ACCUTANE (Isotretinoin)

C anti-acne; decrease sebaceous gland size H absence of acne E best taken in the morning with meals, it causes insomnia C have a pregnancy test, the drug is fetotoxic K ensure that the patient is not pregnant; discontinue the drug if visual disturbances occur.

ADRIAMYCIN (Doxorubicin)
C antineoplastic; antibiotic H (-) infection, CBC changes E best taken in the morning C may turn the urine red, can cause diarrhea, alopecia K increase fluid intake, the drug can cause hyperuricemia; assess for allergy

ALDOMET (Methyldopa)
C antihypertensive H decrease BP E take the drug regularly exactly as prescribed C impotence can be expected K check the BP, the drug may cause hypotension

AMINOPHYLLINE (Theophylline)
C bronchodilator H ease of breathing E best taken in the morning on an empty stomach, because the drug causes insomnia C stop smoking as it interferes with the drugs effectiveness K check the heart rate, the drug may cause tachycardia; maintain adequate urine output; avoid caffeine containing foods

AMPHOGEL (Aluminu Hydroxide Gel)

C antacid; it neutralizes or reduces gastric acidity H decrease phosphate level E best taken between meals and at bedtime C the drug may cause constipation K administer the drug with a glass of water; report black tarry stool; monitor for signs and symptoms of hypophosphatemia, like muscle weakness

AMPICIN (Ampicillin)
C antibitoic H (-) infection E best taken on an empty stomach C report the development of rash; drug may cause GI upset K perform a sensitivity test before initiating therapy; probenecid increases the effect of the drug; give it around the clock

ANCEF (Cefazolin)
C antibiotic H (-) infection E no specific C report the development of rash K assess for signs and symptoms of nephrotoxicity; not administered by push

ANTABUSE (Disulfiram)
C antialcoholic agent; causes an unpleasant reaction when combined with alcohol H patients avoids alcohol E best taken after abstaining from alcohol for 12 hours C instruct patient to avoid alcohol based substances like: M O F F A V S

M O F F A V S
M mouth wash O - over the counter cold remedies F - fruit flavored extracts F food sauces made up of wine A after shave lotion S - skin products K - inspect the patients belongings and confiscate alcohol based substances; monitor liver function test.

APRESOLINE (Hydralazine)
C antihypertensive H decreased BP E best taken with food C rise slowly from a lying or sitting position K monitor for signs and symptoms of orthostatic hypotension; monitor the heart rate for tachycardia

ARTANE (Trihexyphenidyl HCL)

C anti-parkinsonian agent H muscles become less stiff; decreased pillrolling tremors E best taken after meals C avoid driving; the drug causes blurred vision K check the BP, the drug may cause hypotension

ASA (ASPIRIN)
C anti-inflammatory, antipyretic, analgesic, anti-platelet, aggregate H (-) fever, inflammation, pain E best taken on full stomach C tinnitus indicates toxicity; avoid the overthe-counter cold remedy K assess the patient for bleeding tendencies; induce vomiting if overdose occurs

ATIVAN (Lorazepam)
C anti-anxiety, minor tranquilizer H decreased anxiety E best taken at H.S. or on an empty stomach, food delays absorption of the drug C the drug may cause: dizziness, drowsiness, dry mouth; avoid driving; avoid caffeine containing foods and alcoholic beverages. K keep the siderails up

ATROPINE SULFATE
C anticholinergic, vagolytic, drying agent H it increases heart rate in a patient with heartblock, used preoperatively to decrease sectretions E best taken 30 minutes before meals C the drug may cause facial flushing; avoid tasks that require acute vision; avoid hot environment K check the BP, the drug causes hypotension, constipation, and drymouth

AZT (Zidovudine)
C antiviral; used to prevent replication of HIV H increased CD4 count E no specific C eat small frequent meals, the drug may cause change in taste K arrange for frequent blood tests, may cause bone marrow depression; give the drug around the clock

AZULFIDINE (Sulfasalazine)

