CHECK METHOD OF MEMORIZATION:

DRUGS – “CHECK” METHOD OF MEMORIZATION: Magnesium Sulfate

Iron Supplements-FeSO4 C= Anticonvulsant, NS depressant
C= Mineral Supplement Anemia Seizure
H= Relief of fatigue / Inc strength E= As prescribed PIH
E= Best before meals, after meals if with GI irritation C= Report MgSO4 intoxication Hypotension, hypocalcemia and H/A
C= takes effect after 2-3weeks, Inc absorption with orange juice K= Check BP, urine output, RR, Patellar reflex if Dec antidote Ca Gluconate
K= Elixiform use straw Therapeutic level:
Injectable Z track method (laterally stretch the skin, 10 seconds)  Loading dose 4 – 7 Meq/L
SE: Constipation and black stools  Maintenance 1.5 – 3 Meq/L
Antidote: Deferoxamine HCL (Desferal)  Depression of DTR if 8 Meq/L
 Dec RR if 10 – 12 Meq/L
RHOGAM
C= Prevents RH sensitization Coagulation Process
Hemolytic reaction Vit K dependent clotting Factors
E= 27-28weeks AOG, ideally 72 hrs after delivery of baby with Rh (+) and ( ) Thromboplastin Fibrinogen à Fibrin (clot)
Coomb’s Prothrombin Thrombin
C= Pain in injection site Coumadin Heparin
K= Check Coombs test only in (Oral) (Injectable)
C= Anticoagulant
OXYTOCIN Clot formation
Pitocin Methergine E= Onset: 2 – 5 days 1- 2days
C= Induce Labor Contracts uterus after placental delivery C= Report signs of bleeding
Increase force of Uterine contraction K= Avoid green leafy Vegetable (contains Vit K)
H= firmly contracted uterus Avoid hard bristle toothbrush
E= As prescribed Antidote: Vit K Protamine Sulfate
C= Report prolonged duration of contraction Lab: PT PTT
K= Avoid: Blue cohosh
Check BP CHEMOTHERAPY
 Pitocin initially causes Hypotension then rebound hypertension CELL CYCLE
 Methergine initially causes Hypertension then rebound Hypotension G0 Mitosis
Interphase
TOCOLYTICS Resting G1 S G2 Cell division
C= Relaxes the uterine mm. during preterm labor RNA production DNA synthesis RNA synthesis
contractions / relaxed uterus Alkalating Agents Antimetabolites
Ritodrine HCl (Yutopar) Antibiotic Plant Alkaloid Hormones
E= Onset of preterm labor Interferes DNA & Inhibit DNA & Interferes DNA Interferes RNA
C= Report maternal tachycardia Replication RNA synthesis
HR > 130 Arrhythmia  CYTOXAN *METHOTREXATE *ADRIAMYCIN *ONCOVIN
K= Prepare antidote Propanolol *TAMOXIFEN
 MUSTARGEN (antidote: Leucoverin) GLENOXANE

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Malignant Hyperthermia = Parlodel Ibuprofen Aspirin
Muscle rigidity = Dantrolene, Dantrium (NSAID’s)
Administer Valium separately = incompatible with any other drugs AntiInflammatory
Avoid KAVA & VALERIAN = Inc Resp depression Antipyretic
Antidepressants-Avoid Citrus juices Dec absorption of med Analgesic
Avoid St. John Wort For RA & OA AntiPlatelet aggregate
Acute Mania = Give AntiPsychotic with antimanic Antirheumatic
C= Check signs of toxicity: Inflammation, pain, RA fever, platelet aggregation
Mild Moderate Severe E= pc – after meals
1.5 Meq/L 2.5 Meq/L > 2.5 Meq/L C= Report:
Thirst Nausea Visual disturbances Ringing in the ears
Ataxia Anorexia Allergy Nausea & Vomiting
H/A Vomiting Sore throat Rapid breathing
Irritability Diarrhea Fever Hyperpnea toxicity
Beginning Fine hand tremors Coarse hand tremors Black Stool
Abdominal Cramps Coma Death K= Annual eye exam
K= Monitor Lithium Level early morning (before breakfast) Check bleeding time
Out patient at least once a month
Drug of choice for toxicity Diamox, Mannitol CI: C= ANTIGOUT AGENTS
 Pregnancy Probenecid Colchicine Allopurinol
 Lactation Acute Chronic
 Renal Failure (8-12hrs) (13weeks)
Dietary Modification Inc Na (6–10 gm) and Inc Fluid ( 3L or more) Excretion of u.a. Prevent deposition of u.a. Prevent formation of u.a.
Acute Dose: .5 – 1.5 Meq/L Antiinflammatory
Maintenance: .5 – 1.2 Meq/L H= Decrease uric acid
Elderly : not exceed 1.0 Meq/L due to poor renal excretion E= Given with food
C= NAVDA Bruising H/A, drowsiness
MUSCULOSKELETAL DRUGS Allergy Agranulocytosis
C= Focus: Gold Therapy K= Inc fluid intake 2 – 3 L/day
Suppresses Arthritis Frequently check serum uric acid level
Inflammation
E= IM weekly CARDIAC DRUGS
Lie supine for 10 mins to prevent OH NITRATE
C= Check: A. Nitroglycerine
Signs of Stomatitis Sublingual
Dermatitis Unusual Bleeding Unusual BruisingFever Transmucosal = between gums, cheeks and lips
Sore Throat B. Isordil
K= Monitor Renal Function Test Sustained release, with water and don’t crush
Patch
C= ANTIINFLAMMATORY Nasal Spray

