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Just the top 50 drugs for NCLex

Dopamine

Low dose- dilates renal & coronary arteries, high-dose- vasoconstrictor
S/E: Incr ocular pressure, tachycardia, decr urinary output
Headache- sign of drug excess

Valium, Librium

Antianxiety, ***
S/E: lethargy, respiratory depression, ataxia
Don't take with alcohol

Ativan, Xanax

Antianxiety, ***
S/E: CONFUSION, ataxia, drowsiness, lethargy
Check renal/hepatic function

Antacid Meds

S/E: Constipation, diarrhea, metabolic acidosis
Absorp of other meds may be decr if given together
Give with fluids
Monitor electrolytes

Lidocaine

Antidysrhythmic Meds
S/E: Slurred speech, confusion, bradycardia, seizures, dysrrhythmias

Propanolol

Antidysrhythmic Meds
S/E: BRONCHOSPASM
Contraindicated for asthma, COPD

Amiodarone

Antidysrhythmic Meds
S/E: Liver toxicity, photophobia

Gentamicin, Neomycin

Aminoglycosides
S/E: Ototoxicity, nephrotoxicity
Encourage fluids, small frequent meal, check renal function before administering

Cephalexin

Cephalosporins, Keflex
S/E: Incr risk of bleeding, superinfections, thrombophlebitis IV, GI distress
Take with food, avoid alcohol, CROSS ALLERGY: penicillins

Ciprofloxacin

Fluoroquinolones
S/E: Superinfections, hepatotoxicity, vesicant, can lower seizure threshold, tendon rupture and CF
Take on empty stomach, monitor liver function

Silver sulfadiazine cream

Tx for burns
S/E: Neutropenia, burning
CROSS-ALLERGY: sulfonamides

Pyridium

Genitourinary med, antispasmodic & analgesic
S/E: Bright orange urine

Ditropan

Genitourinary med, tx, incontinence, antispasmodic
S/E: Drowsiness, blurred vision, dry mouth, GI upset, dizziness
May increase reflux,
NOT WITH GLAUCOMA OR GI OBSTRUCTION

Atropine sulfate

Tx of bradycardia- blocks parasympathetic Nervous system
S/E: Headache, dry mouth, urinary retention, tachycardia, constipation
Check for hx of glaucoma, asthma, HTN, urinary obstruction

Atrovent

Used for longterm tx of bronchospasm, asthma
no more than 12 doses in 24 hours
S/E: Dry mouth, cough, blurred vision

Cogentin

Used for Parkinson's Disease to reduce symptoms
S/E: Anticholinergic eff, orthostatic hypotension, tachycardia, dry mouth, constipation, urinary retention
Taper before d/c

Heparin

Anticoagulant
S/E:heparin induced thrombocytopenia, anemia, bleeding
Monitor PTT (90-175) Therapeutic range
Antidote: Protamine sulfate

Coumadin

S/E: Diarrhea, rash, agranulocytosis, bleeding, leukopenia
Monitor PT (16-25), avoid diet high in vit K
Antidote: Vitamin K

Klonopin

Anticonvulsant, Benzodiazepine
DO NOT STOP ABRUPTLY!
S/E: Confusion, drowsiness, increased salivation, hyperactivity

Dilantin

Anticonvulsant
S/E: Hirsutism, GI upset, gingival hypertrophy, bone marrow suppression, dermatitis, ataxia, nystagmus
DO NOT TAKE WITH MILK.
Urine/sweat may turn red/brown, incr exposure to sunlight

Magnesium sulfate

Anticonvulsant, used for pre-eclampsia
Hold if resp. <12/min; Antidote: calcium gluconate
S/E: Flushing, extreme thirst, hypotension
Toxic doses: arreflexia, resp. depression

Nardil, Marplan

MAOi
S/E: Hypertensive crisis when taken with foods containing tyramine, anti cholenergic effects, sexual dysfunction

Prozac, Zoloft

Antidepressive, SSRI
S/E: Dry mouth, dizziness, HA, insomnia (give in morning), weight gain/loss, monitor for thrombocytopenia, leukopenia, and anemia

Elavil

Antidepressive, Tricyclic
S/E: Photosensitivity, anticholinergic effs, sedation,
Therapeutic eff in 1-3 wks, give at night

