integ meds ch 3

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triamcinolone/ Nasacort AQ
anti-inflammatories (steroidal)

Indications
Seasonal or perennial allergic rhinitis. Nonallergic rhinitis (fluticasone). Treatment of nasal polyps.
Action
Potent, locally acting anti-inflammatory and immune modifier. Therapeutic Effects: ↓ in symptoms of allergic or nonallergic rhinitis. ↓ in symptoms of nasal polyps
Side Effects
ANAPHYLAXIS, ANGIOEDEMA.
Patient/Family Teaching
Instruct patient to stop medication and notify health care professional immediately if signs of anaphylaxis (rash, hives, difficulty breathing, swollen lips or throat) occur

hydrocortisone/
anti-inflammatories (steroidal)

Indications
Management of adrenocortical insufficiency; chronic use in other situations is limited because of mineralocorticoid activity
Action
In pharmacologic doses, suppresses inflammation and the normal immune response.
Side Effects
depression, euphoria,hypertension. PEPTIC ULCERATION, anorexia, nausea, acne, ↓ wound healing, ecchymoses, fragility, hirsutism, petechiae. adrenal suppression, THROMBOEMBOLISM, muscle wasting, osteoporosis, HYPERSENSITIVITY REACTIONS INCLUDING ANAPHYLAXIS, cushingoid appearance (moon face, buffalo hump),
Family Teaching
Stopping the medication suddenly may result in adrenal insufficiency (anorexia, nausea, weakness, fatigue, dyspnea, hypotension, hypoglycemia). If these signs appear, notify health care professional immediately. This can be life-threatening. Review side effects with patient. Instruct patient to inform health care professional promptly if severe abdominal pain or tarry stools occur. Patient should also report unusual swelling, weight gain, tiredness, bone pain, bruising, nonhealing sores, visual disturbances, or behavior changes.

fluconazole/Diflucan
antifungals (systemic)

Indications
PO, IV: Fungal infections caused by susceptible organisms, including: Oropharyngeal or esophageal candidiasis, Serious systemic candidal infections, Urinary tract infections, Peritonitis, Cryptococcal meningitis
Action
Inhibits synthesis of fungal sterols, a necessary component of the cell membrane..
Side Effects
HEPATOTOXICITY, EXFOLIATIVE SKIN DISORDERS INCLUDING STEVENS-JOHNSON SYNDROME.
Family Teaching
Instruct patient to notify health care professional if skin rash, abdominal pain, fever, or diarrhea becomes pronounced, if signs and symptoms of liver dysfunction (unusual fatigue, anorexia, nausea, vomiting, jaundice, dark urine, or pale stools) occur, if unusual bruising or bleeding occur, or if no improvement is seen within a few days of therapy.

epinephrine /EpiPen
antiasthmatics, bronchodilators, vasopressors

Indications
Subcut, IM, IV: Management of severe allergic reactions
Action
Results in the accumulation of cyclic adenosine monophosphate (cAMP) at beta-adrenergic receptors.
Side Effects
nervousness, restlessness, tremor, angina, arrhythmias, hypertension, tachycardia.
Patient/Family Teaching
Instruct patient to contact health care professional immediately if shortness of breath is not relieved by medication or is accompanied by diaphoresis, dizziness, palpitations, or chest pain.

acyclovir/Zovirax
antivirals

Indications
PO: Recurrent genital herpes infections. Localized cutaneous herpes zoster infections (shingles) and chickenpox (varicella)
Action
Interferes with viral DNA synthesis
Side Effects
SEIZURES, dizziness, headache, diarrhea, nausea, vomiting, STEVENS-JOHNSON SYNDROME, THROMBOTIC THROMBOCYTOPENIC PURPURA/HEMOLYTIC UREMIC SYNDROME (HIGH DOSES IN IMMUNOSUPPRESSED PATIENTS).
Patient/Family Teaching
Advise patients that the additional use of OTC creams, lotions, and ointments may delay healing and may cause spreading of lesions.
Inform patient that acyclovir is not a cure. The virus lies dormant in the ganglia, and acyclovir will not prevent the spread of infection to others.

silver sulfADIAZINE/Silvadene
anti-infectives (topical)

Indications
Prevention and treatment of wound sepsis in patients with 2nd- and 3rd-degree burns.
Action
Splits to produce bactericidal concentrations of silver and sulfadiazine. Action is at level of cell membrane and cell wall.
Side Effects
burning, itching, pain, rash, skin discoloration, skin necrosis.
Patient/Family Teaching
Explain purpose of medication to patient and family. This medication will not stain skin.

Erythromycin
anti-infectives

Indications
infections caused by suscepitble organisms including: uppuer and lower respiratory tract infections, otitis media(with sulfonamides), skin and skin structure infections, pertussis, diphtheria, erythrasma, intestinal amebiasisk pelvic inflammatory disease, nongonococcal urethritis syphilis, legoinnaires diesase, rheumatic fever.
side effects
QTC PROLONGATION may result in torsades de pointes, VENTRICULAR ARRHYTHMIAS, nausea, vomiting, phlebitis
patient/family teaching
advise patient to report signs of superinfection (black, furry overgrowth on the tongue; vaginal itching or discharge; loose or foul-smelling stools).

dephenhydramine/Benadryl
allergy/antihistamines

Indecations
relief of allergic symptoms caused by histamine release including; anaphlyaxis, seasonal and perennial allergic rhinitis, allergic dermotoses.
action
anagonizes the effects of histamine at H1-receptor sites' does not bind to or inactivate histamine.
side effects
drowsiness, anorexia, dry mouth
patient/flamily teaching
may cause dry mouth. inform patient that frequent oral rinses, good oral hygiene, and sugarless gum or candy may minimize this effect

hydroxyzine/ Vistaril
antianxiety agents

Indications
treatment of anxiety. preoperative sedation.
action
acts as a CNS depressant at the subcortical level of the CNS. has anticholinergic, anihistaminic, and aniemetic properties.
side effects
drowsiness, dry mouth
patient/family teaching
if used for anxiety, advise pateint that psychotherapy is beneficial in addressing sources of anxiety and inproving coping skills

Elimite/permiethrin
pediculocides

indications
1% lotion: eradication of Pediculus bumunus capitis (head lice and their eggs): prevention of infestation of head lice during epidemics
actions
causes repolaization and paralysis in lice by disrupting sodiun transport in normal nerve cells
side effects
burning, itching, rach, redness, stinging, swelling
patient/family teaching
instruct pt to notify dr if scalp itching, numbness, redness, or rash occurs

accuzyme

...

santyl

...

granulex

...

bacirtacin

...

neosporin

...

calamine lotion

...

mafenide

...

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