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H= Atrial Fibrillation, For PVC’s, arrhythmia, Slow ventricular rate, Slow atrial
C= Cardiac drug (Nitrate) rate
H= Dilate coronary arteries and arterioles Dec preload Anginal Pain E= Given as prescribed
E= Give before onset of pain C= Rash Blurring of Vision
3 X at 5 mins interval; After 15 mins, pain report? May indicate MI Convulsion Tinnitus/Ototoxicity
C= K= Check HR
 Ointment = Cover with plastic and put adhesive tape Evaluate ECG
 Patch = Non Hairy part
 Oral spray = 3 sprays in 15 mins C= THROMBOLYTICS
S.E. Facial flushing, H/A, Hypotension Streptokines
K= Rise slowly to prevent OH TPA
Tablet on dry, dark container,6 months Discard H= Dissolves the clot by preventing the formation of fibrin(fibrinolysis)
Burning Sensation à Indication that the drug is still potent Clot formation
Clot Dissolved
C= CARDIAC GLYCOSIDE E= Effective within 6 hours
Digoxin Digitoxin After MI within 24 hrs
H= Strengthen Myocardial Contraction C= Report Bleeding Monitor VS
Na K pump is converted to Na Ca pump Thus increasing force of K= Contraindicated to clients that are prone to bleeding
contraction
E= Onset 5 – 20 mins Onset 30 mins – 2 hrs C= ANTILIPEMIC AGENTS
Observe GI irritation LOVASTATIN QUESTRAN
C= Excreted by kidneys Excreted by the liver (Tablet) (Powder)
Normal level 14 – 26 Antidote: Digibive H= Dec LDL = 30 – 80 (HDL should be > 80 and LDL < 80)
Normal level 5- 2 ug/dl E= Before meals or at night time
K= Check HR = Adult 60 C= Caution: Hepatotoxic
Older Children = 70 K= Questran 1 pack of powder+4–6oz of fluid (water, milk or juice)
Infants = 90 – 110 Check liver function test, Rash and bleeding

DOPAMINE and DOBUTAMINE C= PERIPHERAL VASODILATOR

Inc force of contraction Paracid
Correct Hemodynamic Smooth muscle relaxant Facilitates blood circulation
For Emergency Situation Ischemia
H= Adequate Urine Output E= After Meals
E= Emergency Situation C= Instruct patient that drug may cause H/A and SOB
C= Always in diluted form K= Long term use is individual
K= Compute the drugs properly
C= BETABLOCKER
C= ANTIARRYTHMICS (Timolol, Esmolol, Nadolol)
Lidocaine Quinidine (Xylocaine) H= Dec BP, for Hyperthyroidism, Dec sympathetic (Autonomic) nervous system
stimulation

