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Stack #95963
Pharmacy Drug Cards #1-50 (PAC 1)
| Side 1 | Side 2 | Side 3 | Side 4 | Side 5 |
|---|---|---|---|---|
| Singulair | Montelukast Sodium | antiasthmatic | a) Prophylaxis and chronic tx of asthma in adults and childrens 2 yrs and older b) relief of symptoms of seasonal allergic rhinitis for pts 2yrs and older, and perennial allergis rhinitis in pts 6 months and older | a) adolescents and adults 15+ is one 10mg tab daily; 6-14yrs is one 5mg tab daily; 2-5yrs is one 4mg tab daily; doses given in the evening b) pts 15yrs+ one 10mg tab daily; pts 6-14yrs is one 5mg tab daily; pts 6 months-5 yrs is 4mg daily |
| Vasotec | Enalapril Maleate | CV (ACE inhibitor) | a) hypertension b) congestive heart failure c) asymptomatic left ventricular dysfunction | a) oral 5mg/day initially, up to 10-40mg/day depending on pt response; injectable 1.25mg every 6 hrs IV over 5 min b) oral initially 2.5mg 1-2x daily, maintenance 5-20mg/day in two divided doses c)2.5mg twice daily, titrate to 20mg/day in 2 divided dose |
| Neurontin | Gabapentin | antiepileptic | partial seizures in pts with epilepsy, postherpetic neuralgia | |
| Percocet | Oxycodone HCl and Acetaminophen | narcotic analgesic | moderate to moderately severe pain | usual adult dose is one tab every 6 hrs prn (tabs contain 2.5-10mg oxycodone and 325-650mg acetaminophen) total daily dose of acetaminophen should not exceed 4 grams |
| Lasix | Furosemide | loop diuretic | a)edema-associated CHF, liver cirrhosis, renal disease b)hypertension c)acute pulmonary edema | a)oral: 20-80mg/day, inc by 20mg every 6-8hrs, maintenance 20-600mg/day in 1-2doses parenteral: 20-40mg IM or IV (1-2min), inc+maintain b)oral only 40mg 2xday initially, adjust c)IV only 40mg over 1-2min, may inc. after 1hr to 80mg over 1-2min |
| Prozac | Fluoxetine HCl | antidepressant | depression, obsessive-compulsive disorder, bulimia nervosa | |
| Lanoxin | Digoxin | CV (inotropic) | heart failure, atrial fibrillation, atrial flutter, paroxysmal atrial tachycardia | |
| Tenormin | Atenolol | CV (beta-blocker) | a)hypertension b) angina pectoris c)acute myocardial infarction | a)start 50mg 1xday, maintenance 50-100mg 1xday b)50-200mg 1xday, start 50mg and titrate c)5mg over 5min IV, then 5mg 10min later, then start oral therapy with 50mg tab 10min after last IV, then 50mg 12hr later, then 100mg 1xday or 50mg 2xday 7 days |
| Dyazide | Triamterene and Hydrochlorothiazide | diuretic | edema associated with congestive heart failure, hepatic cirrhosis, nephrotic syndrome, and in corticosteroid and estrogen induced edema and ideopathic edema; hypertension | |
| Seroquel | Quetiapine Fumerate | antipsychotic | psychotic disorders, manic episodes of bipolar I disorder | |
| Ativan | Lorazepam | antianxiety/benzpdiazepine | anxiety disorders, insomnia, preanesthetic medication, sedation, status epilepticus | |
| Lexapro | Escitalopram Oxalate | antidepressant | tx of depression | start 10mg once daily, inc to 20mg/day gradually elderly - recomended dose is 10mg/day |
| Darvocet | Acetaminophen and Propoxyphene Napsylate | narcotic analgesic | mild to moderate pain with or without fever | two N50 tabs, one N100 tab, or one A500 tab every 4 hrs prn; no more than 600mg propoxyphene napsylate per day not for use in children |
| Hydrochlorothiazide | generic | diuretic - thiazide | a) adjunctive therapy in edema associated w/ CHF, hepatic cirrhosis, corticosteroid and estrogen therapy, renal dysfunction b) hypertension | a)50-100mg 1-2x daily b)12.5-100mg daily single ro divided doses, some pts 200mg/day children 2.2mg/kg/day infants up to 4.4mg/kg/day in 2 doses |
| Lantus | Insulin Glargine (rDNA origin) | antidiabetic | adult and pediatric pts with type 1 diabetes mellitus or adult pts with type 2 diabetes mellitus | |
| Norvasc | Amlodipine Besylate | CV (calcium channel blocker) | a)hypertension b)chronic stable or vasopastic angina | a)start 2.5-5mg daily, max 10mg once daily, titrate over 7-10 days to most effective dose b) 10mg once daily |
