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Pharmacology (cr)

Category/action/useside effectsnursing considerations
Beta Andrenergic Blockers +lower blood pressure orthostatic hypotension, bradycardia, N/V, diarrhea, CHF, blood dyscrasias monitor changes in lab values (protein,BUN,creatinine)that indicate nephrotic syndrome, bp, heart rate and rythm, edema, TEACH CLIENT to rise slowly, report bradycarda, dizziness, confusion, depression or fever, TAPER OFF THE MEDICATION.
Anti-Infectives (Aminoglycosides) +interfere w/the protein synthesis of bacteria ototoxicity, nephrotoxicity, seizures, blood dyscrasias, hypotension. rash hx of allergies, monitor I&O, monitor signs of ototoxicity and nephrotoxicity
Benzodiazepines (anticonvulsants/antianxiety) drowainess. lethargy, ataxia, depression, restlessness, slurred speech, bradycardia, hypotension, diplopia, nystagmus, N/V, constipation, Incontinence, urinary retention, rash, urticaria monitor respirations, liver function, kidney functions, bone marrow function, monitor for signs of chemical abuse
Phenothiazines (antipsychotic/antiemetic) Extrapyramidal effects, drowsiness, sedation, orthostatic hypotension, dry mouth, agrannulocytosis, photosensitivity,Neuroleptic malignant syndrome
Glucocorticoids acne, poor wound healing, ecchymosis, bruising, petechiae, depression, flushing, sweating, mood changes, hypertension, osteoporosis, diarrhea, hemorrhage monitor glucose levels, wieght daily, blood pressure, monitor for signs of infection.
Antivirals N/V, diarrhea, Oliguria, Proteinuria, Vaginitis, rash, watch for signs of infection, monitor creatinine level frequently, liver profile, bowel pattern before and during treatment
Cholesterol-Lowering Agents Rash, alopecia, dyspepsia, liver dysfunction, Myalgia (muscle weakness), headache A diet low in cholesterol and fat should be included in therapy, monitor cholesterol levels, liver profile, renal function, muscle pain and weakness, pt should report any visual changes
Angiotensin Receptor Blockers (lower bp & increase cardiac output) dizziness, insomnia, depression, angina pectoris, 2nd degree AV block, conjunctivitis, diarrhea, N/V, impotence, muscle cramps, neutropenia, cough monitor bp and pulse, BUN, creatinine, electrolytes, hydration status, pt should report any edema in the legs and feet
Cox 2 Enzyme Blockers (anti-inflammatory drugs used to treat arthritis and pain associated w/condition) fatigue, anxiety, depression, dizziness, tachycardia, tinnitus, Nausea, gastroenteritis, stomatitis, sudden GI bleed monitor platelet count, tell the pt to report easy bruising, and teach the pt to report changes in bowel habits that indicate GI bleeding
Hisatmine 2 Antagonists (treat gastric ulcers and GERD confusion, brady/tachycardia, diarrhea, psychosis, seizures, agranulocytosis, rash, alopecia, gynecomastia, galactorrhea Monitor BUN, administer medication with food, antacids should be taken 1 hour before or 1 hour after taking this medication, SUCRALFATE decreases the effects of drug.
Proton Pump Inhibitors (treatment of GERD, gastric ulcers, and esophagitis) headache, insomnia, diarrhea, flatulence, rash, hyperglycemia maybe taken before meals for best absorption, monitor liver function, DO NOT crush pantoprazole (protonix)
Anticoagulants fever, diarrhea, stomatitis, bleeding, hematuria, dermatitis, alopecia, pruritus, hematocrit and occult blood in stool should be checked every 3 months, monitir PTT for heparin, monitor platlet count, signs of bleeding, and infection
Caine anesthetics ex: lido(caine)
Mab monoclonal antibodies ex: Palivazu(mab)
Ceph or cef cephalosporins ex: (Cef)ataime
Cillin penicillins ex: Ampi(cillin)
Cycline tetracycline ex: tetra(cycline)
Stigmine cholinergics ex: Phyo(stigmine)
Phylline bronchodilators ex: Amino(phylline)
Cal calciums ex: (Cal)cimar
Done Opiods
Angiotensin-Converting Enzyme Inhibitors -Antihypertensives- hypotension, hacking cough, N/V, respiratory symptoms monitor VS frequently, monitor WBC, monitor electrolyte levels
Created by: crichardson79