Med-Surg Medications

albuterol (Proventil)

Category: Bronchodilator, Use: Asthma, COPD, Precautions: tachycardia, tremors

albuterol and ipratropium (Combivent)

Catefory: anticholinergic/bronchodilator, Use: COPD, rhinorrhea, Precautions: palpitations, dry mouth

allopurinol (Zyloprim)

Category: Antihyperuricemic, Use: Gout, Precautions: Monitor uric acid levels

alprazolam (Xanax)

Category: Antianxiety, Use: anxiety/panic, Precautions: May cause dizziness, drowsiness and dependence

atenolol (Tenormin)

Category: Antihypertensive/ Beta Blocker, Use: Angina, Hypertension, Precautions: Monitor BP and HR prior to administration

benazepril (Lotensin)

Category: Antihypertensive/ACE inhibitor, Use: HTN, Precautions: Can cause cough and asthma attacks, Hyperkalemia

budesonide (Pulmicort)

Category: Glucocorticoid, Use: Rhinitis, Asthma, Precautions: May cause oral candidiasis- Rinse and spit after use

bumetanide ( Bumex)

Category: Loop diuretic, Use: CHF, Renal disease, ascites, Precautions: check for electorlyte abnormalities/ Ototoxicity

calcium acetate (PhosLO)

Use: Hyperphosphatemia- in dialysis clients, PrecautionsL Taek with food, monitor phosphate and calcium

captopril

Category: Antihypertensive/ ACE Inhibitor, Use: HTN, Precautions: Can cause cough and asthma attacks, Hyperkalemia

carbamazepine (Tegretol)

Category: Antihypertensive/ ACE Inhibitor, Use: HTN, PRecautions: can cause blood dyscrasias- monitor

carvedilol (Coreg)

Category: Alpha/Beta Adrenergic Blocker, Use: HTN, CHF, Angina, Precautions: Bradycardia, Bronchospasm

clonidine ( Catapres)

Category: Central Alpha Adrenergic Agonist, Use: Hypertension, Unlabeled- alcohol withdrawal, Precautions: May cause orthostatic HTN and CHF

colchicine (Colsalide)

Category: Antigout agent, Use: gout, gouty arthritis, Precautions: Pancytopenia, renal/hepatic cautions

cyanocobalamin

Category: B12- water soluble vitamin, UseL Pernicious anemia, Vitamin b12 deficiency, Precautions: Gastric intrinsic factor must be present for oral use

dalteparin (Fragmin)

Category: Low molecular weight heparin, Use: MI/DVT prevention, Precautions: Bleeding risk

diazepam (Valium)

Category: Antianxiety, anticonvulsant, Use: Anxiety/ Seizures/ Acute alcohol withdrawal, Precautions: respiratory depression

digoxin (Lanoxin)

Category: Cardiac glycosidase/ inotropic, Use: Hear failure, a-fib/ a-flutter, cardiogenic shock, PrecautionsL Apical HR < 60 HOLD, OD treated with digibind

diltiazem (Cardiazem)

Category: Calcium channel blocker, Use: Angina, Coronary artery spasm, SVT, a-fib/flutter, Precautions: Can cause heart block and hypotension

diphenoxylate/atropine (Lomotil)

Category: Antidiarrheal/ COntrolled Subst, Use: Chronic diarrhea, Precautions: Dry mouth, constipation, paralytic ileus

docusate calcium (Surfak)

Category: Laxative/ Stool Softener, Use: Prevention of dry, hard stools, Precautions: May take 3 days to soften stools and hold for diarrhea

docusate sodium (Colace)

Category: laxative/ Stool softener, Use: Prevention of dry, hard stools, Precautions: May take 3 days to soften stools and hold for diarrhea

enalapril (Vasotec)

Category: ACE Inhibitor, Use: Hypertension, CHF, PrecautionsL Monitor BP and watch for hyperkalemia

enoxaparin injection (Lovenox)

Category: Low molecular weight heparin, Use: Prevention of DVT/PE, unstable Angina/ MI, Precautions: Bleeding risk

epoetin alfa (Epogen)

Category: Anti anemic, biologic modifier, Use: Anemia caused by reduced erythropoietin production, Precautions: Usually give on dialysis days, can be IV

famotidine (Pepcid)

CategoryL H2-histamine receptor antagonist, USe: Peptic ulcers, GERD, heartburn, Precautions: IV doses, kept in fridge must be diluted

fluticasone and salmeterol (Advair Diskus)

Category: Corticosteroid/ Bronchodilator, UseL Chronic asthma, COPD, Precautions: Rinse mouth after use to prevent thrush/ Long act

fluticasone inhaler (Flovent)

Category: Corticosteroid, Use: Chronic asthma/ COPD, Precautions: Rinse mouth after use to prevent thrush/ Long acting

fluticasone propionate nasal (Flonase)

Category: Corticosteroid, Use: Allergic rhinitis, PrecautionsL Blow nose first, press opposite nostril closed,

fondaparinux sodium (Arixtra)

