Questions and Answers
What is a common side effect of Digoxin (Lanoxin)?
What side effect can Guaifenesin cause?
Drowsiness
What is the risk associated with Estrogen (Premarin)?
Increased risk of thromboembolism
What are common side effects of Doxepin (Sinequan)?
Signup and view all the answers
What should be avoided when using Albuterol?
Signup and view all the answers
What is the indication of Levothyroxine (T4)?
Signup and view all the answers
An allergy to cephalosporins is not a precaution for taking penicillins.
Signup and view all the answers
What should be assessed during Phenobarbital therapy?
Signup and view all the answers
When should Sumatriptan be used?
Signup and view all the answers
Which route of administration is the fastest/most effective?
Signup and view all the answers
What is the therapeutic action of Narcan?
Signup and view all the answers
What is the therapeutic action of Baclofen?
Signup and view all the answers
What side effect can Erythromycin cause?
Signup and view all the answers
What should be avoided when taking Spironolactone?
Signup and view all the answers
What is the indication for Chloroquine phosphate?
Signup and view all the answers
What is the use of Heparin?
Signup and view all the answers
For what purpose is Warfarin used?
Signup and view all the answers
What is Clopidogrel used for?
Signup and view all the answers
What is Alteplase used for?
Signup and view all the answers
What is the use of Methylphenidate?
Signup and view all the answers
What should be monitored if Testosterone is used to correct delayed puberty?
Signup and view all the answers
What caution should be taken with Diphenoxylate & Atropine?
Signup and view all the answers
What is the use of Loperamide?
Signup and view all the answers
What is Methylcellulose used for?
Signup and view all the answers
What is the use of Psyllium?
Signup and view all the answers
What is the indication for Acetazolamide?
Signup and view all the answers
What should be held if a patient on Metoprolol presents with dyspnea?
Signup and view all the answers
What is the use of Norgestrel?
Signup and view all the answers
Where should an IM injection be given?
Signup and view all the answers
What is recommended for nausea treatment?
Signup and view all the answers
What is the indication for Allopurinol?
Signup and view all the answers
Study Notes
Medications and Side Effects
- Digoxin (Lanoxin): Causes blurred or double vision.
- Guaifenesin: May induce drowsiness as a side effect.
- Estrogen (Premarin): Increases the risk of thromboembolism, presenting symptoms like shortness of breath (SOB), severe headache, vomiting, and sudden acute pain.
- Doxepin (Sinequan): Associated with urinary retention, constipation, drying of secretions, and increased heart rate.
Contraindications and Precautions
- Albuterol (Proventil): Contraindicated with MAOIs due to potential hypertension crisis; beta-blockers may reduce its effectiveness.
- Spironolactone (Aldactone): Avoid foods high in potassium, such as salt substitutes.
- Diphenoxylate & Atropine (Lomotil): Use caution with renal impairment due to increased anticholinergic effects.
- Norgestrel (Ovrette): Contraindicated with smoking, increasing the risk of thromboembolism and cardiovascular issues.
Therapeutic Uses and Indications
- Levothyroxine (T4): Prescribed for hypothyroidism due to dysfunction in hypothalamus, pituitary, or thyroid.
- Chloroquine Phosphate (Aralen): Used for malaria prevention; started one week before travel and continued for four weeks after return.
- Heparin: Utilized with alteplase for treating acute myocardial infarction (MI).
- Warfarin (Coumadin): Long-term prophylaxis of thrombosis, with Vitamin K as an antidote.
- Clopidogrel (Plavix): Reduces long-term clotting risk in patients with atherosclerosis or recent MI/CVA.
- Alteplase (Activase): Administered for acute MI/CVA with a short half-life.
- Methylphenidate (Concerta): Used for narcolepsy; users should avoid caffeine.
- Testosterone (IM): Assessed for bone maturation; monitors liver function and potential complications like hypoglycemia or heart failure.
Administration and Interventions
- Phenobarbital: Monitor for respiratory depression and sedation; IV should not exceed 50 mg/min to avoid extravasation.
- Sumatriptan (Imitrex): Taken upon symptoms of a migraine, with a second dose allowed after one hour if needed.
- Intravenous Route: Considered the fastest and most effective method of medication administration.
- IM Injection: Dorsogluteal site should be located for intramuscular injections.
Additional Medications and Their Effects
- Narcan: Improves respiratory rate as a therapeutic action in opioid overdose.
- Baclofen (Lioresal): Decreases frequency and severity of muscle spasms.
- Erythromycin (Erythrocin): Can cause liver toxicity.
- Loperamide (Imodium): An anti-diarrheal that is poorly absorbed and has trouble crossing the blood-brain barrier.
- Methylcellulose (Citrucel) & Psyllium (Metamucil): Both are bulk-forming agents with minimal side effects.
- Acetazolamide (Diamox): Indicated for edema, epilepsy, altitude sickness, and glaucoma; contraindicated in sulfonamide allergies.
- Metoprolol (Lopressor): Hold doses for dyspnea indicating CHF exacerbation; may cause bronchoconstriction and block gluconeogenesis.
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.
Description
Test your knowledge on the side effects of various medications with these flashcards. Each card presents a drug alongside crucial information about its potential side effects. Perfect for RN exam preparation and pharmacology revision.
