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Med-Surg II - Medications
Terms in this set (66)
an antihistamine (trade name Antivert) used to treat or prevent motion sickness/vertigo
antiemetic relieves symptoms of nausea and vomiting
(Psoriasis & Eczema)
thyroid hormone that tends to lower the level of calcium in the blood plasma and inhibit resorption of bone
Bisphosphonates must be taken first thing in the morning on an empty stomach, with a full glass of water. The patient can't lie down for 30 to 60 minutes after taking the medication; this is to reduce risk of esophageal irritation.
fosamax, boneva, actonel, promotes calcium reabsorption, decreases calcium destruction, used to reverse osteoporosis
a drug (trade names Atarax and Vistaril) used as a tranquilizer to treat anxiety and motion sickness
Topical agent that can be used to penetrate thick eschar
Painless on application
No cases of hypersensitivity
Very limited penetration of eschar
Must be maintained in contact with the wound through use of dressings
Do not use on face
Can cause major electrolyte imbalance and black discoloration of wound
antifungal/antibacterial. White cream that contains sulfa(check for allergies). Used for 2-3rd degree burns or open wounds. apply as a thin layer.
atenolol. an oral beta blocker (trade name Tenormin) used in treating hypertension and angina. will cause hypotension when mixed with a antihistamine.
antihistamine (trade name Benadryl) used to treat allergic reactions involving the nasal passages (hay fever) and also to treat motion sickness
Loratadine, acute and chronic allergic reactions, antihistamines. can be used in redi-tab form.
decongestant used to reduce stiffiness and congestion throughout the respiratory system
(Isoniazid)-- Have a LFT done! It is TB treatment! Watch for jaundice! Need COMPLETE therapy.. (like antibiotics, don't stop taking when you feel better) This drug can cause b6 DEFICIENCY. Teach pt to take 1 hour before or 2 hours after a meal. Report tingling, numbness, or burning in the hands and feet to MD immediately. No alcohol while taking this cause this drug is hepatotoxic!
Tx: First-line Drug
SE: Neprho and Oto...
Teaching/ NU Considerations: Check Creatine/BUN
Unknown molecular target. Drug is inactive at neutral pH, but inhibits tubercle bacilli at pH 5.5
any of various antibiotics obtained from penicillium molds (or produced synthetically) and used in the treatment of various infections and diseases
MOA: Thrombolytic Drug, clot buster, digest the fibrin meshwork of clots
Uses: Acute MI, DVT, massive pulmonary emboli
S/E: Bleeding, HIT, hypotension, fever
NI: Do not use for uncontrolled HTN, Stroke or brain bleed, no antidote, handle pt as little as possible
antidote for heparin
Dalteparin. LMWH. Similar to Lovenox (Others & Inject to ab, don't expel air bubble in syringe prior to injection, don't rub area after or will bruise.)
The antidote for Coumadin overdose. Vitamin K or_________.
Fluticasone propionate &
long acting beta-2 agonist
Asthma, an inhaler used for the long-term control
Fluticasone propionate Antiasthmatic/steroid pharyngitis, nasal congestion, upper respiratory infection
a bronchodilator (trade names Ventolin or Proventil) used for asthma and emphysema and other lung conditions
Ipratropium Bromide MDI: 2 puffs, QID (20-40 mcg/inhalation) Place MDI in mouth to avoid spray in eyes, SVN: Unit dose solutions, 2.5 ml QID or TID Use before beta-adrenergic bronchodilators
montelukast/ anti-asthmatic, bronchodilator/asthma, bronchospasms
This drug is used for thyroid supplementation in hyperthyroidism. Treatment or suppression of goiters & thyroid cancer. Replaces or supplements thyroid hormones. Increases metabolic rate of body tissues. Promotes gluconeogenesis. Increases utilization and mobilization of glycogen stores. Stimulates protein syntheses. Promotes cell growth & differentiation. Aids in development of brain and CNS.