Category: Anticoagulant/ factor Xa inhibitor, Use: Prevention of DVT/PE, Precautions: Bleeding risk

furosemide (Lasix)

Category: Lood diuretic, Use: Pulmonary Edema, CHF, HTN, Nephrotic syndrome, Precautions: Ototoxic if IVP too rapid monitor electrolytes K+

gabapentin (Neurontin)

Category: Anticonvulsant, Use: Partial seizure/ Diabetic neuropathy unlabeled use, Precautions: Can cause drowsiness, confusion

glimepiride (Amaryl)

Category: Sulfonylurea, Antidiabetic, Use: Type 2 DM, Precautions: Monitor for hypoglycemia

glipizide (Glucotrol)

Category: Sulfonylurea, Antidiabetic, Use: Type 2 DM, Precautions: Monitor for hypoglycemia,

glyburide (Diabeta)

Category: Sulfonylurea, Antidiabetic, Use: Type 2 DM, Precautions: Monitor for hypoglycemia

guaifenesin (Mucinex)

Category: Expectorant, Use: Productive and nonproductive cough, Precautions: Increase fluids if possible

heparin (Heparin Sodium)

Category: Anticoagulant/ antithrombotic, Use: DVT/MI, a-fib and for flushing IV lines at times, Precautions: HIGH ALERT MEDICATION

human insulin (Humulin R)

Category: Antidiabetic/ Short acting insulin, Use: Tupe 1 or tyle 2 DM, Precautions: HIGH ALERT MEDICATION

human isophane insulin (Humulin N)

Category: Antidiabetic/ Intermediate acting insulin, Use: Type 1 or Type 2 DM, Precautions: HIGH ALERT MEDICATION

hydromorphone (Dilaudid)

Category: Opiate analgesic, Use: Moderate- Severe Pain, Cough, Precautions: Controlled substance, respiratory depression

insulin glargine (Lantus)

Category: Insulin, Use: Type 1 or Type 2 DMm Precautions: Do not mix with other insulins

ipratropium bromide (Atrovent)

Category: Anticholinergic/Bronchodilator, Use: COPD, rhinorrhea, PrecautionsL Dry mouth, anxiety, dizziness

iprtropium-albuterol inhalation (Duoneb)

Category: Anticholinergic/Bronchodilator, Use: COPD, Precautions: May cause tachycardia and increased BP

isosorbide mononitrate (Imdur)

Category: Antianginal/ vasodilator/ nitrate. Use: Treatment and prevention of stable angina pectoris, Precautions: Monitor for hypotension, vascular headache

ketorolac (Torodol)

Category: NSAID, Use: Mild to moderate pain, Precautions: MAX DOSE- 60 mg/day for 5 days

lactulose (Cephulac)

Category: Laxative, ammonia detoxicant, Use: Chronic constipation, portal-system encephalopathy, Precautions: nausea, vomiting, and cramps, Can give enema

lansoprazole (Prevacid)

Category: Sntiulcer, PPI, Use: GERD, Ulcers, maintenance of healed ulcers, Precautions: Monitor for B12 deficiency in long term use

levetiracetam (Keppra)

Category: Anticonvulsant, Use: Seizures, Precautions: Monitor H&H and possible suicidal ideation

levothyroxine sodium (Synthroid)

Category: Thyroid hormone, USe: Hypothyroidism, myxedema coma, pituitary TSH suppression, Precautions: Monitor T4 and TSH, Can be given IV, doses in mcg

lisinopril (Prinivil)

Category: Antihypertensive, ACE Inhibitor, Use: Mild to moderate HTN, CHF< MI, Precautions: Hypotension, Hyperkalemia, Dry cough

lispro insulin (Humalog R)

Category: Antidiabetic/ rapid acting insulin, Use: Type 1 or Type 2 DM, Precautions: HIGH ALERT MEDICATION

lispro protamine insulin (Humalog N)

Category: Antidiabetic/ Intermediate Acting insulin, Use: Type 1 or Type 2 DM, Precautions: HIGH ALERT MEDICATION;

lorazepam (Ativan)

Category: Benzodiazepine, sedative, hypnotic, Use: Anxiety, irritability, pre-op insomnia, Precautions: Hypotension, dizziness, Dilute for IV use

metaprolol (Lopressor)

Category: Beta-blocker, Antihypertensive, Use: HTN, Acute MI, Angina, Heart Failure, Precautions: Bradycardia, Hypotension

nicardipine (Cardene)

Category: Calcium channel blocker, Use; Chronic Angina, HTN, Precautions: Bradycardia, Hypotension

nifedipine (Procardia)

Category: Calcium channel blocker, Use: Chronic Angina, HTN, vasospasm, Precautions: Bradycardia, Hypotension

nitroglycerin patch (Nitro-Dur)

Category: Coronary vasodilator/ anti-anginal, Use: Angina, CHF, Precautions: Headache, hypotension

olmesartan (Benicar)

