Nclex Drugs 50

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  • 1. Dopamine Low dose- dilates renal & coronary arteries,high-dose- vasoconstrictorS/E: Incr ocular pressure, tachycardia, decrurinary outputHeadache- sign of drug excess

    2. Valium,Librium

    Antianxiety, ***S/E: lethargy, respiratory depression, ataxiaDon't take with alcohol

    3. Ativan,Xanax

    Antianxiety, ***S/E: CONFUSION, ataxia, drowsiness,lethargyCheck renal/hepatic function

    4. Antacid Meds S/E: Constipation, diarrhea, metabolicacidosisAbsorp of other meds may be decr if giventogetherGive with fluidsMonitor electrolytes

    5. Lidocaine Antidysrhythmic MedsS/E: Slurred speech, confusion, bradycardia,seizures, dysrrhythmias

    6. Propanolol Antidysrhythmic MedsS/E: BRONCHOSPASMContraindicated for asthma, COPD

    7. Amiodarone Antidysrhythmic MedsS/E: Liver toxicity, photophobia

    8. Gentamicin,Neomycin

    AminoglycosidesS/E: Ototoxicity, nephrotoxicityEncourage fluids, small frequent meal, checkrenal function before administering

    9. Cephalexin Cephalosporins, KeflexS/E: Incr risk of bleeding, superinfections,thrombophlebitis IV, GI distressTake with food, avoid alcohol, CROSSALLERGY: penicillins

    10. Ciprofloxacin FluoroquinolonesS/E: Superinfections, hepatotoxicity,vesicant, can lower seizure threshold, tendonrupture and CFTake on empty stomach, monitor liverfunction

    11. Silversulfadiazinecream

    Tx for burnsS/E: Neutropenia, burningCROSS-ALLERGY: sulfonamides

    12. Pyridium Genitourinary med, antispasmodic &analgesicS/E: Bright orange urine

    13. Ditropan Genitourinary med, tx, incontinence,antispasmodicS/E: Drowsiness, blurred vision, dry mouth, GIupset, dizzinessMay increase reflux, NOT WITH GLAUCOMA OR GIOBSTRUCTION

    14. Atropinesulfate

    Tx of bradycardia- blocks parasympatheticNervous systemS/E: Headache, dry mouth, urinary retention,tachycardia, constipationCheck for hx of glaucoma, asthma, HTN,urinary obstruction

    15. Atrovent Used for longterm tx of bronchospasm, asthmano more than 12 doses in 24 hoursS/E: Dry mouth, cough, blurred vision

    16. Cogentin Used for Parkinson's Disease to reducesymptomsS/E: Anticholinergic eff, orthostatichypotension, tachycardia, dry mouth,constipation, urinary retentionTaper before d/c

    17. Heparin AnticoagulantS/E:heparin induced thrombocytopenia,anemia, bleedingMonitor PTT (90-175) Therapeutic rangeAntidote: Protamine sulfate

    18. Coumadin S/E: Diarrhea, rash, agranulocytosis, bleeding,leukopeniaMonitor PT (16-25), avoid diet high in vit KAntidote: Vitamin K

    19. Klonopin Anticonvulsant, BenzodiazepineDO NOT STOP ABRUPTLY!S/E: Confusion, drowsiness, increasedsalivation, hyperactivity

    20. Dilantin AnticonvulsantS/E: Hirsutism, GI upset, gingival hypertrophy,bone marrow suppression, dermatitis, ataxia,nystagmusDO NOT TAKE WITH MILK.Urine/sweat may turn red/brown, incr exposureto sunlight

    21. Magnesiumsulfate

    Anticonvulsant, used for pre-eclampsiaHold if resp.

