Drug Interactions
What pain medication would you reconsider administering to a patient with a history of chronic alcohol abuse?
Acetaminophen
A common side effect of iron
Dark tarry stool
Normal levels of sodium
135-145 (side effects?)
What is atorvastatin used for?
To lower cholesterol levels
What is the MOA of Docusate Sodium?
increases amount of water the stool absorbs in the gut, making the stool softer and easier to pass.
Which diuretic would you not want to give someone also recieving potassium supplements?
A. Furosemide
B. Spironlactone
C. Hydrochlorothiazide
D. Mannitol
Spironlactone
What are some things to monitor in a patient receiving opioids?
Breathing/RR
Constipation
N/V
drowsiness/confusion
Magnesium
1.5-2.5
What is the clinical usage of Clopidogrel?
Prevents blood clots (by?)
What is the mechanism of action of Pantoprozole?
Decreases stomach acid production
Patient is receiving an ACE inhibitor, what supplement would you NOT want to give:
A. Sodium Chloride
B. Calcium Gluconate
C. Potassium Chloride
D. Magnesium Sulfate
Potassium Chloride
What is an adverse effect of digoxin toxicity?
Arrhythmia / irregular pulse
Confusion
Visual disturbances (blurred vision, blind spots, halo, changes in colors)
Calcium
8.5-10.9
What is metoprolol used for?
to lower blood pressure (heart will beat more slowly and with less force, will decrease heart rate and CO)
MOA of Metformin?
Decreases hepatic glucose production
Decreases absorption of glucose
Improves insulin sensitivity
Sildenafil and Nitrates (like nitroglycerin)
These two medications will cause extreme vasodilation when used together. This will cause the blood pressure to drop greatly. This can cause cardiovascular collapse
A patient with a penicillin allergy may also adversely react to what other class of drugs?
Cephalosporins
Platelets
150,000-500,000
What is gabapentin used for?
relieving nerve pain in adults (neuropathy), and treats seizures.
What is the MOA of guaifenesin?
Acts as an expectorant by increasing volume and reducing viscosity of secretions in trachea and bronchi. This allows the flow of respiratory tract secretions to move upward towards pharynx.
Tylenol cannot be given with what blood thinning medication and why?
Warfarin, tylenol inhibts the breakdown of warfarin, causing levels to rise
Vancomycin can cause what infusion-related adverse reaction in the patient?
Red man syndrome (list symptoms)
BUN and Creatinine
7-18
0.6-1.35
what is methotrexate used for?
rheumatoid arthritis, cancers, and psoriasis (it suppresses/decreases activity of the immune system)
What is the MOA of allopurinol?
it decreases uric acid production in the body