Master Medications 1

8/8/2019 Master Medications 1

1/37

Medications Pt__________ Rm#______ Allergies_________________

Dose

ordered Action & Absorption Metabolism/ Adverse Reaction Nursing

Generic/Trade

Names

Route,

freq. Classification Reason Distribution Excretion Side effects Considerations

Routine

Adrenalin

epinephrine

ass: lungs & VS

anti asthmatic

bronchodilator

vasopressor

adrenergic

asthma

A:well

D:plac. Lact.

M:rapid

nerve ending

E:

nervous, restless

tremor, angina

arrhythmias, HTN

tachycardia

CI:arrythmias,

HTN Hyperthyroid

DM,cerebral art-

erial sclerosis

Advair discuss

fluticasone &salmeterol

anti-asthmatic

corticosteroid

Asthma

A:30%

D:10-25%airway

M:liver

E:90%

D:plac. Lact.

M:liver

hyperkalemia

don't give suppl

potasium

BP down -fall rsk

urinal empty

I&O,call light

not for renal pt


2/37

Aleve 837

Naproxen

analgesic,NSAID

antipyretic

pain,fever

inflammation

A:complete

D:plac. Lact.

M:liver

E:

GI bleed;

hepatitis;S&J syn

anaphylaxis

full glass of H2O

upright for 30min

drowsy;noETOH

Altace pg 147ramipril

check HR, BP

antihypertensivACE inhibitor

mng HTNmng CHF

migraine HA

A:50-60%D:?

M:liverE:60%kidn.

40% fecal

cough, hypoTNangioedema

agranulocyt.

proteinurea

check BP

taste desturb.

Ambien

zolpidem

CNS depression

sedative/

hypnotic

sleep/rest

binds to

GABA recep.

A:well

D:?

M:

E: kidneys

drowsy, dizzy,

diarrhea, N&V

dependence

risk of injury

phys, psych dep.

CNS depression

Ancef

Cefazolin

anti-infective

cephalosporin

1st generation

skin, burn,

pneumonia

UTI,bone&

joint.septicem

A:IM well

D:plac.lact

CSF

M:

E:unch kidn

seizures,colitis

phlebitis, serum

sickness, ana-

phylaxis,D,N,V,

anaphylaxis alert

with food PO

superinfections -

diarrhea,

Antabuse

interferes with

alc. Breakdown

deterrent alc.

abuse

hepatitis, HA

dermatitis, impo.

peripheral neurop

not with heart dis

DM, epilepsy,

liver impairment

Anzemet

dolasetron

anti emetic

prevent N&Vpost operat.

A:WellD:?

M:E:61%unch

kidneys

HA

ass. For N&V &bowel sound/dist.

IV:hypotn,bradyc.

syncope

Apotrihex

trihexyphenidyl

anti parkinson

anti-spasm

extrapyram

dystonia

A:well GI tract

D:

M:

E:

bradycardia;

memory impair

toxidity;withdraw

before or w food

slow withdrawal


3/37

AlternaGEL

Aluminum

hydroxide LIQD

Antiulcer,

hypophosphatemic,

antacid (phos

binder)

Lower of phos levels

in pts with chronic

renal failure. Binds

phos in g.i tract and

inactivates pepsin .

Neutralize gastric

acids

A: well

D:widely across

placenta ,

breasts milk

M and E:

feces, kidneys

Constipation, hypophosphatemia Gastric pain, phos,

ca levels

Aricept

Donepezil

anti-alzheimer

cholinergics

mild/moder.

dementia

A:well

D:?

M:liver

E:kidneys

HA, diarrhea,

N&V

HS admin.

dissolve on tong

Arixtra 589

fondaparinux

check platelets

inj 2.5mg

SC

q24

anti thrombotic

inhibit clot

formation

A:rapid,compl.

D:blood

M:

E:unch.urine

HL17-21

hemorrhage

not for renal imp

ck for platelets

potential bleed

NO HEPARIN

Asacol

mesalamine

GI anti-

inflammatory

colitis

proctitis

A:28% PO

10-30% PA

D:?

M:some

E:unch feces

HA;anaphylaxis

before meals

and HS w/ full

glass water

Asprin, ASA

acetylsalicylic acid

analgesic

antipyretic

reduce throm-

bosis formation

Cor. Art. diseas

anti platelet

aggregation

thin blood

reduce inflam.

"prostagland

A:upper small

inteting

D:rapid&wide

plac. & lact.

M: liver

E: depends

on urine pH

if high: more

unchanged

GI bleed,

dyspepsia

allergic reaction

skin problems

with food or after

meals.

CHF risk fluid

retention

Atarax

hydroxyzine

anti anxiety

anti histamine

sedative/hypnot

anxiety,

preop. Sedat

anti emetic

anti pruritic

A:well

D: unknown

M:compl.liver

E:bile feces

drowsy, dry mth

pain at IM site

shake suspens

deep IM Ztrack

Painful-don't use

deltoid

Atenolol

Tenormin

wh apical p.< 50

a-anginal

a-HTN

beta1-blocker

lower BP,HR

prevent MI

red. Angina

A:PO 55%

D:CNS,plac,lac

M:

E:kidn&feces

bradycardia,CHF

PE, impotence

fatigue

assess for CHF

check BP


4/37

Ativan

lorazepam

CNS depressant

a-anx., sedative

anastet. ajunct

benzodiazepine

anxiety

depress/dem

st. epileptics

A:well

D:bbb,plac.lac

M:high-liver

E:

dizzy,drowsy,NV

const./diarrhea

dependanc/tole.

No/w Nar. Agl.gl.,

alc. Antihist.

a-depres, sedat.

and hypotension

Atropine

anti-arrythmic

antimuscarinic

bronchodilationanti-choilnergic

bradycardiadecrease GI,

resp.& oral

secretion

A:well

D:bbb.plac.lac

M:liver

E: kidneys

drowsy,blurred

vision;tackyc.dry mouth

urinary retention

don't give:COPD

acute-angle gl.asthma,Heart d.

HTN,hyperthyroid

Atrovent

ipratropium

bronchodilator

anticholinergic

airway obstr.

allergy;

rhinitis

bronchspasm

A:minimal

D:

M:liver

small amoun

E:

fluorocarbon tox

antichollinergic

rhinorrhea

caution w other

inhalants;

check allergies

slow onset med

Avapro

irbesartan

check BP

antihypertensive

ang-tens II

antagonist

hypertension

nephropathy

red.stroke rsk

A:60-80%

D:?

