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PTA Pharmacy

Medications seen during PT

a.c. before meals
b.i.d. twice a day
c with
e.m.p. as directed
h.s. at bedtime
NPO nothing by mouth
p.c. after meals
p.o. by mouth
p.r.n. when required
q.i.d. four times a day
t.i.d. three times a day
Antiarrhythmics meds Amiodarone (Cordarone) Digoxin (Lanoxin)
PT Considerations for Antiarrhythmics Monitor for orthostatic hypotension Amiodarone can cause toxicity Digoxin toxicity=visual disturbances
Anticoagulants meds Warfarin (Coumadin)
PT Considerations for Anticoagulants Excessive bleeding Do NOT perform deep-tissue massage Use fall precautions
NSAIDS & aspirin can cause increase of bleeding AVOID using with.... Coumadin
Vitamin K is an antidote for... Coumadin toxicity
INR (International Normalized Ratio) goal is usually 2-3 for majority of patients
Antihypertensives used for the treatment of hypertension, heart failure, arrhythmias & ischemic heart disease
Adrenergic agonists Clonidine (Catapres)
Adrenergic antagonists 'sin'
ACE inhibitors 'pril'
ARB's 'sartan'
Beta Blockers 'ol'
Calcium Channel Blockers 'pine'
Diurectics Hydrochlorothiazide (Hydrodiuril) Furosemide (Lasix) Spironolactone (Aldactone)
Carbonic Anhydrase Inhibitors 'mi'
Nitrates Nitroglycerin (NTG)
Renin inhibitors 'ren'
Vasodilators Hydralazine (Apresoline)
PT considerations-Antihypertensives All can cause orthostatic hypotension ACE & ARB can cause angioedema
Beta blockers & calcium channel blockers can... prevent the heart rate from increasing in response to exercise
Antiplatelet Agents are used for prevention of coronary heart disease, stroke, peripheral artery disease & prevention of thrombosis following stent placement
PT considerations for Antiplatelet monitor for increased bleeding
Lipid-lowering agents used for the treatment of dyslipidemia
Statins meds Lipitor
PT considerations for Statins pts reporting muscle pain unrelated to exercise should be referred to their physician
Pressor meds Dopamine
Pressors are typically used.... in the ICU setting
Thrombolytics are used for... clot lysis during heart attack
Steroids are used for the stabilization of the inflammatory response in the respirator tract in patients with asthma & COPD
Steroids meds 'one' Dexamethasone hydrocortisone prednisone
PT considerations for Steroids increases in BP & blood glucose avoid modalities that increase risk of bruising or skin tears Risk of osteoporosis w/chronic use
Antihistamines are used to... decrease inflammation & bronchoconstriction
Antihistamine meds Cetrizine (Zyrtec) diphenhydramine (Beadryl) fexofenadine (Allegra) loratidine (Alavert, Claritin)
PT considerations for Antihitamines drowsiness is common
Bronchodilators are used for .... relieft of bronchospasm associated with COPD, asthma & exercise-induced bronchospasm
Beta 2 Agonists short-acting (rescue inhalers) Albuterol (proventil, ventolin)
PT considerations for Bronchodilators 30 minutes before therapy minimize the use of the rescue inhalers
DMARDS Disease-Modifying Antirheumatic Drugs are used for.... rhumatoid arthritis prevent & reduce joint damage & preserve joint integrity & function
DMARDS meds Humira
PT considerations for DMARDS potent anti-inflammatories that can also cause immonosuppression
Antianxiety meds (Benzodiazepines) 'am' Alprazolam (xanax) clonazepam (klonopin) diazepam (valium)
Sedative-hypnotic agents are used as: sleep aids
Sedative-hypnotic meds eszopiclone (lunesta) zolpidem (ambien)
PT considerations for Sedatives... can cause drowsiness & may make the pt more prone for falls
Anticonvulsants are used for treatment & prevention of seizures
anticonvulsant meds phenytoin (dilantin) pregabalin (lyrica) phobarbital (barbital, luminol, solfoton)
pt considerations for anticonvulsants pts may develop inability to sweat and overheat, keep them hydrated
antidepressant (SSRI'S) selective secrotonin reuptake inhibitors fluoxetine (prozac, sarafem) paroxetine (paxil) sertraline (zoloft)
antidepressant (SNRI) serotonin-norepinphrine reuptake inhibitor meds duloextine (Cymbalta)
PT considerations for antidepressants TCA's are deadly in overdose
TCA = Tricyclic antidepressants
Antipsychotic meds aripiprazole (abilify)
pt considerations for antipsychotics Tardive dyskinesia is irreversible
Parkinson's meds Levodopa/carbidopa (sinemet)
pt considerations for parkinsons onset of action for Sinemet is 30 minutes and 60 minutes for Sinemet CR
Antimetics are used for... prevention & treatment of nausea & vomiting (chemo)
antimetic meds ondansetron (zofran)
pt considerations for antimetics nausea & vomiting is common for first 24 hours post chemo
pt considerations for Chemo blood counts are at nadir (lowest point) 7 days after
Antacids used for... treatment of GERD & heartburn
pt considerations for antacids magnesium containing antacids can cause diarrhea. calcium & aluminum can cause constipation
antidiarrheal meds can cause sedation
Histamine used for... treatment of GERD, heartburn, peptic ulcer disease
pt considerations for histamine... report any new sign & symptoms of GI upset or bleeding
Laxatives are used for treatment of constipation
laxative meds methlcellulose (citrucel)
proton pump inhibitors (PPIs) are used for acid suuppression in the treatment of GERD, heartburn, petic ulcer disease
PPI meds omeprazole (prilosec) lansoprazole (prevacid)
BPH = Benign Prostatic Hypertrophy
pt considerations for BPH monitor for othostasis
pt considerations for oral contraceptives monitor for serious adverse effects (venous thrombosis, pulmonary embolism)
Antibiotic meds penicillins
pt considerations for fluoroquinolones photosensitivity
Clindamycin has a high incidence of.. C.Difficile colitis (contageous) symptoms include severe diarrhea, blood in the stool and foul smell
Antitubercular meds are used for treatment of mycobacterial infections including tuberculosis
antiretroviral agents are used in treatment of HIV/AIDS
pt considerations for antiretroviral agents use Universal Precautions (avoid direct contact with blood/body fluids)
signs & symptoms of hyperglycemia polyuria, polydipsia, polyphagia, fatigue
PT considerations for hypoglycemic blood glucose should be managed high blood sugar (>250) low blood sugar (<100) normal (80-120)
Hypothyroidism & hyperthyroidism med levothyroxine (levothroid, levoxyl, synthroid)
NSAIDS are used for to treat mild to moderate pain & inflammation
NSAIDS meds ibuprofen (motrin, advil) naproxen (anaprox, naprosyn, aleve)
pt considerations for NSAIDS tylenol is not an anti-inflammatory
Acetaminophen (Tylenol, abbreviated APAP) what is max dose 4 grams per day
Systemic opioids are used to treat.. moderate to severe pain
systemic opioid meds hyromophone (dilaudid) morphine (MS contin, roxanol)
naloxone (narcan) antagonist used to treat overdose
PT considerations for systemic opioids sonstipation, sedation, nausea & vomiting are the most common side effects
Created by: jklincoln



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