  • 23. Prozac,Zoloft

    Antidepressive, SSRIS/E: Dry mouth, dizziness, HA, insomnia (givein morning), weight gain/loss, monitor forthrombocytopenia, leukopenia, and anemia

    24. Elavil Antidepressive, TricyclicS/E: Photosensitivity, anticholinergic effs,sedation, Therapeutic eff in 1-3 wks, give at night

    25. Humalog Rapid-acting Insulin, used in insulin pumpsOnset: 5-15 min, peak: 2-3 hr, duration: 4-6hrGive within 15 min of a meal

    26. Humalin R Short-acting insulinOnset: 30-60 min, peak: 2-3 hr, duration: 4-6hrMay be given through IV

    27. NPH Intermediate-acting insulinOnset: 1-2hr, peak: 6-12 hr, 16-20 hr

    28. Lantus Very long acting insulinOnset: 1 hr, peak: none (continuous), duration:24 hr

    29. Insulin S/E: HypoglycemiaHave pts rotate sites, only reg insulin given IV,all others SQ-when mixing insulin in one syringe, draw upregular (clear) before Lantus (cloudy)

    30. Lisinopril AntiHTN, ACE inhibitorS/E: Tachycardia, MI, persistent dry cough,proteinuriaMonitor renal functionSmall, freq meals, change position slowly

    31. Propanolol AntiHTN, Beta BlockerS/E: Bradycardia, cardiac dysrhythmias,impotence, bronchospasm, can cause bizzaredreamsMonitor pulseDo not dc abruptly, provide rest periods, takewith meals.

    32. Cardizem AntiHTN, Calcium Channel BlockerS/E: Peripheral edema, angina, flushing, rash,impotence, HA, hypotension, constipationDo not chew sustained-release tabs, avoidgrapefruit juice, monitor VS

    33. Lithium Bipolar med, mood stabilizerS/E: Fine hand tremors, leukocytosis, polyuria>2=Toxic signs: N/V/D, drowsiness, ataxiaHave good fluid and salt intake

    34. Haldol Antipsychotic, high potencyS/E: Low sedative effect, Extra pyramidalsymptoms severe, anticholenergic

    35. Thorazine Antipsychotic, low potencyS/E: High sedative effect, hypotension,anticholenergic, extrapyradidal effects, Cogentin, Artane for parkinson symptoms

    36. Prophylthiouracil(PTU)

    AntithyroidS/E: Leukopenia, fever, jaundiceCheck CBC and hepatic function

    37. Synthroid Thyroid ReplacementS/E: Nervousness, palpitations,insomniaTake in morning, monitor weight, tell ptto report chest pain, sweating, obtainbaseline VS

    38. Rifampin AntitubercularS/E: Hepatitis, feverOrange urine, tears, saliva, check LiverFunction Tests, take with food,peripheral neuropathy

    39. Aminophylline BronchodilatorsS/E: Nervousness, dizziness,tachycardia, GI distress, dysrrhythmias,take with food, avoid caffeine, >20-toxicrange

    40. Digoxin positive inotrope, negative chronotropeS/E: Bradycardia, visual disturbances,abdom pain, hypercalcemiaMonitor renal func, take apical pulsebefore admin dose>2-TOXIC! (hypokalemia increasestoxicity)Toxic S/E: Halos around dark objects,heart block, dysrhythmias, N/V

    41. Furosemide Diuretics- LasixS/E: Hypokalemia, hyperglycemia,hypotension, increases cholesterolMonitor BP, potassium. Weigh pt daily,don't give at bedtime, encourage K+foods

    42. Morphine sulfate Opioid, *** Narcan Antidote (haveavailable)S/E: Sedation, resp depression,constipation, N/V, hypotension

    43. Ibuprofen NSAIDsS/E: GI upset, dizziness, headacheUse cautiously with aspirin allergy

    44. Narcan Antidote for narcotic (opiod)-inducedrespiratory depression; 0.1mg to 0/4mgIV every 2-3 minutes as needed until 1mgis achieved

    45. Premarin Conjugated Estrogens - Hormone -Treating certain symptoms ofmenopause ( hot flashes , vaginaldryness or itching ) . it is used to preventosteoporosis ( weak bones ) aftermenopause in the certain patients.

