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final med list 1
nurs
Question | Answer |
---|---|
Iodine 131-*1301-(radioiodine1-131) | -hyperthyroidism(graves disease)+thyroid cancer-radioactive: SE= thyroid destroyed>pills for life: NSG=avoid long close contact 2 days after treatment(pregnant+kids espec)/excreted in pee+poo+sweat+saliva+vag+tears/if kid-make alternative plans 2-4 days:s |
Diethylstilbestrol-*288-(DES) | -synthetic estrogen/hormone-interferes with hormone receptors: alert=if taken w preg=daughter inc risk cervical+vag +reproductive malformations+infertility; son=risk testicular abnormalities(small/undescended)+cancer-inform MD if exposed. |
*=textbook Methotrexate-pge 967 -(aka MTX) | -combo drug-antineoplastic/antimetabolite/anitfolate/ immunosuppresant -cancer/psoriasis/rheumatoid arthritis-remission maintenance: SE= toxicity liver/ kidney+marrow; HA/rash/alopecia/mouth sores/upset tummy/lowWBC: ETOH inc toxicity:NSG= baseline liver+ |
Fluorouracial (5-FU)-pge 651-(aka carac/efudex/fluoroplex) | -single drug-antineoplastic/antimetabolite-palliative; SE=mental decline/angina/N+V/stomatitis/diarrhea/anemia/leukopenia/face+eye+tongue edema/photosensitivity/pruritis; NSG=discontinue if leuko or thrombocytopenia |
Cisplatin-pge 335-(aka abiplatin/platinol) | -antineoplastic/alkylating agent-combo drug-cancer: SE= anaphylactic/N+V+D/constipation/myelosuppression/leuko+thrombocytopenia/hypOcalcemia/ototxicityNSG=test uric acid+creat+BUN before each course+plts/CBC 2wks after/note bowel changes |
Cytoxan-pge 303-(aka cyclophosphamide/neosar/procytox) | -antineoplastic/alkylating agent-cancer: SE=alopecia/V+D/mouth sores/jaundice/sterility; kidney failure/anemia/leuko+ thrombocytopenia /hemorrhagic cystitis/ab pain: NSG=CBC diff twice wkly-leukopenia poss fatal (nadir 2-8days) |
Oncovin-*720-(vincristine)inj- | antineoplastic/mitotic inhibitor-vinca alkaloid-cancer combo: SE= N+V+ D+loss appetite+wt+hair loss+rash+bloating: alert=constipation/cramps/no sweat/painful pee/inc+dec pee/bed wetting/joint+lower back+side+jaw+testicle pain/sleep prob/confusion/blurred |
Decadron-pge 44-(akadexamethasone/deronil/maxbex/mymethesone/oradexon/prednisone)- | hormone /adrenal corticosteroid/glucocorticoid-antiinflammatory/immunosuppressant-cancer/ skin diseases/ breathing+eye+digestive+sleep probs/anemia/arthritis: SE=dizzy/indigestion/inc appetite+wt/ weakness: NSG=report ortho hypotension/N+V/anorexia/sore |
Adriamycin-pge 516-(aka doxrubicin hcl/rubex)- | antineoplastic/antibiotic-cancer: SE=N+V+D/red urine/ alopecia:alert if: mouth sores+fever+chills+back pain+bloody urine+wheezing+swelling lower legs+ painful pee/poo+irreg heartbeat+SOB+rash: NSG=extravasation+warn complete hair loss-eyebrows etc+take o |
Bleomycin-pge181-(aka blenoxane)- | antineoplastic/antibiotic-combo-skin+lung cancer: SE=N+V+wt loss+itchy rash+finger+toenail changes+hair loss+skin darkening+thickening: NSG=take on empty tummy/change diet/limit activity all help N+V;alert if fever/chills/sob/cough/hoarseness/confusion/ f |
Mithracin-*287-(plicamycin)- | antineoplastic/antibiotic: SE=N+V+D+HA+loss appetite+tired+weak+ depressed+sore mouth+hair loss:alert=nosebleed/bloody poo+vomit+sore throat+red spots on skin rash/fever/face swollen/bruising+bleeding: NSG=liver+kidney+bloods/take on empty tummy+small mea |
Rifampin-pge1343-(aka rifadin/rimactane/rofact)- | antibiotic/antiTB-SE=N+HA+tummy upset+drowsy+ heartburn(go away with time):red/orange pee+poo+tears+saliva+sweat; alert if fever/chills/skin+eye discoloration/sore throat/rash/swelling/dizzy/sob: NSG=LFT espec if hepatic issues/stick to regimen |
Bactrim-pge1554-(aka trimethoprim-sufamethoxazole{TMP-SMZ}) | -antibiotic-Uti etc +pneumoncystis-combo: SE=N+V+D+HA/loss appetite:poss muscle weakness/mood change/goiter/bloody pee/stiff neck/ seizures: rare=peeling skin rash(stevens-johnson syndrome) aplastic anemia/agranulocytosis/liver+lung damage:alert=sore thr |
Amphoterican B-pge 88-(aka amphocin/fungizone) | -antifungal-oral candidiasis:SE=N+V+D: alert=rash /itch/swelling: NSG=CBC+BUN+CREAT/I+O/WT/F+E/wash clothes etc in contact with area affected |
Zofran-pge1113-(aka ondansetron hcl)- | antiemetic:SE=HA/diarrhea+constipation/blurred vision/light headed/CP/poss rash+itching+swelling+SOB if allergic:NSG=F+E balance+cardiovascular(diarrhea) |
Reglan-pge 983-(aka metoclopramide hcl/emex/maxeran)- | inc GI motility/antiemetic: SE=inc neuro probs w inc dose/drowsiness+restlessness+anxiety+insomnia+depression+sedation+parkinsonian +tetanus like movements:NSG=do not drive+drink+take other depressants/SE worse if parkinsons |
Combivir-pge1651=(aka zidovudine+lamivudine combo)- | antiviral-HIV:keeps viral load down+CD4 up +avoid infections+cancers linked to HIV: careful if renal probs/DM/obesity: SE=dec RBC+WBC/ muscle damage/enlarged liver/lactic acid build up/HA/tummy upset/fatigue/nasal probs/buffalo hump: NSG=CBC diff/kidney+ |
Acyclovir-pge19-(aka zovirax)-antiviral | -HIV:works on herpes simplex-(coldsores+genital)+ varicella zoster(shingles+chick pox)+EPV(mono):SE=N+V+D+HA+rash+anemia+confusion+agitation+muscle pain:poss seizures/anemia/hepatitis if allergic:NSG=renal function/F+E balance |
Zyloprim-pge40-(aka allopurinol/lopurin/novopurinol/alloprin) | -anti gout/hyperuricemia-gouty arthritis/ kidney disease+stones:SE=N+D+rash+itch+drowsy:poss nerve+kidney+marrow damage+liver toxicity (rash+itch):NSG=stop if rash+painful/bloody pee/sore eyes/swollen eye+lips-allergic reaction-poss fatal |
Coumadin-pge1600-(aka warfarin sodium/warfilone)- | anticoagulant-LE blood clotsPE(CP+SOB/shock) |