Pharm

Misc
-Exercise decreases your need for insulin
- Suppositories are kept in the fridge
-Emulsion: Shake
-Allergic response: normal S/E
-Toxic effect: toxic, often life threatening
- S/S of IV infiltrate: cold, red, and swollen
- Phlebitis: hot, red, swollen
- Check meds 3xs before giving
-6 rights PMATA pt, med, amount, route, time, allergy
- If med is gi!en in error, "#E"$ T#E PT %IST
- & loc's on narc box
- arc count, the nurse coming in counts the meds in the box
- %astest route for any med is IV
- Easiest and economical is P(
- Transdermal patch, !"#S$ $%"& don glo!es, remove old, place new 'never in the same spot(
- )iuretics are gi!en in the AM
- ASE* en+yme
- "f pt has a reaction to blood transfusion ST(P transfusion
- ,nder -yrs old pull pinna do)n and bac'
- .istake on paperwork, draw a single line through and initial
-"f meds refused, /0 with a circle
-"f nurse is called away and meds are alread* poured, loc' the meds up, cart in med room
- %ow long do you give meds: 3+ min before and after
- $V( 'keep vein open(
- STAT 'immediately(
A,V
(-: both eyes 1,: both ears
(S: left eye 1S: left ear
(.: right eye 1): right ear /If you're gonna OD-do it right0
/(.: every other day
/(0: every other week
MS/1euro Meds
o %lexeril or 1apercin: short term, muscle relaxant, drowsiness
o 2e!adopa and Sinamet: choice drugs for Par'inson3s S/E dyskinesia 'uncontrolled muscle movement,
may make the pt worse( /I met in sin w/ Michael J Fo0
o Allopurinol: used for 4out, lowers uric acid levels
o Mannitol and .ecadon: drug for "C2 'Mannitol drug of choice for I"P strongest diuretic(, if pt had ).
'diabetes mellitus( monitor sugar, it will increase
o "alcium: lack of -causes Tetan* 'involuntary contraction of muscles(
o Valium: drug used for status epilepticus, controlled substance, anticonvulsant, sedative, S/E decreased
resp
o ,aclafin: used for long term muscle spasticity, usually an internal pump in .S 'Multiple Sclerosis( pts,
antispasmodic, muscle relaant, S/E causes drowsiness
o 1SAI.s 'non-steroidal anti-inflammatory drugs(: taken with food
o T*gan5 eglan5 "ompa6ine5 and 7ofran: antiemetic
o Phenobarbital and .ilantin: given to treat febrile sei6ures 'phenobarb(, anticonvulsant, must be sei+ure
free for 3 yr to gradually taper off, S/E '.ilantin( gingi!al h*perplasia, involuntary eye movement
o M*otics: used to treat glaucoma
o Aminogl*cocides: strongest antibiotic class, toxic to kidneys 'nephro and auto toic4(
o "*closporin: used to prevent re5ection in transplants
Pain Meds
o Asprin: anti-inflammatory, analgesic, anti-pyretic
o Percocet: main S/E decreased rsp6decreased 72, compound drug of 8xycodone and $ylenol
o Mucom*st: !ntidote for "ylenol
o .ilaudid and Morphine: )ilaudid is stronger acting but shorter, less decrease in resp
o 1arcan: narcotic o!er dose, resp rate lower than #$
o 1arcotic S/E: decreased resp, decreased ,P, constipation, 9) 'nausea , vomiting, diarrhea(
o oxinol: 28 Morphine, comfort for dying pts
o Vicodin: narcotic
o Versed: puts pt in a state of twilight5 used as an amnesic
"ardio Meds
o Iron: given as a 78trac' 'irritating to skin( to an anemic pt, take with vitamin C
o 2ipitor: generic name ends in /statin0 toxic to liver, :!$ 'liver function test( every six months
o ,9&: used for pernicious anemia, given for one week initially /%ynco&alamine0 'cincodemayo(
o "r*oprecitate: used to treat #emophilia
o 1itrogl*cerine: anti angina, vasodilator, S/E headache 'if patch wear gloves4(
o #eparin: prevents clots, sub ;, &elow um&ilicus, never rub, monitor 2$$, S/E bleeding bruising
:ovenox-0lovehandles0
o Protamine Sulfate: antidote for %eparin /'-sulfate0
o "oumadin '<arfin(: blood test PT / I1
o A:uamifitin '9it k(: antidote for "oumadin 'Anecdote for ASA4(
o Anticoagulant: drug of choice for PE 'pulmonary em&olism(
o .igoxin and "oumadin: drug of choice for !trial Fi&rillation ')ig 1necdote- /)igiv'b(on0( 'Mrs( )(
o 1or!asc: calcium channel &locker 1 9E#= "CE )#,&
o PRIL: anti8h*pertensi!e5 ace inhibitor, S/E cough, decreased 72, orthostatic hypotension, di++iness
/!pril has a cough0
o ;LL<: beta bloc'er, S/E decreased *+ and ,', hypotension- drug of choice to slo) heart
