topic 6-Upper/low resp.
competes with histamine for binding at H1 receptor sites and antagonizes histamine effects. Can cause drowsiness. IM route. For upper respiratory (allergic rhinitis)
diphenhydramine (Benadryl)
What CAMS increase effects of digoxin and can lead to toxicity?
Ginseng, hawthorn, licorice (K spender), aloe, & ephedra
heparin MOA. 2 routes.
inhibit thrombin, which prevents conversion of fibrinogen to fibrin. IV or SQ.
gentamicin labs
may decrease K and Mg values. Ototoxicity and nephrotoxicity may occur.
foods containing salicylates. can do what for blood sugar?
prunes, raisins, licorice, spices: curry and paprika. Lowers blood sugar levels and T3/ T4 levels.
Used for nonproductive cough, minor tract infections or irritants. Depresses cough center in medulla.
What should be taught for dextro?
dextromethorphan, teach to increase fluids to decrease viscosity of secretions.
most effective med to treat hypertension and angina for african americans
diltiazem, relaxes both coronary and peripheral blood vessels, bringing more O2 to myocardium, reducing cardiac workload.
* don't give with digoxin or beta blockers
foods that have vitamin K. what CAMs increase bleeding.
Squash, parsley, broccoli, tomatoes, peppers, swiss chard, olive oil and kale.
Garlic, ginger, gingko, green tea, chamamile tea, feverfew, hawthorn.
Assess for TMP-SMZ
CBC, don't take antacids.
FOOD.
Purines: organ meat, sardines, salmon, gravy, herring, liver, meat soup, and alcohol (beer)
Specific adverse effect of albuterol
hypokalemia, lethargy
What can furosemide affect. What is an adverse effect.
blood glucose and uric acid levels. Hypokalemia is an adverse effect, O.H., and tinnitus.
An antiplatelet drug. Prevent ADP. Grapejuice decreases effects.
clopidogel
CAMS for fluconazole
increases serum caffeine: coffee, green tea, soft drinks, and guarana-energy drinks
nalbuphine can cause what major adverse effect?
respiratory depression
tiotropium class, MOA, and specific adverse effect
Anticholinergic. Blocks muscarinic cholinergic receptors and acetylcholine action thereby relaxing smooth muscle of bronchi. Bronchodilator. Hyperglycemia is an adverse effect.
Spironolactane can cause what if given with an ACE inhibitor
Hyperkalemia, watch K levels: yogurt, citrus juice, tomatoes, banana, lentils, sweet potato, spinach
Thrombolytic drug. Antidote for it. Avoid what?
tPA. Antidote is aminocaproic acid. Avoid venipunctures/ artieral sticks.
Monitor what for metronidazole
disulfiram-like reaction, white patches on tongue. LFT, BUN/Cr, and platelets. No alcohol products: mouthwash, aftershave, deodarant, and bath splashes.
don't take what if allergic to aspirin
indomethacin (NSAID)
montelukast use and MOA
Bronchodilator for exercise-induced asthma. Inhibits smooth muscle contraction and bronchoconstriction.
lisinopril shouldn't be taken with which drug and why. Bonus: what is valsartin class and an adverse effect.
Spironolactone, cam lead to hyperkalemia. Can cause dry, hacking cough.
Angiotensin 2 receptor blocker and can cause O.H./ hyperkalemia
Antihyperlipidemic drug: HMG-CoA reductase inhibitor. May affect what for women?Client should report what?
atorvastatin. Oral contraceptives decreased effects. Report muscle tenderness or weakness.
*treats atherosclerosis, hypercholesteromia, hyperlipoteinemia, and hyperglyceridemia
drugs to take on empty stomach
INH-> Tb & Macrolides-> Azythromycin
tramadol can cause what adverse effects
Anxiety/ agitation