C antibiotic; used as a treatment for ulcerative colitis H (-) infection E best taken with meals to decrease GI upset C report blood in the urine, rash, ringing in the ears, sorethroat; wear protective clothing, the drug causes photosensitivity, turns the urine orange-yellow K discontinue immediately if hypersensitivity occurs; increased fluid

BACTRIM (Co-trimoxazole)
C antibiotic H (-) infection E best taken before meals C changes the color of urine to red orange K assess for signs and symptoms of nephrotoxicity

BAL (Dimercarpol)
C antidote; use in the treatment of lead poisoining H increased lead excretion in the feces and urine E drug is only given per IM C treatment may need to be continued for 2-10 days K monitor for irregular heartbeat; monitor BP; administer deep IM; assess for allergy

BENADRYL (Diphenhydramine HCL)

C anticholinergic; antiparkinsonian; antihistamine H (-) allergy E best taken with food if GI upset occurs C avoid alcohol; report difficulty of breathing K administer syrup form if patient is unable to take tablets; assess for allergy

Ca Edta (Edetate Calcium Disodium)

C antidote in lead poisoning H increased urinary excretion of lead E no specific C report pain at injection site K monitor BUN levels; can damage the kidneys; keep the patient supine

CARDIZEM (Diltiazem HCL)

C antihypertensive, antianginal H decreased BP; (-) anginal pain E no specific C nausea and vomiting may occur K monitor BP, cardiac output

CELESTONE (Betamethasone)
C steroid; stimulates lung development in premature infant H (-) respiratory distress in premature infant E given with food to reduce GI irritation C report signs of infection K monitor the weight; give once-daily dose in the morning to prevent insomnia; given 48-hours before delivery of premature infant to promote fetal lung maturity

CEPHULAC (Lactulose)
C laxative, ammonia reduction agent H decreased serum ammonia E no specific C report diarrhea K monitor serum ammonia levels; administer with juice to disguise the taste

CHLOROMYCETIN (Chloramphenicol)
C antibiotic H (-) infection E best taken on an empty stomach C report sorethroat and tiredness K antagonizes the bacterial action of penicillin; the drug may depress the bone marrow

CLOZARIL (Clozapine)
C antipsychotic H decreased delusions, hallucinations, and looseness of association E best taken after meals C report sorethroat and avoid exposure to sunlight K check the BP the drug causes hypotension; assess for akathisia, usually described by patients as 1 feel as if I have ants in my pants; assess for tardive dyskinesia initially manifested by tongue twitching or lip smacking

CODEINE PHOSPHATE
C antitussive, narcotic-antagonist, analgesic H relief of pain E no specific; given to lactating mother women 4-6 hours before feeding to minimize drug in milk C it can cause constipation; avoid driving K use laxative to counteract constipation; raise the side rails, it may cause drowsiness

COGENTIN(Benztropine Mesylate)
C antiparkinsonian H muscles become less stiff E best taken after meals C avoid alcohol; report difficult urination K the drug causes hypotension, so check the BP; evaluate the effect of the drug after several days

COUMADIN (Warfarin Sodium)

C anticoagulant; prevents thrombus formation, it does not dissolve clots H (-) thrombus E no specific C avoid green leafy vegetables as the vitamin K content of these vegetables interfere with the absorption of the drug; avoid contact sports

 K assess for any sign of bleeding; keep vitamin K at bedside; do not give patient any IM injection; many factors (diet, fever, environment) may change the bodys response to the drug.

CYTOTEC (Misoprostol)
C synthetic prostaglandin; produces cervical dilatation; anti-ulcer (primarily) H (+) cervical ripening E given in early labor C report uterine hyperstimulation, nausea, diarrhea, flatulence and headache; assess for the presence of asthma, glaucoma, renal or cardiovascular disease

 K prepare terbutaline at the bedside, it counteracts uterine hyperstimulation; have an IV line, oxytocin induction can be started 6 to 12 hours after the last prostaglandin dose; prostaglandin gel is applied to the interior surface of the cervix by a catheter or supporsitory or to the external surface by the use of a diaphragm; monitor FHR for 30 minutes after each application.