M:liver

E:bile

unch. Kidney

renal failure

hyperkalemia

BP

Avodart

dutasteride

use gloves

BPH (benign

prostate Hyperp

agent

reduces size

prostate

A:60%

D:11.5% into

semen

M:liver

E:feces

reduced libido

ejac. Disorder

impotence

wear gloves

no blood donate

Azithromycin

anti-infective

for atypical

mycobacterium

infection

A:PO 40%

IV complete

D:some CSF

M:

E:unch.bile

some urine

Colitis,abd. Pain

diearrhea,Nause

angio-edema

don't use w eryth

romycin;not w

meal;anaphylexis

AZT

zidovudine

anti-retrovirus

AIDS, inh

viral DNA syn

reduc inf.baby

no fruit juice

admin on empty

stomach W H2O


5/37

B & O

narcotic

belladonna/

opium

bladder

spasm

Bactrimtrimethoprim/

sulfamethozazole

SULFA allergies!

anti-infective

inhibit folic acidmetab. Of bact.

UTI's

crystal formation

in urine

increase fluid

intake to diluteurine, check for

sulfa allergies

Bactroban

mupirocin

(MRSA)

ointment

anti-infective

S.aureus&strep

pyogenes

inhibits bact.

protein synth

Impetigo

A:minimal

D:stratum

corneum

M:skin

E:desquam.

1st wash&dry

Benadryl

diphenhydramine

allergy,cough

cold remedy

a-histaminea-tussive

prevent

motion sick

suppr. Cough

A:well

D:plac. Lact.

M:1st pass

rapid, liver

E:

drowsy,anorexia

dry mouth

adm. W meal

IV incompatable

fall risk over sed.

Benazepril

lotensin

anti hypertens

ACE inhibitor

manage CHF

lower BP

A:37%

D:plac,lact

M:liver

E:20% kidn.

hypotension

cough,proteinurea

angioedema

taste dist.

check BP

Benicar 153

olmesartan

BP check

anti hypertensiv

angiot. II antag.

lowers BP

reduce stroke

risk

A:26% absorb

D:?

M:

E:kid 30-50%

rest bile/feces

renal failure

hyperkalemia

CI renal disease

Bupivacaine

epidural anest.

synergist to

opioids

severe pain

A: systemic

D:placenta

M:liver

E: kidneys

seizures,

CV collapse

toxidity

check for tingling

numbness, motor

sens. Deficits

orthost. HTN


6/37

Buspar pg220

buspirone

anti anxiety

binds to sero

tonin & dopa

mine recept.

A:rapid

D:?

M: liver

E: 20-40%

feces

dizzy, drowsi,

excitement,

blurred vision

chest pain et.

no grapefruit juic

dreams; w food

gradual decrease

dose.

Carbidopa/levod.

anti parkinson

dopamine agent

up dopam.

levels incorpus stratium

A: well

D:BBB

M:GI tract &

liver

toxidity: muscle

twitching,winkingbeh.change,

tongue protrude

check vs w dose

adjustement,liver & kidn func

food after med.

Carboxymethyl

cellulose opth tears

Articial tears Treats and preventsirritation caused by

dry eyes.

A: cornea

epithelium

Chnges in vision or allergic rxn Changes invision

Pain in eye

Cardura

Doxazosin

a-HNT, dilate

arteries, veins

alpha blocker

hypertention

A: well

D:lact.

M:liver

E:

dizzy,HA, 1st

dose orthostatic

hypotension

admin HS, ok w

diuretic + other

HTN med; ass f

prost.hyperplasia

Casodex

a-neoplastic

reduce risk

spread of CA

A:well

D:?

M:liver

E:

weakness, Naus.

const., diarrhea

check labs,PSA

up BUN &

creatan.

Catapres

Clonidine

Anti -HTN

adrenergic

analgesia

hypertension

opioid withdr

A:GI tr, skin

D:CNS,plac.

M:liver

E:50% unch

in urine

drowsy,

dry moutn

check pulse &BP

last dose @HS

gradual d/c

Celebrex 251

celecoxib

cox2 inhibitor

reduce pain,

inflamm.&fever

arthritis

A:?

D:ext. tissue

M:liver

E:


7/37


8/37

Clindamycin

(Cleocin)

Anti-biotic

Inhibits protein

synthesis of

bacteria

Treats skin,

respiratory, Gyn,

Osteo, abdominal

infections and

septicemia

A: Well

D: Widely

M and E: liver Dizziness, headache, vertigo,

arrhythmias, hypotension,

diarrhea, N/V, rash, phlebitis ,

colitis

Monitor bowel

elimination, abd

cramping, assess

for infction

Codeine

narcotichold resp.


9/37

Coreg

carvedilol

hold for HR


10/37

Cytomel, 1137

liothyronine

hold >100 pulse

thyroid hormone

replace func.

of thyroid

A:well

D:most tissue

M:liver,other

E:feces,bile

CV collapse,

arrythmias,

insomn.nervous

wt loss

before breakf.

repid onset

yearly lab test

D5 1/2 NS

hypertonicsolution

prevent alkalosis

promote diuresiscorrect fluid loss

provide calories

watch for hypervolemia

SOB, bounding pulsenot for heart,kidney disease

not for dehydration

Darvocet N 100

propoxyphene

napsylate/tyl.650

narcotic

opioid analgesic

mild-moder.

pain

A:well

D: wide,plac

lact.

M: liver

E:

dizzy, weak,

nausea

CNS depression

No MAO inhibit.

no alc. A-depres,

sedatives/hypn.

dexamethasone

Decadron

long acting

corticoidsteroid

inflammation

neoplasm

auto-imm.d.

organ reject.

A:well

D:wide

M:liver

E:

peptic ulceration

thromboembolis

HTN;osteoporosi

cushingoid appe

cerebral edema

may cause hypo

kalemia, hyper-

glycemia, adrenal

insufficiency

Demerol (755)

meperidine

hold for resp


11/37

Dicyclomine

Bentyl,Bentylol

Formulex,spasmoban

antispasmodics

decrease

GI motility

A:well

D:?

E:80%urine

10% in feces

paralytic ileus

constipation

heartburn

urine retention

monit. For

anaphylaxis

adm. 1 bef Meal

increase fluid int

Diflucan

fluconazole

anti fungal

fungal infect.

A:wellD:wide

M:10% liverE:kidneys

Headaches, dizziness, seizures,

nausea,vomiting,hypokalemia,exfoliative

skin disorders

Adverse reactions

increased risk in

HIV patients

Digoxin

check Apulse

for 1 minute

hold


12/37

Diuril

chlorothiazide

SULFA allergies?

diuretic, a-HTN

hypertension

A:rapid

D:ECF,plac,lac

M:

E:unch kidn.

excretion of

Cl,K,Mg, HCO3

Na, H2O

BP down -fall rsk

urinal empty

I&O,call light

Dobutrexdobutamine

inotropic (force)

beta1 adrenerg

increase

cardiac outp.w/o up HR

A:IV only

D:?