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E= Before meals Rifampicin INH Streptomycin Ethambutol
C= Rise slowly: Lie down for 30 mins after medication. Infection
Instruct patient that meds may cause bronchospasm E= Before Meals
K= Do not give chamomile and aspirin C= Red orange urine Peripheral Neuritis Oto,nephro,neuro Hepatotoxic
Don’t use contact lenses (Give B6) TOXIC Psychotic like Sx
C= ANTICHOLINERGIC K= Take the complete treatment as prescribed by the doctor ( 6 – 12 months )
Atropine Sulfate Vasolytic Agent Incomplete TB treatment Lead to MDRTB
H= Inc heart rate (check complete heart rate)
E= Before meals C= ANTIASTHMA
C= Avoid hot environments Theophylline Cromolyn Na
K= Check for rashes and SOB Adult = 10 – 20 mg/dl Prevents antihistamine release
Peds = 5 – 10 mg/dl
NEURODRUGS Dilates bronchioles
C= Anticonvulsants Dilantin H= Ease breathing
H= Decrease Seizure Threshold E= In the morning because it causes insomnia
E= After Meals C= Nausea and vomiting Rashes
C= Epilepsy Maintenance Theophylline toxicity
Chronis Use Gingivitis K= Check the pulse rate
Visit dentist at least once a year Soft bristle toothbrush, massage the gums Avoid Chamomile à cause bronchospasm
Urine is pink tinged Avoid aspirin ?
K= SAS ( Saline Flush à Administer drug Saline Flush Cause bronchospasm
To Prevent precipitate Inhaler Acute
Steroid Chronic
C= CHOLINESTERASE
Neostigmine Tensilon Cognex C= MUCOLYTICS (Mucomyst)
Myasthenia Gravis Alzeihmers H= Antidote for aspirin toxicity
Long Acting Short Acting Maintenance Dec viscosity of mucous
Treatment Diagnostic Treatment Loose phlegm
H= Inc muscle strength Inc mental functioning E= No specific time
E= Before Activity At bedtime C= Inc OFI
Before meals Use muscles of mastication S.E. bronchospasm
C= Chewing becomes stronger Dec dizziness K= Suction
Medication is lifetime Medication has a foul odor that resemble rotten egg
Report S/S of hepatotoxicity
K= Check liver fxn test C= EMETIC
Keep at bedside Neostigmine Antidote: atropine sulfate Syrup of Ipecac
Do not give echinicea H= To induce vomiting noncorrosive
Prepare Tracheostomy Peds below 6 months vomiting
E= Dose depends on age
C= ANTITB 6 mos – 1 yr = 10ml;1 – 12 yrs = 15ml;> 12 yrs = 30ml

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C= Administer with glass of water to enhance effects of ipecac (supplement) Tapazole ( 10 times greater than PTU)
Cardiotoxic = Ensure that child vomits the entire amount For Hypothyroidism For Hyperthyroidism
H= Normal BMR Dec T3 and T4, Adequate appetite and sleep
C= ANTACIDS E= In morning to prevent insomnia Round the clock
Peptic Ulcer Disease C= Report signs of overdose: Report:
Maalox Ranitidine Sucralfate Insomnia, palpitation & Nervousness Fever, sore throat, body malaise
hrs 46;wks 8 wks K= Life time Monitor HR & BP
Neutralizes HCl Dec HCl secretion Coats GIT
Normal HCL 2 – 5 C= STEROID
Maximum 10 Cortisone Floricef
Pain, dec HCl Replacement Therapy
E= Usually on an empty stomach Addision’s Disease
1 hour before meals 2 hours after meals H= Correct Fluid and electrolyte Imbalance
C= Shake liquid E= In the morning
SE: diarrhea C= Given intramuscularly
Constipation Avoid abrupt withdrawal
K= Short term therapy AE: Bruising Bone marrow depression
Electrolyte imbalance K= Avoid salty foods edema
Maintain a balance diet obesity
ENDOCRINE DISEASE Avoid crowded areas Infection
C= INSULIN OHA
Type 1 Diabetes Mellitus Type 2 C= RENAL DRUGS
Regular – Humulin Orinase EPOGEN
Intermediate – NPH Diabinase Inc RBC production for Chronic Renal Failure
Longacting H= Normal Hemoglobin
– ultra lente Metformin E= As prescribed
H= Inc transfer of glucose to cell membrane Pancreas to secrete insulin C= Report Polycythemia Inc production of RBC
E= Before breakfast CVA
C= Report Hypoglycemia: K= Check Complete Blood Count
 Dizziness
 Dec LOC C= DIURETIC
 Diff. of problem solving Loop Diuretic Thiazide Diuretic K – Sparring Diuretic
K= Hypo occurs usually occurs at the peak of action of meds: (Lasix) (Hydrochlorothiazide) (Spirinolactone)
Before lunch Duiril Aldactone
In the afternoon or before dinner Loop of Henle Distal Tubule Blocks aldosterone
In midnight or next day Prevent Na absorption Prevents Na absorption Retains water
Rank: 4 – 8 – 12/16 H= Increase urine output and decrease pt’s weight
E= Early morning à prevent nocturia
C= THYROID DRUGS C= Hypokalemia Hypokalemia
Synthroid PTU Dec K Dec K Inc K