CYTOXAN (Cyclophosphamide)
C antineoplastic H decreased tumor size E best given in the morning to prevent hemorrhagic cystitis C alopecia is temporary; report sorethroat; report hematuria; dysuria immediately K monitor CBC, increased fluid intake; assess for signs and symptoms of nephrotoxicity

DALMANE (Flurazepam Hydrochloride)

C antianxiety H decreased anxiety, adeqaute sleep E best taken before meals C causes mental confusion, hallucinations and ataxia, avoid alcohol it increases CNS depression, avoid caffeine containing foods, it counter acts the effect of the drug K raise bedside rails, assess hepatic or renal function

DELTASONE (Prednisone)
C glucocorticoid, anti-inflammatory H (-) inflammation E best given after meals, administer once a day doses before 9 am to mimic normal peak corticosteroid blood level C weight gain and increased appetite are common side effects; treatment is lifelong if used in Addissons disease; avoid exposure to infection; report unusual swelling

 K check serum K level, may cause hyperkalemia; do not give live virus vaccines (OPV, MMR) with immunosuppressive doses of corticosteroid

DEMEROL (Meperidine HCL)

C narcotic analgesic; used to relieve pain of nephrolithiasis H (-) pain E no specific C avoid activities that requires alertness; avoid alcohol; it may cause facial flushing K keep the antidote; naloxone HCL at the bedside

DEXASONE (Dexamethasone)
C glucocorticoid; used in the treatment of adrenal insufficiency H - (-) inflammation E no specific C avoid exposure to infection; report unusual weight gain; sore throat K do not stop abruptly; assess for fluid and electrolyte imbalance

DIABINASE (Chlorpropamide)
C antidiabetoc agent; stimulates the pancreas to secrete insulin H blood sugar level within normal range E best given in the morning with food, so sleep will not be disturbed by increased urination C take weight daily; protect the skin from exposure to the sun

 K assess for signs and symptoms of hypoglycemia like drowsiness, diaphoresis, and dizziness

DIAMOX (Acetazolamide)
C antiglaucoma; diuretic; antiepileptic; used to lessen the signs and symptoms of Menieres disease H increased urine output, decreased vertigo in Menieres disease E best taken in the morning with meals C avoid driving K assess for unusual bleeding

DIGOXIN (Lanoxin)
C cardiac glycoside; increases force of cardiac contraction H normal heart rate in patient with atrial fibrillation E no specific C report greenish vision, sign of toxicity; take pulse everyday

 K assess the patients heartrate, it causes bradycardia; assess for signs of toxicity (nausea, anorexia, vomiting, diarrhea); monitor serum K level

DILANTIN (Phenytoin)
C anti-convulsant H (-) seizure E best taken with food to enhance absorption C massage the gums, it causes gingival hypertrophy; may turn the urine pink, red or reddish brown

 K monitor for signs and symptoms of bone marrow depression; do not discontinue abruptly; use saline flush before and after IV administration; report skin rash

DIURIL (Chlorothiazide)
C diuretic H increased urine ouput E best taken with food early in the day, so sleep will not be disrupted by increased urination C protect the skin from exposure to the sun; muscle weakness in the lower extremities indicate hypokalemia K monitor weight

ELAVIL (Amitriptylline)
C tricyclic antidepressant; prevents the reuptake of norepinephrine H increased appetite; adequate sleep E best given after meals C therapeutic effects may become evident only after 2-3 weeks of intake K check the BP, I causes hypotension: check the heartrate, it causes cardiac arrythmias

EPINEPHRINE
C cardiac stimulant, bronchodilator H increased heart rate, easy breathing E best taken in the morning, it causes insomnia C avoid driving; eat small frequent meals K assess for tachycardia

EPOGEN (Epoietin alfa)