Prednisone is used alone or with other medications to treat the symptoms of low corticosteroid levels (lack of certain substances that are usually produced by the body and are needed for normal body functioning). Prednisone is also used to treat other conditions in patients with normal corticosteroid levels. These conditions include certain types of arthritis; severe allergic reactions; multiple sclerosis (a disease in which the nerves do not function properly); lupus (a disease in which the body attacks many of its own organs); and certain conditions that affect the lungs, skin, eyes, kidneys blood, thyroid, stomach, and intestines. Prednisone is also sometimes used to treat the symptoms of certain types of cancer. Prednisone is in a class of medications called corticosteroids. It works to treat patients with low levels of corticosteroids by replacing steroids that are normally produced naturally by the body. It works to treat other conditions by reducing swelling and redness and by changing the way the immune system works.
a hormone produced by the pancreas and released in response to high blood glucose following a meal. Insulin promotes the use and storage of glucose by the body's tissues
an oral antidiabetic drug (trade names DiaBeta and Micronase) that stimulates the release of insulin from the pancreas
The antagonist of insulin. Its release is stimulated by low blood glucose levels. It stimulates the liver, its primary target organ, to break down its glycogen stores to glucose and subsequently to release glucose to the blood.
This Sulfonylurea may be given alone or in combination with other oral hypoglycemics. Take w/food. Monitor for hyper & hypoglecemia. Less hypo reactions seen. Have some form of sugar available. Side effects: Anorexia, ab pain, bloating, diarrhea, N & V, metallic taste, hypo-glycemia.
Intermediate acting insulin analog. Bind insulin receptor (TK). Liver - Increase glucose stored as glycogen. Muscle - Increase glycogen and protein synthesis, K+ uptake. Fat - Aids TG storage. Uses: DM1, DM2, Hyper K+. Tox: Hypoglycemia
ONLY insulin that can be given IV
do not mix this insulin with any other medications. It is Clear. Administer Sub Q. Monitor for weight. Monitor for hypoglycemia & redness at injection site.
Drug used for UTI that changes urine color to red/orange rust color
antiinfective and sulfonamide-given for 4 weeks than reculture for prostatitis. prevents the synthesis of folic acid so that DNA and protein cannot be produced. SE: photosensitivity, aplastic anemia, bone marrow suppression, arthralgia, myalgia, renal failure. *full glass of water, full course of treatment
Stool softeners are used on a short-term basis to relieve constipation by people who should avoid straining during bowel movements because of heart conditions, hemorrhoids, and other problems. They soften stools, making them easier to pass •stomach or intestinal cramps
•throat irritation (from oral liquid)
, call your doctor immediately:
•skin rash (hives)
•difficulty breathing or swallowing
stimulant laxative that increases fluids in the bowels; used for constipation; usually taken at bedtime; do not take 1 hour after taking an antacid; do not crush pill
diphenoxylate 5.Lomotil.opioid agonist used for the treatment of diarrhoea that acts by slowing intestinal contractions.formulation with atropine.
A combination of Sulfapyridine (antibacterial) and 5-aminosalicylic acid (anti-inflammatory). Activated by colonic bacteria. Uses: UC, Crohn's. Tox: Malaise, nausea, sulfonamide toxicity, reversible oligospermia.
a drug (trade name Tagamet) used to treat peptic ulcers by decreasing the secretion of stomach acid
ondansetron. SC,tab,ODT; antiemtic: CNS & 5-HT receptor antagonist: nausea/vomitting post operation: chemo/radiation
an alkaloid with anticholinergic effects that is used as a sedative and to treat nausea and to dilate the pupils in ophthalmic procedures
..., Generic: Alendronate sodium (a)
Drug class: Bisphosphonate, osteoclast inhibitor
Fda uses: treatment of osteoporosis in postmenopausal women
Dosage forms: tabs, oral solution
Side effects: ab pain, constipation, diarrhea
- Treatment of Paget's disease of bone - treatment and prevention of glucocorticoid-induced osteoporosis - treatment and prevention of osteoporosis in postmenopaussal women - treatment of osteoporosis in men
5, 30, 35, 150 mg
Treatment for benzodiazepine overdose.
