Amphotericin B Mycostatin-nystatin rifadin cipro Cytoxan Clozapine Haldol Lorazepam Valium Xanax Morphine Toradol Tramadol Aspirin ibuprofen

3. Codeine Opioid/ Narcotic Pain management; mild to moderate pain Can be combination with cough suppression Respiratory depression- indication of opioid overdose. (STOP THE RATE OF MEDICATION, RAISE HEAD OF THE BED, ADMINISTER O2, PROVIDE NARCAN, NOTIFY THE PHYSICIAN IMMEDIATELY) Sedation- Risk for fall Constipation- more H2O and fiber. Orthostatic hypotension Tachycardia Tachypnea AVOID CNS depressants (barbiturates, benzodiazepines NO ALCOHOL AVOID Anticholinergic agents NO MAOIs NO Antihypertensive drugs Hypersensitivity

Monitor vi patients b

53. Narcan Opoid antagonist Narcotic over dosage; complete or partial reversal of narcotic depression including respiratory depression Reduces fever, inflammation and mild to moderate pain

Narcan ha inactivatio administer Do not ad Use this m breaths/m

39. Tylenol (acetaminophen)

Antipyretic

Liver toxicity Acute renal failure Nausea, vomiting, dizziness, diarrhea, hypoglycemia, Gastritis (give plenty fluids Abdominal pain, diarrhea, nausea. Daytime sedation Depression Nausea and vomiting CNS effects with use of alcohol

18. Celebrex

Antiinflammatory/ 2nd generation NSAIDs

Exhibits antiinflammatory, analgesic and anti-pyretic activities. Indication for insomnia management (710 days) Restores the balance of serotonin, a natural substance in the brain helps

Alcohol increase the risk of liver damage Warfarincombination can increase levels of warfarin Severe hepatic impairment Hypersensitivity to drug, salicylate or sulfa Lactating should not take this medication Alcohol

Do not exc Monitor fo Montor AL function te

57. Ambien (zolpidem) 52. Paxil

Non-Barbituate CNS depressant Antidepressant/ SSRI

Monitor la function, B Monitor flu edema wit HTN. Do not mix Administer to the rap

Caution w hazardous equipment known. DO NOT S

mood problems 35. Tofranil (Imipramine HCL) Tricyclic Anitdepressant Decrease the number of awakenings from sleep, reduces time in REM (rapid eye movement)and increases stage 4 sleep Orthostatic hypotension Dry mouth, blurred vision, photophobia, acute urinary retention, constipation and tachycardia Sedation Toxicity by evidence of dysrhythmias, confusion, agitaion, seizures Depending on the person and medication taken, can cause serious side effects unknown. MAOIS- cause hypertension Antihistaminesadditive anticholinergic effects Alcohol, Benzodiazpines, Opioids CNS depressants

5. St. Johns Wart

Herbal supplement

Mild to moderate depression, anxiety, inflammation

49. Ritalin (Methylphenidate Hydrochloride )

CNS Stimulant

37. Pentids (Penicillin G)

Antibotic/ Penicillin

Release norepinpherine and dopamine into the CNS Effects are more prominent on metal rather than on motor activites Kills bacteria by disrupting there cell wall Frist choice for meningitis (Strep throat)

Insomnia- take last dose before 6 PM and give 30-40 minutes before meals

Interacts with birth control, warfarin. Digoxin and cyclosporine DO NOT TAKE with antidepressant medication Hyperthroidism, Heart disease Glaucoma Drug abuse MAOIs

improvem status occ Take med everyday. Instruct cl medication symptoms discontinu relapse. Monitor fo and adults Monitor HR hypotensio Monitor fo prolongati Respirator LOC DO NOT U pregnant

Anaphylaxis Superinfections Diarrhea Nausea & vomiting AVOID CEPHALSPORINS

Aminoglycosides Oral contraceptive

Advise clie sustainedand not ch tablet Causes ale with focus Improves interaction performan Take oral glass of H Report sig

28. Tetracycline HCL

Antibiotic/Tetracycline

Uncommon gram neg bacteria infection, gram positive. First line medication for rickettsiam Chlamydia

Angioedema Renal impairment Diarrhea Steatorrhea Dysphagia Esophagitis & esophageal ulceration Photosensitivity

56. Garamycin (gentamycin)

Antibiotic/ aminoglycosides

Broad spectrum antibiotic Bactericidal antibiotics that destroy microorganisms by disrupting protein synthesis

Ototoxicity Nephrotoxicity

Decreases the Oral or to effectiveness of Do not ad ORAL under age CONTRACEPTIVES discolorat . An alternative Do not ad method of birth or lactatin control should be Should no used Improvem AVOID- DAIRY breath sou PRODUCTS, IRON Avoid prol & ZINC sunlight SUPPLEMENTS Clients with renal impairment should receive reduce dose of aminoglycosides

47. Bactrim (trimethoprim)

Antibiotic/ Sulfamides and Trimethoprim

30. Zosyn (Piperacillin/ Tazobactam) Antibiotic/ Penicillins

Inhibits bacterial growth my preventing the synthesis of folic acid. This is a choice for UTI caused by E.coli. Destroy bacteria by weakening the bacterial cell wall. Fights against most gram negative and many gram positive anerobic and aerobic organisms Inhibit Mycobaterium Tuberculosis Treats the growth of the bacteria penetrate most body membrane to reach infection (CNS, bones, eyes, respiratory tract and urinary tract) Treatment of severe acne in patient unresponsive to conventional treatment. Highly toxic metabolite of retinol (vitamin ) Decrease sebum secretion by reducing sebaceous gland size; inhibits gland cell differentiation; blocks follular keratinization

Hypersensitivity including StevensJohnson syndrome Agranulocytosis or thrombocytopenia Kerinicterus (jaundice) Nausea and vomiting Hypersensitivity Edema (mouth, tongue, pharynx, larynx) Angioedema of the face and extremities Hypotension Hyperkalemia Hypokalemia Hyperatremia Hepatoxicity Hyperkalemia Hypocalcemia Metabolic acidosis Proteinuria

Folate deficiency (risk of megaloblastic anemia) Avoid if pregnant

Aminoglycosides If allergic to penicillins cannot take any cephlosporins Oral Contraceptives

24. INH (Isoniazid acid hydrazide

Antibiotic/ Antituberculosis

58. Difulcan (fluconazole)

Antifungal

Hepatoxicity (rare)

Phenytoininterferes with the metabolism if taken with ING Alcohol Rifampin- increase the risk for hepatoxicity NO indication

32. Accutane (isotretinoin)

Antiacne

Acute hepatoxic (rare) Lethargy Visual disturbances Bone, joint and muscle pain/ stiffness

Hypersensitivity UV EXPOSURE PREGNANCY (CATEGORY X) FEMALES OF CHILDBEARING AGE FEMALES LACTATING