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RN 211 pharmacology

RN 211 pharmacology drugs

QuestionAnswer
anti-diuretic hormone tx: diabetes insipidus, hypotension, and sometimes septic shock. decrease urine output, relief of polydypsea, increase urine osmolality, resolution of VT/VF Monitor: BP,ECG, HR, dly WT, assess for edema, urine specific gravity vasopressin
volume expander; increase intravascular fluid; TX: shock and burns. increases BP, urinary output, serum plasma protein in pts with hyponatremia. COMP: HA, fluid volume overload, HTN, tachycardia, crackles, dyspnea. monitor albumin, serum sodium Colliod
hormone TX: hypothyroidism, thyroid cancer, resolution of hypothyroidism & normalize thyroid hormone level SE: HA, insomnia, angina, arrhythmias, tachycardia, abd cramps, N/V/D, sweating, wt loss, accelerated bone maturity in children. Levothyroxine / Syntrhoid
increase or replace fluid volume :Hypertonic-3%NS; Hypotonic-D5W; Isotonic-NS, Lac Ringer; TX: fluid volume loss r/t trauma, burns, or surgery, SE: over hydration, pulmonary edema, SOB, Tachycardia. Monitor: WT in CHF pts, edema, s/s of FVO Crystalloids
Antidiabetic; TX: lowers BG in diabetic pts by stimulating pancreas to release insulin. SE: hypoglycemia, tingling hands and feet. HA, N/V/D drug induced hepatitis hyponatremia aplastic anemia photosensitivity. MONITOR: ALT AST FSBS LDH BUN & Creatinine Glymepiride / Amaryl
Antidiabetic; TX: lowers BG in diabetic pts by stimulating pancreas to release insulin. SE: hypoglycemia, easy bruising or bleeding HA, N/V/D drug induced hepatitis hyponatremia aplastic anemia photosensitivity. MONITOR: ALT AST FSBS LDH BUN & Creatinine Glipizide / Glucotrol
Antidiabetic TX: improves sensitivity to insulin or decrease insulin resistance. SE: hypoglycemia CHF edema liver failure +liver enzymes rhabdomyolysis fractures in women. MTR: FSBS s/s HF SOB WT gain CBC w/ DIFF AST ALT total bilirubin Pioglitazone / Actos
Antidiabetic TX: restore bodys proper response to insulin by decreasing amount of sugar the liver makes & body absorbs. SE: hypoglycemia N/V/D metallic taste, lactic acidosis heartburn, wt loss gas constipation MTR: A1C B12 folic acid FSBS. Metformin / Glucophage
Antidiabetic TX: restore bodys proper response to insulin by decreasing amount of sugar the liver makes & body absorbs. SE: HA N/V/D upper resp infx runny nose acute renal failure myalgia MTR: Hgb A1C ALT AST FSBS Sitagliptin / Januvia
Antidiabetic TX: dcrs BG by stimulating glucose uptake in skeletal muscles & fat inhibiting glucose production. SE: hypoglycemia hunger tachycardia tingling hands feet lips tongue confusion blurred vision MTR: daily wt, FSBS Q6, serum potassium, inj site Regular Insulin / Humalin-R / Novolin-R
Alkalizing agent TX: mngmt of metabolic acidosis neutralize gastric acid alkalize urine & promote excretion of drugs in overdoses SE: hypernatremia hypocalcemia hypokalemia Na&H2O retention tetany cerebral hemorrhage metabolic acidosis. MTR: HCO3 Sodium Bicarbonate / NaHCO3
TX: mntnce of intracellular tonicity electrophysiology of cells transmission of nerve impulses tx/prevent potassium depletion SE: N/V/D gas abd pain confusion weakness ECG changes. MTR: BP HR ECG K+ toxicity hypo/hyperkalemia AST ALT HCO3 pH k+ Mg Cl Potassium Chloride
Essential for transmission of nerve impulses muscular & skeletal function TX: calcium deficit SE: HA tingling syncope cardiac arrest arrhythmias bradycardia constipation N/V renal calculi phlebitis MTR: HR BP ECG phlebitis cellulitis necrosis sloughing Ca Calcium Gluconate
inhibits synthesis of thyroid hormones TX: graves dz toxic multinodular goiter hypothyroidism. SE: HA N/V/D loss of taste paresthesia vertigo edema Stevens-Johnson syndrome aplastic anemia MTR: WBC AST ALT LDH PTH bilirubin alkophosphates Propylthiouracil / PTU
destroys some thyroid hormone producing cells TX: hyperthyroidism thyroid cancer SE: radiation sickness bone marrow depression hypothyroidism MTR: for s/s radiation sickness leukemia anemia leukopenia thrombocytopenia Radioactive Iodine
TX: acute /chronic adrenocortical insufficiency Addisons Dz adrenal crisis nonendocrine disorders cancer inflammation allergic reactions SE: +BS dcrs immunity dcrs bone density wt gain MTR: BS WT BP ECG edema K+ levels osteoporosis Glucocorticoids
affects bodys ability to regulate BP sodium & water retention/ release. SE: retention/release of sodium & water HTN Edema HF hypokalemia MTR: WT BP electrolytes BG peptic ulcer s/s acute adrenal insufficiency mineralcorticoid / Aldosterone
Created by: Christinap0718
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