M:liver

E:

HTN, PVC's

hypokalemia

POT DANGER IV

check dosecheck VS, I&O

peripheral pulse

Dramamine

dimenhydrinate

anti emetics

anti histamine

NV, dizzyness

motion sickn

A:well

D:Plac, lact

M:liver

E:

drowsiness

anorexia

dry mouth

assess Bowel snd

& abd pain for

acute abdomen

check for dehydr.

Drixoral 1007

pseudoephedrine

allergy,cold;

cough; nasal

drying agent

decongestant

mng nasal

congestion

open eusta-

chian tubes

A:well PO

D:CSF;plac

lact

M: liver

E: 1/2 to3/4

uncha liver

seizures; CV

collapse; anxiet

anorexia nerv.

don't use MAOIs

drug-drug int.

2 hrs before bed

Dulcolex

bisacodyl

hold for ANC


13/37

Eldepryl 1066

selegiline

antiparkinson

MOA type B inh.

increase

response to

Levodopa

A:well oral

D:wide

M:conversion

to amphetam

D:45% urine

NO SSRIs or tri-

cyclic antidepres

rsk w tyramine

foods; nausea

admin w food

assess BP reg.

avoid ETOH,

caffeine, tyramin

Emycinerythromycin

anti-infective

macrolide

penicillin-

resistent infbacteriostatic

A:variable

D:wide,plac.

M:liver partial

E:unch, bileurine

vertric. Arrythm.

N&V, phlebitis IV

no fruit juice,

not W coumadin,immunosuppres.

caution W heartd.

Esidrex 409

hydrochlorothiazide

check PB

anti HTN,

diuretic

inhibit Na reabs

mng HTN

treat edema

A:rapid PO

D: ECF, plac

lac.

M:

E:unch.kidn.

hypokalemia

hyperuricemia

AM admin.

w food or milk

Ferrous Sulfate

30% element. Iron

antianemic

iron supplement

iron deficienc

A:various

D:remains in

body long

M:recyled

E:sweat,u,bil

seizures,hypoTN

constip,darkstool

skin stain,diarrhea

ass. For anaphyl.

liq. Stain teeth

not with meal

Flagyl

anti-infective

anti-ulcer

abd. Infection

disrupts DNA

&protein synt

A:80%PO

D:most tissue

& fluids

M:liver part.

E:urine,feces

seizures, HA,

dizzy, abd.pain

anorexia, naus.

dry mouth

assess for infec

I&O, wt., stool

sample for

Giardiasis

Flomax

tamsulosin

anti-adrenergic

prostate muscle

contrac. Decreas

prostatic

hyperplasia

A:slow

D:wide

M:liver

E:kidneys

dizzy, HA

orthostatic Hypot

Flonase

fluticasone

allergy,cold

cough remedy

corticosteroid

intra nasal

a-inflammat.

immune

modifier

A:


14/37

Florinef

fludrocortisone

corticosteroid

for orthostatic

hypotention

Na reabsorb.

hypotents r/t

adrenocortic.

insufficiency

A:well

D:lact.

M:liver

CHF,dizzy, HA

arrythmias

fluid vol. excess

mon: fluid retent

BP; no abrubt

discontinuation

Flovent

fluticasone

anti-asthmaticcorticosteroid

Asthma

A:30%D:10-25%

airway

M:liverE:


15/37

Hydrocortisone

lone, sone

anti-asthmatic

corticosteroid

adenocortical

insufficiency

for bronchitis

cancer agent

reduces

inflammation

A:well

D:wide

M:liver

CNS depression

euphoria, HA,

HTN,peptic ulcer

thrombo-embol

muscle waisting

osteoperosis

not w/infections

risk for infections

fungal, pneumon

UTI, cushing syn

peptic ulcers

Hydrodiuril 409

hydrochlorothiazide

diuretics, antiHTNdiuretic

mild HTNedema

A:rapidD:ECF, plac.

lactation

M:E: kidneys

hypokalemia,hyperuricemia

admin amw water/food

Ibuprofen

(motrin,advil)

NSAID

antipyretic

antirheumatic

anti inflammat.

analgesic

pain, inflam

fever,

inhibits pros-

taglandin syn

A:GI tract

D:

M:liver

E:1% unch

kidneys

GI bleed, hepat.

constip,diarrh,HA

dehydrat. Skin

problems; N&V

give with food

up risk CV diseas

risk dehydration

Imuran PO

azathioprine PO

immune supp.

organ transpl

A:

D:

M:

E:

Nausia, hair loss

rash, infection

take w food

Inderal

propranolol

hold HR


16/37

Kayexalate PO

check potassium

anti hyper-

kalemia

lowers

potassium

A:

D:

M:

E:

Keflex

cephalexin

inti-infective

skin,bone,joint

UTI,Pneumonia

infection

A:well

D:plac.lact.

minimal CSF

M:

E:unch kidn.

seizures,colitis

snaphylaxis

serum sicknessDiarrhiaN&V,rash

phlebitis IV

check allergies

anaphylexis,

labs; admin24,with food/

water

Kefurox

cefuroxime

anti-infective

cephalosprorin

2nd gen.

infection

prevention

A: well

D: wide, poor

CSF, plac. Lact

M:

E:unch kidne

seizures, plebit,

anaphylaxix,

serum sickness

speud. Colitis

superinf., no alc.

Keppra

levetiracetam

anticonvulsant

pyrrolidines

decrease

seizureseverity &

incident

M:liver

E:66% unchby kidneys

dizzy, weak

w/wo meal

Klonopin pg293

clonazapam

anticonvulsant

benzodiazepin

seizures,

panic disor.

HS leg movem.

A:well Gitract

D:BBB,placent

M:liver

E:

beh. Changes

drowsiness,

ataxia

admin. W food

ass for drowsines

clumsiness

Labetalol

normodyne, trandate

check BP

antianginalantihypertensive

betablocker

reduce BP

A:well,1stpass25% bioav.

D:CNS,placent

M:liverE:

arrythmias, CHFPul. Edema,

bradycardia

orth. HTN;impot.

ass BP,HR,ort.htnsupine w IV for

3 hrs+ck VS

I&O - Fluid exces

Lactated Ringer

Isot. Vasc. Vol.

alkalizing

fluid/electrolyt

Na,CL,K,Ca

lactate repl.

hydration

acidosis


17/37

Lasix

furosemide

check potassium

check BP, pulse

diuretic, reduce

fluid volume r/t

CHF

inhibit reab.

of Na&Cl in

Loop of H

A:60-70%

D:plac, & lact.

M:30-40%

liver

E:some urine

unchanged

dehydration

hypoK, Cl,Mg

hypotention

give AM w/food

check skin turgor

mucous mem. BP

Pulse; no alc.