C recombinant human erythropoietin; used to treat anemia associated with chronic renal failure H (-) pallor E given IV or SC C report difficulty of breathing K monitor access line for signs of clotting; assess hemoglobin or hematocrit

ERYTHROCIN (Erythromycin)
C antibiotic H (-) infection E best taken on an empty stomach C report the development of rash K monitor liver function; adminsiter around the clock; assess for signs and symptoms of secondary infection

FERROUS SO4
C iron preparation; used in the prevention and treatment of iron deficiency anemia H (-) pallor E best taken on an empty stomach, if GI upset occurs, give p.c. C avoid milk, egg, coffee and tea, these decrease absorption; take the drug with orange juice to promote absorption

 K keep the antidote, deferoxamine mesylate, at the bedside

FLAGYL (Metronidazole)
C antihelmintic H (-) helminths E best taken with food C avoid alcohol; report severe GI upset, turns the urine brownish K interacts with antabuse to cause a psychotic reaction; the drug is teratogenic; instruct patient to take entire recommended dose

GARAMYCIN (Gentamicin)
C aminoglycoside, bactericidal H (-) infection E no specific C increase fluid intake; tinnitus indicates ototoxicity K monitor for signs and symptoms of ototoxicity, nephrotoxicity and nuerotoxicity

HALDOL (Haloperidol)
C antipsychotic; major tranquilizer H decreased delusions, hallucinations, looseness of association E best taken after meals C avoid exposure to sunlight K monitor BP, it causes hypotension. The long acting type (Haloperidol decanoate) is given once a month

 C anticoagulant; used toprevent clot enlargement H prolonged PTT E no specific C report signs and symptoms of bleeding K monitor the patient partial thromboplastin time; keep protamine SO4 (antidote) at the bedside; do not give by IM injection

HEPARIN

INDERAL (Propanolol Hydrochloride)

C antianginal; antiarrythmic; antihypertensive; reduces portal pressure and decreases the risk of bleeding from esophangeal varices H decreased BP E best taken with meals C avoid driving; do not discontinue abruptly K check BP, it may cause hypotension

INH (Isoniazid)
C antituberculous agent H (-) infection E best taken on an empty stomach C report tingling sensation in the lower extremities, it indicates peripheral neuropathy; avoid alcohol

 K liver function studies should be done before the start of therapy; therapeutic effects generally occur in 2-3 weeks; adminsiter with Vit B6 to prevent peripheral neuropathy

INSULIN (NPH, Regular)

C hypoglycemic agent H normal blood sugar level E best given before breakfast C report signs and symptoms of hypoglycemia (tremors, nervousness) K serve meals on time to prevent hypoglycemia

ISORDIL (Isosorbide dinitrate)

C antianginal; relaxes smooth muscles H decreased BP E best taken on an empty stomach C change position slowly; may cause facial flushing K check the BP frequently; instruct the patient not to chew the sustained relaease form

ISUPREL (Isoproterenol hydrochloride)

C bronchodilator, antiasthma H releief of bronchospasm E no specific C avoid driving K assess the heart rate, it causes tachycardia

KAYEXALATE (Sodium Polysterene Sulfonate)

C - potassium removing resin; promotes potassium excretion H decreased serum potassium levels E no specific C may cause constipation K if given as an enema, have the patient assume a knee-chest position or retain the solution for 30-60 minutes; monitor serum potassium

KEFZOL (Cefazolin sodium)

C antibiotic H (-) infection E best taken with food C avoid alcohol K assess for severe diarrhea, difficulty of breathing

KWELL (Lindane)
C - pediculicide/scabicide H effective if there are no lice in the hair and there are no eggs attached to hair shaft E applied twice: immediatley after diagnosis and a week after C may be adminsitered to all individuals living in the house; do not apply to face K use gloves to remove nits by using fine-toothed comb rinsed in vinegar

LARADOPA (Levodopa)
C anti-parkinsonism H muscles become less stiff E best taken with meals C avoid foods containing Vit B6 or protein rich foods since it decreases the absorption of the drug K ensure that the patient voids before receiving dos, it may cause urinary retention

