docusate sodium
(Colace)
- stool softener
- for constipation
- ADR: abd cramping, dehydration
- mgmt: ask when last BM
cyclosporine
(Neoral)
- immunosuppressant
-
to prevent transplant rejection
- also for severe RA and UC
- ADR: HTN, tremors
- mgmt: adequate blood levels, electrolytes, WBC, oral care
- take at same time every day
citalopram
(Celexa)
- SSRI
- for depression
- ADR: ED, GI, drowsy
- takes 3 weeks to work
- avoid alcohol
valacyclovir
(Valtrex)
- antiviral
- for HSV & shingles (treats, not cures)
- ADR: HA, neutropenia, inc. liver enzymes, N, abd pain
- take when outbreak present
- prophylactic to cold sores
ondansetron
(Zofran)
- antiemetic
- for N/V
- give over 2-5 min IVP*
- ADR: HA, dry mouth, C/D
- CI: heart conditions
diphenhydramine
(Benadryl)
- antihistamine
- for allergic reactions
- ADR: drowsy, dry mouth, blurred vision, constipation, paroxysmal reaction
- avoid alcohol & driving
morphine
- opioid (high spectrum)
- for severe pain, for MI
- ADR: CNS depression, constipation, rash
- mgmt:
monitor RR
, BP, HR
amlodipine
(Norvasc)
- CCC
- for HTN, angina
- ADR: dizzy, hypotn, edema
- mgmt: monitor BP
insulin lispro
(Humalog)
- short-acting, sliding scale
- for hyperglycemia
-
give with food
- check bg before meals
hydrocodone/acetaminophen
(Norco)
- for moderate to severe pain
- CI: liver problems
- ADR: constipation, N/V, drowsy, orthostatic hypotn, pruritus
- antidote = Narcan
triamcinolone topical
(Kenalog)
- anti-inflammatory steroid
- for dermatitis
- ADR: dry, scaling, blistering, burning, pigmentation
-
clean skin before applying
esomeprazole
(Nexium)
- PPI
- for reflux, ulcers, reduce GIB
- ADR: HA, flatulence
-
take before food
fexofenadine
(Allegra)
- antihistamine
- for allergies
- ADR: GI, dry mouth, HA
- no fruit juice
insulin glargine
(Lantus)
- long-acting, basal
- for DM
- ADR: dry mouth, lipodystrophy, bruising
- give same time once per day
gabapentin
(Neurontin)
- anti-convulsant
- for diabetic neuropathy, prophylaxis of seizures & migraines
- ADR: drowsy, dizzy, fatigue
- no driving, take at night
- no antacids
fentanyl transdermal
(Duragesic patch)
- analgesic
- for moderate to severe pain
- ADR: CNS depression, constipation, dry mouth
- no heating pad over patch (inc. dose)
- patch does not have to go on area of pain
fluticasone
(Advair Diskus)
- steroid inhaler
- for asthma (maintenance & prophylactic tx)
- NOT for acute asthma attack
- ADR: bronchospasm, HA, insomnia
- lung sounds
- give bronchodilator first
- rinse mouth
sodium polystyrene sulfonate
(Kayexelate)
- corticosteroid
- to decrease potassium levels
- ADR: hypoK, hypoCa, metabolic acidosis, constipation
- avoid laxatives
alprazolam
(Xanax)
- benzo
- for anxiety, panic d/o, insomnia
- ADR: resp depression, drowsy, dizzy
- monitor for abuse
- avoid alcohol
warfarin
(Coumadin)
- anti-coagulant
- for thrombosis (prophylaxis & tx), PE, afib
- CI: uncontrolled bleeding & HTN
- use soft toothbrush
- monitor PT/INR
- antidote: Vit K
methylprednisolone
(Solu-Medrol)
- steroid
- to decrease inflammation
- ADR: delirium, GI, fluid retention, wt gain (Cushing's), adrenal suppression
- monitor blood sugars (can inc.)
- monitor for GIB
- longterm use -> osteoporosis, delayed wound healing
- taper off slowly!
atorvastatin calcium
(Lipitor)
- for hyperlipidemia
- monitor for rhabdomyolysis (break down of muscle -> muscle aches)
ceftriaxone
(Rocephin)
- for Gonorrhea (only one!)
- ADR: c diff
metformin
(Glucophage)
- for T2DM
- PO
tramadol
(Ultram)
- opioid (lower spectrum)
- for mild to moderate pain
- ADR: constipation