Levalbuterol

bronchodilatoradrenergic

bronchospasm

A:someD:?

M:liverE:6% unch

urine

anxiety, dizzy

1 min. betweeninhalations;ass

lungs & VS

Levodopa 713

anti parkinson

dopamine agent

up dopam.

levels in

corpus stratium

A: well

D:BBB

M:GI tract &

liver

toxidity: muscle

twitching,winking

beh.change,

tongue protrude

check vs w dose

adjustement,

liver & kidn func

food after med.

Levophed

norepinephrinebitartrate

check BP

Adrenergic

vasopressor

stimul. Heart;vasodilate

coronary artery

cardiac arrest

HTN; septic

shock;upperGI hemorrha

A:IV rapid

D:

M:extensive

E:small amt

unch urine

bradycardia;HTN

NV;confusion;HA

tremor;anxietyurin retntn;dysrythm

cardiac arrest

check BP q2

and HR, ECG

Levoxyl

levothyroxine

hold pulse>100

thyroid hormone

replace/sub-

stitute horm.

A:50-80%GI

D:most tissue

M:liver&other

E:bile-feces

cardiovasc. Coll.

insomnia, irritab.

tachyc.arrythm.

admin am bef.

meal;check labs

Apulse,BP

Lexapro pg475

escitalopram

not with MAOIs

antidepressant

SSRI

depression

A:80%

D:enters milk

M:liver

E:7%unch

kidneys

insomnia,

diarrhea

nausea

Off MAOIs for 14

days. Suicide rsk

not w. citalopram

Lidocaine

anestetic

anti-arrythmic

control Ventr

arrythmias

local anest.

A: well

D:wide in

adipose tissue

M:liver

seizures, cardiac

arrest,confusion

drowsiness

overdose fatal

check lab values

check vital signs


18/37

Lipitor

atorvastatin

lipid-lowering a.

high cholest.

A:rapid

14% bioavail.

D:lac.

M:liver.1st p

E:bile - feces

abd. Cramps,

consti.D.rashes

rhabdomyolysis

with food @HS

no grapefr. Juice

Lithium pg 723

antimanic

alters cationtransport in

nerves

A:completeD:wide,CSF

plac. Lactat.

M:E: unch kidn.

seizures, HAarrhythmia, abd.

pain;hypothyr.

monitor toxiditylab. 0.5-1.5 level

w food

Lotrel 5/10

norvasc 5mg

lotensin 10mg

antihypertensiv

Ca channel bloc

ACE inhibitor

Hypertention

A:37%

D:plac. Lact.

M:liver

E:20%kidn.

10% bile

cough, hypoTN

angioedema

agranulocyt.

proteinurea

check BP

taste desturb.

Lotensin 147Benazepril

check BP

antihypertensivACE inhibitor

mng HTN

mng CHFmigraine HA

A:37%

D:plac. Lact.

M:liver

E:20%kidn.10% bile

cough, hypoTN

angioedemaagranulocyt.

proteinurea

check BP

taste desturb.

Lovenox

enoxaparin

check platelets

anticoagulant

reduce risk

of DVT & PE

after surgery

A:92% sc

D:intra vasc.

M:Liver, weak

E:kidneys

bleeding,

anemia,thrombo

cytopenia

check f bleeding

down Hct,Hb;not

w other a-coagul

Luminal

Phenobarbital

CNS depressant

anticonvulsant

sedative/hypn

Grand mal

seizures

A:slow70-90%

D:?

M:liver

E: 25% unch

kidney

laryngospasm

angioedema,

serum sickness

check vs frequen

no alc. CI: coma

CNS depr. Pt.

Lyrica

pregabalin

controlled subst.

analgesic

anticonvulsant

neuropathic

/herpatic pain

less seizures

A:90%

D:bbb

M:minimal

E:90% unch.

kidneys

dizzy,drowsy,

dry mouth,

edema

slow D/C, check

platelet count

goes down


19/37

magnesium

cytrate

electrolyte

replacemnt

laxative

prevent hypo

Mg;laxative

antiacid

A30%

D: plac.lact.

M:

E: kidneys

diarrhea

assess bowel fx

chewed w water

Metformin

antidiabetic

reduce glucose

production/abs.incr.

insul.sensitivity

mnge type 2

diabetesmtn bl. Glucose

A:50-60%

D:lact.

M:

E:unch kidn.

abd. Bloating

diarrhea,N&Vlactic acedosis

ass. For hypoglyc

acidosis, checkfolic acid,vit B12

adm. W food

Methadone

(methadose)

Opiod. Binds to

opiate receptors in

CNS. Alters pain

perception

For severe pain.

Supresses withdrawl

symptoms in opiod

detox.

A: well

D: widely

M: liver Confusion, sedation, dizziness,

respiratory depression, low BP,

constipation, nausea, vomiting.

Assess pain, BP,

HR, RR vitals,

bowel function

because it causes

constipation.

MetoprololLopresor

w/h apulse


20/37

MiraLax

polyethylene glycol

laxative

osmotic

constipation

A:nonabsorb.

D:?

M:

E:feces

abd. Bloating,

cramp,gas,naus

diarrhea

distention,sounds

stool.

fast 3-4 pre adm.

clear liquids post

Mirapaxpramipexole

anti parkinson

dopamineagonist

decr. tremors

and rigidity

A:90% oralD:wide

M:

E:90% unchurine

sleep attacks

amnesia;dizzydrowsy; hallucin.

weakness

assess confusion

& hallucinationck: ECG, BP,

drowsiness

MS Contin

(morphine SR

TBSR)

narcotic

opioid analges.

sch II

severe pain

PE, MI pain

A: 30%

D: wide

M: liver

CNS depression

disturb. Percept.

give before pn

becomes severe

Mylanta

Mg hydroxide/al

uminum hydroxide

anti-ulcerantiacid

duodenal &gastric ulcers

Indigestion

A:small amouD:placenta,

CNS, lact.

M:E: kidneys

constipation,diarrhea

chew before swallowing, with water

Mylicon

simethicone

antiflatulent

excess gas

peptic ulcer

A:none

D:not

M:

E:feces

none

ass bowel sound

& abd. Pain

Morphine(Roxanol)

hold for resp


21/37

Narcan

naloxone

opioid antagonist.

antidote for

opioid. Stops

overdose sym

A: well

D:rapid,plac

M:liver

N&V hypo,hyper-

tension, tachyc.

ventric. Fib

ass:VS & LOC

pain, resusitation

equipment near

Nardil pg810

phenelzine

MAOI

anti depressant

increase

neurotransm.

A: well Gitract

D:plac. Lact.

M: liver

E:

seizures,hyper

tensive crisisdrug-drug intera.

fatal hepatic nec

NO Tyramine food

not @HS,not for liver prob

check PB, I&O

Nasonex 320

mometasone

allergy;cold,

cough;

corticosteroid

allergy

A:negligible

D:plac. Lact.