LASIX (Furosemide)
C diuretic H increased urine output E best given in the morning C eat bananas and citrus fruits because they are good sources of potassium K monitor serum potassium levels, it can cause hypokalemia

LITHIUM CARBONATE
C - antimanic H - decrease hyperactivity E - best taken after meals C - increase fluid intake (3 L/day) and sodium intake (3 gm/day); avoid activities that increase perspiration K - it takes 10-14 days before therapeutic effect becomes evident;

 K - antipsychotic is administered during the first two weeks to manage acute symptoms of mania until lithium takes effect; Monitor serum level, normal is 0.5 1.5 meq/L; NAVDA (acronym for lithium toxicity: Nausea, Anorexia, Vomiting, Diarrhea and Abdominal Cramps: Mannitol is administered if toxicity occurs

LOPID (Gemfibrozil)
C- antihyperlipidemic H- normal triglycerides levels E - best taken with meals or milk C- report severe stomach pain with a nausea, vomiting, fever, chills or sorethroat, severe headache, vision changes K arrange check-up including CBC, blood glucose, lipids especially during long term therapy

LOVASTATIN (Mevacor)
C anti-lipemic agent; reduces low density lipoprotein (LDL) H - decrease LDL levels E - best given with evening meal, for enhanced absorption C drug causes: headache, blurred vision, constipation, rash, pruritus; restrict alcohol intake, it worsen hepatotoxicity

 K therapeutic response occurs in about 2 weeks with maximum effects in 4 to 6 weeks; monitor liver function test; store the tablets at room temperature in a light resistant container

LOVENOX (Enoxaparin)
C - antithrombotic; prevents the formation of clots H - (-) thrombosis E - usually given as soon possible or as ordered after hip surgery C use soft toothbrush and electric razor to prevent bleeding; report signs of bleeding: Nose bleeding, Bleeding Gums, Black or Starry stools

 K administered by deep SC injection; not given by IM; abdominal fat roll is the best site; check the patient for signs of bleeding; alert the patient for signs of bleeding; alert all health care providers that the patient is on Enoxaparin; keep protamine sulfate, the antidote, at the bedside; Monitor the patients Partial Thromboplastin Time

MAGNESIUM SULFATE
C - anticonvulsant; tocolytic H - (-) convulsion E - no specific C - diarrhea is a side effect K keep the antidote, calcium gluconate at the bedside; assess the patients respiratory rate, (should be at least 12/min) deep tendon reflex and urine output, (should be at least 30 ml/hr)

MANNITOL
C - diuretic, use to treat cerebral edema H - increase urine output E - best given in the morning C - avoid alcohol and prolonged exposure to sunlight K monitor BP and serum potassium

MEFOXIN (Cefoxitin Na)

C - antibiotic H - (-) infection E - no specific C - report the development of rash K probenecid may inhibit excretion of the drug; monitor renal status: I & O, serum creatinine

MESTINON (Pyridostigmine)
C - cholinesterase inhibitor, used for treatment for myasthenia gravis H - increased muscle strength E - usually administered before meals C - report the development of rash, drug may increase peristalsis K monitor for muscle weakness; keep the antidote, atropine SO4 at the bedside

METHERGIN ( Methylergonovine Maleate)

C - oxytoxic; used as treatment for potassium atony and hemorrhage H - firmly contracted uterus E - no specific C - report difficulty of breathing K monitor the BP, it causes hypertension

METHOTREXATE
C - antineoplastic H - evaluate tumor size E - no specific C - avoid alcohol; report black tarry stool and sorethroat K keep the antidote, leucovorine at the bedside; may cause birth defects; administer antiemetic to counteract nausea and vomiting; the drug depresses the bone marrow

MONOAMINE OXIDASE INHIBITOR (MAOI)

C - antidepressant H - increased appetite; adequate sleep E - best taken after meals C report headache; it indicates hypertensive crisis; avoid tyramine containing foods like ABCS (acronym)

A - avocado B - banana C - cheddar and aged cheese S soy sauce and preserved foods K monitor the BP

 C - narcotic agonist, analgesic; given to decrease anxiety in a patient with pulmonary edema; promotes venous pooling of blood in the periphery, so it decreases venous return to the heart H - relief of pain E - best taken with food C - avoid driving; report severe nausea and vomiting

MORPINE SO4

 K keep naloxone HCL (antidote) at the bedside; instruct the patient to lie down during IV administration; morphine causes more pain in pancreatitis because it increases the spasm of the sphincter of oddi, so avoid giving it.

