- Aspirin do not give together with other anticoagulants. Stop taking Aspirin some days before surgery. Do not give to children with viral infection(Reye syndrome)
’s e.g. Ibuprofen—Take with food; contraindicated for people with GI ulcers
- Morphine: A respiratory depressant. It should be withheld if the respirations are below 10
ANTIINFLAMMATORY / STEROIDS
- Dilantin: Causes gum hyperplasia. Advice client to visit dentist frequently
- Predisone: Causes Cushing like symptoms. Common side effects are immunosupression(monitor client for infection), hyperglycemia
- Heparin: Monitor pt’s lab work-PTT. Antidote is protamine sulfate
- Coumadin: Monitor pt’s lab work—PT. Antidote is Vitamin K
(8) Cogentin: Used to treat EPS
(9) Sinemet: Drug is effective when tremors are not observed RESPIRATORY
(10) Theophylline/Aminophylline: Side effects--Tachycardia CARDIOVASCULAR
(11) Digoxin (Lanoxin): Signs of toxicity: Pt will complaint of visual change in colors. They would also complain of loss of appetite. ANTIHYPERTENSIVE (PRE-ECLAMPSIA)
(12) Magnesium Sulfate: Monitor for deep tendon reflex and respiratory depression DIURETICS
(13) Hydrochlothiazide: Monitor potassium levels
(14) Lasix: Monitor potassium levels
(15) Aldactone: Potassium sparing PSYCHOTROPICS
(16) Lithium Carbonate: Know therapeutic range (0.8 to 1.2mEq). Also know symptoms of toxicity. Adequate fluid and salt intake is important.
(17) MAOI inhibitors: Have dangerous food-drug interactions. Food with Tyramine should be avoided. For example: aged cheese, wine etc.
(18) Disulfiram (Antabuse): Used for alcohol aversion therapy. Clients started on Disulfiram must avoid any form of alcohol or they would develop a severe reaction. Teach pt to avoid some over-the-counter cough preparations, mouthwash etc. MATERNITY
(18) Oxytocin: Assess uterus frequently for tetanic contraction. ANTIDOTES
(19) Narcan: Reverses the effects of narcotics
(20) Calcium Gluconate: Antidote for magnesium sulfate
(21) Vitamin K: Antidote for Coumadin Questions have been asked on NCLEX recently about the following drugs:
(22) Tegretol: side effects.
(23) Atropine: What checks do you do before giving this drug (BP.)
(24) Epogen: Used in treating anemia because it increases RBC production.
(25) Acyclovir: anti-viral medication used in treating shingles. EXTRA NOTES
- When a client is on antibiotics, teach the client to continue taking the medication even though they feel better
- Monitor client taking antibiotics such as Vancomycin for ototoxicity. Pt will complain of tinnitus, room spinning (vertigo) and nausea.
- Clients taking vasodilators e.g. Verapramil would complain of headache.