Reproductive
Contraindications for estrogen, estradiol
breast cancer, smoking, pregnancy, age > 35,
Complications and treatment for OD in desmopressin, vasopressin
symptoms of water intoxication, drowsiness, headache, leading to coma and death
fluid restriction, osmotic diuretics
Adverse Effect of hydroxychloroquine
retinal damage
Complications of Omeprazole
pneumonia, osteoporosis, hypomagnesemia, c-diff
Symptoms of Serotonin Syndrome
Agitation, confusion, disorientation, difficulty concentrating, anxiety, hallucinations, myoclonus (spastic, jerky muscle contractions), hyperreflexia,
incoordination, tremors, fever, diaphoresis, hostility, delirium, seizures, tachycardia, labile blood pressure, nausea, vomiting, diarrhea, abdominal pain, coma leading to apnea, and death in severe cases
Complications of norethindrone (Progesterone)
breakthrough bleeding, breast cancer, amenorrhea,
breast tenderness, thromboembolic events, migraines
When to hold Metformin
must hold drug for 2 days prior and 2 days after
iodine-radiocontrast dye
Complications of etanercept
subcutaneous site irritation, risk of infection
including TB, heart failure
Contraindications for Antacids
ALUMINUM HYDROXIDE, MAGNESIUM HYDROXIDE,
CALCIUM CARBONATE
bowel obstruction; caution renal patients- they cannot eliminate aluminum
Pt education and complications for fluoxetine (SSRI)
med takes 4 weeks for therapeutic effect, avoid other antidepressants and ETOH
insomnia, headache, sexual dysfunction, weight gain, GI bleed, nausea, diaphoresis, postural hypotension, suicidal ideation
Pt education for Finasteride
pregnant women should avoid handling the drug- can cause fetal harm; men should not donate blood while taking this drug, therapeutic effects take 6+ months
Symptoms of Hypoglycemia
shakiness, sweating, dizziness, tachycardia hunger, irritability, and confusion
Pt education for colchicine
teach pt to drink 2-3L of fluid daily
Action of Misoprostol and Sucralfate
M: suppresses gastric acid; promotes cervical ripening
S:creates a protective barrier against acid & pepsin which adheres to ulcer
Interventions and complications for Methylphenidate (ADHD)
CNS stimulation, decreased appetite, weight loss,
growth suppression. Dysrhythmias
take in a.m. after meals, monitor height/weight; can use “drug holidays” may be prescribed to allow growth
Use of Magnesium sulfate and when to stop
used to prevent seizures in pre-eclampsia
Stop for loss of DTRs, RR< 12
Complications of corticosteroids
hydrocortisone, prednisone, dexamethasone
sodium & fluid retention; CNS(insomnia, anxiety,
headache, vertigo, confusion, depression), adrenal suppression, infection,
long term can cause PUD & Cushing’s Syndrome
Administration of alendronate
empty stomach, 2 hours before breakfast, full glass of water; must remain sitting upright for 30 minutes and first meal is eaten to prevent esophagitis
Action and Complication of Psyllium
swells and increases size of fecal mass; allowing for easy passage of stool
can cause obstruction
Expected Response/ Complications to Olanzapine (atypical antipsychotic)
reduced psychotic symptoms (hallucinations, delusions, disorganized thinking) and improved mood/focus
DM, weight gain, orthostatic hypotension, anticholinergic,
hyperglycemia, agitation, EPS, sexual dysfunction, elevated cholesterol
Use of betamethasone, dexamethasone
stimulate lung maturity in a fetus
Pt education for methimazole
monitor symptoms of hypothyroidism; teach patient to call doctor if fever or sore throat develops; do not stop med abruptly; assess for iodism
(vomiting, abdominal pain, metallic taste, sore gums)
Pt education for calcitonin salmon
administered intranasal, alternate nostrils daily, monitor for Chvostek & Trousseau’s sign
Complications of Ondansetron
headache, dizzy, diarrhea, drowsiness
Teaching for Timolol Eye Drops
hold pressure 30-60 seconds, monitor heart rate
report heart rate < 50
local burning and stinging upon instillation; no systemic effects as long as applied correctly…otherwise hypotension & dysrhythmia are possible