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NUR 171 Meds
NUR 171 Medications, classes, abreviations, considerations, actions
| Question | Answer |
|---|---|
| Angiotensin-converting enzyme inhibiting agents | Benazepril (Lotensin), lisinopril (Zestril), captopril (Capoten), enalapril (Vasotec), fosinopril (Monopril), moexipril (Univas), quinapril (Acupril), ramipril (Altace) |
| Beta adrenergic blockers | Acebutolol (Monitan, Rhotral, Sectral), atenolol (Tenormin, Apo-Atenol, Nova-Atenol), esmolol (Brevibloc), metaprolol (Alupent, Metaproterenol), propanolol (Inderal) |
| Anti-infective drugs | Gentamicin (Garamycin, Alcomicin, Genoptic), kanamycin (Kantrex), neomycin (Mycifradin), streptomycin (Streptomycin), tobramycin (Tobrex, Nebcin), amikacin (Amikin) |
| Benzodiazepine drugs | Clonazepam (Klonopin), diazepam (Valium), chlordiazepox-ide (Librium), lorazepam (Ativan), flurazepam (Dalmane) |
| Phenothiazine drugs | Chlopromazine (Thorazine), prochlorperazine (Compazine), trifluoperazine (Stelazine), promethazine (Phenergan), hydroxyzine (Vistaril), fluphenazine (Prolixin) |
| Glucocorticoid drugs | Prednisolone (Delta-Cortef, Prednisol, Prednisolone), prednisone (Apo-Prednisone, Deltasone, Meticorten, Orasone, Panasol-S), betametha-sone (Celestone, Selestoject, Betnesol), dexamethasone (Decadron, Deronil, Dexon, Mymethasone, Dalalone), cortisone (Co |
| Antivirals | Acyclovir (Zovirax), ritonavir (Norvir), saquinavir (Invirase, Fortovase), indinavir (Crixivan), abacavir (Ziagen), cidofovir (Vistide), ganciclovir (Cytovene, Vitrasert) |
| Cholesterol-lowering drugs | Atorvastatin (Lipitor), fluvastatin (Lescol), lovastatin (Mevacor), pravastatin (Pravachol), simvas-tatin (Zocar), rosuvastatin (Crestor) |
| Angiotensin receptor blocker drugs | Valsartan (Diovan), candesartan (Altacand), losartan (Cozaar), telmisartan (Micardis) |
| Cox 2 enzyme blocker drugs | Celecoxib (Celebrex), valdecoxib (Bextra) |
| Histamine 2 antagonist drugs | Cimetidine (Tagamet), famotidine (Pepcid), nizatidine (Axid), rantidine (Zantac) |
| Proton pump inhibitors | Esomeprazole (Nexium), lansoprazole (Prevacid), pantopra-zole (Protonix), rabeprazole (AciPhex) |
| Anticoagulant drugs | Heparin sodium (Hepalean), enoxaparin sodium (Lovenox), dalteparin sodium (Fragmin) |
| Schedule I drugs | Research use only (example LSD) |
| Schedule II drugs | Requires a written prescription (example Ritalin) |
| Schedule III drugs | Requires a new prescription after six months or five refills (example codeine) |
| Schedule IV drugs | Requires a new prescription after six months (example Darvon) |
| Schedule V drugs | Dispensed as any other prescription or without prescription if state law allows (example antitussives) |
| Antacids | Reduce hydrochloric acid in the stomach |
| Antianemics | Increase red blood cell production |
| Anticholenergics | Decrease oral secretions |
| Anticoagulants | Prevent clot formation |
| Anticonvulsants | Used for management of seizures/bipolar disorder |
| Antidiarrheals | Decrease gastric motility and reduce water in bowel |
| Antihistamines | Block the release of histamine |
| Antihypertensives | Lower blood pressure and increase blood flow |
| Anti-infectives | Used for the treatment of infections |
| Bronchodilators | Dilate large air passages in asthma/lung disease |
| Diuretics | Decrease water/sodium from the Loop of Henle |
| Laxatives | Promote the passage of stool |
| Miotics | Constrict the pupils |
