Lets play the drug of choice game

[30days2nclex]

Name a disease and then name the drug that's mostly commonly associated with that disease or condition. Here's mine: Erythromicin is seen with chlamydia and syphilis. Anybody else got anything?

[JustBeachyNurse, LPN]

Kittycat12 said:

Pancreatitis: Give anatacids, pancreatic enzymes (with EVERY meal), Demerol for pain. DONT give morphine! Monitor glucose levels, and avoid alcohol!!

Not for acute pancreatitis. Treatment is NPO (including antacids), IV fluid replacement, monitor amylase, lipase, glucose. Check for alcohol abuse and choleycystitis with possible blockage from stones.

Demerol is rarely used and often not stocked in many units due to risks outweighing benefits.

Pancreatic enzyme replacement is usually only used for chronic pancreatitis not acute pancreatitis.

[amoLucia]

Interesting info about Demerol. Not complaining though, have a real allergy to Demerol.

[JenERally]

Demerol's stocked on our unit to treat rigors and postop shivering. The metabolites produced as Demerol is metabolized can reach toxic levels which can lower seizure threshold; therefore, Demerol is generally contraindicated in pts with seizure histories. As a side note, morphine isn't automatically contraindicated with pancreatitis, only when dysfunction of the Sphincter of Oddi is the source of pain as morphine causes the sphincter to spasm.

[30days2nclex]

I graduated 2 yrs ago and have been challenging the board ever since. Just getting creative with hoe I study. Thanks:)

[30days2nclex]

Love it!

[30days2nclex]

Wow! Thanks for sharing!

[ivy-strawberry]

No VISINE with glaucoma.

[30days2nclex]

I agree, it is ridiculous . Thanks for sharing

[ivy-strawberry]

tofranil for OCD.

[30days2nclex]

"How" sorry

[30days2nclex]

I almost forgot that. Thanks!

[JustBeachyNurse, LPN]

30days2nclex said:

"How" sorry

Who are you replying to?