension, weizures @CECOND GENERATION (aka areicAL) more current GUFFIX: — APINE , ~DONE AOTION: Block D2 AND veroTonin receptors (level OUT amount OF doparnine) USE? (+) AND (-) CymptoMys OF vchizophrenia SIDE EFFECTS: | Metabolic vympromgs: hypergiyvernia (Diabetes), t weignt ,t cholesterol 2. ANTICHOLNErGIG SX, decrgared Nioldo, Sedanon , Ofthoctane hypotension KEY? Clozapiny > AGRANULOCYTOSIS (watcn: iMmunosupPpresion) Ricperidony > canbe injected g2wks Vid IM fourMOOD STABILIZERS AME: For the treatment of BIPOLAR DICORDER, OLITHIUM ACTION: Helps reducu ceverity and frequency Of manto epiwodes > unknown how lt dows this (may inruvit MOA t activity of CIDE EFFECTS: LEUKOCYTONIS! the brain) Wereaied ueIation | thunsty Trernore, Hypotyroidisn Naveed, Fatigue >Cimilar 10 SALT > Do NOT Cut ovt vat From Your divt (TRIS Toxtaty) THERAPEUTIC RANGE: 0.0-1-2 mEq/L >WEEKIY UlOOd draws VIITLI lwVels are steady Tren 3Mmo intervals > Monitor for Gatt [Oss-> Fever, sweating, diarinea TeraTagenie sa swe For fuUl effect © ANTICONVULSANTS Val prow Acid > AcUTe Mama attack preferred over tithivm ave TOIOES Sidw effects >carbamezepine > AavanuiocyTosE > arnotrigine © ANTIPSYCHOTIGS > olanzapine Risperidone > AvIpIpYAzoley: @ BENZODIAZEPINES Cram.-Lam)ANTIANXIETY MEDS © BENZODIAZEPINES pan, -taw) ACTION: Bind to GABA ruceptors to enhance they action of GABA GABA: Nevrotrancmitter that slows (calms) the cpeed of brain actiwity SIDE EFFECTS: vedation, VRR.VBP, HR, amnesta SKEN: FAITAGTING (Trunk: Par i riding in a Benz, which Is fast) hott term ute Only! Con Cause DEPENDENCY — Antidotes: Flumazent” @ GER (cevectve segorowin REVETAKE iNHIBITORS) ACTION: Cee Antidepressants VIE? Anxiety, depression, PTSD, OCOD (Think: Teens (-tine) have alot SIDE EFFECTS: weight gain. msornnia, of anxiety) sexual dysfunction AWKS for full effect | Fey: po mor taxe with etyonns wort SUFFIN: ~TINE, “LINE ,~PRAM ® ATYPICALS - BUSPIRONE USE Anxluty, PTSD, 06D, Panto \-2WKS for full effect! ADE EFFECTS: Dizzy, headache, navied pREY! O0eS NOT Cause sedation OR dependency! > Take with Food If 1 upset @ OTHERG: teicvcuo antierrecs Ants BETA BLOCKERS BARBITUATES (-barbital) = Stays tn system For 9-5 daysANTIDEPRESSANTS KEY? Taku 2-4 WKE to Take full effect THINK: 4 luttere In "WRI" > 4 WKE > RIGK FOR SUICIDE OLGRI'C (Cerectve veRoTONIN REUPTAKE INHIBITORS) AGTION: Inhibit they reuptake of vevoronin back into thu neuvron> more ceroronin floating around in the orain > improve mood WIDE EFFECTS: weight gain, insomnia. cexual dysfunction RIK: serotonin vyndrome > Agitation, natuctriarions , fever, Tremors, sweaty SUFFIX TINE ,~ LINE, ~PRAM @SNRI's (SEROTONIN- NOREPINEPHRINE REUPTAKE INHIBITORS) ACTION: INtbIt the reuptake of eevoronin AND novepinyphiine Into thy newron more floating in the brain SIDE EFFECTS: loss Of appetite, insomnia, sexual