| Mydriatics | Dilate the pupils |
| Narcotics/analgesics | Relieve moderate to severe pain |
| ACE INHIBITORS ACTION | PRIL- TX PRIMARY AND SECONDARY HTN BY INHIBITING THE COVERSION OF ANGIOTENSION I TO II |
| ACE INHIBITORS RN CONSIDERATIONS | SE= HYPOTENSION, HACKING COUGH, N/V, RESP SXMONITOR VITALS, WBCS, AND ELECTROLYTE LEVELS |
| BETA ADRENERGIC BLOCKERS ACTION | OLOL- HELP LOWER BP, PULSE RATE, AND CARDIAC OUTPUT; ALSO TX MIGRAINES AND OTHER VASCULAR HEADACHES, GLAUCOMA AND PREVENT MIS BY BLOCKING THE SYMPATHETIC VASOMOTOR RESPONSE |
| BETA ADRENERGIC BLOCKERS RN CONSIDERATIONS | SE= ORTHOSTATIC, BRADYCARDIA, CHF, BLOOD DYSCRASIASMONITOR LAB VALUES (PROTEIN, BUN, CR) INDICATING NEPHROTIC SYNDROME, MONITOR VITALS, SIGNS OF EDEMATEACH TO RISE SLOWLY, REPORT BRADYCARDIA, DIZZINESS, CONFUSION,DEPRESSION, OR FEVER AND TAPER OFF MED |
| AMINOGLYCOSIDES | CIN/MYCIN- INTERFERE WITH THE PROTEIN SYNTHESIS OF BACTERIA CASING IT TO DIE |
| AMINOGLYCOSIDES RN CONSIDERATIONS | SE= OTOTOXICITY, NEPHROTOXICITY, SEIZURES, BLOOD DYSCRASIA, HYPOTENSION, RASHOBTAIN ALLERGIES, MONITOR I |
| O, VITALS, IV SITE, THERAPEUTIC LEVELS, PEAK AND TROUGH LEVELS | |
| BENZODIAZEPINES ACTION | PAM/PATE/LAM- ANTICONVULSANTS/ANTIANXIETYS SEDATIVE/HYPNOTICS |
| BENZODIAZEPINES RN CONSIDERATIONS | MONITOR r, LIVER FNX, KIDNEY FXN, BONE MARROW FXN, SIGNS OF CHEMICAL ABUSE |
| PHENOTHIAZINES ACTION | ZINE- USED AS ANTIEMETICS OR MAJOR TRANQUILIZER AND TO TX PSYCHOSIS WITH SCHIZOPHRENIA |
| PHENOTHIAZINES RN CONSIDERATIONS | SE= EPS, SEDATION, ORTHOSTATIC HYPOTENSION, DRY MOUTH, AGRANULOCYTOSIS, NEUROLEPTIC MALIGNANT SYNDROME |
| GLUCOCORTICOIDS ACTION | SONE/CORT- USED FOR IMMUNOSUPPRESSION AND ADDISON'S DISEASE; USED TO DECREASE INFLAMMATORY RESPONSE TO ALLERGIES AND INFLAMMATORY DISEASES OR TO DECREASE THE POSSIBILITY OF ORGAN TRANSPLANT REJECTION |
| GLUCOCORTICOIDS RN CONSIDERATIONS | SE= POOR WOUND HEALING, ECCHYMOSIS, BRUISING, PETECHIAE, DEPRESSION, FLUSHING, MOOD CHANGES, HTN, OSTEOPOROSIS, HEMORRHAGEMOINTOR GLUCOSE LEVELS, WEIGHTS, BP, AND SIGNS OF INFECTION |
| ANTIVIRALS ACTION | VIR- INHIBIT VIRAL GROWTH BY INHIBITING AN ENZYME WITHIN THE VIRUS |
| ANTIVIRALS RN CONSIDERATIONS | REPORT RASH, SIGNS OF INFECTIONS, MONITOR CR FREQ, LIVER PROFILE, BOWEL PATTERN BEFORE AND DURING TX |
| CHOLESTEROL LOWERING AGENTS ACTION | VASTATIN- HELP TO LOWER CHOLESTEROL AND TRIGLYCERIDE LEVELS TO DECREASE THE POTENTIAL FOR CARDIOVASCULAR DISEASE |
| CHOLESTEROL LOWERING AGENTS RN CONSIDERATIONS | SE= ALOPECIA, DYSPEPSIA, LIVER DYSFXN, MYALGIA, HEADACHEDIET LOW IN CHOLESTEROL AND FAT; MOINTOR CHOLESTEROL, LIVER, RENAL LEVELS/FXN; REPORT VISUAL CHANGES (CATARACTS); MONITOR MUSCLE PAIN AND WEAKNESS |
| ANGIOTENSIN RECEPTOR BLOCKERS ACTION | SARTAN- BLOCK VASOCONSTRICTOR AND ALDOSTERONE SECRETING ANGIOTENSIN II TO LOWER BP AND INCREASE CO;TX PRIMARY OR SECONDAY HTM AND ARE EXCELLENT FOR PTS WHO COMPLAIN OF COUGHING R/T ACE INHIBITORS |
| ANGIOTENSIN RECEPTOR BLOCKERS RN CONSIDERATIONS | SE= INSOMNIA, DEPRESSION, ANGINA PECTORIS, SECOND DEGREE AV BLOCK, CONJUNCTIVIITIS, IMPOTENCE, MUSCLE CRAMPS, NEUTROPENIA, COUGHMONITOR BP, HR, BUN, CR, ELECTROLYTES, HYDRATION STATUS, AND TO REPORT EDEMA IN FEETS AND LEGS DAILY |
| CO2 ENZYME BLOCKERS ACTION | COX- ANTI-INFLAMMATORY DRUGS USED TO TX ARTHRITIS AND PAIN R/T ARTHRITIS (NSAIDS) |
| CO2 ENZYME BLOCKERS RN CONSIDERATIONS | SE= FATIGUE, ANXIETY, DEPRESSION, TACHYCARDIA, TINNITUS, GASTROENTERITIS, STOMATIIS, SUDDEN GI BLEEDINGREPORT CHANGINES IN BOWEL HABITS INDICATING BLEEDING, MONITOR PLATELET COUNT, REPORT EASY BRUISING |
