(demerol) opioid analgesics, pain, anesthesia adjuncts, preoperative analgesics
anticholinergics, antiarrhythmics. Decrease secretions, treat sinus bradycardia and heart block, adjunct therapy of peptic ulcer and IBS, treat exercise induced bronchospasm
(Zofran) antiemetics, five ht3 antagonists, prevention of nausea and vomiting postoperative and for chemotherapy and radation.
(tagamet) Histamine h2 antagonists, antiulcer agents. Ulcers and GERD, heartburn, indigestion, and sour stomach gastric hypersecretions, prevent and treat stress induced upper GI bleeds.
(ativan) benzodiazepines, analgesic adjuncts, antianxiety agents, seditive/ hypnotics. Anxiety disorder (PO) preoperative sedation (IV) Dereases preoperative anxiety and provides amnesia. CNS depresant.
(versed) benzodiazepines, antianxiety agents, sedative/ hypnotic preoperative sedation Dereases preoperative anxiety and provides amnesia. CNS depresant.
(sterapred) anti inflammatories steroidal (intermediate acting) immune modifiers. Used systemically and locally in a wide variety of chronic diseases including: inflammatory, allergic, hematologic, neoplastic, autoimmune disorders.
antihypertensives, diuretics. Management of mild/moderate hypertension. Treatment of edema associated with CHF, renal dysfunction, cirrhosis, glucocortoid therapy, estrogen therapy
(valium) antianxiety disorder, athetosis, stiffman syndrome, preop sedation, conscious sedation, treatment of status epilepticus/ uncontroled seizures, skeletal muscle relaxant,management of alcohol withdrawal symptoms
(coumadin) anticoagulants. Treatment of venous thrombosis, pulmonary embolism, atrial fibrillation with embolization, management of MI, prevention of thrombus formation and embolization after prosthetic valve replacement. (action interferes w/ hepatic synthesis of vitamin K-dependent clotting factors) PT, INR (2-3)
anticoagulants, antithrombotics, Treatment of venous thromboembolism, pulmonary emboli, atrial fibrillation with embolization, acute and chronic consumptive coagulopathies, peripheral arterial thromboembolism. Low doses to maintain patency of IV catheters (heparin flush) PT, PTT
(Robaxin) skeletal muscle relaxant (central acting) SE- seizures (IV,IM only) dizziness, drowsiness, anorexia,
(Flexeril) skeletal muscle relaxant (central acting) SE- dizziness, drowsiness, dry mouth. Don't drive, avoid alcohol, headache, postural hypotension, Avoid CNS depressants
(Lioresal) antispasticity agent, skeletal muscle relaxant (central acting) used for treatment in MS. SE- seizures (IT), dizziness, drowsiness, edema, nausea
(estrogens) hormones SE- headache, MI, thromboemolism, edema, hypertension
(Fosamax) biphosphonates, bone resorption inhibitors, SE- musculoskeletal pain, blurred vision, headache, photosensitivity. Take in the morning 30 mins before meals, remain upright for 30 mins (esophageal irritation)
(Premro, Premphase) hormones, progesterones.
teriparatide (parathyroid hormone)
(Forteo) Used to treat osteoporosis in men and women, daily SQ injections, stimulates new bone formation, reduces hip and spine fractures. Disadvantages: fatigue, anorexia, N/V, constipation, polyuria.
(Boniva) biphosphonates, bone reabsorption inhibitors. SE- diarrhea, dyspepsia, musculoskeletal pain, take early in the morning 30 mins before meals, sit up 30 mins,
(Evista) selective estrogen receptor modulators (SERM),bone reabsorption inhibitors. Treatment in post-menopausal women , reduces the risk of breast cancer with hormone replacement. Not to be given to women with a history of venous thromboembolism. No concrete evidence on cardiac protection
decreases bone loss, promotes healing with vertebral fracture. Routes: IM,SQ, or nasal spray. SE- nasal irritation, flushing, GI disturbances, & urinary frequency
decreases bone resorption and increases bone growth, especially effective in older men. Disadvantages for women: masculine traits, con lead to liver disease.
Antibiotic SE-hematuria, glomerulonephritis, used if bug is staph aureus, or strep
(vancocin) anti-infective SE- nephrotoxicity & ototoxicty if given to fast. Used if methicillin resistant
(Anti-infectives) SE- diarrhea, and others. Used for anerobes
(flurorquinolones) SE-pseudomenbraneous colitis, used if pseudomonas
stimulates beta-receptors increasing strength of myocardium and increasing cardiac output and improves stroke volume
vasodialator reducing preload (venous dilator with low dose) Higher doses cause arterial vasodilation- reducing afterload
(vasoactive depending on dose. Low dose increases renal flow and prevents ischemia. Medium dose improves contractility and can slightly increase heart rate. High dose dopamine can cause vasoconstriction causing increase workload to the heart(use with caution). Irritates veins.
Crytalloid (0.9% NS, lactated ringer)
move freely between intravascular compartments and interstital spaces. Contain the same concentration of electrolytes as in the extracellular fluid and therefor can be given without altering concentrations.
Colloid (albumin, dextran)
generally considered to be plasma proteins. Expand intravascular volume by exerting oncotic pressure, pulling fluid into the intravascular space.