o Verapamil: !asodilator, calcium channel bloc'er S/E5 orthostatic hypotension
o .igoxin: S/E anoreia- halos.to!ic/ - &radycardia- hold if # is belo) 6+ ,PM 'children belo) =+ ,PM,
infants belo) >+ ,PM( <atch the potassium le!el8"an lead to toxicit*4
o .igiban: antidote for )igoxin above level >, sublingual, do not gi!e )ater
o 2idocaine: antiarrhythmic, also used for numbing agent
o Pla!ix5 Aspirin5 and "oumadin: decreases platelets and causes bruising
Endo/S'in/epro Meds
o Proscar: drug of choice for ,P# ?benign prostatic hyperplasia( /tapping on the grave0
o Tapa6ole: drug for h*perthyroidism, '4ra!es( destroy tissue preop
o S*nthroid: drug for h*pothyroidism, taken in the AM5 S/E speeds up
o Ac*clo!ir: treats genital herpes 'all end in VI(
o "alcium 4luconate: medication that must be 'ept at bedside follo)ing a th*roidectom*
esp Meds
o Solu8medrol: steroid
o I1#, ifampin, P*ridoxine: used to treat positive A%, 'acid fast bacilli(- $7 'tuberculosis( test
o I1#: S/E peripheral neuropathy, tingling in fingers 'give P*ridoxine @,6A to treat S/E(
o ifampin: red/orange urine 'T, drug(
o Epinephrine: strongest bronchodilator, used for whee0ing, and laryngeal edema
o /Sone: steroids? used for C82), S/E moon face, buffalo hump, masks infection, blood sugar increases,
caution )ith P-. 'peptic ulcer disease( used for #1 'rheumatoid arthritis( and asthma@ 2t need to titrate
off of steroids, adrenal insufficiency if stopped abruptly
o Albuterol and Bopenex: bronchodilator, used for C82), S/E tachycardia, chest pain, and tremors
o "ephalosporin and Penicillin: given if allergic to #ocephin
o ,enadr*l: ma5or S/E drowsiness
o Atropine: contraindicated in glaucoma5 used to dr* up secretions, S/E tachycardia
4I Meds
o %lag*l: antibiotic for #8P*lori or "8.iff5 restores intestinal flora
o $a*exalate: lo)ers $C le!el
o eglan and 7ofran: antiemetic that causes drowsiness used in initial post op period
o 2actulose: used with hepatic failure to prevent encephalopathy r/t high ammonia le!els
o 2omotil: strongest antidiarrheal that contains narcotic and atropine
o "arafate: antiulcer med that acts as a gel band aide in the stomach, given before meals
o "olace: stool softener, pulling water from intestines 'cardia pt's(
o 4o 2ightl*: laxative used for &owel prep
o Pepcid5 7antac5 and Tagamet: %> inhibitor, used for ulcers, decrease gastric secretion
o Prilosec and 1exium: PPI 'proton pump inhi&itor( prevents accumulation of *%) 'hydrochloric acid(
o "olace and Peri "olace: "olace is a stool softener only, and Peri "olace is a stool softener with a laxative
o Metamucil: adds &ulk to the stool, prevents constipation
o M*locon: anti flatulent, often used in children
o Magnesium Sulfate: used to pre!ent sei6ures or in preeclampsia
o "alcium 4luconate: antidote for .agnesium Sulfate 'have at bedside for (
o Imodium: reg diarrhea
o "olace, .ucolax, and Miralax: meds that prevent constipation
4- Meds
o P*ridium: used for a -TI as an antiseptic, turns urine orange
o "ipro: drug of choice for ,$"
o 2asix: AB wasting, dail* )eights5 loop diuretic
o Aldactone: diuretic, AB sparing
Ps*ch Meds
o Antibuse: alcohol withdrawal, cannot consume alcohol or will become violently ill
o "lo6ril: antipsychotic, antianxiety, drug of choice for schi#ophrenia
o Thora6ine: grandfather of all psych drugs
o 2ithium: .ost important, drink a lot of fluids, renal toxicit*, normal le!el +DE89DE
o Paxil, Pro6ac, and 7oloft: SSI-selective serotonin, used for depression
o .epa'ote and 2ithium: given for ,i Polar disorder
o Ata!an: used for an aggressive, violent pt, sedative, hypnotic, used in alcohol withdrawals
(, Meds
o ho84am: vaccine given to #% neg mom
Pediatric Meds
o Pancreatase: en+yme given to all children with C! 'Cystic !ibrosis( &efore meals
o Ipicac: induces vomiting in children
o Po!an and Vermox: used for pin worms, turns $odily fluids orange
o Er*throm*cin and Sil!er 1itrate: used in the eyes of newborns
o 1*statin: used for $hrush
Antibiotics
o !irst do a CCS
o S/E : sei+ure and super infection
o Vancom*cin: antibiotic for M+1! and %-Diff, toxic to the kidneys, monitor ,-1 and creatinine