PHARMACOLOGY ATI TEST
Digoxin INSERT INTO `cofwp_posts` VALUES (lanoxin)Antidysrhythmic
Side Effect: Blurred or doubled vision
Side Effect: Blurred or doubled vision
GuaifenesinSide Effect: Can cause drowsiness
Estrogen INSERT INTO `cofwp_posts` VALUES (premarin)Side Effect: Increase Risk of Thromboembolism with shortness of breath, severe headache, vomiting.
Sudden acute pain in the calves, legs, chest, abdomen
Sudden acute pain in the calves, legs, chest, abdomen
Doxepin INSERT INTO `cofwp_posts` VALUES (Sinequan)Anticholinergic
Side Effect: Urinary retention, constipation, drying of nasal/oral secretions, Increased Heart Rate
Side Effect: Urinary retention, constipation, drying of nasal/oral secretions, Increased Heart Rate
Albuterol INSERT INTO `cofwp_posts` VALUES (Proventil)Sympathomimetic; Adrenergic beta-2 agonist
Contraindicated; with MAOI – can increase action of albuterol leading to hypertension crisis.
Beta blockers – can inhibit the therapeutic effects
USE: invert canister, shake before use, rinse mouth after use, with new inhaler perform test spray.
Contraindicated; with MAOI – can increase action of albuterol leading to hypertension crisis.
Beta blockers – can inhibit the therapeutic effects
USE: invert canister, shake before use, rinse mouth after use, with new inhaler perform test spray.
Levothyroxine INSERT INTO `cofwp_posts` VALUES (T4) essay writer in ukIndication: HYPOthyroidism in relation to dysfunction of hypothalamus, pituitary or thyroid gland
Cephalosporins INSERT INTO `cofwp_posts` VALUES (Keflex)Allergy to cephalosporins is considered a precaution for taking penicillins
Phenobarbital INSERT INTO `cofwp_posts` VALUES (Barbiturates)Interventions for anticonvulsant therapy; assess for respiration, depression, excess sedation from toxic effects, Intravenous INSERT INTO `cofwp_posts` VALUES (IV) at less than 50 mg per minute, avoid extravasation INSERT INTO `cofwp_posts` VALUES (alkaline can cause skin damage)
Sumatriptan INSERT INTO `cofwp_posts` VALUES (Imitrex)USE: When migraine symptoms appear and again in 1 hour if symptoms persist
Fastest Route for Pharmacological AdministrationINTRAVENOUS
NARCANINSERT INTO `cofwp_posts` VALUES (OPIOID ANTAGONIST)
Therapeutic action: improvement of respiratory rate
Therapeutic action: improvement of respiratory rate
Baclofen INSERT INTO `cofwp_posts` VALUES (Lioresal)Therapeutic action: Decreases frequency and severity of muscle spasms
Erythromycin INSERT INTO `cofwp_posts` VALUES (Erythrocin)Macrolide
Side Effect: Liver Toxicity
Side Effect: Liver Toxicity
Insulin: INSERT INTO `cofwp_posts` VALUES (high dose) U-5005 times stronger than u-100 – divide dosage ordered by 5
Spirinolactone INSERT INTO `cofwp_posts` VALUES (Aldactone)Potassium sparing diuretic
Avoid foods with high potassium such as salt substitutes
Avoid foods with high potassium such as salt substitutes
Chloroquine phosphate INSERT INTO `cofwp_posts` VALUES (Aralen)Indication: Malaria prevention
Use: Take weekly starting 1 week before departure and continued for 4 weeks after return
Use: Take weekly starting 1 week before departure and continued for 4 weeks after return
Heparin INSERT INTO `cofwp_posts` VALUES (anticoagulant)Use with ALTEPLASE for acute Myocardial Infarction
Warfarin INSERT INTO `cofwp_posts` VALUES (Coumadin)Use: Long term prophylaxis of thrombosis
Antidote: Vitamin K
Antidote: Vitamin K
Clopidogrel INSERT INTO `cofwp_posts` VALUES (Plavix)Use: Reduce long-term risk of clotting w/atherosclerosis and recent MI of CVA
Alteplase INSERT INTO `cofwp_posts` VALUES (Activase)Antithrombolytic
Use: Acute MI/ CVA INSERT INTO `cofwp_posts` VALUES (has short half-life)