| Zestril | Lisinopril | CV (ACE inhibitor) | A)hypertension B)adjunctive tx for CHF pts not responding to diuretics and digitalis C)tx of hemodynamically stable pts within 24 hrs of myocardial infarction | A)10mg/day start, usually 20-40mg/day single dose B)5mg/day start, usually 5-20mg/day single dose C)5mg orally followed by 5mg after 24 hrs, 10mg after 48 hrs, then 10mg once daily for 6 wks |
| Plavix | Clopidogrel Bisulfate | platelet inhibitor | for the reduction of atherosclerotic events (myocardial infarction, stroke, vascular death) in pts with atherosclerosis | |
| Desyrel | Trazodone HCl | antidepressant | tx of depression with or without associated anxiety | |
| Proventril | Albuterol Sulfate | antiasthmatic/bronchodilator | relief of bronchospasm | |
| Nexium | Esomeprazole Magnesium | GI (antisecretory) | a)short term erosive esophagitis b)GERD c)maintain healing erosive esophagitis+gastic ulcers d)Triple Therapy tx of H. pylori e)reduce gastric ulcers from NSAID tx f)GERD/erosive esophagitis | a)20-40mg oral daily for 4-8wks b)20mg oral daily 4-8wks c)oral 20mg daily d)40mg once daily with antibiotics e) 20-40mg oral once daily up to 6months f)IV 20-40mg over 3min or over 10-30min |
| Valium | Diazepam | antianxiety / benzdiazepine | anxiety disorders, withdrawal symptoms of acute alcoholism, relief of skeletal muscle spasm, adjunct in convulsive disorders, preoperative apprehension and anxiety, endoscopy procedures, cardioversion, status epilepticus | |
| Prevacid | Lansoprazole | GI (antisecretory) | active duodenal ulcer, gastric ulcers, erosive esophagitis, gastroesophageal reflux disease, hypersecretory conditions | |
| Zocor | Simvastatin | antihyperlipidemic | a)lower total+LDL cholesterol, apo-B, triglyderide levels + inc HDL in pts with primary hypercholesterolemia b)lower total + LDL cholesterol in pts w/familial hypercholesterolemia c)hypercholesterolemia in 10-17yr olds with family history of CV disease | a)start 5-10mg once daily, adjust up to 80mg/day b)80mg daily in 2-3 divided doses c)start 10mg/day, titrate to max of 40mg/day |
| Lipitor | Atorvastatin Ca | antihyperlipidemic | reduce total cholesterol, LDL-C, apo B and triglyceride levels and to inc HDL-C levels | start 10mg/day, usual range is 10-80mg/day |
| Ultram | Tramadol HCl | analgesic | moderate to moderately severe pain | IR - 50mg-100mg prn every 4-6hrs, no more than 400mg/day ER - 100mg/day, max 300mg/day |
| Lortab | Acetaminophen and Hydrocodone Bitartrate | narcotic analgestic | moderate to moderately severe pain | 1-2 tabs or 3 teaspoonsful every 4-6 hrs prn total 24hr dose should not exceed 8 tabs |
| Lopressor | Metoprolol Tartrate | CV (beta-blocker) | a)hypertension b)acute myocardial infarction | a)start 100mg/day single or divided, maintenance 100-450mg/day single or divided b)early three 5mg IV bolus doses every 2 min, 15min after last IV dose give 25-50mg orally every 6hrs late 100mg 2xdaily for 3+ months, start maintenance dose 48hr after IV |
| Zithromax and Zmax | Azithromycin Dihydrate | antibiotic / macrolide | various bacterial infections | tabs come in 250mg, 500mg, 600mg see card for details |
| Fosamax | Alendronate Na | osteoporosis agent | tx and prevention of osteoporosis, tx of Paget's disease of bone, tx of glucocorticoid-induced osteoporosis | |
| Zoloft | Sertraline HCl | antidepressant | a)depression, obsessive compulsive disorder b)panic disorder, posttraumatic stress disorder c)premenstrual dysphoris disorder d)social aniety disorder | a)start 50mg once daily, inc up to 200mg/day if needed b)start 25mg once daily, inc up to 200mg/day c)start 50mg/day, max 150mg/day d)start 25mg once daily, inc dose after one week to 50mg once daily |
| Flexeril | Cyclobenzaprine HCl | muscle relaxant | relief of skeletal muscle spasm | |
| Wellbutrin (SR, XL) | Bupropion HCl | antidepressant | tx of depression and for the prevention of seasonal major depressive episodes in pts with seasonal affective disorder | |
| Prilosec | Omeprazole | GI (proton pump inhibitor) | active duodenal ulcer, erosive esophagitis, GERD, hypersecretory conditions, adjunct in tx of H. pylori | |
