Pharmacology Jenga 1

A

1

This analgesic us used for a client who has moderate to severe pain and severe acute pain. It has a potential for addiction and abuse.

Hydromorphone or Fentanyl

2

This medication replaces a missing pancreatic hormone and has an onset of 3-4 hours, so don't forget the between meal snacks!

Detemir (levemir)

3

This is a DMARD: Disease modifying anti-rheumatic drug.

Methotrexate

4

This medication is approved for epilepsy but is often used as a treatment of neuralgia

Gabapentin or pregabalin

5

Do not take this medication with tadalafil

Nitroglycerin

B

1

This medication is prescribed to induce or augment labor.

Oxytocin

2

This medication is often used to prevent GERD in hospitalized clients.

Pantoprazole or Esomeprazole

3

A decrease in hallucinations and delusions should be seen with this medication.

Risperidone

4

Prolonged use of this medication may cause Cushing's Syndrome

Methylprednisolone

5

This inhaled medication is used to prevent acute asthma attacks

formoterol

C

1

This synthetic hormone will help with your metabolism. It should be taken first thing in the morning, before eating.

Levothyroxine

2

A client who has an intestinal infection caused by C-Diff is likely to receive this medication as treatment.

Vancomycin

3

Clients allergic to penicillin should not take this medication.

piperacillin / tazobactam

4

This anti-platelet is given to prevent MI & CVA. It has a side effect of bleeding 

clopidogrel

5

This is a mood stabilizer. It us used in bipolar disorder. It has a side effect of tremors & polyuria. Sodium can impact lithium concentrations so intake should remain steady.

Lithium

D

1

This antipsychotic medication is used to treat schizophrenia, acute psychosis & Tourette's. It has a potential side effect of neutropenia and has a high risk for EPS (Extrapyramidal movements / involuntary)

Haloperidol

2

This medication is used to treat insomnia. It can result in changes in behavior and mental health as well as sleep walking

Zolpidem

3

This proton pump inhibitor is used to treat GERD and gastric ulcers.

Esomeprazole or Pantoprazole

4

This Colony Stimulating Hormone given to treat anemia related to renal failure, chemotherapy, or HIV/AIDS. Blood clots can occur if blood counts come up too quickly.

Epoetin alpha

5

This medication is taken weekly to treat osteoporosis. You should take this med with plain water, 30 minutes before eating, and remain sitting up for at least 1 hour after taking.

Alendronate

E

1

This anticonvulsant is used to treat neuralgia, partial seizures & fibromyalgia

gabapentin or pregabalin

2

Food must be available within 15 minutes of giving this insulin.

Aspart

3

This Calcium channel blocker is used to treat HTN & Angina

Diltiazem or Nifedipine 

4

This medication will aid in smoking cessation. It can have side effects that include appetite changes and unusual dreams.

Varenicline 

5

This diuretic is often used in renal failure and heart failure. It has a side effect of ototoxicity and hypokalemia. It is NOT the first choice for HTN.

Furosemide

F

1

This is a fluoroquinolone that is often ordered for pneumonia, sinusitis or skin infection. It has a side effect of tendonitis and photosensitivity

levofloxacin 

2

This medication is given to lower cholesterol and LDL and to raise HDL. It has a possible side effect of rhabdomyolysis and hepatotoxicity.

atorvastatin 

3

This medication is used to treat erectile dysfunction. It has a possible sided effect of facial flushing and prolonged erections >4 hour, as well as MI. It is contraindicated in those taking nitrates.

sildenafil

4

This diuretic is more mild than some of the others and is often the first prescribed medication for HTN.

Hydrochlorothiazide 

5

This SSRI is used to treat depression, OCD, PTSD, panic attacks. It has a potential side effect of weight changes, drowsiness, loss of libido, hallucinations, and insomnia.

sertraline

G

1

This medication is given to treat chronic pain that does not respond to other treatments. It has side effects of addiction and respiratory depression.

fentanyl or hydromorphone

2

This corticosteroid is used to treat seasonal allergies. It is administered via nasal spray.

fluticasone 

3

This beta blocker is used to treat HTN, dysrhythmias and migraines. It has a side effect of bradycardia and hypotension

propranolol 

4

This medication is used to treat mild to moderate Alzheimer's Disease.

Donepezil

5

This is an ACE ingibitor. It is used to treat HTN and those with a history of MI. It can cause a persistent, dry cough as well as angioedema

lisinopril

H

1

This antimycobacterial medication is used in combination with other drugs to treat TB. It can cause body fluids to become yellow - brown. It is hepatotoxic so liver labs should be run before beginning and during treatment.

Rifampin

2

This anticoagulant is used to treat DVT. It is given subcutaneously. It can be given during pregnancy, as it does NOT cross the placental barrier. 

Enoxaparin

3

This cholinergic medication is often given for postoperative and post-partum urinary retention. 

Bethenachol

4

Hypokalemia can cause toxicity of this drug, therefore we must monitor those taking furosemide and this drug.

Digoxin

5

This medication is an anticholinergic that is often given to treat those with an overactive bladder. It can cause your to "dry up" - can't see, can't pee.... etc.

Oxybutynin 

I

1

You need to use this diuretic with caution if your patient is also taking ACE inhibitors, ARBs, or renin inhibitors. Together, there is an increased risk for hyperkalemia.

spironolactone

2

This medication is often given as a treatment of benign prostatic hyperplasia (BPH) it is not effective against male pattern baldness.

Tamsulosin

3

This medication is given to relieve the pain associated with UTI. Urine will become orange and will stain clothing. 

phenazopyridine 

4

This medication can cause elevated CBG, fluid/water retention, decreased immune system, and osteoporosis if used long term.

prednisone 

5

This medication may stain teeth, should not be given with antacids, milk, or caffeine, but should be given with Vitamin C foods to increase absorption

Ferrous Sulfate

J

1

What drug class is prednisone?

Cortocosteroid

2

This medication is both a tocolytic and a bronchodilator. It is used to manage preterm labor and also used as an inhalant for irreversible airway disease.

Terbutaline

3

This medication can be used to prevent seizures that can come with eclampsia. In case of toxicity, prepare to administer Calcium Gluconate as the antidote.

Magnesium Sulfate

4

This medication is given to treat Benign Prostatic Hyperplasia but is also given to treat hair loss in men.

Finasteride 

5

This medication can be used to stop premature labor but is also used in those that are not pregnant as an NSAID for treatment of RA (Rheumatoid Arthritis)

Indomethacin