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Nursing pharm, drug category by key points

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Question
Answer
Librium, valium, Xanax, Klonopin, Ativan, Buspar, -pams   Antianxiety: CNS depressants, monitor use for abuse, taper dose to DC  
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Amphojel, MOM, Maalox, aluminum hydroxide, Titralac, Calcium carbonate   Antacid: work systemically, bowel addiction, give 1 hr after meal, 2 hrs after other meds, decreases birth control  
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Gentamicin/garamycin, neomycin, streptomycin, tobramycin/ tobrax, Amikin, amikacin   ABX/ Aminoglycosides: Ototoxic, nephrotoxic, high risk for anaphylaxis, assess CN VIII, encourage fluids  
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Keflex/ Cephalexin, Ceclor/ cefaclor, Rocephin, Maxipime, -cef   ABX Cephalosporins:R/O bleeding, bone marrow suppression, take w food, cross allergy w penicillins, encourage fluids, VIT K for thrombophlebitis  
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Ciprofloxacin / Cipro, Levofloxacin / Levequin, Norfloxacin / Noroxin   ABX/ Fluroquinolones: Photosensitivity, achilles tendon rupture, can be potentiated w probenecid, 3L/day fluids  
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Vacomycin / Vancocin   ABX/ Glycopeptides, thrombocytopenia, nephrotoxic, ototoxic, IV peak 5 minutes, duration 12-24hrs, Call MD if sore throat, fever, fatigue  
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Clindamycin/ Cleocin   ABX/ Lincosamides, Liver toxicity, take w water to prevent esophageal ulcers  
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Erythromycin/ erythrocin, Azethromycin/ Zithromax   ABX/ Macrolide: Confusion, hepatotoxic, prophylaxis for dental treatment, potentiates coumadin, thephylline  
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Amoxicillin/ Amoxil, Omnipen, Unipen, penicillins   ABX/ Penicillins: cross allergy to Cephs, highest risk for rxn, Stomatitis  
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Sulfisoxazole/ Gantrisin, Sulfasalazine/ azulfidine, Trimethoprim/ Bactrim, Septra   ABX/ Sulfonamides: Peripheral neuropathy, Crystalluria, proteinuria, photosensitivity, take w food, stomatitis  
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Doxycycline/ vibramycin, minocycline/ minocin, Tetracycline/ Panmycin   ABX/ Tetracycline: Sunburn type rxn, expiration toxic! discolors teeth, nephortoxic  
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Cogentin, artane, atropine, belladonna, propantheline bromide, Scopolamine   Anticholinergic: No see, No Pee, No spit, No shit, HypoTN, Increased HR, give 30 min achs, or 2hr pc  
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Heparin, Lovenox   Anticoagulant: PTT: 1.5 - 2.5 x control. 20-45 seconds, never give IM, antidote Protamine sulfate within 30 mintues  
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Warfarin, Coumadin   Anticoagulant: PT: 9.5 - 12 sec, INR 2.0-3.5, antidotes Vit K. Therapeutic 13-18. No ASA, NSAIDS, Garlic, ginger, ginko.  
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Klonopin, Clonazepam, diazepam, cerebyx, Dilantin, Phenytoin, luminal, mag sulfate, depakote, valporic acid, Keppra   Anticonvulsant: Dampen CNS/ resp! gingival hypertrophy, aplastic anemia, taper dose, dedicated port, mouth care, sweat may turn red, pink, do not take with carbonated drinks, cardiac arrest if fast admin  
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Mag sulfate   Anticonvulsant: Assess DTR/ resp arrest, used in OB preeclampsia, assess knee DTR prior to every dose  
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Created by: vickyv
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