Humalog

Rapid-acting Insulin, used in insulin pumps
Onset: 5-15 min, peak: 2-3 hr, duration: 4-6hr
Give within 15 min of a meal

Humalin R

Short-acting insulin
Onset: 30-60 min, peak: 2-3 hr, duration: 4-6hr
May be given through IV

NPH

Intermediate-acting insulin
Onset: 1-2hr, peak: 6-12 hr, 16-20 hr

Lantus

Very long acting insulin
Onset: 1 hr, peak: none (continuous), duration: 24 hr

Insulin

S/E: Hypoglycemia
Have pts rotate sites, only reg insulin given IV, all others SQ
-when mixing insulin in one syringe, draw up regular (clear) before Lantus (cloudy)

Lisinopril

AntiHTN, ACE inhibitor
S/E: Tachycardia, MI, persistent dry cough, proteinuria
Monitor renal function
Small, freq meals, change position slowly

Propanolol

AntiHTN, Beta Blocker
S/E: Bradycardia, cardiac dysrhythmias, impotence, bronchospasm, can cause bizzare dreams
Monitor pulse
Do not dc abruptly, provide rest periods, take with meals.

Cardizem

AntiHTN, Calcium Channel Blocker
S/E: Peripheral edema, angina, flushing, rash, impotence, HA, hypotension, constipation
Do not chew sustained-release tabs, avoid grapefruit juice, monitor VS

Lithium

Bipolar med, mood stabilizer
S/E: Fine hand tremors, leukocytosis, polyuria
>2=Toxic signs: N/V/D, drowsiness, ataxia
Have good fluid and salt intake

Haldol

Antipsychotic, high potency
S/E: Low sedative effect, Extra pyramidal symptoms severe, anticholenergic

Thorazine

Antipsychotic, low potency
S/E: High sedative effect, hypotension, anticholenergic, extrapyradidal effects,
Cogentin, Artane for parkinson symptoms

Prophylthiouracil (PTU)

Antithyroid
S/E: Leukopenia, fever, jaundice
Check CBC and hepatic function

Synthroid

Thyroid Replacement
S/E: Nervousness, palpitations, insomnia
Take in morning, monitor weight, tell pt to report chest pain, sweating, obtain baseline VS

Rifampin

Antitubercular
S/E: Hepatitis, fever
Orange urine, tears, saliva, check Liver Function Tests, take with food, peripheral neuropathy

Aminophylline

Bronchodilators
S/E: Nervousness, dizziness, tachycardia, GI distress, dysrrhythmias, take with food, avoid caffeine, >20-toxic range

Digoxin

positive inotrope, negative chronotrope
S/E: Bradycardia, visual disturbances, abdom pain, hypercalcemia
Monitor renal func, take apical pulse before admin dose
>2-TOXIC! (hypokalemia increases toxicity)
Toxic S/E: Halos around dark objects, heart block, dysrhythmias, N/V

Furosemide

Diuretics- Lasix
S/E: Hypokalemia, hyperglycemia, hypotension, increases cholesterol
Monitor BP, potassium. Weigh pt daily, don't give at bedtime, encourage K+ foods

Morphine sulfate

Opioid, *** Narcan Antidote (have available)
S/E: Sedation, resp depression, constipation, N/V, hypotension

Ibuprofen

NSAIDs
S/E: GI upset, dizziness, headache
Use cautiously with aspirin allergy

Narcan

Antidote for narcotic (opiod)-induced respiratory depression; 0.1mg to 0/4mg IV every 2-3 minutes as needed until 1mg is achieved

Premarin

Conjugated Estrogens - Hormone - Treating certain symptoms of menopause ( hot flashes , vaginal dryness or itching ) . it is used to prevent osteoporosis ( weak bones ) after menopause in the certain patients.

