click below
click below
Normal Size Small Size show me how
PTA Pharmacy
Medications seen during PT
| Question | Answer |
|---|---|
| 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 |