Clincal competency

Renagel

for ESRD. Controls phosphorus. Can cause bone density loss. Take it alone and with food. Avoid foods high in phosphorus

foods high in phosphorus

canned, processed, fast food, soft drinks, baked products, cheese, processed meat.

Procrit

for ESRD. Increases RBC production in 2-6 weeks.Side effects: hypertension, headache, seizures. Decreases the need for blood transfusions

FeSO4

for ESRD. Treats anemia. causes dark colored stools, constipation and anorexia. Take with Vit. C and eat foods high in iron. Avoid milk and tea

Calictrol

for ESRD. Vit D supplement. Helps body utilize calcium. Do not eat too much calcium rich foods

Glucophage

for ESRD. Antidiabetic to maintain blood glucose levels. Contrast studies are contraindicated. side effects: hypoglycemia, lactic acidosis, GI upset, flatulance

renal diet

low protein, low phosphorus, low salt, low potassium, restricted fluid intake

meds for ESRD

renagel, procrit, calcitrol, FeSO4, glucophage

meds for A-Fib with RVR

Pradaxa, Digoxin, Lisinopril

Dabigatran Etexilate (Pradaxa)

for A Fib with RVR. Anticoagulant. no labs needed, report abnormal bleeding, black stools, be careful with asprins/nsaids

Digoxin

for A Fib with RVR. Cardiac glycoside/antiarrhytmic. Promotes calcium usage in cardiac muscle for stronger contraction, slows conduction from SA to AV nodes. Must monitor Dig and K levels, take dose daily at same time

Digoxin side effects

arrhytmias, hypotension, fatigue, headache

Digoxin toxicity

anorexia, nausea, vomiting, green halos

Lisinopril

for A-Fib with RVR. Antihypertensive ACE inhibitor. may feel dizzy, be careful when rising, report cough

Homecare for A-Fib w RVR

monthly doctor visits, monitor BP, take pradaxa at same time every day, don't stop medications, avoid caffiene and alcohol

Flovent Inhaler

For athsma/acute bronchitis. Not a rescue inhaler.

Prednisone taper

For athsma/acute bronchitis. May cause irregular heartbeat and high blood sugar. Tell the doctor if you are pregnant. Take all of the medication as prescribed

Cromolyn sodium

For athsma/acute bronchitis. Nasal spray or nebulizer treatment. Not a rescue medication. May cause nasal irritation, cough, unpleasant taste. Do not use if treatment is cloudy or grainy

Albuterol

For athsma/acute bronchitis. Rescue inhaler. May cause nervousness, palpitations. If SOB does not decrease seek assistance

How to use inhaler

Shake well. Release 4 test sprays into air (priming) use spacer. Exhale. Put inhaler in mouth and push, then inhale. Wait 1 minute and use again

Singulair

For athsma/acute bronchitis. Decreases severity and frequency of attacks. PO. Do not double dose. Administer once daily in the evening b/c drowsiness

Zithromycin

For acute bronchitis. Antibiotic. May cause GI upset, take full prescribed dose. Do not take with antacids or milk.

Meds for athsma/acute bronchitis

Flovent (inhaler), Predinsone (PO), Cromolyn Sodium (nebulizer or nasal spray) Singluair (PO), Zithyromycin (PO)

hypertensive crisis

greater than 180/110

clinical manfiestations of hypertensive crisis

severe headache, SOA, nosebleeds, anxiety

Coreg/Carvediolol

for hypertensive crisis. Antihypertensive/Beta Blocker. May cause dizziness, weakness, bradycardia. Call doctor about any rashes or facial swelling

Clonidine

for hypertensive crisis. Alpha agonist. Don't take with alcohol. May cause dizziness, constipation, dry eye. Don't stop without doctor instructions, may be withdrawal symptoms

Meds for Hypertensive Crisis

Lisinopril, Coreg/Carvediolol, Clonidine

coumadin/warfarin

for CAD/Endocarditis. Bleeding precautions. Regular PT/INR to check levels. Consistant eating of leafy greens

Lovenox

for CAD/Endocarditis. Prevention of DVT. Bleading precautions. Will take alongside coumadin until blood levels of coumadin is therapeutic.

Cipro

for CAD/Endocarditis. Antibiotic. take whole course of antibiotics. May cause GI upset. Do not take with dairy or antacids

Lipitor

for CAD/Endocarditis. Antihyperlipidemic. No grapefruit juice.

Meds for CAD/Endocarditis

Coumadin, lovenox, cipro, lipitor, lisinopril

home management CAD/endocarditis

tell all healthcare professionals you've had endocarditis. Tell your dentist. You need to take antibiotics before having dental work. maintain consistent intake of vit. K. Avoid smoking, alcohol and grapefruit.

Isoniazid

bacteriocidal.(cell wall) May have to take for 6-12 months. take on empty stomach, avoid alcohol

rifamipin

bacteriostatic (DNA synthesis) Urine may be orange. May have to take for 6-12 months. Report yellowing of skin. May interfere with contraceptives

Meds for Tuberculosis

Isoniazid and Rifampin

MVR

Mitral valve replacement

RVR

Rapid ventricular response