Relacionar Columnas Pharm 231 neuropsych, OB, V/M, blood and blood productsVersión en línea matching drug, indications, class, adverse reactions and interactions por Amanda 1 Phenelzine (MAOI): Resistant depression 2 Sertraline (SSRI), & Duloxetine (SNRI): Depression, anxiety, and neuropathic pain 3 Carbidopa-Levodopa: Parkinson’s disease 4 Phenytoin, Ethosuximide, Divalproex, & Carbamazepine: 5 Methylphenidate (Ritalin): ADHD 6 Benztropine: Parkinson’s symptoms (tremors, rigidity, drooling) 7 Phenytoin: seizures 8 Amitriptyline: Depression, anxiety, and neuropathic pain 9 Phenobarbital: Anxiety, insomnia, and seizure disorders 10 Bupropion: Depression and smoking cessation 11 Lithium: Acute manic episodes and maintenance of bipolar disorder 12 Diazepam: Severe anxiety, alcohol withdrawal, seizure disorders, and insomnia 13 Ethosuximide and Divalproex: seizures 14 Haloperidol & Quetiapine: Schizophrenia, acute psychosis, and manic episodes of bipolar disorder (Dopaminergic): Anxiety, nervousness, and cardiovascular effects (TCA): Sedation, suicidality, and anticholinergic effects (Antipsychotics): Extrapyramidal symptoms (EPS), Neuroleptic Malignant Syndrome (NMS), weight gain, and QT prolongation (Hydantoin): CNS suppression, gingival hyperplasia, and liver damage (CNS Stimulant): Sudden cardiac death in children with cardiac defects Various types of seizure disorders (focal, generalized, status epilepticus, or absence) (Benzodiazepine): CNS depression and paradoxical hyperexcitability in the elderly (Barbiturate): Severe CNS and respiratory depression (Anticholinergic): Dry mouth, constipation, and blurred vision (Antimanic): Slurred speech/tremors (<1.5 mEq/L) progressing to seizures and death (>2.5 mEq/L) (NDRI): CNS hyperactivity, weight loss, and suicidality (Antiepileptics): Bone marrow suppression, liver damage, and severe rashes Sertraline and Duloxetine (SSRI/SNRI): Serotonin syndrome, loss of libido, and suicidality (MAOI): Hypertensive emergency 1 Insulin: Management of gestational diabetes 2 Labetalol: Gestational hypertension and preeclampsia 3 Magnesium Sulfate: Prevention of seizures in preeclampsia/eclampsia and fetal neuroprotection 4 Biktarvy, Penicillin G, Azithromycin, & Metronidazole: Treatment of gestational infections (HIV, GBS, syphilis, chlamydia, gonorrhea, trichomoniasis) 5 Nifedipine & Terbutaline: Tocolytics used to suppress preterm labor contractions 6 Methylergonovine: Sustained uterine contraction for control of PPH 7 Oxytocin: Induction of labor and control of postpartum hemorrhage (PPH) (Pancreatic Hormone): Hypoglycemia and hypokalemia Uterine hypertonicity, uterine rupture Biktarvy (Antiviral): Lactic acidosis and nephrotoxicity (Oxytocics): Uterine hypertonicity, uterine rupture, and maternal water intoxication (CNS Depressant): Magnesium toxicity (loss of DTRs, RR <12, CNS depression) (Tocolytics): Hypotension and tachycardia; pulmonary edema (terbutaline only) (Beta Blocker): Hypotension and bradycardia 1 Coenzyme Q-10: Mitochondrial encephalomyopathies, CHF, and statin-induced myopathy 2 Flaxseed: Constipation and dyslipidemia 3 Echinacea: May interfere with immunosuppressant drugs 4 Garlic: Cardiovascular health (BP/cholesterol) and antimicrobial effects; Ginger: Vertigo, nausea, and anti-inflammatory needs 5 Cranberry: UTI prevention 6 St. John’s Wort: Depression Serotonin syndrome and multiple drug interactions can decrease anticoagulant effects of warfarin; decreased BP when combined with antihypertensives, risk of hypoglycemia with insulin May increase INR with warfarin therapy Increased risk of bleeding Immunostimulant for flu prevention; contraindicated in pt's taking immunosuppressant drugs GI adverse effects and decreased absorption of other medications 1 Phosphorus: 2 Absorption Issues: 3 Calcium: 4 Drug-Drug Interactions of minerals: 5 Sodium: 6 Potassium: 7 magnesium: Potassium given with potassium-sparing diuretics (e.g., spironolactone) significantly increases the risk of life-threatening hyperkalemia Calcium and magnesium can interfere with the absorption of iron and certain antibiotics, such as tetracyclines electrical excitability in skeletal and cardiac muscle; imbalances often first appear as T-wave changes on telemetry, used for pts on lasix(furosemide osteoporosis and PTH deficiencies. Cardioprotection by stabilizing cardiac membranes (especially in hyperK+), reversal agent for mag toxicity Used for replacement and to help prevent calcium-based kidney stones by binding to calcium in the intestines antacid, laxative, first-line treatment for Torsades(polymorphic VT),decreases uterine contractions and prevents seizures in preeclampsia Used for fluid balance and replacement. Imbalances are a primary concern for central nervous system function and can lead to seizures 1 Fresh Frozen Plasma (FFP) 2 Nursing Safety Protocols for Blood Products: verification 3 Albumin indications: 4 Nursing Safety Protocols for Blood Products: pre-administration 5 Platelets 6 Nursing Safety Protocols for Blood Products: Administration: 7 Whole Blood 8 Packed Red Blood Cells (PRBCs) Severe anemia or hemoglobinopathies; used specifically to increase oxygen-carrying capacity informed consent, type and screen (cross-match), except when O-neg is used; use at least a 20-gauge IV (smaller causes hemolysis) Massive blood loss from trauma or surgery; replaces all components (cells and plasma) simultaneously prime tubing with only 0.9%NS, stay with pt for first 15 min of infusion, transfusion must be completed within 4hrs of leaving the blood bank Thrombocytopenia or active bleeding with a low platelet count Active bleeding, DIC, burns, shock, and emergent reversal of warfarin; it is rich in clotting factors Hypovolemia, hypoalbuminemia, and burns; it provides oncotic pressure to pull fluid into the vasculature Requires a two-nurse check at the bedside to verify the patient's identity and match the unit number and blood type to the order
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