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Dec na Dec Na Dec Na
Dec Ca Dec mg
K= Inc Sodium in diet
Check Electrolyte level Check BP

IMMUNUREN (Azathioprine)
C= Immunosuppressant
H= -rejection of organs
E= As prescribed
C= Report:
Nausea, vomiting
Thrombocytopenia
Bruising
Infection
K= Check CBC
Frequent Handwashing

C= MIOTICS MYDRIATICS
(Pilocarpine) (ATSO4)
For Glaucoma CI for Glaucoma
For eye exam
H= Normal IOP Dilatation of pupils
E= Lifetime in glaucoma as prescribed
C= Lower conjunctival sac Report: eye pain & blurring of vision
Press inner canthus 1 –2 mins to Avoid alertness after medication
prevent systemic SE
K= Check BP and Blood sugar

C= ANTIBIOTICS
Vancomycin Penicillin Tetracycline
H= MRSA Gonorrhea Lyme’s
Syphilis Rocky Mountain Fever Infection
E= Before meals
With GI irritation à After meals
C= Ototoxic, Nephrotoxic, Allergy Hepatotoxic Neurotoxic
K= Check I and O
Peak Level = 15 – 30 mins after administration
Trough level = 15 – 30 mins before the next dose
Antidote: Epinephrine Deep IM and check CBC
Given with probenecid

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Iron Supplements- C= Relaxes the uterine mm. during preterm labor
FeSO4 contractions /
H= relaxed uterus
C= Mineral Supplement Anemia Ritodrine HCl (Yutopar)
H= Relief of fatigue / Inc strength E= Onset of preterm labor
E= Best before meals, after meals if with GI irritation C= Report maternal tachycardia
C= takes effect after 2-3weeks, Inc absorption with orange juice HR > 130 Arrhythmia
K= K= Prepare antidote: Propanolol
Elixiform - use straw
Injectable Z track method (laterally stretch the skin, 10 seconds) Magnesium Sulfate
C= Anticonvulsant, NS depressant
SE: Constipation and black stools H= Seizure
Antidote: Deferoxamine HCL (Desferal) E= As prescribed PIH
C= Report MgSO4 intoxication Hypotension, hypocalcemia and
RHOGAM H/A
C= Prevents RH sensitization K= Check BP, urine output, RR,
H= Hemolytic reaction Patellar reflex - if Dec *antidote: Ca Gluconate
E= 27-28 weeks AOG, Therapeutic level:
ideally 72 hrs. after delivery of baby with Rh (+) and ( ) o Loading dose 4 – 7 Meq/L
Coomb’s o Maintenance 1.5 – 3 Meq/L
C= Pain in injection site o Depression of DTR if 8 Meq/L
K= Check Coombs test only in o Dec RR if 10 – 12 Meq/L

OXYTOCIN Coagulation Process

Pitocin Methergine Vitamin K dependent clotting Factors
Thromboplastin | Fibrinogen à _. Fibrin (clot)
C= Induce Labor Prothrombin | Thrombin
Contracts uterus after placental delivery Coumadin | Heparin
Increase force of Uterine contraction (Oral) | (Injectable)
H= firmly contracted uterus C= Anticoagulant
E= As prescribed H= Clot formation
C= Report prolonged duration of contraction E= Onset: 2 – 5 days 1- 2days
K= Avoid: Blue cohosh C= Report signs of bleeding
Check BP K= Avoid green leafy Vegetable (contains Vit K)
o Pitocin initially causes Hypotension then rebound hypertension Avoid hard bristle toothbrush
o Methergine initially causes Hypertension then rebound *Antidote: Vit K Protamine Sulfate
Hypotension Lab: PT | PTT