dysfunction @ TCA'S (relcvouic ANTIDEPREGTANTS) “TRYPTUNE ~IPRAMINE ACTION: TRIF3 actions > 1. Inhibit GeroTONIn reuptake USE depression 2.Inkbit norepinePhrin reuptake anion 3, Inmuoit Alia receptors > orthostatic ypotension insomnia fibromyalgia Histamine > eedation WIDE EFFECTS: All of thuse Muscarina eceptord > anticholinergia ex surinary, retention KEN? Be careful In The sun (“cycle”) >t fiber | 1 Fluide ' Phenelzine @ MAOI U (MONOAMINE OXIDASE INHIBITORS) Ex: Ieocarboxazid ACTION: Block? the destruction of vevoronmn, norepinephrine, dopamine and TYRAMINE * increase ALL Of these inthe orain USE: Depression panto disorder SIDE EFFECTE: Agitanon ,amuuTy VBP. eee CRIIL (interacts I f with many meds) DO NOT EAT TNRAMINE Foog!! (crac ®ATYPICALS a Buproprion (wetburrin)-» for deprossion + eraoking cessation 8. Trazadone for depression (igh dose) + insomniaANTIPARKINSON MEDS REMEMBER: Patiunty have etter Too LITTLE Dopamine ov TOO MUCH Acytichouney Charactorwetios: Pin Rolling Tremorg >Sausfling gait > Blank exprustion > Muscle Riguaity > CTdOped Posture” > Possible Mental deteviovation OANTIGHOLINERGIG AGENTS CenztRoPINe) ACTION? Aagonizus Acetylcholine and hitamine rwceptors =v Ach WE? Ducreasy muscle rigidity and tremors ADE EFFECTS: Antichotinergio vymproms = Dry mouth dry eyes, olvrry vison TEACH: crew gurn (ary movtn) urinary retention, constipanion Wear Gunglasses . 1 fiber, 1 fluid REN! DO hot give tO 4 patient wrth glaucoma ; Ne alcohol ; Dont vtop abruptly @ MAO-B INHIBITORS (RASAGILINE axa AZILECT) ACTION: INCrYasY dopamine bY Inhietting MAG actwit WWE: improve Thaking *siffMess, Decreary amount of OtIMe (periods OF GIDE EFFECTS: Dizzy. drowsy nauiea, Neartourn, avy mouth —SlUW Movernent) KEY: AVOLd food! with TYramines! > chewse, chocolate, wine, avo, beer ® COMT INHIBITORS © caPone) ACTION: Decreasey wearing Off OF carvidopa| levodopa by blocking COMT erteymey USE: WITh Grbidopa /evudopA (slows breakdown oF \evodopa) @ DOPAMINE AGONISTS: CARBIDOPA [LEVODOPA = decreare muscle rigidtiy and tremors ACTION: increase Doparning = carbidopa Prevents levodopa from ea (aio Dopamine inthe bloodvtrearn => t Doparning entering the brain SIDE EFFECTS: NIV, drOWSy, dyskinesia. Davé vrinul weat.v BP No aoe KEN! May TAKO ~3WKS TO be effective, t Provein=W effectveness ROPIN\ROLE (Ava REQUIP) > improve tremors, muse spar, writ ness May O10 bY USO for ReTIUL leg WyNdrome toeeerectt: Drowsy confusion, Ortnostatic HypoTendion TALL RikSPASMOLYTIGS MUSCLE RELAXANTS 0 DANTROLENE ~ Direct acting on the muscly cell WED FOR! W MUAY Cpactioty in spinal injuries, cerebral Palsy, MUITIPlY CClwrOsIE, Malignant hypothermia ACTION: ProvenTé Calcium rulvate In cKuletal muse =v MAUICe SIDE EFFECTS: Drowsy, muscly Weakners, BI upset wparorty > HopatlY TOXIGItY WATCH: Liver enzymes @) BACLOFEN ~ “usea ve you pau your BACK" Gunitrally poring on the ONE USED FOR! vamw de Dantrowne! ACTION Enhances GABA In thy CNT =v musaY epattiorty nat is GABA? A Nevrotranimitter in tay brain that lows Tae wiped Of messager between cell WIDE EFFECTS: Drowsy, NdVSeA, Gi UpseT , consTIPATION TEACH: 7 Fiour and T fluids to combat constipation @ TIZANIDINE centrally Acting on Alpnd, adrergic agonuct SED FOR: vame as Dantrolune and baclofen! ACTION: Inhibits presynaptic motor neurons to decreare, # OF (Pam, ailwviate CONV! ard improve mobitiTy SIDE EFFECT: LESS muscle wedknes than baclofen >Dry movtn, drowsy, dizeyADHD MEDS © METHYLPHENIDATE (aitaun) renort Acting VIDE EFFECTS: > Weight 104! © AMPHETAMINE (appeRaw) > eed BRE > ghort Acting: Onset 30-45 min > insomnia WOO Off 3-OHRS > dysrhaytamias >tong Acting: ("XR= extended releaie) moody fWwntaoly OUT 45-1HR WeOY Off 8-1ZHRI > REY! DO MoT Take at might ~ insomnia Taku immediately before latter a meat Monitor weight WITHDRAWAL MEDS © ALCOHOL - as eaviyas hours KNOW TIME OF LAIT DRINK PEAK? 24-48 HRS A. Benzodiazepines : V withdrawal, v Risk seizures, Ctaoulize vitaly e Anticonvulsanté: VW RIK Cezures cb (Clonodiny) * Bera Blocker: VHR.W BP, Wcraving © OPIO| A. O10 ae (long term maiitence)) © NICOTINE A. Bupropion B.NicoTne Replacement C.Varenioline © ABSTINENGE - wvpress patwwnt craving A. Divulftram BAD With alcohol: B-Nal trexone > NIV, dweating G: ACAMPrOaTY >Y anxieTYyIRUTUNNYS > PalprtaTions "A Carp makes yo happy”ALCOHOL ADDICTION TREATMENT MED i GATIONS NALTREXONE ——> RIES UNiaes ACAMPROSATE —> WELBS PATIENT ABSTAIN TOPIRAMATE ——— DECREASE ALCOHOL CRAVINGS ——__ REACTION WITH ALCOHOL CAUSES DISULFIRAM UNPLEASANT PHYSICAL EFFECTS: NALTREXONE ——> uetp repuce ALCOHOL CRAVING ALCOHOL WITHDRAWAL MEDICATIONS Rick OF SEIZURES SoIZUES MAY OCCUY 24-48 hours afta last drink > we want to cay prepared for ths Vick by quving: BENZODIAZEPINES ANTICONVULSANTS. BETA BLOCKERS MAGNESIUM SULFATE THIAMINE (84) , FOLIC ACID WITHDRAWAL SYMPTOMS: tremoys, vorniting, ankwty, iritabitity {as eariqar dnoues) high ot0od presiure. THR, confusion SEIZURE SYMPTOMS: OXtremY confusion t agitation, THR, fever, wearing , LOG, aura, nuadacneNSAIDs + ACETAMNOPHEN TYPES: |. Naproxen AVOID WITH: DAMNYlaTY AGIA (ACDITIN) > yiTaminE 3. AceTYINAlloUtate Avid (alto Aspirin) — > GaXllG 4. \ouprofun ( > GiNgko 6. Ketorolac (roradat) > omega 3 aie CHARACTERISTICS: 2 ANTIPYRETIC > ducrvate fever > ANTI-INFLAMMATORN > decrare prostagiandin synthesis > ANALGESIC> decrease pain > ANTI-PLATELET (Aspirin) > RISK=Blueding NURCING GONSIDERATIONE: NIAID affuct the kidney st, liver, AUAIT and GI cystem > DO NOT Ufo tn patients With > Atma bronchospasm Vicurs> worsen t GI bleed rKianey dweae=4Cr, BUN, Renal Injury in longterm >CON INCU TLEK OF Dlood clots except Aspirin > OK T1AKY IF 00 PPI (orcton PUMP Innto\tor) >Taky with food! Lowest DOL! No Alcott t KEY: Doe not cauter CNS symptoms > Wovprofen=% RITK HTN UTrOKY >Huart Failure [Cardio difwase, (most contain Nat = edema) ASPIRIN. key THINGS: NOT AN NIAID: TNLENOL De properties AND (ged tnsread of NCAIOS 10. RISK. OF oleeding in PUD +Hemophuha aS Ee ee ZANageIL, anneyreiy ft . NOT Heti-nglarrimatory 5. onto for fxtonn= carter oa 3.caN by taken with Wwuprofen 4.DONOT GINE to Kids > Reyo's 4. TW MUcK= Wor dartages= ment tr eyndrome! — antidote = ACETILCYSTEINEANIIBIOT| BROAD SPECTRUM Cae CEF [-CEPH MAEY for Pregnancy +breastfeeding > ALLERGY to ~cillune, ANSEME type OF reaction FIRST before giving a —ceph drug ~CILUNS Lwarch with Oral contraceptives 2.TAKY With Food! hake well! 3. SIDE EFFECT: bleeding (watch clot time) ~CEF/-CEPH 1.Can couse Coif; Dovs not Treat COiFF 2 Taky with food IF 61 upset 3.SIDE EFFECT: diarrhea (common) a AZITHROMYCIN THROMYGING (SettHROMNAN BIG LIVER TOWO > watch AST/ALT and when a patient Wf taking TyLendl >" THrOW™ the QT Interval > FQT interval = cardiac’ > TakY onempty stomach win = aNeET FULL Glass Of Water NO FOOD -GNGLINES (RGARCHE > Teratogento! —> also watch Oral contraceptives » Tooth aiccoleration > AVOID the WN "cycling In thy aun” ING? Wao Emory sromach with water > NO Cat + rors blocks absorPTION > : METRONIDAZOLE (-Dazole) aKa FLAGYL Use: COIFF, UTIs (Trichomontasis) AVOID: AlCOnol during + 34a NML Brown urine, MmeTalllc Taster BAD: NOW rash {CRI mT steven ANTIFUNGAL (FLuconazoe) UGE Candidtasic ch In pregnancy : TevaTogenic. only giver WaTcn PFEANA er Dee OurWe In as SIDE EFFECT: Gl liver TOKICTTY = WATCH LET, © Glycopeptide = vancomycin after treatment Jonnson kyndvoms C3 HIGHLY TOXIG ABX (myns ¢-rmicin) WE: MRSA* CDIFF AGIN TO GWE >ToXIG To the Kidneys, Ear * VEY \.Moruttor Peak Trovgh level 15~3omin BEFORE given Z.MoniTOr GIF TOXICITY * Kidneye: 4 BUN, TCr, W UOP Ere: vertigo, tants 3.Very strong! Monitor Waite qJ0 min yudden onset Yash, >Red Non Syndrome > NOt deadly = Flushing, hypoTens\on low ineusion over Ane (@amunogiycorides= Gentamicin, Tooearaycin >very TOKIG WI Vanco > NO Red Man avord tay sun it RADINE (Puriauiw) an ABK-> We care nat bed ovani ev body Fivid! UTI MEDS (SkekKcine) watch for T cr + FOG acd Take With WOTer > NO FOOD. Normal: i | Watch yauniaice (BiG ter TORI) ® Cured - stops fone acid cyntnesic encourage Wat > ODT MUTE aun CFLs Tendon Year KEY TAKEAWAY: L. ineffective oral contraceptive’ Set 2. NO FOOD, WITH WATER -Thromygn yey 1, “Move The Food ~Floxacin (eyeing) NO CUN: ~cucine (cyctin ee HEE yt n = FINS K | 4 extremely TORIC: MYCIN THE BO, i PRESCRIPTION 5. Terarogenig = ~ a ritvtungal ENPANDCATED: gSANTIVIRAL MEDS WHAT ARE THEY? Agent? wed to treat the diweasers caused oy yet WKY Chickenpox and the common col © ANOLOVIR, VED FOR: HUTpUs CiMplUX