Pharmacology (cr)
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| Beta Andrenergic Blockers +lower blood pressure | orthostatic hypotension, bradycardia, N/V, diarrhea, CHF, blood dyscrasias | monitor changes in lab values (protein,BUN,creatinine)that indicate nephrotic syndrome, bp, heart rate and rythm, edema,
TEACH CLIENT to rise slowly, report bradycarda, dizziness, confusion, depression or fever, TAPER OFF THE MEDICATION.
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| Anti-Infectives (Aminoglycosides) +interfere w/the protein synthesis of bacteria | ototoxicity, nephrotoxicity, seizures, blood dyscrasias, hypotension. rash | hx of allergies, monitor I&O,
monitor signs of ototoxicity and nephrotoxicity
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| Benzodiazepines (anticonvulsants/antianxiety) | drowainess. lethargy, ataxia, depression, restlessness, slurred speech, bradycardia, hypotension, diplopia, nystagmus, N/V, constipation, Incontinence, urinary retention, rash, urticaria | monitor respirations, liver function, kidney functions, bone marrow function, monitor for signs of chemical abuse
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| Phenothiazines (antipsychotic/antiemetic) | Extrapyramidal effects, drowsiness, sedation, orthostatic hypotension, dry mouth, agrannulocytosis, photosensitivity,Neuroleptic malignant syndrome |
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| Glucocorticoids | acne, poor wound healing, ecchymosis, bruising, petechiae, depression, flushing, sweating, mood changes, hypertension, osteoporosis, diarrhea, hemorrhage | monitor glucose levels, wieght daily, blood pressure, monitor for signs of infection.
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| Antivirals | N/V, diarrhea, Oliguria, Proteinuria, Vaginitis, | rash, watch for signs of infection, monitor creatinine level frequently, liver profile, bowel pattern before and during treatment
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| Cholesterol-Lowering Agents | Rash, alopecia, dyspepsia, liver dysfunction, Myalgia (muscle weakness), headache | A diet low in cholesterol and fat should be included in therapy, monitor cholesterol levels, liver profile, renal function, muscle pain and weakness, pt should report any visual changes
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| Angiotensin Receptor Blockers (lower bp & increase cardiac output) | dizziness, insomnia, depression, angina pectoris, 2nd degree AV block, conjunctivitis, diarrhea, N/V, impotence, muscle cramps, neutropenia, cough | monitor bp and pulse, BUN, creatinine, electrolytes, hydration status, pt should report any edema in the legs and feet
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| Cox 2 Enzyme Blockers (anti-inflammatory drugs used to treat arthritis and pain associated w/condition) | fatigue, anxiety, depression, dizziness, tachycardia, tinnitus, Nausea, gastroenteritis, stomatitis, sudden GI bleed | monitor platelet count, tell the pt to report easy bruising, and teach the pt to report changes in bowel habits that indicate GI bleeding
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| Hisatmine 2 Antagonists (treat gastric ulcers and GERD | confusion, brady/tachycardia, diarrhea, psychosis, seizures, agranulocytosis, rash, alopecia, gynecomastia, galactorrhea | Monitor BUN, administer medication with food, antacids should be taken 1 hour before or 1 hour after taking this medication, SUCRALFATE decreases the effects of drug.
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| Proton Pump Inhibitors (treatment of GERD, gastric ulcers, and esophagitis) | headache, insomnia, diarrhea, flatulence, rash, hyperglycemia | maybe taken before meals for best absorption, monitor liver function, DO NOT crush pantoprazole (protonix)
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| Anticoagulants | fever, diarrhea, stomatitis, bleeding, hematuria, dermatitis, alopecia, pruritus, | hematocrit and occult blood in stool should be checked every 3 months, monitir PTT for heparin, monitor platlet count, signs of bleeding, and infection
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| Caine | anesthetics | ex: lido(caine)
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| Mab | monoclonal antibodies | ex: Palivazu(mab)
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| Ceph or cef | cephalosporins | ex: (Cef)ataime
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| Cillin | penicillins | ex: Ampi(cillin)
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| Cycline | tetracycline | ex: tetra(cycline)
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| Stigmine | cholinergics | ex: Phyo(stigmine)
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| Phylline | bronchodilators | ex: Amino(phylline)
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| Cal | calciums | ex: (Cal)cimar
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| Done | Opiods |
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| Angiotensin-Converting Enzyme Inhibitors -Antihypertensives- | hypotension, hacking cough, N/V, respiratory symptoms | monitor VS frequently, monitor WBC, monitor electrolyte levels
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