| HISTAMINE 2 ANTAGONISTS ACTION | TIDINE- BLOCK HISTAMINE 2 RECEPTOR SITES, DECREASING ACID PRODUCTION, USED TO TX GERD, ACID REFLUX, AND GASTRIC ULCERS |
| HISTAMINE 2 ANTAGONISTS RN CONSIDERATIONS | BRADY/TACHYCARDIA, PSYCHOSIS, SEIZURES, AGRANULOCYTOSIS, ALOPECIA, GALACTORRHEAMONITOR BUN, ADMINISTER MED W/MEALS, TAKE ANTACIDS 1HR BEFORE/AFTER MED, CIMETIDINE IN ONE LARGE DOSE AT BEDTIME, SUCRLFATE DECREASES HISTAMINE 2 RECEPTOR BLOCKER EFFECTS |
| PROTON PUMP INHIBITORS ACTION | PRAZOLE- SUPPRESSES GASTRIC SECRETION BY INHIBITING HYDROGEN/POTASSIUM ATPASE ENZYME SYSTEMS TO TX GASTRIC ULCERS, INDIGESTION AND GERN |
| PROTON PUMP INHIBITORS RN CONSIDERATIONS | SE= INSOMNIA, FLATULENCE, HYPERGLYCEMIATAKE MED PRIOR TO MEALS FOR BEST ABSORPTION, DO NOT CRUSH PROTONIX, USE FILTER WHEN IV PROTONIX, MONITOR LIVER FXN |
| ANTICOAGULANTS ACTION | PARIN- THINS BLOOD TO TX THROMBOLYTIC DISEASE, PULMONARY EMBOLI, MI, DVT AFTER CORONARY ARTERY BYPASS SURGERY AND OTHER CONDITIONS REQUIRING ANTICOAGULATION |
| ANTICOAGULANTS RN CONSIDERATIONS | SE= STOMATITIS, BLEEDING, HEMATURIA, DERMATITIS, ALOPECIA, PRURITUSMONITOR BLOOD STUDIES (HCT, OCCULT BLOOD IN STOOL, PTT FOR HEPARIN, PLT, SIGNS OF BLEEDING OR INFECTION |
| -pril | ACE inhibitors |
| -Sartan | Angiotensin II Receptor Blockers |
| -Pine | Calcium Channel Blockers |
| Ca- | Calan and Cardizem- also Calcium Channel blockers |
| -Statin | Cholesterol lowering agents |
| -Parin | low molecular weight heparins or heparin |
| -kinase | Thrombolytics |
| -cillin | penicillins |
| -cycline | Tetracyclines |
| -mine | Antihistamines |
| -azole | Antifungals |
| -vir | Antivirals |
| -Caine | Local anesthetics |
| -dine | H-2 receptor antagonists (GERD) |
| -done | Opioid analgesics |
| -lam or –pam | Antianxiety drugs |
| Olol | beta blockers |
| -ol | beta 2 antagonists |
| -oxacin | Flouroquinolone antibiotics |
| -sone | Steroid |
| -mide or –zide | Diuretics |
| Sulfonylureas | Increases insulin production < risk for hypoglycemia Glimepiride (Amaryl) Glipizide (Glucotrol) Glipizide ER (Glucotrol XL) Glyburide |
| Biguanides | < liver glucose production and > Insulin sensitivity Glucophage (aka Metformin) Glucophage XR |
| Alpha-Glucosidase Inhibitors | Slows carb digestion, slows glucose production Glyset and Precose |
| Thiazolidinediones | Insulin sensitizer Starch blocker Actos and Avandia |
| Meglitinides | Increases insulin production Prandin and Starlix |
| Apidra (Insulin Glulisine) | Onset <15 minutes Peak 1-2 hours Duration 3-4 hours |
| Humalog (Insulin Lispro) | Onset <15 minutes Peak 1-2 hours Duration 3-4 hours |
| Novolog (Insulin Aspart) | Onset <15 minutes Peak 1-2 hours Duration 3-4 hours |
| Regular (Humulin R and Novolin R) | Onset 1/2 - 1 hour Peak 2-3 hours Duration 3-6 hours |
| NPH (Humulin N and Novolin N) | Onset 2-4 hours Peak 4-10 hours Duration 10-16 hours |
| Levemir (Insulin Detemir) | Onset 3/4 - 2 hours, minimal peak action, Duration up to 24 hours |
| Lantus (Insulin Glargine) | Onset 2-4 hours, no peak, Duration 20-24 hours |
| Dilantin (phenytoin) | sodium channel blocker. Uses as anti-seizure, specifically treatment of tonic-clonic and partial seizures |
| Synthroid (levothyroxine) | the drug of choice to treat hypothyroidism. Synthetic thyroid hormone |
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918rider
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