Pharmacology

Cardiac

100

hypertension; angina; cardiac dysrhythmias; MI; migraine; stage fright

What is Propranolol used for?

200

instruct patient to take dose at bedtime to minimize first dose effect

What is a Phentolamine Nursing Implication?

300

angina; hypertension; hyperthyroid; cardiovascular disease; narrow angle glaucoma

What are contraindications for Epinephrine?

400

dry cough; 1st dose hypotension; hyperkalemia; renal failure; angioedema; neutropenia; decrease in taste

What are side effects for Enalapril?

500

Use—angina; hypertension; dysrhythmias SE—constipation; orthostatic hypotension; dizziness; facial flushing; headache; edema; gingival hyperplasia Nursing Implications—avoid with Digoxin, beta blockers; grapefruit Other—assess blood pressure, pulse, renal and liver functions

What is Verapamil?

Antidotes

100

Warfarin

What is Vitamin K?

200

diazepam

What is flumazenil?

300

morphine

What is naloxone (Narcan)?

400

Heparin

What is protamine sulfate?

500

atropine

What is physostigmine salicylate

Antibiotics

100

used for streptococcus, pneumococcus, gonorrhea, syphilis, prevention of bacterial endocarditis Narrow spectrum, gram positive

What is penicillin?

200

Nursing Implications: avoid alcohol, 5 generations (each is more effective), may take with food or milk, administer IM into large muscle to decrease pain, report diarrhea, administer 30-60 minutes’ pre-op; monitor renal function

What is cephalexin?

300

Nursing Implications—do not take with milk, calcium, iron, or antacids; take 1 hour before or 2 hours after ingestion of chelating agents; give with water; monitor liver and renal function tests Contraindicated -- renal disease; pregnancy; fetus; and children < 8 years old

What is tetracycline?

400

Use-Serious Fungal Infections Nursing Implications—give IV over 6 hours; infusion reactions and renal damage occur in all patients to some degree (monitor labs); administer antipyretic and antiemetic; encourage fluids; monitor for anaphylaxis; monitor vitamin K levels and CBC

What is amphotercerin B?

500

Ototoxic, Neurotoxic, Nephrotoxic

What is gentamicin?

Pain

100

Signs of Toxicity— severe respiratory depression; coma. Pinpoint pupils

What is morphine?

200

Use—insomnia; anxiety; seizures; pre-op sedation; alcohol withdrawal; muscle spasms; panic disorder

What is diazepam?

300

Nursing Implications—do NOT mix with alcohol or anticoagulants, NO anti-inflammatory action

What is acetaminophen?

400

Side Effects—GI bleeding; acute renal failure (nephrotoxicity); increased bleeding; increased hypertension

What is ibuprofen?

500

Side Effects—GI effects (heartburn, nausea, gastric ulcers, perforation, bleeding); renal impairment; salicylism (tinnitus, sweating, headache, dizziness); fetal harm Nursing Implications—avoid anticoagulants, alcohol, NSAIDs (GI), ACE inhibitors (renal), vaccines

What is aspirin?

Other

100

Toxicity—ataxia (impaired balance or coordination), sedation, nystagmus (involuntary eye movements), diplopia (double vision), cognitive impairment

What is Phenytoin (Dilantin)?

200

Side Effects—increase CNS stimulation (insomnia, nervousness, hyperactivity); GI (anorexia, gastritis, weight loss); Cardiac (dysrhythmias, angina, hypertension); psychosis; growth delay in children

What is Methylphenidate (Ritalin)?

300

Use—auto-immune disorders; seizures; butterfly rash; Lupus; endocarditis; myocarditis; inflammatory bowel disease; MS; arthritis (OA, RA)

What is Prednisone?

400

Give 30-60 minutes before meal

What is Humalog R or Novalin R? (Fast acting Insulin)

500

♣ Rapid onset; high acid neutralizing capacity May lead to kidney stones “milk-alkali syndrome”—alkalosis, hypercalcemia, soft tissue calcification and impaired renal function Rebound hyperacidity Increased gas, belching, and constipation

What are calcium-based antacids?