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| Question | Answer |
|---|---|
| Sildenafil Vardenafil Tadalafil | ED. Dizziness, Headache, Flushing, Hypotension, Painful and prolonged erection. Don't take more than 1 in 24hrs, no nitrates, don't take within 4 hours of tamsulosin |
| Leuprolide( GnRH agonist | Prostate and endometrial cancer. Hot flashes / Chills, Bone pain, Headache, Erectile dysfunction.Education about side effects Do not give to pregnant women |
| Goserelin (LH agonist) | Decreases est and test. Hot flashes / Chills, Bone pain, Headache, Erectile dysfunction. Co-treat with anti-androgen meds for first 2-3 weeks during testosterone surge |
| Finasteride | Decreases prostate size. Erectile dysfunction, Scalp hair growth. wear gloves,Women who are pregnant or may become pregnant should not handle crushed or broken tablets |
| Tamsulosin | Relaxes bladder/ prostate to make peeing easier. PO at bedtime. Dizziness and hypotension. change positions slowly |
| Hyoscyamine | Anticholinergic/antispasm,Used post-TURP to decrease bladder pain. Dry mouth, Blurred vision, Constipation, Urinary retention, Confusion. Contraindicated if patient has glaucoma or BPH. Helps manage urinary continence after prostate surgery |
| Tamoxifen | Treats DCIS and prevents breast cancer. Hot flashes, Night sweats, Vaginal dryness, Bone loss (pre-menopausal only Monitor weight and vaginal bleeding |
| Anastrazole | Treatment of breast cancer in post-menopausal women. Hot flashes, Menopause symptoms, Arthralgia / Muscle pain, Bone loss. Check cal, take cal supps as needed |
| Metronidazole | Anti-biotic.Dizziness ⢠Headache, N/V/D, Abdominal cramps, Metallic taste, Dark urine. Need culture and sensitivity prior to treatment, Monitor weight and I&O |
| Filgrastim | Treatment for leukemia. Nausea, Fever, Bone/muscle pain. Monitor temp for s/s infection, Do not give 24 hr before/after chemo |
| Ferrous (Fe) gluconate Fe sulfate Fe fumarate | PO 1-2 hours before meals. Dark stools, GI upset, Constipation. Monitor Hgb and Hct, Avoid taking with dairy or antacids |
| Cyanocobalamin (Vitamin B12) | Pernicious Anemia. Headache, Nausea.Monitor B12 levels and Hgb and Hct |
| Folic acid | Nausea and bitter taste. Monitor folic acid level and Hgb and Hct |
| Warfarin | Blocks the formation of vitamin K-dependent clotting factors. PO. Bleeding and Anemia.Monitor PT (therapeutic 14-24 seconds)and INR (therapeutic 2-3), avoid excess green, leafy vegetables, Antidote: vitamin K |
| Heparin | Inactivates thrombin. Bleeding, Anemia Heparin induced thrombocytopenia.Monitor aPTT (therapeutic 45-74 seconds) or Anti Xa (0.3-1.3). Antidote: protamine sulfate |
| Enoxaparin | Inhibits factor Xa. Bleeding, Anemia, Heparin induced thrombocytopenia.Monitor anti-Xa level (0.3-1.3 therapeutic) PTT is NOT accurate test. Does not require as frequent monitoring as heparin does.Antidote: protamine sulfate ā give IV |