NARDIL (Phenelzine)
C- antidepressant (MAO inhibitor) H- increased appetite; adequate sleep E- best taken after meals C- report headache; it indicates hypertensive crisis; avoid tyramine containing foods like: ABCS, it takes 2-3 weeks before initial therapeutic effects become noticeable

 K- monitor the BP; there should be at least a two-week interval when shifting from one anti-depressant to another

NEBUPENT (Pentamide Isothionate)

C -antiprotozoal; used in the treatment and prevention of pneumocystis carinii pneumonia H -(-) infection E -no specific C -change position slowly K check the BP, blood test and blood sugar level

NEOMYCIN SULFATE
C - aminoglycoside; used to reduce ammonia forming bacteria in the GI tract of a patient in hepatic coma H - (-)infection, decreased ammonia levels E - no specific C - report hearing changes or tinnitus; increase fluid intake K assess the patient for signs and symptoms of neurotoxicity, nephrotoxicity and ototoxicity

NIPRIDE (Nitroprusside Sodium)

C - antihypertensive H - decreased BP E - no specific C change position slowly K check BP every 5 minutes

 C - antianginal; causes generalized vasodilation which promotes blood flow to the heart muscles H - relief of chest pain E - best taken before any strenuous activity C place a tablet under the tongue at the first sign of chest pain Burning Sensation under the tongue is a sign of potency of the drug.

NITROGLYCERIN

 C - facial flushing is a side effect; do not chew the tablet; keep the tablets in a dark container K - monitor the BP and heart rate

ONCOVIN (Vincristine)
C - antineoplastic H - evaluate tumor size E - no specific C - may cause: alopecia, nausea, vomiting and constipation; use birth control, it is teratogenic K instruct the patient that the drug is not taken during pregnancy

OSMITROL (same mannitol)

C - diuretic, use to treat cerebral edema H - increase urine output E - best given in the morning C - avoid alcohol and prolonged exposure to sunlight K monitor BP and serum potassium

PANCREAS (Pancreatin/Pancrealipase)
C - pancreatic enzyme; helps in the digestion of fats in patients with cystic fibrosis and pancreatitis H - absence of fat in the stool E - administer with each meal and snack C - do not chew enteric coated capsules; the drug may cause abdominal discomfort or diarrhea K assess the patients stool

PAVABID (Papaverine Hcl)

C - peripheral vasodilator; improves blood circulation in the lower extremities H - (-) intermittent claudication; (-) leg cramps E - best taken with meals or antacids C - report severe headache, chestpain, shortness of breath, numbness, tingling in the lower extremities K - monitor the BP, it causes orthostatic hypotension

PENICILLIN
C - antibacterial H - (-) infection E - best taken on an empty stomach with a full glass of water C - report the development of rash K keep the antidote, epinephrine at the bedside

PHENERGAN (Prometazine Hydrochloride)

C - antihistamine H - (-) allergy E - no specific C - avoid alcohol and prolonged exposure to sunlight K - do not administer SC, tissue necrosis may occur

PHOSPO-SODA

PITOCIN (Oxytocin)
C - oxytocic; used to induce labor after articificial rupture of the membranes H - firmly contracted uterus E - no specific C - report the development of rash K monitor the BP; discontinue if hypertension develops

PNEUMOVAX (Pneumococcal vaccine)

C - vaccine; stimulate immunity through antipneumococcal antibody production H - (-) pneumonia E - no specific C - report the presence of erythema, induration, soreness at injection, fever, myalagia, and rash

