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Priority:

o Airway
o Breathing
o Circulation
o Disability
o Safety

Urticaria

Dyspnea

Tinnitus
o May indicate ototoxicity

IV cefazolin

Salmeterol

o Long acting bronchodilator that prevents bronchospasm and
improves breathing
Oxybutynin
o anticholinergic
o Uses: urinary intolerance
o Teaching:
Symptoms patient should expect: blurred vision, dry mouth,
photophobia
Phenytonin
o Commonly causes gingival hyperplasia, therefore patient should let
dentist know he or she is taking the medication
Acetazolamide
o Chronic open angle glaucoma
o Adverse effects (instruct pt to monitor): Parenthesis (tingling of
fingers)
Oral Amoxiciilin
o If patient reports urticaria: may indicate allergic reaction and type of
antibiotic should be changed
Clavulanate Potassium
Neostigmine
o Myasthenia gravis
o Adverse reaction: nausea
Warfarin
o Warfarin toxicity: Vitamin K (antidote)
Aspirin
o Long term therapy
S/s to notify provider: Hyperventilation
Valproic Acid
o Can cause liver failure
o Instruct clients to observe for s/s of liver failure: jaundice
Benztropine
o Anticholinergic agent
o Can develop tachycardia due to parasympathetic blockade of the heart
Tinnitus may indicate
Tuberculosis
o May be prescribed four-medication regimen including: isoniazid,
rifampin, pyrazinamide, and ethambutol. This is done because the
combonation of medications eliminates resistant strains of TB, and it
can take up to six weeks to determine the sensitivity of the organism
to each medication.
Ferrous sulfate
o Take on empty stomach
o Antacids reduce absorption of iron
Chronic open angle glaucoma
Mannitol
o IV infusion 25% for one hour
The greatest risk to the patient taking IV Mannitol is
development of heart failure; therefore it is important to
instruct of s/s of heart failure: peripheral edema
Ketorolac
Oxybutynin
o Anticholinergic agent
o Side effects: dry mouth, blurred vision, photophobia
Doxycycline
o Tetracycline antibiotic
o Preg contraindicated; meds adverse effects on developing bones and
teeth
Magnesium sulfate IV infusion
o Uses: preterm labor
o Know s/s magnesium toxicity: decreased LOC
Magnesium toxicity results in CNS depression
Ceftazidime
o Cephalosporin antibiotic
o Severe penicillin allergy is a contraindication due to the potential for
cross sensitivity
o Monitor for anaphylaxis
Oral contraceptives
o Carbamazepine causes an accelerated inactivation of oral
contraceptives because of its action of hepatic medication-
metabolizing enzymes
Tamoxifin
o Anti-estrogen medication
o Treatment of breast cancer
o Expected adverse effects: hot flashes, bruising, menstrual
irregularities
Epoetin alfa
o Treat anemia
o If hematocrit rises too rapidly, hypertension and seizure can result, so
watch for increased BP
Fluoxetine
o Antidepressants
o Clients should not stop taking abruptly, should tape the dose or use an
antihistamine if gets rash
o Concurrent use of St. Johns Wort can increase the risk of serotonin
syndrome
o Suppresses platelet aggregation, which increases the risk of bleeding
when used concurrently with NSAIDS and anticoagulants. Therefore,
clients taking fluoxetine should avoid taking NSAIDS
Glargine
o Type one diabetes
o Solution clear
o Do not mix insulin glargine with any other insulins in same syringe,
because doing so can alter meds effects
Haloperidol
o Extrapyramidal symptom: akathisia
Clindamycin
o Can cause generalized muscle aches,
o Adverse effect: watery diarrhea because it can cause C-diff associated
diarrhea, which manifests as watery diarrhea. Without treatment, this
can be fatal.
Fluconazole
o (antifungal medication) effective in treating oropharyngeal and
systemic candidiasis
Methotrexate
o Immunosuppressant
o Can cause bone marrow suppression
Monitor and report indications of infection: fever, sore throat
Metoclopramide
o When used following surgery: Nurse should monitor for adverse
effects. Has multiple effects on CNS, including sedation.
Spacer minimizes the risk of candidiasis of mouth
Oprelvekin
o Thrombopoietic growth factor
o For management of adverse effects of chemotherapy
o Platelet count should be within expected range for medication to be
considered successful
Digoxin
o Signs of dig toxicity: yellow-tinged vision
Sucralfate
o Peptic ulcer disease
o Forms a protective barrier over ulcers
Atorvastatin
o Should be monitoring CK; mild injury, causing muscle weakness or
aches, develops in some clients taking statins, and this occasionally
progresses to myositis. Creatinine kinase levels rise in response to
enzymes released with muscle injury.
Chlordiazepoxide
o Acute alcohol withdrawal, should take to prevent delirum tremens
Morphine Sulfate
o Can cause bradycardia, Urinary retention
Tetracycline
o Take with food To reduce gastrointestinal distress
Furosemide
o Adverse effects: Dizziness, drop in blood pressure, hypokalemia,
urinary frequency, hyperglycemia
Ergotamine sublingual
o Take one tablet immediately after onset of aura or headache
Baclofen
o Nurse should document as a therapeutic outcome: decrease in flexor
and extensor spasticity
Prednisone
o Glucocorticoids
Adverse effects include osteoporosis which is monitored with
regularly scheduled bone density scans
Over the counter oral decongestions
o For nasal congestion
o Can constrict blood vessels
Enalapril
o Can develop hyperkalemia due to potassium retention by the kidneys
Albuterol
o Short acting beta 2 adrenergic agonist
o Causes bronchodilation and relieves bronchospasm during acute
asthma attacks
Metronidazole
o Combo with alcohol can cause a disulfiram-like reaction that can
include severe vomiting, hypotension, weakness
Hydromorphone
o Post op clients
Heparin infusion
o May indicate heparin-induced thrombocytopenia if low platelet count,
and it would be required to stop the medication
Trimethoprim/sulfamethoxazole
o Adverse effects: Vesicular, crusty rash, is a sign of johnsons syndrome
Indomethacin
o NSAID reduces pain and inflammation
Amphotericin B
o Intermittent IV bolus
o For histoplasmosis
o Adverse effects:fever
Diazepam
o Flumazenil is the reversal agent for benzodiazepine toxicity
Neostigmine is the reversal agent for neuromuscular blocker overdose
Atropine sulfate is the reversal agent for inhibitors overdose
Naloxone is the reversal agent for opioid toxicity

Thyroid stimulating hormone (TSH) level
o Most sensitve method for determining thyroid activity
Total t4 level
Total t3 level
Thyroxine-binding globulin (TBG)
WBC
Hematocrit
Leukocyte
Erythrocyte