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final
med surge 2
| Question | Answer |
|---|---|
| Amiodarone | Cardiac arrest, slows conduction rate. Nausea and vomiting, Bradycardia, Hypotension. no grapefruit |
| Amlodipine/Nifedipine | CCB. For HTN, angina, arrhythmias. Flushing, rash, Arrhythmias, Bradycardia, Edema, Hypotension, Heart failure. Notify HCP if BP < 90/60, Avoid grapefruit |
| Apixaban | Anticoag. Bruising,Increased risk of bleeding, Thrombosis from discontinuation, GI ulcers. Avoid ASA, NSAIDs, antiplatelets Andexanet alfa – antidote |
| Atorvastatin | Manages high cholesterol/CAD. Abdominal Cramping, Diarrhea, Constipation, Skin rash. No grapefruit. Monitor LFT every 6 months, cholesterol, LDL, HDL, triglycerides |
| Clopidogrel | Anti-platelet. Hemorrhage, Bleeding, Thrombocytopenia. Observe for bleeding – gums, bloody/dark stool, bruising, hematuria. No garlic, ginseng or gingko herbs. Stop 5 days prior to surgery |
| Enalapril/ pril meds | ACE, for HTN, CHF, MI. Rash/pruritis, Persistent dry non-productive cough, Orthostatic hypotension, Elevated K+,Take 1h ac or 2 h pc, NSAIDs decrease effects. |
| Metoprolol | Beta Blocker, For HTN, Angina, MI, CHF, arrhythmias. Hypotension , Dizziness, Bradycardia, Depression, Fatigue/weakness, Bronchospasm with hx of asthma. Check apical and hold if <50, don't stop abruptly, take with meals |
| Nitrates | Relieves angina and increased coronary flow. Hypotension, Headache, Dizziness, Tachycardia. Every 5 minutes 3 doses |
| Digoxin | .5 - 2 is therapeutic level |
| Baclofen | Anti-spastic. Drowsiness, Dizziness, Fatigue, Nausea.Give with food, Avoid alcohol, Do not stop abruptly |
| Carbamazepine | Anticonvulsant. Drowsiness, Dizziness, Rash, Dry mouth, N/V , Depression, Blood dyscrasias(increased WBCs), Hepatotoxicity. Don't stop abruptly, monitor LFT, oral hygiene |
| Levodopa/Carbidopa | Parkinsons. Involuntary movements(dyskinesia), N/V, Hypotension, Hepatotoxicity, Dry mouth. Monitor CBC, LFT, and renal function. Muscle twitching and facial grimacing seen with overdose |
| Mannitol | Increased ICP. Use filter. Fluid def and hypernatremia. Check bag for crystals. Monitor urine, daily weight, CVP, BUN and creatinine. |
| Pyridostigmine | Myasthenia Gravis. Bronchospasm, Bradycardia, Abdominal cramping, Seizures. Give same time every day, atropine is antidote |
| , Phenytoin, Valproic Acid,Carbamazepine level | Phenytoin therapeutic level 10-20 mcg/mL Valproic acid thera. level 50-100 mcg/mL Carbamazepine thera. level 4-12 mg/mL |
| Albuterol | rescue inhaler. Nervousness, Tremor, Chest pain, Palpitations, Arrhythmias. Use spacer if possible, after 5 mins use steroid |
| Dexamethasone | Glucocort. Cough, Rhinitis, Dry mouth, Oral fungal infections. Taper slowly, monitor weight and electrolytes, FSBS, should wear medic alert, suppresses immunity, rinse mouth to prevent thrush |
| Diphenhydramine | For allergies. Anticholinergic effects, drowsy, hypotension. Increase fluids |
| Rifampin | Manages TB. Reddish orange fluids like urine, tears, feces, perspiration. Monitor LFT, no alc, empty stomach if possible |
Created by:
ngcochran