Nursing Pharm, drug category by key points
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| Phenelzine sulfate, Nardil, Isocarboxazid, Marplan, Parnate | MAOI / antidpressant: HTN crisis w foods containing tyramine or ephedrine, photosensitivity, wt gain, DC 10D prior to surgery, watch for urinary retention, 3-4w for effect, huge need for pt education
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| Prozac, citalopram, celexa, lexapro, luvox, paroxetine, paxil, sertraline, zoloft | antidressants, SSRI: urine retention, can turn urine pink, anxiety, GI upset, take in am, 4w for effect, suicide precautions 2-3w, monitor for thrombocytopenia,leukopenia, anemia. MAOI may cause serotonin syndrome
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| Amitriptyline, elavil, imipramine, tofranil, norpramine | antidepressant/ tricyclics: Sedation, anticholinergic effects, confusion (elderly), orthostatic HypoTN, sore throat, VD, take at night, taper dose. 1-3w effect
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| Bupropion, wellbutrin, zyban, trazodone, desyrel | antidpressants, Heterocyclics: Bupropion causes insomnia and agitation. Trazodone causes sedation, orthostatic HypoTN. taper. CNS depressant for up to 1w after DC
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| Pepto, kaopectate, lomotil, imodium, paregoric | Antidiarrheal: give h before or hr after meals, drowsiness, constipation, can slow perstalsis = encourage fluids. anticholinergic effects, monitor for urinary retention, not used for unknown abd pain
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| Trimethobenzamide/ tigan, compazine, zofran/ondansetron, torecan, reglan/Metoclopramide, antivert, dramamine, phenergan/Promethazine | Antiemetic: Drowsiness, anticholinergic effects, increase GI motility, can cause reyes syndrome in children = toxic encepelopathy. Phenergan can potentiate surgical pain meds
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| Amphotericin B/ mycostatin, diflucan/flucanozal, flagyl/ Metronidazole | Antifungal: hepatotoxic, thrombocytopenia, leukopenia = increase ro hemorrhage, BUN, CR will elevate from drug, good oral hygiene, vs q min
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| Colchicine, probenecid, allopurinol/ zyloprim | Antigout: GI upset, push fluids = kidney stones, give w milk and antiacids
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| Chlor-Trimeton, benadryl, promethazine / phenergan, claritin, zyrtec, allegra | Antihistamine: Drowsiness, dry mouth, bronchospasm, give w food, sunscreen, anticholinergic effects
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| cholestyramine, questran, colestid, nicotinic acid, - statins, zocor, lipitor, crestor, niaspan, tricor | Antilipemic: constipation, take at night, assess diet, eat VIT A,D,K, not w garlic
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