M:liver

E:

dizzy; HA;

abd. Pain

Nembutal

Pentathal

pentobarbitalsodium

barbiturate

hypnotic

sedativeanest. Adjunct

cerebrovasc

disorder; st.

epilepticusICP w trauma

A:well GI tract

D:

M:liver

E:urine as

metabolites

anyphylaxis;

apnea;hypoTN

syncope;bradyarrythmia;dizzy

ck:liver/renal lab

VS:no ETOH or

CNS depressantswithdrawal symp.

Neoral 125/1.25

cyclosporin

pg 339

immune suppr.

organ transp

prevent

rejection

10/60 1st pass

D:wide

M:liver

E:bile/urine

seizures;tremor

HTN;NV;livertox;

kidneytoxic, inf.

hirsutism

ck lab changes

ck hypersensit:

resp.&flushing

K-up, Mg- down

Neosporin oint.(cream)

neomycin/

polymyxin

bacitracin (lidocane)

antibioitic ointm.

prevent inf.

Neurontin

Gabapentin

analgesic , Ajunct

anti convultant

seizures

chronic pain

prevent

migraine HA

A:PO well

D:bbb,lact.

M:

E: renal of

unch. Drug

confusion,drowsy

depression

ataxia

reduc. Consentra

contraceptive

effectiveness,

bleed risk;K defi.


22/37

Nexium

esomeprazole

anti-ulcer

GERD, reduc

acid in gastr

lumen

A:90%

D:?

M: liver

E:90

Norco (5/325)

hydrocodone/tylenol

narcotic (opioid)

hold for resp


23/37

Norvasc 128

amlodipine

check PB, HR

anti-HTN

Ca channel bloc

vasodilation

lower BP

A:Well

D:place.

M:liver

E:

HA, peripheral

edema, hypoTN

wh if sBP< 90

Novolin

insulin

anti-diabetic

pancreatic horm

DM

A:well

D:well

M:liv,spleen

E:Kid, muscl

Hypoglycemia

anaphylaxis

assess for

hypogl, anaph.

Nubain 832

nalbuphine

hold < 10 resp

opioid analgesi

mod/sev pn

A: well

D:placenta cr

M:liver

E:feces/bile

kidneys

dizzy;HA;sedat.

dry mouth;N&V

clammy; sweat

NOT w/ MAO inh.

CNS depression

ass pain

Nystatin

antifungal

topical/vaginal

fungus

A:local

D:?

E:fecal p PO

D,N&V

steve/Johns.syn

irritation of

mucous membr.

Osmitrol

mannitol

diuretic

increase

osmotic pressur

FVE, HTN

A:IV complete

D:ECF

M:liver,minim

E:kidneys

FVD risk

pulm. Edema

blurred vision

VS,I&O, ass. For

dehydration or

fluid overload

OxyFAST,

Oxycodone

Opiod. Binds to

opiate receptors in

CNS. Alters pain

perception

For severe pain.

Supresses withdrawl

symptoms in opiod

detox.

A: well

D: widely

M: liver Confusion, sedation, dizziness,

respiratory depression, low BP,

constipation, nausea, vomiting.

Assess pain, BP,

HR, RR vitals,

bowel function

because it causes

constipation.

Pacerone/cordarone

amiodarone

check heart rate

antiarrythmic

irregular HR

A:slow variable

D:fat,muscle

lungs,spleen

M: liver

E: bile

dizzy, fatigue

CHF,worse arryth

ARDS (adult

resp. distress syndrom)

asess lungs

ck labs; K Mg


24/37

Pancrease

pancrelipase

lipase,amylase,

protease

pancreatic

enzyme replace

break down

lipid,starch,

protein

A:not abs.

D:acts in GI

M:

E: feces

allergies (pork)

no ER to accute

pancreatitis pt.

1-2 before meal

ParlodelBromocriptine

mesylate

anti parkinson

dopamine agon

stimulates

dopaminereceptors

A:

D:90-96%protein bind.

M:complete

E:fecal 85%renal 2-5%

hallucinations;

HypoTN;dizzy;HA;NV;constip.

fatigue

w meds;no ETOH

monitor:BP,GIbleed,labs,& for

agromegaly

Paxil (CR)

paroxetine

hydrochloride

anti-anxiety

SSRI

depression

anxiety

panic disord.

A:50-100%

D:wide,CNS

fluid,tissue

M:liver

E:2%unch

kidneys

anxiety:dizzy;

drowsy;insomn.;

weak,constip.

dry mouth;sweat

am admin, with

food to minimiz

irritation

Pentidspenicillin G

anti infective

bacteria cell-wall death

gram+, some

gram-

A: GI tract

D:wide,plac,lac

M:liver

E:unch.kidney

seizures,anaphyl

serum sicknessN&V, phlebitis IV

superinfections

W meals,no juicehives, itch

diff. swall&breath

Pentothal

thiopental

gen. anesthesia

barbiturate

anesthesia

up ICP

seizures

st. epileptic.

A:into fat

D:plac;lact;

bbb

M:liver

E:

inj. Site reaction

myocard.dysfx

apnea, laryngeal

spasm, resp.dep

seizures, ICP,

BP; resp. depr.

arrythmias

Percocet

Oxycodone/tylenol

narcotic, sch II

hold resp.


25/37

Phoslo

calcium acetate

mineral/electrol

replacement

hypocalcemiaA:need

s vit D

D:well

M:

E: feces,kidn

cardiac arrest

arrythmias,

constipation,

phlebitis (IV)

check labs, BP

HR, vasodil.

bradycardia

heartburn, abd.

Pilocarpine

cholinergic eye

drops

open-angleglaucoma;

miosis

bronchospasm

sweating,up urin

salivation

blurred vision-fall preq.HA,

stinging,eye pain

plavix

clopidogrel

anti-platelet

aggregation inhi

reduce

atheroscle-

rotic risks

A:well

D:?

M:rapid,liver

E:50%urine

45% feces

Bleeding,

neutropenia

Thr,thrcyt,purpura

ass.for fever,chil

sore throat,bleed

no aspirin/NSAID

potassium chloride

970

BP,HR,lab,K

comp.w

D,NS,

LR,cipro,

vanco

potassium supp

arryth, due to

digoxin toxid

low K+level

maintainacid/base balance

A:well

D:ECF into cell

M:

E:kidneys

arrythmia's

abd. Pain;NVflatulence, diarr

irrit. IV site

w. or p. meals

ass low,high K

BP, HR, Labsinfuse slowly

10mEq hr

Pravachol

pravastatin

lipid-lowering a.

hypercholes-

terolemia

A:14%bioav.

