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Drug quiz 2

GenericBrandSelected Adverse EffectsPHARMACY CATEGORYConsideration
Buprenorphine Buprenex 1. Respiratory depression 2. Dizziness 3. Sedation Analgesic, Opioid ISMP High-alert medication
Fentanyl Sublimaze 1. Constipation 2. Confusiondizziness 3. Respiratory depression Analgesic, Opioid ISMP High-alert medication
Hydromorphone Dilaudid 1. Constipation 2. Flushing 3. Hypotension 4. Itching 5. Respiratory depression Analgesic, Opioid ISMP High-alert medication
Ketorolac Toradol 1. Dyspepsia 2. GI symptoms (nausea, abdominal pain, constipation, diarrhea) 3. GI bleeding (rare but serious) NSAIDS
Morphine Duramorph, Infumorph 1. Constipation 2. Drowsiness 3. Nausea/ vomiting 4. Respiratory depression Analgesic, Opioid ISMP High-alert medication Use only preservative-free solutions for epidural administration
Ketamine Ketalar 1. Prolonged emergence from anesthesia (confusion, delirium, dreamlike state, hallucinations, vivid imagery) Antidepressant; General Anesthetic ISMP High-alert medication
Lidocaine Xylocaine 1. Dizziness 2. Nausea vomiting 3. Paresthesia 4. Hypotension Antiarrhythmic Agent, Class Ib; Local Anesthetic ISMP High-alert medication
Propofol Diprivan 1. Apnea 2. Hypotension 3. Injection site pain 4. Hypertriglyceridemia General Anesthetic ISMP High-alert medication Expires 12 hours from opening. All tubing and unused portions should be discarded at that time.
Fosphenytoin Cerebyx 1. Ataxia 2. Nystagmus 3. Somnolence Antiseizure Agent, Hydantoin Rate infusion:not faster than 150 mg PE/ minute
Levetiracetam Keppra 1. Hypertension 2. Vomiting 3. Somnolence Antiseizure Agent, Miscellaneous
Phenytoin Dilantin 1. Exfoliate dermatitis 2. Stevens-Johnson syndrome 3. Blood dyscrasias 4. CNS toxicity Antiseizure Agent, Hydantoin Rate of infusion: do not infuse faster than 50 mg/minute
Valproate Depacon 1. Thrombocytopenia 2. Tremor 3. Diplopia Antimanic Agent; Antiseizure Agent, Miscellaneous; Histone Deacetylase Inhibitor
Haloperidol lactate Haldol 1. Extrapyramidal reactions 2. Hyperkinesia 3. Akathisia First Generation (Typical) Antipsychotic Note salt formulation: haloperidol lactate can be administered IM or IV; haloperidol decanoate is a long-acting formulation and is only for IM injection - should never be given IV.
Olanzapine Zyprexa 1. Drowsiness 2. Extrapyramidal symptoms Antimanic Agent; Second Generation (Atypical) Antipsychotic
Ziprasidone Geodon 1. Drowsiness 2. Extrapyramidal symptoms Antimanic Agent; Second Generation (Atypical) Antipsychotic
Diazepam Valium 1. Drowsiness 2. Slow breathing rate Benzodiazepine
Lorazepam Ativan 1. Drowsiness 2. Slow breathing rate Benzodiazepine ISMP High-alert medication
Midazolam Versed 1. Drowsiness 2. Slow breathing rate 3. Decreased tidal volume Benzodiazepine ISMP High-alert medication Some formulations contain benzyl alcohol; use a preservative-free injection formulation in neonates
Acetylcysteine Acetadote 1. Anaphylaxis Antidote; Mucolytic Agent Should be administered through an in-line filter
Atropine Atropine 1. Anticholinergic side effects (dry mucous membranes, urinary retention) 2. Tachycardia Anticholinergic Agent, Ophthalmic; Ophthalmic Agent, Mydriatic
Flumazenil Romazicon 1. Vomiting 2. Tremor 3. Ataxia Antidote May precipitate seizures in patients who have been on long-term benzodiazepine therapy
Leucovorin 1. GI side effects (nausea/vomiting/diarrhea) 2. Fatigue Antidote
Naloxone Narcan 1. Dizziness 2. Flushing 3. Injection site reactions 4. Nausea/vomiting Antidote; Opioid Antagonist Because naloxone has a short half-life, it may need to be administered multiple times until opioid wears off
Octreotide Sandostatin 1. Abdominal pain, diarrhea, flatulence, 2. Hyperglycemia Antidiarrheal; Antidote; Somatostatin Analog
Zoledronic acid Reclast; Zometa 1. Bone pain 2. Arthralgia 3. Hypotension Bisphosphonate Derivative Administer through a separate IV line. Do not mix with any calcium or divalent cation containing solutions.
Dexamethasone Decadron 1. Fluid retention 2. Fragile skin 3. Hyperglycemia 4. Hypertension 5. Mood changes Anti-inflammatory Agent; Antiemetic; Corticosteroid,
Hydrocortisone Solu-Cortef 1. Fluid retention 2. Fragile skin 3. Hyperglycemia 4. Hypertension 5. Mood changes Corticosteroid
Methylprednisolone sodium succinate Solu-Medrol 1. Fluid retention 2. Fragile skin 3. Hyperglycemia 4. Hypertension 5. Mood changes Corticosteroid
Diphenhydramine Benadryl 1. Sedation 2. Anticholinergic effects (e.g., urinary retention, dry mouth) Histamine H1 Antagonist, First Generation Diphenhydramine injection can cause local skin necrosis and should never be given subcutaneous or intradermal. For IM injections, make sure they are given deep IM.
Promethazine Phenergan 1. Bradycardia 2. Sedation 3. Phlebitis Histamine H1 Antagonist, First Generation ISMP High-alert medication Vesicant, can cause severe tissue damage/necrosis. Should not be administered IM or IV push. Should be diluted and administered slowly as an IV intermittent infusion or via a central line to avoid extravasation.
Ranitidine Zantac 1. Constipation 2.Diarrhea 3. Nausea Histamine H2 Antagonist
Ondansetron Zofran 1. Constipation 2. Diarrhea 3. Headache Selective 5-HT3 Receptor Antagonist
Pantoprazole Protonix 1. Constipation 2. Diarrhea 3. Headache PPI
Infliximab Remicade 1. Infusion-related reactions (e.g., chills, fever, rigors, myalgias, headache, cough) 2. Upper respiratory tract infection Immunosuppressant Agent, TNF-alpha ISMP High-alert medication Short-stability medication - use within 3 h and use in-line ≤1.2 micron low protein binding filter. not infuse or mix with other solutions . May require premedications prior to infusion to decrease infusion-related reactions.
Rituximab Rituxan 1. Infusion-related reactions (e.g., chills, fever, rigors, myalgias, headache, cough) 2. Fatigue Immunosuppressant Agent; Monoclonal Antibody ISMP High-alert medication Patients should be premedicated prior to infusion and infusions should be titrated upwards to decrease infusion-related reactions.
Oxytocin Pitocin 1. Headache 2. Nausea, vomiting Oxytocic Agent ISMP High-alert medication NIOSH recommends using double gloves and wearing protective gown when preparing solutions. Many institutions develop an oxytocin infusion protocol in order to improve maternalfetal safety and reduce medication errors.
Created by: vinhthaihoa
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