TOCOLYTICS CHEMOTHERAPY
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CELL CYCLE Death
G0 Mitosis Interphase Resting G1 S G2 Cell division RNA K= Monitor Lithium Level early morning (before breakfast)
production DNA synthesis RNA synthesis Out patient at least once a month

Alkalating Agents Drug of choice for toxicity – Diamox, Mannitol CI

Antimetabolites 1.) Pregnancy
Antibiotic 2.) Lactation
Plant Alkaloid Hormones 3.) Renal Failure

Interferes DNA & Inhibit DNA & Interferes DNA Interferes RNA Dietary Modification :
Replication RNA synthesis Inc Na (6–10 gm) and Inc Fluid ( 3L or more)

* CYTOXAN *METHOTREXATE *ADRIAMYCIN *ONCOVIN Acute Dose: .5 – 1.5 Meq/L

*TAMOXIFEN Maintenance: .5 – 1.2 Meq/L
* MUSTARGEN (antidote: Leucoverin) GLENOXANE Elderly : not exceed 1.0 Meq/L due to poor renal excretion

Malignant Hyperthermia = Parlodel MUSCULOSKELETAL DRUGS

Muscle rigidity = Dantrolene, Dantrium C= Focus: Gold Therapy
Administer Valium separately = incompatible with any other drugs Suppresses Arthritis
Avoid KAVA & VALERIAN = Inc Resp depression Inflammation
Antidepressants-Avoid Citrus juices Dec absorption of med H=
Avoid St. John Wort E= IM weekly
Acute Mania = Give Antipsychotic with antimanic Lie supine for 10 mins to prevent OH
C= Check:
C= Check signs of toxicity: Signs of Stomatitis
Mild Moderate Severe Dermatitis Unusual Bleeding Unusual BruisingFever
1.5 Meq/L 2.5 Meq/L > 2.5 Meq/L Sore Throat
Thirst K= Monitor Renal Function Test
Nausea
Ataxia C= ANTIINFLAMMATORY
Anorexia Ibuprofen Aspirin
H/A (NSAID’s)
Vomiting Anti-inflammatory
Irritability Antipyretic
Diarrhea Analgesic
Beginning Fine hand tremors For RA & OA
Coarse hand tremors Anti-Platelet aggregate
Abdominal Cramps Antirheumatic
Coma H= Inflammation, pain, RA fever, platelet aggregation
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E= pc – after meals 3 X at 5 mins interval
C= Report: After 15 mins ( + ) pain report
Visual disturbances Ringing in the ears May indicate MI
Allergy Nausea & Vomiting C=
Sore throat Rapid breathing 1. Ointment = Cover with plastic and put adhesive tape
Fever Hyperpnea toxicity 2. Patch = Non Hairypart
Black Stool 3. Oral spray = 3 sprays in 15 mins
K= Annual eye exam S.E. Facial flushing, H/A, Hypotension
Check bleeding time K= Rise slowly to prevent OH
Tablet on dry, dark container,6 months Discard
C= ANTIGOUT AGENTS Burning Sensation à Indication that the drug is still potent
Probenecid Colchicine Allopurinol
Acute Chronic C= CARDIAC GLYCOSIDE
(8-12hrs) (13weeks) Digoxin Digitoxin
Excretion of u.a. Prevent deposition of u.a. Prevent formation of H= Strengthen Myocardial Contraction
u.a. NaKpump is converted to NaCapump Thus increasing force of