D:liver/lact.

M:liver

E:20%unch

kidneys

rhabdomyolysis

abd.cramp. Diar

constip. Rash

grapefruit increas

toxidity; HS adm.

Prednisone

intermediate act.corticosteroids

anti-asthmatic

corticosteroid

adenocortical

insufficiency

for bronchitis

cancer agent

reduces

inflammation

A:well

D:wide

M:liver

CNS depression

euphoria, HA,HTN,peptic ulcer

thrombo-embol

muscle waisting

osteoperosis

not w/infections

risk for infections

fungal, pneumon

UTI, cushing syn

peptic ulcers

Premarin

estrogen,conjugated

hormone

replacement

A:skin: well

D:plac, lact.

M:liver,other

E:

MI;thromboemb

HA;edema,HTN

weight change

hypercalcemia

with food,BP,wt,

vasomotor symp

affect lab values

HDL,P-lipids,etc.


26/37

Prevacid

lansoprazole

antiulcer agent

GERD(short-

term),erosive

esophagus

ulcers

A:80%

D:?

M:liver inac.

E:

dizzy,HA, diarrh

before meals

Prilosecomeprazole

anti ulcer

diminish

acid in stomand esophag

for GERD

A:wellD:gastric

parietal cells

M:liver

abd. Pain, dizzy

before meal

don't crush

Primaxin

imipenem/cilastatin

anti-infective

carbapenem

inf of: lower

resp,UTI, gyn

skin, bone

joint, abd.

endocarditis

A: well IM

complete IV

D:wide, plac

lact.

M:

E: 70%

unch. Kidney

seizures,

Pseudomemb.

colitis; rash

anaphylaxis

N,V,Diarrhea

ck for anaphylaxi

ck druk book for

reconstitution

&infusion

Procardia XL

nefidipine XL

BP, pulse

a-anginal,a-HTN

vasodilation

Ca ch. Block

hypertentionred. Angina

freq&severity

A:well

D:?

M:rapid,liverE:

HA, arrythmias

edema,flushing

steven-johns syn

VS, I&O,wt, pillcoating in stool;

no grapefr. juice

Procrit 462

epoetin

anti anemics

hormone

maintenance

of RBC prod.

(renal failure)

A:well subQ

D:?

M&E:?

seizures, HTN

(thrill and bruits)

monitor BP,

anemia, and

dialysis shunts

don't shake vial

Prolixin 542

fluphenazine

antipsychotic

phenothiazine

acute/chronicpsychosis

A: Well

D:bbb,plac.lac

M:liver, recircE:

Extraypyramidal

photosensitivity

agranulocytosis

many drug interactions

don't touch meduse dry syringe

dilute PO meds

Promethazine

check resp.

antiemetics

antihistamine

sedative/hypno

phenothiazine

allergies

motion sickn

N&V

anastesia ajunct

A:Well

D:wide BBB

placenta

M:liver

E:

neurol. Mal. Syn

confusion, disor.

sedation

assess sedation

and vital signs

monit. For EPS

admin w food


27/37

Proscar

finasteride

hair regrowth

androgen inhib

prostatic

hyperplasia

A:63%

D:prostate

M:

E:39% urine

impotence, red.

libido & ejacul.

impared urinary

elimination

Protonix

pantoprazole

anti-ulcer

proton pump

inhibitor

GERDheartburn

A:intestines

D:?

M:liverE:71%urine

18%feces

HA;abd. Pain;

diarrhea; flatul;

hyperglycemia

don't crush/breaktablest;

w/wo food

Prozac pg540

fluoxetine

antidepressant

SSRI

depression

bulimia nerv.

premenstral

panic disord.

A:Well

D:BBB

M:liver

E: kidneys

seizures;anxiety

HA;insomnia;

diarrhea;itching

sex disf.;tremor

mood changes

suicidal tend.

wt loss;AM food

no tryptophan

PTU

propylthiouracil

anti-thyroid

inhibits thyr. H

decrease s&shyperthyroid

A:rapid Gitrac

D:thyroid

M:liverE:

agranulocytosis

hypothyroidism

NV, rash

ass:cervical lymprash, WBC,diff.

thyroid lab val.

Pyridium 944

phenazopyridine

urinary tract

analgesic

urinary pain,

itching,burnin

urgency, freq.

A:well oral

D:? Cross plac

M:rapid

unchanged

kidney

bright orange

urine

with or following

meal, don't crush,

break,chew tab.

Reglanmetoclopramide

anti-emetics

post surge

gastric stasis& NV;

chemo Vom.:

esoph reflux

A:GI tract

D:BBB, plac,

lact.

M:liver part

E:25% unchurine

neuroleptic Mal.

drowsi, restless,

extra pyrram. Sy

30 min bef. Meal

IM end of surg.30 min bef. Chem

check side effect

tardive dyskinesia

Remeron pg802

mirtazapine

antidepressant

tetracyclic anti-D

depression

A: well,50%

availability

D:?

85% proteinb

M:liver

E:urine75%

feces 25%

up suicide ideas

drowsy, constip.

dry mouth, up

appitite,wt gain

give at HS

slow position chg

(orthost. hypoTN)

up fluids (const.)


28/37

Requip

ropinirole

antiparkinson

dopamine

agonist

mng parkins

tremor/rigid

restless leg

syndrome

A:55% oral

D:wide

M:liver

E:


29/37

RoferonA

Interferon Alpha2A

interferon

a-proliferac-

tive against

tumor cells &

a-viral activity

A:IM&subc

80%

D:

M:kidneys

filtered/degr

E:bile, urine

neuropsych diso.

ishemic, disord.

colitis,pancreat.

dry mouth N&V

d/c w infection &

colitis, up fluids

ass. CV disord.

check CBC, diff.

Romazicon 529flumazenil

antidote forbenzodiazepines

Is a benzod.

derivative

reversal of

benzodiazep.effects

A: IV complet

D:?

M:liver

E:

Seizures, dizzy

N&V

airway, seizure

precaution;

Sandimmune

cyclosporine

immuno-

suppressant

a-rheumatic

polypeptide

a-transplant

rejection;

severe arthr.

psoriasis

A:10-60%1stp

D:ECF -blood

M:1stpass

E:bile,sm am

unch urine

seizures,tremor

HTN,diarrh,N&V

kidneytoxic

hirsutism, infec.

W meal, avoid

grapfruit and oth.

juices & crowds

seizure precaut.

Scopolamine 1299isopto hyoscine

cycloplegic

mydriatics

eyedrops for

cycloplegicrefraction

mng: uveitis

irritation,photophobiablurred vision

anticholer. Effect

not for glaucoma

Seconal

secobarbitol

barbiturate

sedative/hypno

anest. Ajunct

insomnia

seizures

laryngosmasm

apnea

depressed CNS

" respiration

addiction

Senokot (S)

senna (+

docusate sodium)

laxative

constipation

A:minimal

D:?

