pharm
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| Analeptics uses name action side effects interventions special stuff | AntiNarcoleptic
Provigil
Increases resp. depth
Depression, Amnesia
Monitor resp rate and patter
Teach patient to record sleepiness and narcoleptic instances
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| amphetamines uses name action side effects interventions special stuff | add/adhd
adderall
unknown
tachycardia, anorexia, N/V
Give 30-45 minutes before breakfast, monitor effectiveness
Teach stimulant avoidance, teach addiction effects
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| anorexiants uses name action side effects interventions special stuff | weight loss
didrex
works on hypothalamus (appetite center)
tachycardia, insomnia, nervousness
assess effectiveness, monitor effectiveness and nervousness
teach stimulant avoidance, teach about addiction
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| Adrenergic uses name action side effects interventions special stuff | anaphylaxis
ephinephrine (epi-pen)
stimulates sympathetic nerves to divert blood to vital organs
increased hr, glucose. HTN, vasoconstriction
Monitor vs
monitor for shock, teach to call 911 after self use
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| direct acting cholinergics uses name action side effects interventions special stuff | Neurogenic bladder/urinary retention
duvoid/bethanechol
causes bladders smooth muscles to contract
urgency, abd discomfort
monitor retention, monitor bp, pulse, and I & O's
Monitor for cholinergic crisis (weakness, severe cramps, jaw clench)
teach i
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| indirect acting muscle stimulants uses name action side effects interventions special stuff | myashtenia gravis
Tensilon/edrophonium
Prolongs acetylcholine activity
increased bronchial secretions, arrhythmias, urinary frequency
assess neuro function, assess for weakness
monitor for effectiveness, teach s/s of disease
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| cholinergic blocking uses name action side effects interventions special stuff | atropine
blocks the action of acetylcholine in the PNS
urinary hesitancy, dry mouth, tachycardia
monitor s/s of condition and VS
teach side effects such as:photophobia and drowsiness
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| cholinesterase inhibitors uses name action side effects interventions special stuff | treats dementias caused by alzheimers
aricept/donepezil namenda/memantine
Increases acetylcholine by inhibiting its breakdown
anorexia n/v/d, dizziness, ha
assess preadmin. for aao/cog. reg. assess for mental and physical
dont use w/cognex (liver)/r
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| dopaminergics uses name action side effects interventions special stuff | s/s parkinsons
sinement (carbidopa/levedopa)
supplements dopamine in the brain
muscle twitching, dry mouth, dysphagia, HA,dizziness
assess med. effectiveness
contra:glaucoma, maoi, antacids increase levedopa effect
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| anticholinergics uses name action side effects interventions special stuff | tx s/s parkinsons
benadryl
blocks excess acetylcholine
nervousness, urinary retention
assess for nervousness and retention
contra: glaucoma, ulcers, bph, myasthenia gravis
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| COMT inhibitors uses name action side effects interventions special stuff | tx s/s parkinsons
comtan/entacapone
prolongs effects of levadopa
dizziness, n/v/d, anorexia
assess for: inc. HR, arrhythmias, HTN, dec. liver/renal function
causes liver failure if taken with tasmar
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| Dopamine receptor agonists uses name action side effects interventions special stuff | RLS
mimics effects of dopamine in the brain
N/V dizziness, hallucinations, confusion
assess for mental state <3 disease, renal impairment
teach client safety r/t orthostatic hypotension
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| anticonvulsants uses name action side effects interventions special stuff | prevent seizures
dilantin/phenytoin depakote/valproic acid klonopin/clanazepam
depress abnormal nerve impulses in the cns
nystagmus
somnambulance, drowsy, gingival hyperplasia weakness
monitor cbc and serum levels, teach oral hygiene: gingival hyperp
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| bone reabsorption inhibitors (bisphosphonates) uses name action side effects interventions special stuff | osteoporosis
inhibits bone reabsorption (osteoclasts)
bone pain, dyspepsia, acid reflux
give on empty stomache and sit upright for 30 minutes
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| uric acid inhibitors uses name action side effects interventions special stuff | gout!