Category: Angiotensin 2 Receptor Blocker, Use: HTN, Precautions: Monitor BP,

omeprazole (Prilosec)

Category: Antiulcer, PPI, Use: GERD, Ulcers, maintenance of healed ulcers, Precautions: Monitor for B12 deficiency in long term use

ondansetron (Zofran)

Category: Antiemetic, Use: Nausea, vomiting, Precautions: may cause headaches, dizziness, EPS

oxycodone (Oxycontin)

Category: Opiate analgesic, Use: Moderate to severe pain, Precautions: Drowsiness, bradycardia, respiratory depression

oxycodone/APAP (Percocet)

Category: Opiate analgesic/antipyretic, Use: Moderate to severe pain, Precautions: Drowsiness, bradycardia, respiratory depression

oxycodone/ ASA tablet (Percodan)

Category: Opiate analgesic/ antipyretic, Use: Moderate to severe pain, Precautions: Drowsiness, bradycardia, respiratory depression

pantoprazole (Protonix)

Cateogry: PPI, Use: GERD, Ulcers, Hypersecretory conditions, Precautions:Monitor for B12 deciciency in long term use

phenytoin sodium (Dilantin)

Category: Anticonvulsant, antidysrhythmic, Use: Seizures, Bell's Palsy, Precautions: Mix IV with NSS only, purple glove syndrome

potassium chloride (K-dur/ K-lyte)

Category: Electrolyte replacement, Use: Prevention and treatment of hypokalemia, Precautions: Never give IV/Im bolus, monitor levels

prednisone tablet (Prednisone)

Category: Corticosteroid, Use: Sever inflammation, immunosuppression, Precautions: Limit use due to extensive side effects, taper off

pyridostigmine (Mestinon)

Category: Cholinergic, Anticholeristinase, Use: Myasthenia Gravis, Precautions: May cause cram,ps, increased peristalsi

ramipril (Altace)

Cateogry: Antihypertensive, ACE Inhibitor, Use: HTN, CHF, Precautions: Can cause cough and asthma attacks, Hyperkalemia

rantidine (Zantac)

Category: H2-histamine receptor antagonist, Use: Ulcers, GERD, heartburn, Precautions: May cause constipation, nausea vomiting, hepatotoxicity

salmeterol (Serevent)

Category: Long -acting bronchodilator, Use: PREVENTION of exercise induced asthma, COPD, Precautions: DO NOT confuse with a rescue inhaler

simvastin (Zocor)

Category: Antilipidemic, Use: hypercholestrolemia, seriosu burns, Precautions: Diarrhea, abdominal pain, encourage diet changes,

spironolactone (Aldactone)

Category: Potassium sparing diuretic, Use: CHF, HTN, Unlabeled use PMS, Polycystic Ovary Syndrome, Precautions: Hyperkalemia, rash, itching

tiotroprium (Spiriva)

Category: Anticholinergic, Bronchodilator, Use: COPD, Bronchospasm, Precautions: Capsule should not be swallowed, puncture/inhale

verapamil (Calan)

Category: Calcium Channel Blocker, Use: HTN, Angina, SVT, Precautions: Can cause CHF and dysrhythmias

warfarin (Coumadin)

Category: Anticoagulant, Use: DVT/Stroke prophylaxis, a-fib, Angina, Precautions: HIGH ALERT MEDICATION

amiodarone

Category: Antidysrhymic, Use: V-tach, SVT, Precautions: Monitor for EKG changes

amlodipine besylate (Norvasc)

Category: Antihypertensive/Calcium Channel Blocker, Use: Angina, HTN, Precautions: Monitor BP

carbidopa/levodopa (Sinemet)

Category: Antiparkinsonian, Use: Parkinson's Disease/ Restless Leg syndrome, Precautions: Long list of CNS side effects, dry mouth , NVD

clopidogrel (Plavix)

Category: Platelet aggregation inhibitor, Use: Reduce risk of stroke, MI, PAD, TIA and Angina, Precautions: Bleeding risk

cyclobenzaprine (Flexeril)

Category: Skeletal Muscle relaxant, Use; Spasticity n MS, spinal cord injury and CP, Precautions: Dizziness, weakness, nausea

dexamethasone (Decadron)

Category: Corticosteroid, Use: Inflammation, cerebral edema, Precautions: Long list of steroid complications

donepezil (Aricept)

Category: Reversible cholinesterase inhibitor, Use: Severe dementia in Alzheimer's Disease, Precautions: Twitching, nausea, vomiting and seating may indicate OD

dutasterode (Avodart)

Category: 5A Reductase inhibitor, Use: BPH (often in combo with tamsulosin)- Alopecia, Precautions: Can cause serious skin infections

fluoxetine (Prozac)

Category: SSRI Antidepressant, Use: Depression, OCD, Panic, Precautions: CNS symptoms common

lansoprazole (Prevacid)

Category: Antiulcer, PPI, Use: GERD, Ulcers, maintenance of healed ulcers, Precautions: Monitor for B12 deficiency in long term use