Antiinflammatory contraction
H= Decrease uric acid E= Onset 5 – 20 mins Onste 30 mins – 2 hrs
E= Given with food Observe GI irritation
C= NAVDA Bruising H/A, drowsiness C= Excreted by kidneys Excreted by the liver
Allergy Agranulocytosis Normal level 14 – 26 Antidote: Digibive
K= Inc fluid intake 2 – 3 L/day Normal level 5- 2 ug/dl
Frequently check serum uric acid level K= Check HR = Adult 60
Older Children = 70
CARDIAC DRUGS Infants = 90 – 110
NITRATE
A. Nitroglycerine
Sublingual
Transmucosal = between gums, cheeks and lips
B. Isordil
Sustained release, with water and don’t crush
Patch
Nasal Spray DOPAMINE and DOBUTAMINE
Inc force of contraction
C= Cardiac drug (Nitrate) Correct Hemodynamic
H= Dilate coronary arteries and arterioles For Emergency Situation
Dec preload H= Adequate Urine Output
Anginal Pain E= Emergency Situation
E= Give before onset of pain C= Always in diluted form
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K= Compute the drugs properly H=
E= After Meals
C= ANTIARRYTHMICS C= Instruct patient that drug may cause H/A and SOB
Lidocaine Quinidine (Xylocaine) Atrial Fibrillation For PVC’s K= Long term use is individual
Arrhythmia,
Slow ventricular rate,
Slow atrial rate C= BETABLOCKER
H= (Timolol, Esmolol, Nadolol)
E= Given as prescribed H= Dec BP,
C= Rash Blurring of Vision for Hyperthyroidism, Dec sympathetic (Autonomic) nervous
Convulsion Tinnitus/Ototoxicity system stimulation
K= Check HR E= Before meals
Evaluate ECG C= Rise slowly: Lie down for 30 mins after medication.
Instruct patient that meds may cause bronchospasm
C= THROMBOLYTICS K= Do not give chamomile and aspirin
Streptokines
TPA C= ANTICHOLINERGIC
Dissolves the clot by preventing the formation of fibrin (fibrinolysis) Atropine Sulfate Vasolytic Agent
Clot formation Clot Dissolved H= Inc heart rate (check complete heart rate)
H= E= Before meals
E= Effective within 6 hours C= Avoid hot environments
After MI within 24 hrs K= Check for rashes and SOB
C= Report Bleeding Monitor VS
K= Contraindicated to clients that are prone to bleeding NEURODRUGS
C= Anticonvulsants Dilantin
C= ANTILIPEMIC AGENTS H= Decrease Seizure Threshold
LOVASTATIN | QUESTRAN E= After Meals
(Tablet). (Powder) C= Epilepsy Maintenance
H= Dec LDL = 30 – 80 (HDL should be > 80 and LDL < 80) Chronis Use Gingivitis
E= Before meals or at night time Visit dentist at least once a year
C= Caution: Hepatotoxic Soft bristle toothbrush, massage the gums Urine is pink tinged
K= Questran 1 pack of powder+4–6oz of fluid (water, milk or juice) K= SAS ( Saline Flush à Administer drug Saline Flush To Prevent
Check liver function test, Rash and bleeding precipitate