allopurinol (zyloprim)
inhibits over production of uric acid
GI reactions, HA, urinary frequency
monitor cbc,serum uric acid, I&O's, hepatic and renal function
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| skeletal muscle relaxants uses name action side effects interventions special stuff | relaxes muscle spasms
cyclobenzaprine/flexeril
not known
drowsines,somnambulance, blurred vision, dry mouth
assist with ambulation, assess for relief
contra:CVA, seizures, pregnancy, cerebral palsy,parkinsons
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| rapid-acting insulin uses name action side effects interventions special stuff | diabetes
humulin R
lowers glucose level/inhibits glucose production in liver
hypoglycemia
monitor glucose, hypoglycemia, ensure client eats
ONLY insulin used IV. teach storage and needle disposal
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| intermediate acting insulin uses name action side effects interventions special stuff | diabetes
nph
lowers glucose level/inhibits glucose production in liver
hypoglycemia
monitor glucose, hypoglycemia, ensure client eats
proper admin and diet, storage, needle disposal
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| long acting insulin uses name action side effects interventions special stuff | diabetes
lantus
lowers glucose level/inhibits glucose production in liver
hypoglycemia
monitor glucose, hypoglycemia, ensure client eats
teach storage and needle disposal, diet
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| mixed insulin uses name action side effects interventions special stuff | diabetes
humulin 70/30
lowers glucose level/inhibits glucose production in liver
hypoglycemia/hypmagnesemia
monitor glucose, hypoglycemia, ensure client eats
teach diet, storage and needle disposal
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| oral diabetic drugs uses name action side effects interventions special stuff | diabetes
glucotrol/glipizide rosiglitazone/avandia
stimulates pancreas to release insulin
hypoglycemia
monitor glucose, hypoglycemia, ensure client eats
teach proper diet, not effective in type 1 diabetes
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| glucose elevating uses name action side effects interventions special stuff | antihypoglycemic
glucagon (emergency kit)
stimulates conversion of glycogen to glucose by the liver
hypotension, hyperglycemia
monitor glucose, LOC, s/s of hypoglycemia
decrease k lab values, only for emergencies, teach how to use and recognize the s
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| posterior pituitary hormone (ADH) uses name action side effects interventions special stuff | diabetes insepidus
vasopressin (ADH)
secreted to conserve body fluid
bradycardia, angina, edema
monitor BP, Pulse, RR before admin
Contra: renal failure, sensitivity to beef or pork
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| anterior pituitary hormone (HGH) uses name action side effects interventions special stuff | promote growth (lacking hormone)
somatropin/genotropin
replaces deficient growth hormone
hypothyroidism, insulin resistance, antibodies =drug resistance
assess growth and development, monitor labs
3-7 doses/week SC, monitor GH, glucose,thyroid functi
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| glucocorticoids uses name action side effects interventions special stuff | anti-inflammitory
prednisone
converted to prednisolone in the liver
cushings (buffalo hump,weight gain, moon face)
monitor electrolytes, mental status, s/s infections, glucose
MANY!!! drug interactions
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| fludrocortisone uses name action side effects interventions special stuff | addisons disease therapy
florinef
replaces mineralocorticoid deficiency
edema, CHF, cardiomegaly, sweating, hypokalemia
Monitor: VS before and during, Glucocorticoid levels
MANY!!!!!! drug interactions
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| thyroid hormones uses name action side effects interventions special stuff | hypothyroidism
levothryoxine (synthroid)
increases metabolic rate in tissues
palpatations, tachycardia, fatigue, weight loss, N/V/D
Monitor VS, assess S/S of hypothyroidism
Must be taken on empty stomach, Monitor TSH levels regularly
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| antithyroid preparations uses name action side effects interventions special stuff | Hyperthyroidism
methyltestosterone/Tapazole
Inhibits the manufacture of hyroid hormones
Angranulocytosis, numbness, hair loss, skin rash
Assess S/S, VS, Weight, side effects,
Monitor for thyroid storm, tachycardia,fever. REPORT RESP. INFECTION STAT!
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| androgens uses name action side effects interventions special stuff | hypogonadism (inoperable breast cancer)
androderm/methyltestosterone
develops and maintains 2ndary sex organs
Males: gynocomastea, testicular atrophy, impotence:
Females:Virilization
monitor labs, virilization
LABS: F&E imbalances
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| anabolic steroids uses name action side effects interventions special stuff | anemia r/t renal insuff.
nandrolone
promotes tissue building
mood swings,libido changes,test. atrophy, virilization, amenorrhea, gynocomastia
monitor labs, vs, S/S, side effects
Assess for roid rage, severe depression, aggression, monitor liver for t
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| androgen hormone inhibitor uses name action side effects interventions special stuff | BPH
dutasteride/avodart
inhibits testosterone conversion to DHT
impotence, decreased libido
monitor: I&O's, urinary patterns, s/s BPH, ABD pain
Women should not touch r/t risk for male fetuses
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| estrogens uses name action side effects interventions special stuff | menopause
premarin/congugated estrogen
maintains female reproductive system
bloating,cramps,weight gain, thrombus
assess S/S
Increase risk DVT
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| progestins uses name action side effects interventions special stuff | Contraceptive
medroxy-progersterone (Provera)
inhibits ovulation
edema, breast tenderness, weight change
monitor weight, monitor menstrual changes
can be given IM Q3 Months, test for pregancy before IM inj.
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| combination products uses name action side effects interventions special stuff | menopause
estrogen/progestin (prempro)
female reproduction system/inhibits ovulation
Bloating, cramps, weight change, thrombus
assess menopause s/s, monitor weight
increase risk for DVT
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| Oxytocic drugs uses name action side effects interventions special stuff | start or improve labor
oxytocin/pitocin
smooth muscles stimulant for contractions
arrhythmias, anaphylaxis, pelvic hematoma
monitor contractions, BP/pulse, fetus HR
might cause fetal bradycardia, uterine rupture
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| tocolytics uses name action side effects interventions special stuff | preterm labor
indocin/mg/indomethacin
decreases force of contractions
flushing, hypotension, flaccid paralysis r/t hypocalemia
monitor vs, contractions, S/S or side effects
MG contraindicated for eclampsia and w/in 2 hours of delivery
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