Use: Acute MI/ CVA INSERT INTO `cofwp_posts` VALUES (has short half-life)
Methylphenidate INSERT INTO `cofwp_posts` VALUES (Concerta)USE: Narcolepsy
Precaution: Avoid caffeine
Precaution: Avoid caffeine
Testosterone IMIf used to correct delayed puberty, assess bone maturation with bi-annual x-rays of hand and wrist; monitor liver function; can increase hypoglycemia, potentiate sleep apnea, exacerbate heart failure due to fluid retention
Diphenoxylate and Atropine INSERT INTO `cofwp_posts` VALUES (Lomotil)Caution: With Renal impairment, decreased elimination of Atropine thereby increasing anticholinergic effects of atropine like confusion
Loperamide INSERT INTO `cofwp_posts` VALUES (Imodium)Use: Anti-diarrheal INSERT INTO `cofwp_posts` VALUES (poorly absorbed from GI tract; difficulty crossing the blood-brain barrier)
Methylcellulose INSERT INTO `cofwp_posts` VALUES (Citrucel)Bulk-forming agent with minimal Side Effects
Psyllium INSERT INTO `cofwp_posts` VALUES (Metamucil)Bulk-forming agent with minimal Side Effects
Acetazolamide INSERT INTO `cofwp_posts` VALUES (Diamox) – diureticIndication – edema, epilepsy, acute mountain sickness, glaucoma INSERT INTO `cofwp_posts` VALUES (decrease intraocular pressure due to decreased amounts of aqueous humor in the eye)
Contraindication: allergy to sulfonamides
Contraindication: allergy to sulfonamides
Metoprolol INSERT INTO `cofwp_posts` VALUES (Lopressor) – Beta BlockerHold dose for dyspnea INSERT INTO `cofwp_posts` VALUES (sign of exacerbation of Cardiac Heart Failure)
Propanolol INSERT INTO `cofwp_posts` VALUES (Inderal) – Beta BlockerUSE: Dysrhythmia, hypertension, angies
Side Effects: bronchoconstriction, bronchospasm, can block glycogenesis
Side Effects: bronchoconstriction, bronchospasm, can block glycogenesis
Norgestrel INSERT INTO `cofwp_posts` VALUES (Ovrette)USE: Contraception
Side Effects: Excess progestin, weight gain from increased appetite; deficiency of progestin; late breakthrough bleeding, amenorrhea, excess estrogen that leads to edema
Side Effects: Excess progestin, weight gain from increased appetite; deficiency of progestin; late breakthrough bleeding, amenorrhea, excess estrogen that leads to edema
Medroxyprogesterone INSERT INTO `cofwp_posts` VALUES (Provera) – female hormoneContraindication: smoking/tobacco products
RISKS: Thromboembolism and Cardiovascular complications
Interventions: use additional contraceptive measures with antibiotic therapy
RISKS: Thromboembolism and Cardiovascular complications
Interventions: use additional contraceptive measures with antibiotic therapy
IM Injection Sitelocate dorsogluteal site
Nausea – therapyAntiemetic plus cool damp cloth to forehead, neck and wrists
Allopurinol INSERT INTO `cofwp_posts` VALUES (Zyloprim)Indication: Gout
Mechanism of Action: decreases serum uric acid levels and urinary uric acid secretion
Precaution: avoid foods that acidify urine such as CORN
Mechanism of Action: decreases serum uric acid levels and urinary uric acid secretion
Precaution: avoid foods that acidify urine such as CORN
Tuberculosis INSERT INTO `cofwp_posts` VALUES (TB) multi-drug TherapyIsoniazid INSERT INTO `cofwp_posts` VALUES (INH)
Rifampin, pyrazinamide, ethambutol – to deal with resistant strains
Rifampin, pyrazinamide, ethambutol – to deal with resistant strains
Lisinopril INSERT INTO `cofwp_posts` VALUES (Zestril) ACE InhibitorsSide Effects: dry/persistent cough for 1 to 2 weeks from increased bradykinin
Synergistic drugsEffects of giving both drugs are more than the effect of individual drugs taken separately
Furosemide INSERT INTO `cofwp_posts` VALUES (Lasix) – loop diureticsIntervention: Check Blood Pressure before giving to determine baseline.