C= PERIPHERAL VASODILATOR C= CHOLINESTERASE

Paracid Neostigmine Tensilon Cognex
Smooth muscle relaxant Myasthenia Gravis Alzeihmers
Facilitates blood circulation Long Acting Short Acting Maintenance
Ischemia Treatment Diagnostic Treatment
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H= Inc muscle strength Inc mental functioning C= MUCOLYTICS (Mucomyst)
E= Before Activity At bedtime H= Antidote for aspirin toxicity
Before meals Use muscles of mastication Dec viscosity of mucous
C= Chewing becomes stronger Dec dizziness Loose phlegm
Medication is lifetime E= No specific time
Report S/S of hepatotoxicity C= Inc OFI
K= Check liver fxn test S.E. bronchospasm
Keep at bedside Neostigmine Antidote: atropine sulfate K= Suction
Do not give echinicea Medication has a foul odor that resemble rotten egg
Prepare Tracheostomy
C= EMETIC
C= ANTITB Syrup of Ipecac
Rifampicin INH Streptomycin Ethambutol H= To induce vomiting noncorrosive
Infection Peds below 6 months vomiting
H= E= Dose depends on age
E= Before Meals 6 mos – 1 yr = 10ml;1 – 12 yrs = 15ml;> 12 yrs = 30ml
C= Red orange urine Peripheral Neuritis Oto,nephro,neuro C= Administer with glass of water to enhance effects of ipecac
Hepatotoxic Cardiotoxic = Ensure that child vomits the entire amount
Don’t use contact lenses (Give B6) TOXIC Psychotic like Sx K=
K= Take the complete treatment as prescribed by the doctor (6 –
12 months ) C= ANTACIDS
Incomplete TB treatment Lead to MDRTB Peptic Ulcer Disease
H= Maalox Ranitidine Sucralfate
C= ANTIASTHMA hrs 46;wks 8 wks
Theophylline Cromolyn Na Neutralizes HCl Dec HCl secretion Coats GIT
Adult = 10 – 20 mg/dl Prevents antihistamine release Normal HCL 2 – 5
Peds = 5 – 10 mg/dl Maximum 10
Dilates bronchioles Pain, dec HCl
H= Ease breathing E= Usually on an empty stomach
E= In the morning because it causes insomnia 1 hour before meals 2 hours after meals
C= Nausea and vomiting Rashes C= Shake liquid
Theophylline toxicity SE: diarrhea
K= Check the pulse rate Constipation
Avoid Chamomile à cause bronchospasm K= Short term therapy
Avoid aspirin? Electrolyte imbalance
Cause bronchospasm
Inhaler Acute ENDOCRINE DISEASE
Steroid Chronic C= INSULIN OHA
Type 1 Diabetes Mellitus Type 2
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Regular – Humulin Orinase Maintain a balance diet obesity
Intermediate – NPH Diabinase Avoid crowded areas Infection
Long acting– ultra lente Metformin
H= Inc transfer of glucose to cell membrane Pancreas to secrete C= RENAL DRUGS
insulin EPOGEN
E= Before breakfast Inc RBC production for Chronic Renal Failure
C= Report Hypoglycemia: H= Normal Hemoglobin
Dizziness E= As prescribed
Dec LOC C= Report Polycythemia Inc production of RBC à CVA
Diff. of problem solving K= Check Complete Blood Count
K= Hypo occurs usually occurs at the peak of action of meds:
Before lunch C= DIURETIC
In the afternoon or before dinner Loop Diuretic (Lasix)
In midnight or next day Thiazide Diuretic (Hydrochlorothiazide)
Rank: 4 – 8 – 12/16 K – Sparring Diuretic (Spironolactone)
Duiril | Aldactone
C= THYROID DRUGS Loop of Henle
Synthroid PTU (supplement) Tapazole ( 10 times greater than Distal Tubule
PTU) Blocks aldosterone
For Hypothyroidism Prevent Na absorption
H= Normal BMR Dec T3 and T4, Adequate appetite and sleep Prevents Na absorption
E= In morning to prevent insomnia , Round the clock Retains water
C= Report signs of overdose: H= Increase urine output and decrease pt.’s weight
Report: E= Early morning to prevent nocturia
Insomnia, palpitation & Nervousness C= Hypokalemia (except K-sparing, Spironolactone)
Fever, sore throat, body malaise Dec K
K= Life time Monitor HR & BP Dec K
Inc K
Dec na
C= STEROID Dec Na
Cortisone Floricef Dec Na
Replacement Therapy Dec Ca
Addision’s Disease Dec mg
H= Correct Fluid and electrolyte Imbalance K= Inc Sodium in diet
E= In the morning Check Electrolyte level
C= Given intramuscularly Check BP
Avoid abrupt withdrawal
AE: Bruising Bone marrow depression IMMUNUREN (Azathioprine)
K= Avoid salty foods edema C= Immunosuppressant –
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*** rejection of organs K= Check I and O
E= As prescribed Peak Level = 15 – 30 mins after administration
C= Report: Trough level = 15 – 30 mins before the next dose
Nausea, vomiting Antidote: Epinephrine Deep IM and check CBC
Thrombocytopenia Given with probenecid
Bruising
Infection
K= Check CBC
Frequent Handwashing

C= MIOTICS MYDRIATICS
(Pilocarpine). (ATSO4)
For Glaucoma CI for Glaucoma. For eye exam
H= Normal IOP Dilatation of pupils
E= Lifetime in glaucoma , As prescribed
C= Lower conjunctival sac
Report: eye pain & blurring of vision
Press inner canthus 1 –2 mins to Avoid alertness after medication
prevent systemic SE
K= Check BP and Blood sugar

C= ANTIBIOTICS
Vancomycin
Penicillin
Tetracycline
MRSA
Gonorrhea
Lymes
Syphillis
Rocky Mountain Fever
Infection
H=
E= Before meals
With GI irritation à After meals
C= Ototoxic, Nephrotoxic, Allergy Hepatotoxic Neurotoxic
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