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Migraine medications
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Ergotamine (ergostat) triptans such as sumatriptan. beta blockers like propranolol. anticonvulsuants such as divalproex (depakote ER) tricyclic antidepressants (antitriptyline (elavil)). calcium channel blockers such as verapamil. estrogens such as gel or patches (alora, climara, and astraderm. ergot alkaloids ergotamine and caffeeine. and other triptans
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When do you want to alert the doctor with migraine medications?
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Ergotamine:Ergotism (muscle pain, parasthesias in fingers and toes, cold pale extremities. physical dependencebeta blockers: extreme tierdness, fatigue, depression, and asthma exacerbation.
amitriptyline (tricyclic antidepressants or TAD): if symptoms such as constipation, urinary retention, blurred vision, and tachycardia occur |
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When do you administer bacteriostatic inhibitors?what are examples of these
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Erythromycin: meal times. alert dr if GI affects. full glass of water. also says later without meals. (1 hr before or 2 hours after). clindamycin. erythromcycin. azithromycin. clarithromycin.
don't use these with erythromycin, antihistamines, asthma meds, anticonvulusants, and anticoagulants. |
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When do you give tetracycline
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2 hr before 2 hours after a meal. empty stomach. not near antacids.
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Side effects of antilepemics. what are the antielipemics which cause these effects?
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hepatotoxicity myopathy and peripheral neuropathy
main one: atorvastatin (lipitor). simvastatom/ ;pvastatom/ [ravastatom/ rpsivastatom/ |
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Gemfibrozil is a ? what are the SE
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Antilipemic:fibrate. gall stones, myopathy, hepatotoxicity.
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Bile sequestrants. example. side effects
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Cholestyramine (questran). or colestipol (colestid). no system ic effects bc the gi tract does not absorb. only causes constipation.
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Mood stabalizing drugs
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Lithium. valproicacid. study these! 215-217 valproic
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Administering heparin
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Deep subq injection or iv infusion. dosage: check with another nurse before administering.for continuous IV administration, use infusion pump and monitor q20-60 min. monitor aPPT every 4-6 hours. for determined timage. then qdaily. use a 20-22 gauge needle to withdraw leparin. Then change the needle to a smaller needle. a 25-26. 1/2 in to 5/8 inch. . administer 2 inches from umbilicus. apply pressure for 1-2 minutes after the injection. rotate and record sites of administration.
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What should the aptt levels be for heparin.
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60-80 seconds
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Examples of aminoglycosides.
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Gentamicin. amikacin. tobramycin sulfate. neomycin. streptomycin. paromomycin.
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Side effects of gentamicin. amikacin. tobramycin sulfate. neomycin. streptomycin. paromomycin.
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Ototoxicity. nephrotoxicity. intensified neuromuscular blockade resulting in respiratory depression. hypersensitivity, neurologic disorder (peripheral neuritis, optic nerve dysfunction, tingling/numbness of the hands and the feet)
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Adverse effects of opioid agonists
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Respiratory depression, constipation, orthostatic hypotension, urinary retention, cough suppression, sedation, biliary colic, emesis, opioid overdose triad: coma, respiratory depression, and pinpoint pupils.
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Teaching to prevent hypoglycemia
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-monitor client for signs. abrupt onset includes sns symptoms (tachycardia, palpitations, diaphoresis, shakiness. if gradual. cns symptomos (headaches, tremors, weakness, diaphoresis. administer glucose. for consciuous clients, administer a fast acting glucose tablet. oj, non-diet soda, candy.-if client is not fully conscious, do not risk aspiration, but give parenterally IV or sq/im. wear medical bracelet.
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What do you give for anaphylaxis?
what route. blood brain barrier? action time? |
Adrenergic agonist: most often epinephrine. other names are catecholamine, dopamine, dobutamine. all catechomines. not PO. no bbb, and action is short
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