M:?

cramps, diarrh

take at HS w full

glass of water

Seroquel

quetiapine

antipsychotic

schizophren.

bipolar

mania

A:Well PO

D:Wide

M:liver

E:


30/37

Sevelamar (renagel) Give

with

meals

Electrolyte

modifier

(phosphate binder)

Binds to phosphate in

g.i. tract preventing

its absorption.

Reduces

hyperphosphatemia,

ectopic Calcification

A: no absorbed

D: unknown

M, E: feces Diarrhea, dyspepsia, vomiting,

constipation , nausea

Assess gi for side

effects. Labs (Ca

and phos)

Sinemetcarbidopa/levodopa

anti parkinsondopamine agent

up dopam.

levels incorpus stratium

A: wellD:BBB

M:GI tract &

liver

toxidity: muscletwitching,winking

beh.change,

tongue protrude

check vs w dose

adjustement,liver & kidn func

food after med.

Singulair

montelukast

allergy,cold,

cough remedy

bronchodilator

less sever

inflamm proc

Leukotriene inhibitor

A:rapid

D:?

M:liver

E:bile-feces

chur-straus synd.

ass. Lungs,resp.

no abrupt d/c

take HS

Slow Mag

magnesium Cl

electrolyte repl.

laxative

A:PO 30%

D:Wide, plac.

lact.

M:no info

E:Kidneys

diarrhea

CI:hypermagnes

& hypocalemia

check lab values

Sodium Citrate

(1083)

alk. Agent

anti -urolithics

electrolyte repl.

mng acidosis

prev aspirati

pneumonia

& urin calculi

A:well

D: rapid, wide

M:bicarbonat

E:kidneys

5% lungs

admin w chilled

water.

30 min. p meals

Spiriva

Tiotropium INH

brochodilator

anticholinergic

COPD

asthma

A:19.5%

D:extensive

M:25%

E:74% urine

dry mouth

angio edema

rinse mouth

after use


31/37

Surfak pg416

Docusate Calcium

laxative

stool softener

constipation

prvt straining

A:small intes.

D:?

M:

E:bile

mild cramp

throat irritation

with full glass of

water or juice

not w other lax

Symmetrel 111

amantadiine

anti-parkinson

anti-viral(infl.A)

up dopamine

action

reduce viralinfection

A:GI tract well

D:bbb & lact

M:

E: unch. Urin

ataxia;dizzy;

insomnia;hypoTblurred vision

dry mouth

orthost. Hypotn

oral care;

no ETOH, no CNSstimulants

no adm.at HS

Synercid

quinupristin

dalfopristin

anti-infective

narrow spect

vancomycin

resist. Inf.

myalgia,diarrhea

joint muscle pain

hepatotoxidity

pain, infl @ inj

site;orthroalgia

Synthroidlevothyroxine

thyroid hormone

substitute/

replace Hthyroid CA

incr. metabolism

A:50-80%

D:most tissue

M:liver,other

E:bile - feces

insomnia,irritab.CV collapse,

arrythm, tackyc.

wt. loss, nervous

admin, before

breakfastcheck lab

caution Heart d.

Tagamet

cimetidine

anti ulcer

anti histamine

reduce gastr

secretions

A:well

D:lact, cerebro

spinal fluid

M:30%liver

E: unch kidn

arrythmias, conf.

agranulocytosis

aplastic anemia

black tongue

IV: 5 min admin.

& dilute

monitor CBC diff

Talwin

pentazocine

CNS depression

hold for resp.


32/37

Tasmar

tolcapone

antiparkinson

prevents

breakdown

of levadopa

A:65 bioav.

D:?

M: liver

E:unch urine

HA;sleep disord.

hepatotoxicity

const;diarrhea

dyskinesia/

dystonia

No MAO inh.;ass

BP, liver labs;

adm w levodopa

slow position chg

avoid ETOH

Tegretol XR 239(with food)

anticonvulsantneurogenic pain

mood stabilizer

Seizure

preventionused for bi-

polar disorder

A: slow, compl

D:bbb,pl,lac

M:liver

Ataxia, drowsin.agranulosytosis

aplastic anemia

thrombocytopenia

with food,

pill coating fecesno alc., no sun

ctn:heart,liver pr.

Tetracycline

achromycin

anti-infective

stops bacteria

protein synthes

broad spectrum

stomach

ulcer

A:60-80%

D:some into

CSF,plac. Lact.

M:

E:unchanged

kidneys

teeth discolorat.

sunburn, super&

candida inf.

don't take with

milk, iron, Mg

laxatives

Thorazine pg274

chlorpromazine

anti emetic

anti psychotic

phenothiazine

psychosisN&V,hickups

vasc. HA

A:variable

D:wide pla, lac

M:liver &GI mucosa

E:

NMS, agranulo-

cytosis, sedation

blurred vis. Etc

ass EPS, NMSdon't touch solut.

sure pt. swallows

Timoptic

timolol

eyedrop

beta blocker

decr. Aq.hum.

formation

occular HTN;

open angle

glaucoma

occul. Burning

down vis.accuity

conjunctivitis,

HypoTN,bradyc.

not w/opth.

epinepherine;

bronchspasm;

delirium (geri)

Toprol XL 786

motoprolol

hold sbp


33/37

Travatan

travoprost

prostaglandin

agonist

Glaucoma

lower pressur

local irrit; foreign body sensation

up eyelash growth,

brown pigmentation

Trileptal pg 898

oxkarbasepine

anticonvulsant

Nachannel block

stabilizehyperexcitable

state

seizures

trigeminal -

neuralgia

A:rapid

D:breast milk

M:converted

to MHd

E:kidneys

dizzy, drowsy

fatigue,HAabn. Vision

nystagmus, N&V

ataxia, tremors

monitor CNS

change-cognitive

seizure precaut.

Tylenol

acetaminophen

analgesic

anti-pyretic

(no GI toxidity)

pain,fever

inh. Prostagl

synthesis

A: well

D: wide

placenta,lact.

M:liver

E:kidneys

livertoxidity

max 650mg q4

renal failure

liver, renal prob.

w/ other pn meds

give w food

Tums

Ca Carbonate

electrolyte

replacement

A:needs vit.D

D:ECF

M:

abd. Pain,heart-

burn,indigestion

1-1.5 hr p meal

w full glass water

Ultram

tramadol

analgesic

centrally acting

mod/sev.

pain

A:PO75%

D:plac. Lac

M:liver

E:30% unch

kidneys

seizures, dizzy

HA,somnolance

constip. Nausea

ass. VS, bowel

sounds, prevent

atelectasis.

orth. hypoTN?