a potent narcotic antagonist (trade name Narcan) especially effective with morphine
an injectable form of benzodiazepine (trade name Versed) useful for sedation and for reducing pain during uncomfortable medical procedures
(propofol) barbiturate, general anesthetic, IV, potentiates GABA binding its receptor, causing hypnosis, anesthesia, and amnesia, no analgesic effect, short acting
induction/maintenance of general ansesthesia, sedation of intubated patients in ICU
filter in the IV line
s/s rapid onset and elimination, bradycardia, hypotension, pancreas depression
This drug is not capable of producing complete anesthesia by itself but allows rapid induction of anesthesia so it is often used with other drugs
IV opioid for general analgesia/premedication (lower MAC of volatile anesthetics). General anxiety. Marked resp depression. Conjunction to other anesthesias. High lipid soluble, high potency, fast onset, short duration of action. short acting opioid.
s/s ortho hypo, resp depression
Antagonized by naloxone.
acid-related stomach and throat (esophagus) problems (e.g., acid reflux or GERD, ulcers, erosive esophagitis, or Zollinger-Ellison Syndrome)
Proton Pump Inhibitors
These drugs suppress gastric secretions by inhibiting the hydrogen/potassium ATPase enzyme. Used to treat gastric ulcers, indigestion & GERD. All these drugs contain the syllable "PRAZOLE".
a beta-adrenergic blocking agent (trade name Corgard) that is used to treat hypertension and angina
for gout - Inhibits uric acid synthesis to treat overproducers of uric acid
- inhibits xanthine oxidase to create compounds more soluble than uric acid and therefore less likely to initiate an inflammatory response
- long term treatment
can cause s/s severe rash - report to provider, stop dose immediately
for acute gouty arthritis or with acute flareups and Mediterranean fever (NSAIDs have replaced for acute gout to avoid diarrhea): inhibits microtubule polymerization, prevents migration of lymphocytes
suppresses bone marrow, severe GI distress
can be used prophylactic
Rheumatrex / antineoplastic agent / regimens for various types of cancers, rheumatoid arthritis
anti-inflammatory drug used in the treatment of rheumatoid arthritis and malariat (all meds that have a suffix of -quine is used for malaria) and lupus erythematosus
a genetically engineered anti-TNF compound (trade name Enbrel) consisting of receptors that bind TNF, is used for RA and other immune-mediate joint inflammation and destruction diseases
More potent anti-inflammatory than aspirin; rheumatoid arthritis, for acute gout and ankylosing spondylitis; may cause GI upset, pancreatitis. More toxic than other NSAIDS, use lowest dose possible if it needs to be used chronically.
Along with being an NSIAD, this drug reduces plasma renin and aldosterone while enhancing the effects of vasopressin --> edema, hyperkalemia, hypernatremia, hypertension
give with full glass of water
drug of choice for treating type II because of the decreased chance of prolonged hypoglycemia; increases insulin production from the pancreas; 10% of patiets experience decreased effectiveness,
Glipizide, Glyburide, Glimepiride
• Decrease glucose release from liver
• Decrease cellular insulin resistance
• Do not stimulate insulin reelase
• Cause lactic acidosis in patients with renal insufficiency (muscle pain, SOB, fatiuge, dizziness, or irregular hb)
It inhibits the amount of glucose produced by the liver, increases the insulin-receptor binding and stimulates tissue uptake of glucose. Metformin does not stimulate the pancreas to make or release more insulin so doesn't cause hypoglycemia.
Gout, uric acid nephropathy, gouty arthritis, secondary hyperuricemia, recurrent calcium oxalate stones
Agent for Gout
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