  • 46. Prilosec Proton Pump Inhibitor SE: HA, N/V/D, rash, dizziness and Ab pain,tinnitus, vertigoMust be taken whole, 30 min beforeBreakfast

    47. Pepcid Histimine Antagonist: end in -tidineSE: HA, Nausea, Dry mouthCIGARRETES MAY INTERFER WITHACTION!DO NOT take within 1hr of antacid- HSdosing

    48. Zantac Histimine Antagonist: end in -tidineSE: HA, Nausea, Dry mouthCIGARRETES MAY INTERFER WITHACTION!DO NOT take within 1hr of antacid- HSdosing

    49. Tagamet Histimine Antagonist: end in -tidineSE: HA, N/V/D, fatigue, consipation,gynecomastiaCIGARRETES MAY INTERFER WITHACTION!DO NOT take within 1hr of antacid- HSdosing

    50. Lovenox AnticoagulantProtamine sulfate can be used as an antidotebut not as effective as with heparin.SE: Bleeding, thrombocytopeniaMonitor PT (16-25) and INR(2-3.5)Therapeutic Range

    51. Pitocin Uterine Stimulant: Dilute w/ NS and usePumpSE: Hypotension, Dysrhythmias, N/V,hypertonic contractionsAntidote: Magnesium Sulfate

    52. Augmentin Amoxicillin/Clavulanate-Allergiescommon(rash/itching reaction) Not affectedby foodSE: N/V/D, taste alteration, Lethargy,twitching

    53. Erythromycin Macrolide- w/ FoodsSE: N/V/D, HA, vertigo, chest pain, dyspneacross allergies with PCN

    54. Methicillin Staphcillin- Allergies! Empty Stomach!SE: N/V/D, skin Rash

    55. Vancomycin Vancocin- MRSA & C Diff TXSE: Extravasion, Nausea, Oto & Nephro-toxicity, hypotension

    56. Diflucan SE: N/V/D, Myalgia, skin rash,photosensitivity

    57. Miconazole Monistat- Yeast infectionsSE: skin irritation, Ab pain

    58. Betamethasone Celestone, Class: CorticosteroidMOA: Supresses inflammation andimmune repsonses, lecithin ratioS/E: dysrrhythmias

    59. Bumetanide Bumex, loop diuretic: used for HFside effects: hypokalemia, hypotension,dehydration, SULFA allergy, increasedcholesterol

    60. Wellbutrin Bupropion, norepinephire help to stopsmoking, extended release, ** can causeseizure in rare instance, education, no wtgain, sexual dysfunction

    61. Calcitriol Rocaltrol, the active form of vitamin D(secreted by the kidneys) that promotesabsorption of calcium from foods in the GItract into the blood, helping to furtherincrease blood calcium level

    62. Ceforanide Precef63. Ceftazidime Fortaz64. Flexeril Cyclobenzaprine- Muscle relaxant DO NOT

    crush tabletSE: dizziness, fatigue, liver damage

    65. Vasotec Enalapril, Angiotensin Converting EzymeInhibitors (ACE)

    66. Delalutin Hydroxyprogesterone Caproate67. Toradol Ketorolac, (ketorolac) used short-term (5

    days or less) to treat moderate to severepain, usually after surgery.

    68. Demerol Meperidine analgesic, narcotic agonist SideEffects- N/V, allergic reaction, urinaryretention, sedation, resp depression,dizziness 2-4 hr duration

    69. Lopressor Metoprolol, beta blocker Side effects:dizziness, fatigue, depression, shortness ofbreath, diarrhea, slow heart beat, can causebizarre dreams

    70. Nystatin Mycostatin- Athletes foot TXSE: Skin irritation

    71. Oxymetholone Anadrol, USE: Androgen replacement TOXICITY: Polycythemia, HTN; livertumour; gynecomastia; acne; azoospermia,BPH

    72. Pergolide Permax, Off the market because it affectedheart valves; parkinson's medicine;ergotamine derivative

    73. Prazepam Centrax, benzodiazepine74. Prednisone Auto immune disease

    SE: Cushings syndrome (glucoseintolerance, osteoporosis, hypertension),mood changes, growth failure

  • 75. Novocain Procaine, blocks pain neurotransmitters from receptor sites76. Phenergan Promethazine Treatment for N/V

    Side effects: drowsiness, rash, nausea, vomiting, blurred vision, dry mouth77. Darvon Propoxyphene, Analgesic

    SIDE EFFECTS: Constipation, dizziness, dry mouth, HA, itching, sweating, N/V, weakness.78. Sudafed Pseudoephinrine, vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal

    congestion and in eyedrops to treat eye irritation79. Restoril Temazepam, (temazepam) Anxiety or insomnia treatment80. Tinactin Tolnaftate- Anti Fungal

    SE: Skin irritation

    NCLEX Drugs 50