Valium pg376

diazepam

CNS depressant

antianxiety

anticonvulsant

sedative/hypn

benzodiazepine

anxiety

muscle relax

less seizures

A:GI tract

D:bbb,plac,lac

M:liver

E:

dizzy, drowsy

lethargy

CI:glaucoma,

kidney prob.

reduc opioid dose

fall rsk; VS check

Valtrex

(valacyclovir)

Antiviral Treatment of shingles

(herpes zoster virus),

genital herpes, cold

sores (herpes labialis)

A: bioavailable

D: CSF,

placenta, breat

milk

M and E: Liver Headache, dizziness, weakness,

nausea, abd. Pain, constipation

Monitor for

anemia, renal

dysfunction


34/37

Vancocin

vancomycin

anti-infective

#1 MRSA

gram +

A:poor Gitract

D:25% plac.

M:

E:PO feces

IV kidneys

anaphylaxis

nephrotoxic, oto

toxic, phlebitis

red man syndrom

check hearing &

kidney labs.

Vasotecenalapril

anti-HTNACE inhibitor

vasodilation

manage HTN

CHF, reduceMI risk

migraine HA

A:60%,IV comp

D:plac., lact.

M:liver

E: 60%kidneys

cough, hypoTN

taste disturbanc

risk for hypoTN

check wt, fluidoverload

1st dse effectBP

Verapamil 1192

a-angina;a-HTN

antiarrhythmia

Ca channel bloc

HTN,angina

pectoris;

arrythmias

A:bioa.20-25%

D:lact

M:liver

E:

CHF,arrythmias

S-J syndrom

check BP,HR,

signs of CHF

Vicodin/

Hydrocodone

narcotic III

antipyretic

analgesic comb.

moderatepain

A:GI tract

D:plac. Lact.

M:85-95%livE:kidneys

liver failure

with overdose

CNS depression

w full glass waterno alc.; Constip.

depressed resp.

Vigamox

mexifloxacin

hydrochloride

bacterial

conjunctivitis

strep/staph

eye infection

D: plac?; Lact?

red. Visual acuit

dry eye;discomf

superinfections

don't touch app.

tip

Vistaril (612)

hydroxyzine

anti anxiety

anti histamine

sedative/hypnot

anxiety,

preop. Sedat

anti emetic

anti pruritic

A:well

D: unknown

M:compl.liver

E:bile feces

drowsy, dry mth

pain at IM site

shake suspens

deep IM Ztrack

Painful-don't use

deltoid

Vit.B1

thiamine

vitamin

deficiency

(beriberi)

A:well, GI

D:wide,lac.

M:liver

E:unch.kidn.

vasc. Coll.;

angioedema

extremely rare

ass. Nutr. Status


35/37

Vit.C

ascorbic acid

vitamin

prevent

deficiency

fatigue,HA,N&V

cramp,Diar,insomnia

Vytorin

ezetimibe 10mg

simvastatin mg

lipid-lowering a.

high cholest.

A:rapid

14% bioavail.

D:lac.

M:liver.1st pE:bile - feces

abd. Cramps,

consti.D.rashes

rhabdomyolysis

with food @HSno grapefr. Juice

Wellbutrin XL

bupropion

anti-depressant

smoking deterr

aminoketones

depression

nic. Addict.

A: Well

D: ?

M:

E: renal

seizures, agitate

HA, dry mouth

N&V, tremor

admin w food

equal intervals

not @ HS; sedat.

Xalantan

latanoprost

prostaglandin

agonist

up outflowaqueous h

down press.

A:no info

M: no info

can change

eye color to

brown

don't use withthimerosal

Xanax

alprazolam

antianxiety a.

panic att.

PMS mgmt

A:90%

D:bbb,plac.lac

M:liver,rapid

E:

dizzy, drowsy,

lethargy/sedatio

fall preq. Caffeine

interferes w effec

dependence

check labs

Xopenex

levalbuterol

bronchodilator

adrenergics

broncho-

spasm

A:some

D:unknown

M: liver

E: urine unch

don't use w MAO

inh.;drug-drug

assess VS

check sputum

note bronchosp.

Zantac

ranitidine

anti -ulcer

anti -histamine

acting on H2-

receptors

inhibit gastr

secretions

red. Reflux

heals ulcers

A:50% PO,IM

D:lact, cerebro

spinal fluid

M:1stpass,liv

E:PO30% unc

Im 75%unch

arrythmias, conf.

agranulocytosis

aplastic anemia

black tongue

IV: 5 min admin.

& dilute

monitor CBC diff

caut:renal impair


36/37

Zarontin

Ethosuximide

anticonvulsant

succinimide

supp. Ca influx

raises thresh

for petit mal

seizures

drowsiness

depression

ass.for resp. dep

drug level,

no abr. Withdraw

Zestri/Prinivil

Lisinopril 147

check HR/BP

anti HTN

ACE inhibitor

vasodilationreduce BP

A:25%PO

D: place,CNS

M:E:100% kid.

cough, HypoTN

taste disturbanc

protein urea

check labsDC if neutrophil


37/37

Zovirax

acylclovir

anti viral

stops DNA synth

Herpes

A:poor

D:wide, CSF

plasma,plac.l

M:10%liver

E:90% unch

kidneys

seizures,renal

failure, thrombo

cytopenia,NV&D

check neuro stat

adequae hydrate

up fluid intake

Zosyn

piperacillin

anti-infective

ext.spec.penic.

cell-wall:death

skin/joint/bone/resp/

abd/urinary

A:80%IM

D:wide:CSF

plac.,lact.

M:E:10%bile

90%unch.k.

seizures,colitis

rash,hypokalem.

pain,phlebitis

check allergiesanaphylaxis

superinf.

Zyloprim 104

Allopurinol

anti gout

a-hyperuricemic

reduce uric acid

formation

prev gouty

arthitis

A:PO 80%

D: in ICF

E:12% unch

rash, drowsy

increase fluids

dc with rash

Zyprexa

olanzapine

antipsychotic

thienobenzo

diazepine

decreasepsychosis

A:well

D: extensive

M: 1st passE: unch kidn.

7%

seizures, NMS

agitation, dizzy

weak constip. Etc

fragile tabletmade sure pt.

swallows pill

Zyrtec

cetirizine

antihistamine

allergy,cold,

cough remedy

allergies,

chronic urti-

caria (hives)

A:well

D:?

M:

E:unch.

kidneys

dizzy,drowsy,

dry mouth

with or without

food

Zyvox

linezolid

anti-infective

inhibit bac. Protein

systhesis

MRSA

A:100%

D:well

M:65%liver

E:30%unch

kidneys

colitis, lactic

acidosis,optic

neuropathy

d/c W vision chan

no W MAOinh.

Documents

Master Medications 1