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Belmont PharmTest4a

Belmont Pharm test

Drug nameActionSide EffectsNursing Implications
levodopa stimulates synthesis of dopamine NV, dyskinesias, postural hypotention, hallucinations (common), on-off phenomenon, dark sweat/urine don't take w/ high protein food, check IOP in glaucoma pts, DM check BG, improvement w/in 2-3 weeks
levodopa-carbidopa combo drug, most pts take, makes levodopa more available abnormal movements and psych disturbances occur sooner and are more intense none
Mirapex dopamine receptor agonist N, dizziness, daytime drowsiness, night insomnia none
amantadine rapid response but less profound for parkinson's, also antiviral confusion, antimuscarinic, dermatologic effects none
benztropine mesylate mild symptoms in early stages of parkinson's disease confusion, depression in elderly, anticholinergic effects in high doses, peripheral effects withdrawl gradually
hydrocortisone RA, leupus, IBD, allergies, asthma, cancer, inflammatory disorders adrenal insufficiency, infection, PUD, F/E imbalance, osteoperosis, hyperglycemia, psyc dist, iatrogenic Cushings give in AM w/ food, teach, don't withdraw suddenly, give more in times of stress, inc in PUD w/ NSAIDS
prednisone RA, leupus, IBD, allergies, asthma, cancer, inflammatory disorders adrenal insufficiency, infection, PUD, F/E imbalance, osteoperosis, psyc dist, iatrogenic Cushings give in AM w/ food, teach, don't w/drawl suddenly, more in times of stress, inc in PUD w/ NSAIDS
dexamethasone RA, leupus, IBD, allergies, asthma, cancer, inflammatory disorders adreanl insufficiency, infection, PUD, F/E imbalance, osteoperosis, hyperglycemia, psyc dist, iatrogenic Cushings give in AM w/ food, teach, don't w/drawl suddenly, give more in times of stress, inc in PUD w/ NSAIDS
fludrocortisone acetate mineralocorticoid, inc reasorption of Na/Cl, excretes K HTN, edema, cardiac enlargement, hypokalemia monitor weight, BP, electrolytes
levothyroxine sodium replaces T4 in hypothyroidism and goiter rare: tachy, angina, tremor, insomnia, nervousness, hypothermia, heat intolerance, sweating (like hyperthyroid) monitor response. interacts w/ cholestyramine, Ca supplements, iron
PTU hyperthyroidism, before thyroidectomy, for Graves disease, w/ thyrotoxic crisis rash (most common), N, joint pain. Rare: angranulocytosis (fever, sore throat), hypothyroidism watch dose w/ pregnant and lactating
Tapazole hyperthyroidism, before thyroidectomy, for Graves disease, w/ thyrotoxic crisis rash (most common), N, joint pain. Rare: angranulocytosis (fever, sore throat), hypothyroidism watch dose w/ pregnant and lactating
radioactive iodine 131 hyperthyroidism hypothyroidism effects seen in 2-3 months
(CAL...-OL) vit D supplement to treat hypocalcemia none none
calcitonin-salmon decreases amount of calcium leaving the bones none none
(-RONATE) inhibits bone resorption esophagitis don't give w/ food, only H20, sit upright after taking
Evista prevents and treats osteoperosis; breast cancer DVT, preg X, hot flashes none
Genotropin children w/ slow growth, Prayder-Willi syndrome hyperglycemia, carpal tunnel, fataility w/ Prayder-Willi and resp disorders none
(-PRESSIN) kindeys reabsorb H2O water intoxication, vasoconstriction, angina none
(-AMIDE) stimulates release of insulin from pancreas hypoglycemia, weight gain, profuse sweating, weakness interacts w/ NSAIDS, sulfonomides, alcohol, d/c 24-72h before surgery and give insulin coverage
(GL...-IDE) stimulates release of insulin from pancreas hypoglycemia, weight gain, profuse sweating, weakness interacts w/ NSAIDS, sulfonomides, alcohol, d/c 24-72h before surgery and give insulin coverage
Glucophage DM2 treatment and prevention, decreases liver prod of glucose anorexia, metallic tate, ND, dec folic acid and B12, lactic acidosis don't give to pts with renal, hepatic or CV disease
Prandin DM2, stimulates insulin release hypoglycemia none
Acarbose DM2, delays absorption of CHO GI discomfort, liver dysfunction w/ long term use, no hypoglycemia take w/ 1st bite of meal, CHO are 40% of meal, 25-100mg
(-GLITAZONE) dec insulin resistance, in resonse to insulin, dec glucose production from liver expands blood volume, may raise lipid levels, no hypoglycemia monitor lipids, LFTs, heart, I&O
Symlin DM 1&2, delays gastric emptying, decreases post prandial glucose hypoglycemia, N, injection site reactions Peak=20min, delyas absorption of PO drugs, so take them 1h before or 2h after
Byetta DM2, slows gastric emptying, stimulates insulin release, suppresses appetite hypoglycemia, NVD, anti-exenatide antibodies Peak=2h, delays PO drugs, 1h before or 2h after
Created by: epsearle
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