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mm2018-name-consider

thru Neuro 2

drugnurse considerations
lithium carbonate Eskalith® GI upset, excessive thirst, hand tremor. Lithium toxicity is closely related to serum lithium levels, and can occur at doses close to therapeutic levels.
alprazolam Xanax® (Schedule IV) fall risk , confusion, amnesia, abuse hepatic function (LFTs)
amitriptyline Elavil® Dry mouth, constipation, sedation
amphetamine and dextroamphetamine sulfate Adderall® Schedule II baseline cardiac eval. in pts w/ risk factors; BP, HR at baseline, after dose incr, then periodically; height, weight in peds at baseline, then periodically
baclofen Lioresal® CNS depression, hyperglycemia, lowers seizure threshold
betaxolol Betoptic shake well-suspension. Eye drop can have systemic adverse reactions include: Cardiovascular: Bradycardia, heart block and congestive failure
bupropion Wellbutrin®/Zyban® Monitor risk of suicidal thoughts and behavior. Higher risk of seizures
buspirone BuSpar® sedation, lethargy
carbamazepine Tegretol® BUN/Cr, CBC w/ diff, LFTs, urinalysis, ophthalmic exam at baseline, then periodically; serum drug levels; s/sx depression, behavior changes, suicidality
carbidopa/ levodopa Sinemet® Cr at baseline, CBC, LFTs i; IOP if chronic wide angle glaucoma; cardiac fxn if extended tx or during initial inpatient dose adjustment then periodically thereafter if arrhythmias w/ MI hx; dermatologic exams
chlorpromazine Thorazine® Elderly patients w dementia-related psychosis treated w antipsychotic drugs are at increased risk of death. Neuromuscular reactions: dystonias, motor restlessness, pseudo-parkinsonism and tardive dyskinesia, dose-related, NMS
diazepam Valium® (Schedule IV) fall risk , confusion, amnesia, abuse hepatic function (LFTs)
donepezil Aricept ODT® s/sx GI bleeding
echothiophate Phospholine Iodide Stinging, burning, lacrimation, lid muscle twitching, conjunctival and ciliary redness, browache, induced myopia with visual blurring may occur
fentanyl Sublimaze® Schedule II Cr at baseline; ECG, vital signs continuously
fluoxetine Prozac® Monitor risk of suicidal thoughts and behavior. Side-effects may come and go before pt experiences full therapeutic effects (~4 weeks)
haloperidol Haldol® Elderly patients w dementia-related psychosis treated w antipsychotic drugs are at increased risk of death. Neuromuscular reactions: dystonias, motor restlessness, pseudo-parkinsonism and tardive dyskinesia, dose-related, NMS
Interferon beta 1b Betaseron® CBC w/ diff, Plt q6mo or more frequently if myelosuppression; blood chemistries incl. LFTs q6mo; TFTs
Interferon beta-1a Avonex® CBC w/ diff, Plt q6mo or more frequently if myelosuppression; blood chemistries incl. LFTs q6mo; TFTs
lidocaine Xylocaine® skin irritation, allergic rx
memantine Namenda® Cr at baseline
methylphenidate Ritalin® Schedule II baseline cardiac eval. in pts w/ risk factors; BP, HR at baseline, after dose incr, then periodically; height, weight in peds at baseline, then periodically
midazolam Versed® Schedule IV amnesia, monitor resp, fall risk
modafinil Provigil® Schedule II BP, HR
phenelzine Nardil® Monitor risk of suicidal thoughts and behavior. Major food and drug interactions leading to hypertensive crisis
phenytoin Dilantin® Cr at baseline; CBC; LFTs; folate; serum drug levels periodically and if change dosage form/brand; dental exam q3mo; s/sx depression, behavior changes, suicidality
pilocarpine Pilocar Patients should be advised to exercise caution in night driving and other hazardous occupations in poor illumination
pramipexole Mirapex® Cr at baseline; s/sx orthostatic hypotension especially during dose titration; dermatologic exams
risperidone Risperdal® Elderly patients with dementia-related psychosis treated with antipsychotic drugs are at an increased risk of death.
selegiline Eldepryl® dermatologic exams
sodium thiopental Pentothal®Schedule II depressed respiratory fxn, porphyria
sumatriptan Imitrex® BP at baseline; cardiovascular eval. at baseline, then periodically during long-term tx if risk factors
temazepam Restoril® Schedule IV Monitor respirations, fall risk
valproic acid Depakote® LFTs, CBC w diff
venlafaxine Effexor® Monitor risk of suicidal thoughts and behavior, asthenia
zolpidem Ambien® Schedule IV Monitor respirations, fall risk
Created by: mchugh100
 

 



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