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Stack #95963

Pharmacy Drug Cards #1-50 (PAC 1)

Side 1Side 2Side 3Side 4Side 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
Created by: winter
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