| Effexor (XR) | Venlafaxine HCl | antidepressant | tx of depression, generalized anxiety disorder, social anxiety disorder | |
| Xanax | Alprazolam | antianxiety / benzodiazepine | a) anxiety disorders b) panic disorder | a) 0.25mg to 0.5mg initially, up to 3x per day, up to 4mg/day in divided doses b)0.5mg 3x a day (XR)initial 0.5mg to 1mg daily |
| Duragesic | Fentanyl Transdermal System | narcotic analgesic | chronic pain in pts requiring opioid analgesia | |
| Toprol - XL | Metoprolol Succinate | CV (beta-blocker) | a)hypertension b)angina pectoris c)stable, symptomatic heart failure of ischemic, hypertensive or cardiomyopathic origin | a)start 25-100mg daily single dose, max 400mg/day b)100mg/day single dose, max 400mg/day c)12.5-25mg once daily, double dose every 2wks to highest dose tolerated by pt up to 200mg/day |
| Glucophage | Metformin Hydrochloride | antidiabetic | lower bld glucose in pts with non-insulin dependent diabetes mellitus | start: one 500mg tab twice daily with meals or one 850mg tab with morning meal; inc by one 500mg tab per week or one 850mg tab every other week; max daily dos is 2550mg |
| Naprosyn | Naproxen | nonsteroidal anti-inflammatory | mild to moderate pain, primary dysmenorrhea, acute tendinitis, bursitis, rheumatoid arthritis, osteoarthritis, ankylosing spondylitis, acute gout | |
| Zantac | Ranitidine HCl | GI (H2 antihistamine) | a)duodenal ulcer b)gastric ulcers, hypersecretory conditions, maint erosive eshagitis, gastroesophageal reflux disease c)erosive esophagitis | a)oral 150mg 2xday or 300mg hs; IM/IV 50mg q6-8h; maint. 150mg hs b) oral 150mg 2xday; IM/IV q6-8h c)150mg 4xday pediatric max 150mg/day |
| Coumadin | Crystalline Warfarin Na | CV (anticoagulant) | prophylaxis and tx of pulmonary embolism, tx of atrial fibrillation with embolization, prophylaxis and tx of venous thrombosis, adjuct in tx of coronary occlusion | dosage must be individualized start 10-15mg/day in divided doses for 2-3 day, adjust OR loading dose of 20-60mg maintenance 2-10mg per day given in single or divided dose |
| Amoxil | Amoxicillin Trihydrate | antibiotic / penicillin | a)infection from susceptible strains of gram-neg organisms (H. influenzae, E.coli, P.mirabilis, N.gonorrhoeae), also streptococci, staphylococci, D.pneumoniae b) gonorrhea + urethral and anogenital infections from N.gonorrhoeae | adults: 250-500mg every 8 hrs or 500-875mg every 12 hrs kids: 20-45mg/kg/day in equally divided doses (125 or 250mg q8h,200 or 400mg q12h) b) adults 3grams single dose,kids 2+ 50mg/kg plus 25mg/kg probenecid single dose |
| OxyContin | Oxycodone HCl | narcotic analgesic | moderate to severe pain where use of opioid analgesic is appropriate for more than a few days | initial for pts not on opioids: 10mg-20mg given twice daily convert pts already on opioids using standard conversion ratio estimates |
| Synthroid | Levothyroxine Na | hormone (thyroid) | a)replacement therapy for reduced/absent thyroid function b)myxedema coma or stupor (without severe heart disease) | a)0-1yr 9mcg/kg/day 1-5yr 6mcg/kg/day 6-10yr 4mcg/kg/day 11-20yr 3mcg/kg/day 21+ 25-300mcg/kg/day b) IV - 200-500mcg day 1, 100-300mcg day 2, 50-100mcg days 3+ |
| Premarin | Conjugated Estrogens | hormone (estrogen) | vasomotor symptoms associated with menopause, atrophic vaginitis and kraurosis vulvae, female hypogonadism, female castration+primary ovarian failure, breast cancer, prostatic carcinoma, prevention of postmenopausal osteoporosis, abnormal uterine bleeding | |
| Potassium Chloride | generic | potassium supplement | prevention/prophylaxis of K+ deficiency (hepatic cirrhosis w/ascites, aldosterone excess w/normal renal funciton, K+-losing nephropathy, certail diarrheal states, pts on digitalis+diuretics for congestive heart failure, digitalis intoxication, see side 5* | 16-80mEq / day in 1-2 divided doses *pts with hypokalemic familial periodic paralysis |
| Prednisone | not on quiz | not on quiz | not on quiz | not on quiz |
| Glucotrol | Glipizide | antidiabetic / sulfonylurea | non-insulin dependent diabetes mellitus | |
| Elavil | Amitriptyline | antidepressant / tricyclic | relief of symptoms of depression |