Prilosec

Proton Pump Inhibitor
SE: HA, N/V/D, rash, dizziness and Ab pain, tinnitus, vertigo
Must be taken whole, 30 min before Breakfast

Pepcid

Histimine Antagonist: end in -tidine
SE: HA, Nausea, Dry mouth
CIGARRETES MAY INTERFER WITH ACTION!
DO NOT take within 1hr of antacid- HS dosing

Zantac

Histimine Antagonist: end in -tidine
SE: HA, Nausea, Dry mouth
CIGARRETES MAY INTERFER WITH ACTION!
DO NOT take within 1hr of antacid- HS dosing

Tagamet

Histimine Antagonist: end in -tidine
SE: HA, N/V/D, fatigue, consipation, gynecomastia
CIGARRETES MAY INTERFER WITH ACTION!
DO NOT take within 1hr of antacid- HS dosing

Lovenox

Anticoagulant
Protamine sulfate can be used as an antidote but not as effective as with heparin.
SE: Bleeding, thrombocytopenia
Monitor PT (16-25) and INR(2-3.5) Therapeutic Range

Pitocin

Uterine Stimulant: Dilute w/ NS and use Pump
SE: Hypotension, Dysrhythmias, N/V, hypertonic contractions
Antidote: Magnesium Sulfate

Augmentin

Amoxicillin/Clavulanate-Allergies common(rash/itching reaction) Not affected by food
SE: N/V/D, taste alteration, Lethargy, twitching

Erythromycin

Macrolide- w/ Foods
SE: N/V/D, HA, vertigo, chest pain, dyspnea
cross allergies with PCN

Methicillin

Staphcillin- Allergies! Empty Stomach!
SE: N/V/D, skin Rash

Vancomycin

Vancocin- MRSA & C Diff TX
SE: Extravasion, Nausea, Oto & Nephro- toxicity, hypotension

Diflucan

SE: N/V/D, Myalgia, skin rash, photosensitivity

Miconazole

Monistat- Yeast infections
SE: skin irritation, Ab pain

Betamethasone

Celestone, Class: Corticosteroid
MOA: Supresses inflammation and immune repsonses, lecithin ratio
S/E: dysrrhythmias

Bumetanide

Bumex, loop diuretic: used for HF
side effects: hypokalemia, hypotension, dehydration, SULFA allergy, increased cholesterol

Wellbutrin

Bupropion, norepinephire help to stop smoking, extended release, ** can cause seizure in rare instance, education, no wt gain, sexual dysfunction

Calcitriol

Rocaltrol, the active form of vitamin D (secreted by the kidneys) that promotes absorption of calcium from foods in the GI tract into the blood, helping to further increase blood calcium level

Ceforanide

Precef

Ceftazidime

Fortaz

Flexeril

Cyclobenzaprine- Muscle relaxant DO NOT crush tablet
SE: dizziness, fatigue, liver damage

Vasotec

Enalapril, Angiotensin Converting Ezyme Inhibitors (ACE)

Delalutin

Hydroxyprogesterone Caproate

Toradol

Ketorolac, (ketorolac) used short-term (5 days or less) to treat moderate to severe pain, usually after surgery.

Demerol

Meperidine analgesic, narcotic agonist Side Effects- N/V, allergic reaction, urinary retention, sedation, resp depression, dizziness
2-4 hr duration

Lopressor

Metoprolol, beta blocker Side effects: dizziness, fatigue, depression, shortness of breath, diarrhea, slow heart beat, can cause bizarre dreams

Nystatin

Mycostatin- Athletes foot TX
SE: Skin irritation

Oxymetholone

Anadrol, USE: Androgen replacement
TOXICITY: Polycythemia, HTN; liver tumour; gynecomastia; acne; azoospermia, BPH

Pergolide

Permax, Off the market because it affected heart valves; parkinson's medicine; ergotamine derivative

Prazepam

Centrax, benzodiazepine

Prednisone

Auto immune disease
SE: Cushings syndrome (glucose intolerance, osteoporosis, hypertension), mood changes, growth failure

Novocain

Procaine, blocks pain neurotransmitters from receptor sites

Phenergan

Promethazine Treatment for N/V
Side effects: drowsiness, rash, nausea, vomiting, blurred vision, dry mouth

Darvon

Propoxyphene, Analgesic
SIDE EFFECTS: Constipation, dizziness, dry mouth, HA, itching, sweating, N/V, weakness.

Sudafed

Pseudoephinrine, vasoconstrictor (trade names Privine and Sudafed) used in nasal sprays to treat symptoms of nasal congestion and in eyedrops to treat eye irritation

Restoril

Temazepam, (temazepam) Anxiety or insomnia treatment

Tinactin

Tolnaftate- Anti Fungal
SE: Skin irritation

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