Pallor in nail beds, numbness or tingling, pain distal to injury not relieved by opioids, no pulse distal to injury, paralysis, venous thromboembolism/fat embolism syndrome (chest pain, tachycardia, cyanosis, dyspnea, tachypnea, and decreased PaO2) Blood glucose less than 4.0 mmol/L, cold/clammy skin, numbness of fingers, toes and mouth, rapid heartbeat, emotional changes, headache, nervousness/tremors, faintness/dizziness, unsteady gait/slurred speech, hunger, changes in vision, seizures, coma Dry mouth, thirst, abdominal pain, nausea/vomiting, gradually increasing lethargy/confusion/restlessness, flushed/dry skin, eyes appear sunken, breath odour of acetone/fruit, rapid/weak pulse, orthostatic hypotension, laboured breathing, fever, urinary frequency, serum glucose over 14 mmol/L, glucosuria/ketonuria, yeast infection Ending in '-olol'
- Lower blood pressure, lower heart rate, lower cardiac output; can be used to treat vascular headaches and glaucoma
- Potential side effects: orthostatic hypotension, bradycardia, nausea/vomiting, diarrhea, congestive heart failure, blood dyscrasia
- Nursing interventions: monitor lab values indicating nephrotic syndrome (BUN, creatinine, protein), monitor blood pressure, heart rate and rhythm, monitor signs of edema, and teach the client to rise slowly, report bradycardia, dizziness, confusion, depression or fever and taper off of medications if stopping
Ending in '-cin' or '-mycin'
- Interfere with bacterias synthesizing
- Potential side effects: ototoxicity, nephrotoxicity, seizures, blood dyscrasias, hypotension, rash
- Nursing interventions: know allergies, monitor intake and output, monitor vitals during IV infusion, maintain IV site, monitor therapeutic levels, monitor signs of nephrotoxicity, mointor signs of ototoxicity, teach to report if noticing any changes in urinary elimination
Ending in "-pam", "-lam", or "-pate"
- Used for antianxiety/anticonvulsant
- Potential side effects: drowsiness, lethargy, ataxia, depression, restlessness, slurred speech, bradycardia, hypotension, diplopia, nystagmus, nausea/vomiting, constipation, incontinence, urinary retention, respiratory depression, rash, urticaria
- Nursing interventions: monitor respirations, monitor liver functions, monitor kidney function, monitor bone marrow function, and monitor for signs of chemical abuse
Pseudoparkinsonism; stooped gait, shuffling gate, rigidity, bradykinesia (slow movement), tremors at rest, and pill rolling hand movements
Acute dystonia; facial grimacing, upward eye movement, muscle spasm of the tongue, face, neck and back, laryngeal spasms
Akathisia; restlessness, trouble standing still, pacing, feet in constant motion
Tardive dyskinesia; protrusion and rolling of tongue, sucking/smacking of lips, chewing motion, facial dyskinesia, involuntary movements of body/extremities
Sever muscle rigidity, hyperthermia, autonomic instability, and changes in LOC; also diaphoresis, pallor, dysphagia, dyspnea, tremor, incontinence, shuffling gait, psychomotor agitation, delirium which progresses to lethargy, stupor and coma Ending in "-sone" or "-cort"
- Used to decrease the inflammatory response to allergies and inflammatory diseases (Addison's) or to decrease likely hood of organ transplant rejection
- Potential side effects: acne, poor wound healing, ecchymosis, petechiae, depression, flushing, sweating, hypertension, osteoporosis, diarrhea, hemorrhage, CUSHINGS
- Nursing interventions: monitor glucose levels, weigh client daily, monitor blood pressure, monitor signs of infection
Ending in "-vir"
- Used to treat viral infections such as herpes, chicken pox, shingles, encephalitis, RSV, CMV, AIDS
- Potential side effects: nausea, vomiting, diarrhea, oliguria (small amounts), proteinuria, vaginitis, CNS (tremors, confusion, seizures, sudden and severe anemia)|
- Nursing interventions: teach to report rash (allergic reaction), watch for signs of infection, monitor creatinine level frequently, monitor liver profile, monitor bowel pattern before and during treatment
Ending in "-statin"
- Used to help lower triglycerides and cholesterol as well as decrease potential for cardiovascular disaease
- NOT the same drugs that treat fungal infections
- Potential side effects: rash, alopecia, dyspepsia, liver dysfunction, muscle weakness, headache
- Nursing interventions: diet low in fat/cholesterol should be encouraged, monitor cholesterol levels, monitor liver profile, monitor function, teach to report visual changes, monitor for muscle pain and weakness
- Teach to report any changes in muscle weakness/soreness as these agents have been linked to causing rhabdomylosis
- Do not give with grapefruit juice and do not take at night
Ending in "-sartan"
- Used to treat hypertension
- Potential side effects: dizziness, insomnia, depression, angina pectoris, second degree AV block, conjunctivitis, diarrhea, nausea/vomiting, impotence, muscle cramps, neutropenia, cough
- Nursing interventions: monitor BP and pulse, monitor BUN, monitor creatinin, monitor electrolyte levels, tell client to report edema and feet daily and monitor hydration status
Contain the syllable "-cox"
- Anti-inflammatory drug used to treat arthritis and pain associated to this condition
- Potential side effects: fatigue, anxiety, depression, dizziness, tachycardia, tinnitus, nausea, gastroenteritis, stomatitis, sudden GI bleeding
- Nursing interventions: teach to report changes in bowel habits (GI bleeding), monitor platelet count, and teach to report easy bruising
- This drug has been reported to increase the risk of heart attack and stroke
Ending in "-tidine"
- Used to treat GERD, acid reflux and gastric ulcers
- Potential side effects: confusion, brady/tachycardia, diarrhea, psychosis, seizures, agronulocytosis, rash, alopecia, gynecomastia (larger male breasts), and galactorrhea (inappropriate production of milk)
- Nursing interventions: monitor blood urea nitrogren levels, administer these medications with meals, if taking with antacids take them one hour before/after taking medication, Cimetidine can be prescribed in one large dose before bed, Sucralfate decreases the effect this antagonist
Ending in "-parin"
- Used to treat thrombolytic diseases such as pulmonary emboli, myocardial infarction, deep-vein thrombosis, and post-coronary bypass
- Potential side effects: fever, diarrhea, stomatitis, bleeding, hematuria, dermatitis, alopecia, pruritis
- Nursing interventions: blood studies (hematocrit/occult blood in stool) should be checked q 3 months, monitor PTT (norm = 1.5-2.0), monitor platelet count, and monitor signs of bleeding and infection