DRUGS
Antipyretic/ analgesic
Acetaminophen (tylenol)
excessive use can cause hepatoxicity
Anti-infective/Antibiotic
Penicillin (ampicillin)
Gentamicin Sulfate (eye drops)
Azithromycin (Zpak)
Check for ALLERGIES
can cause C-Diff
Anti-emetic
Ondansetron (zofran)
Prevents Nausea and vomiting
Anticoagulant
Prevents formation of clots (DVT/PE prevention)
-Heparin sodium, aPTT+PTT
antidote: protamine sulfate
-Warfarin sodium, INR+PTT
antidote: Vit K
-Enoxaparin
no lab monitoring unless active bleeding
Corticosteroids and Bronchodilator
- prednisone and solumedrol (suppress inflammation) can cause thrush and high blood sugar
-atrovent and albuterol (resp. meds) used for COPD pts., quick rescue.
NSAID analgesic/antipyretic
Anti-inflammatory
types: acetylsalicylic acid (aspirin-> antiplatelet)
Ibuprophen
Ketorolac
Excessive use can cause renal failure
Anesthetic sedation
Midazolam
Propofol
causes respiratory depression
can cause hypotension
Vitamin
Ascorbic acid (vitamin C)
increases collagen formation, immunity and iron absorption
Cardiac Glycoside
Digoxin
Hold if HR <60bpm
Brings heart rate down
Check apical pulse for 1 full minute
Statin (lipid lowering)
atorvastatin
monitor lipids and cholestrol
LDL<60
HDL<100
total >100
Opiate analgesic
codeine
percocet (oxycodone + acetaminophen)
Morphine sulfate
Hydromorphone
Causes resp depression
Anticholinergic, cardiac agent
Anti-acetycholine
Atropine Sulfate
increases HR
dries secretions
Used for bradycardia
Mineral
Zinc
Increases immunity and wound healing
Vasodilator
Nitroglycerin
Brings BP down
Check BP and HR before each dose
Side effect: headache
Anti-diarrheal
loperiamide HCI
Slows intestinal motility
increases water absorbtion
Opiate antagonist (reverses effects of opiods)
Naloxone (Narcan)
Reverses respiratory depression
Stool softener
docusate sodium (colace)
prevents constipation
Suppressant (suppresses cough)
Codeine (opioid)
Causes respiratory depression
ACE inhibitor
antihypertensive
-enalapril maleate
-catopril
-lisinopril
Used for HTN
Monitor potassium and BP
SIde effect: dry cough
Electrolyte supplement
-potassium chloride (KCI)
monitor potassium hyper/hypo kalemia
- calcium carbonate
monitor calcium hyper/hypo calcemia
Local anesthetic
Lidoderm (lidocaine patch)
Pt is awake and alert, no loss of consciousness
Laxative
-Senna
Treat constipation
-Polyethylene glycol/Miralax (bulk forming fiber laxative)
treats occasional constipation
Expectorant
Guaifenesin (mucinex)
Makes cough productive and easier to expel mucus
Beta blocker (antihypertensive+antiarrythmatic)
atenalol
Metoprolol
Propanolol
Blocks epi and norepi
Monitor HR and BP
Hold <60bpm
Monitor for orthostatic hypotension
Diuretic agents
-furosemide
loss through urine. low KCI
IV push slow
-spironolactone
K+ sparing
high KCI