VICU! >» Cold sores > encepnalinis Lorug OF Choice’ for KIDS > wrningiys > Given W, Oral, TopIGal > genital infections WATCH’ Signs OF Renal impairment — > varicetia zoster > praqnancy >% GOs = NUPHYOTOKIITY and Neurotoxicity (nyadacer, confusion, ® GANCICLOVIR Nallvctnations) USED FOR! CYToMegalovirus > infUctlons affucting the oyos, HEspwraTory Tract and liver >gwun WN Route WATCH? Bonw Marrow GuPpresoN (big vide effect) > Monitor wigns of infyction and cB, FOR BOTH: PHODE OF ACTON: 1. Provent Vial ONA fepicanon Vw drvas inntort 2, Do NOT curu > Oly redvce wyrnproMs VUWGl DNA Polyrnerate, 3. Avoid eK when lecions are present and prevent replication of vival DNA (ure condoms) 4, Topical wear gloves when administering 5 WN watch for privpitis (common) Wo May caviy Gl upset and nuphrotoxiciTy!OPIOID ANALGESIOS AOTION: Bind to opioid receptors in thy central nervous cystem {0 vudate thu body QHARACTERISTICN: TYPES: , aia |. Morphine 2 Hydiomor phone > LOW GNA COW VITALS (WRR,VAR, WP) i 3, codeine DOES NOT decruase fever or inflammation 4 Oyycodoney NURSING CARE: 5. Oxycontin Rach breathing ‘ercises ©. Fentanyl! > AWWays monitor Vitals |orthostanie hypotenmion POA PUMP POST OP: > Dizay? ‘ Dizay? vit the patterit down FRAT, HEN ANC ion controlled ONLY > Antidowy: Naloxone >Noriey HOP to dose {fe WV ADMINUTRATION: sTwicu the dow of red 1. 23m 1 pusin (Dont botus= DEATH) Wen and vt repovTe 2 Ruamess (5-30 mINUIU! an (PO opioids = reassess in Ahr) 3. Watch for Risk Of overdoses! Also: ruspiratory eprom 2idert 4.NORMAL: IN Burn ¥ weed Guiwase (COPD/AStAMA), y. terug [wi /V > goes away low GI quve vto0! SOFtener, Fluids, ambulate¥ SIGNET oF OVERDOTE: FENTANYL (forename >VRR easily falls Ofwwp When talking “0 codetny >cold.daramy kin, deep gurgling > GE Conmipation ANTIDOTE: NALOXONE (narcan) > common: Patth (not givy KEY! (-2hr Wei > rasresy and qwe inmediate velit) another dose if newded > Thr Full effect ASSESS: ABO'S, Oz, TUM HOP, 2nd Dose > Rumove Old patch before now!TUBERCULOSIS MEDS KEY THINGS: \. Treatment lary approximatuly U- 4 MONTHS 2.SpvIv vamples ary Nueded q2-4 WEEKS 3. NO LONGER INFECTIOUS WHEN: 3 Nugativy upytum cuItures on 3 dveforent days & AWNOYS Wede N-W5 mark 5 Family woud by wwsied (Thy bdoy We Cafe in pregnancy o) ORIFAMPIN > Causes Red/ Orange tears sweat, Urine =NORMAL > Tudch to Wear glasses, NOT contact! > MakUs Oral Contraceptives Ineffective >Monitor Joundice > Liver TOKC @ (NH = WONIAZID > interferes with abvorption of vitamin BO (cavier eaves ~ Take BU 25-50¢ngiday neuropathy > cases Nevropatay > report numba. tingling, ataxia PLVER TOKIO rriontitor Jaundice, dark Urine, fatigue. elevated LETS @ ETHAMBUTOL >°E" for ENES > ruport blurred vision. vision change, color changer > Gut rovtine eye examd > Generally wate for liver ® OTHER: PYRAZINAMIDE (Huparotoxie!)