Can cause decreased blood pressure due to decreased circulatory volume by relaxing venous smooth muscle.
Can cause decreased blood pressure due to decreased circulatory volume by relaxing venous smooth muscle.
Ticlopidine INSERT INTO `cofwp_posts` VALUES (Ticlid)Indication: Prevent coronary artery thrombosis
Intervention: Check platelet count
Intervention: Check platelet count
PRBC INSERT INTO `cofwp_posts` VALUES (packed red blood cells)Used as blood replacement when fluid overload is a concern
IV INSERT INTO `cofwp_posts` VALUES (intravenous) medicationsIntervention: Assess site for redness and swelling before adminisration
Collagenase INSERT INTO `cofwp_posts` VALUES (Santyl)USE: Debride Ulcers
InterferonUSE: Prevent viral replication
Isotretinoin INSERT INTO `cofwp_posts` VALUES (Accutane)Contraindication: Pregnancy with two forms of birth control due to teratogenic effects
VaccineAdvice of live versus attenuated or killed vaccine: long lasting active immunity versus partial INSERT INTO `cofwp_posts` VALUES (passive)
Epoetin Alfa INSERT INTO `cofwp_posts` VALUES (Procrit)Indication: Treat anemia
Side Effects: Headache, Hypertension, seizures in relation to INSERT INTO `cofwp_posts` VALUES (Hct) hematocrit rises too quickly
Side Effects: Headache, Hypertension, seizures in relation to INSERT INTO `cofwp_posts` VALUES (Hct) hematocrit rises too quickly
Urofollitropin INSERT INTO `cofwp_posts` VALUES (Fertinex)Dosage: administration IM based based in preceding cycles
Side Effect: ovarian hyperstimulation syndrome
Side Effect: ovarian hyperstimulation syndrome
Hypertensive crisisSigns and Symptoms: Flushed skin, headache, visual changes
Acetylcysteine INSERT INTO `cofwp_posts` VALUES (Mucomyst)Indication: Prevent liver damage following acetaminophen INSERT INTO `cofwp_posts` VALUES (Tylenol) overdose. Most effective if given shortly after ingestion; some protection up to 24 hours.
Montelukast INSERT INTO `cofwp_posts` VALUES (Singulair)Indication: prevent asthma exacerbations
Dose: Daily at bedtime
Side Effects: Well tolerated
Dose: Daily at bedtime
Side Effects: Well tolerated
Metoclopramide INSERT INTO `cofwp_posts` VALUES (Reglan)Has increased sedation when given with Morphine
Mannitol INSERT INTO `cofwp_posts` VALUES (Osmitrol) – diureticsCaution with patients with heart disease. Can precipitate CHF and pulmonary edema
Opiate OverdoseCauses Respiratory Depression.
Narcan Antidote shorter acting. May need less than 1 dose
Narcan Antidote shorter acting. May need less than 1 dose
Diphenhydramine INSERT INTO `cofwp_posts` VALUES (Benadryl)Precaution: Avoid other CNS depressants such as alcohol, benzodiazepines, kava kava
AnaphylaxisSigns and Symptoms: bronchoconstriction, angioedema, hypotension
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