 K administer SC or IM only preferably in the deltoid muscle or lateral mid thigh; refrigerate vials, do not dilute; do not administer less than 10 days prior to or during treatment for Hodgkins-disease; have epinephrine 1:1,000 available at the bedside; indicated for patients at risk for pneumonia (children over 2-year-old, adult with chronic illness, elderly)

POVAN (Pyrvinium pamoate)

C -antihelminthic H -(-) pinworm E -no specific C -the drug may discolor the stool K -assess the patients stool; assess for common side effects: nausea, anorexia

PROBENECID (Benemid)
C -antigout; used as a uricosoric drug in gouty arthritis; delays the excretion of penicillin H -decreased uric acids levels E -best taken with meals C -change position slowly K increase fluid intake

PROSTIGMIN (Neostigmine)
C -cholinesterase inhibitor; antimyasthenic agent H -increased muscle strength E -no specific C -report diarrhea, abdominal pain and muscle weakness; avoid hot and excessively humid environment K -keep the antidote, pralidoxime chloride (PAM) or atropine at bedside

PTU (Propylthiouracil)
C -antithyroid; inhibit synthesis of thyroid hormone H -decreased heart rate; adequate sleep E -take the drug around the clock at 8 hour interval C -treatment is lifelong; report the development of sorethroat, it indicates agranulocytosis K monitor the heart rate, it causes tachycardia contraindicated in pregnant patients

PYRIDIUM (Phenazopyridine hydrochloride)

C -urinary analgesic H -(-) pain E -best taken after meals to decrease GI upset C -inform the patient that the drug colors the urine orange or red K -assess for jaundice

RADIOACTIVE IODINE
C -antithyroid; limits thyroid hormone secretion H -normal heart rate; adequate sleep E -instruct patient to fast overnight before administration; food delays absorption C -it will take several weeks (usually 6 weeks) before therapeutic effects become noticeable K -urine and saliva are slightly radioactive for, 24 hours after administration

RESERPINE (Serpasil)
C -antihypertensive H -decreased BP E -best taken with meals C -avoid sudden position changes K -monitor BP and heart rate

RhoGAM (Rho Immune Globulin)

C -prevents sensitization to the Rho factor H -(-) erythroblastosis fetalis E -administer within 72 hours after Rh incompatible delivery C -report pain and soreness at injection site K -given to Rh (-); coombs (-) mother with and Rh (+), coombs (-) baby

 C -antibiotic; used in the prevention of disseminated Mycobacterium Avium Complex (MAC) disease in patients with advanced HIV infection H -(-) infection E -no specific C -report nausea, vomiting, diarrhea; body fluids may turn reddish-orange, contact lenses may be stained K -monitor CBC, it may cause bone marrow depression

RIFABUTIN (Mycobutin)

RIFADIN (Rifampin)
C -antituberculous H -(-) infection E -best taken on an empty stomach C -may cause body fluid discoloration (reddish orange urine or sputum) K -monitor CBC, it may cause bone marrow depression

RITALIN (Methylphenidate)
C - stimulant; used to increase attention span in a child with attention deficit hyperactivity disorder H -decreased hyperactivity E -best given after meals because it suppresses the appetite if given before meals; give it in the morning or at least 6 hours before bedtime since it causes insomnia C -may cause growth retardation K monitor growth and development

ROBAXIN (Methocarbamol)
C -skeletal muscle relaxant H -relief of muscle spasm E -no specific C -report skin rash; avoid alcohol; urine may turn brown, black or green in color K keep epinephrine at the bedside

ROCEPHIN (Ceftriaxone sodium)

C -antibiotic H -(-) infection E -no specific C -avoid alcohol; stomach upset and/or diarrhea may occur K -discontinue if hypertensitivity reaction occurs; keep epinephrine at the bedside

STREPTOMYCIN
C -aminoglycoside; used to destroy the vestibular apparatus to decrease vertigo in a patient with menieres disease H -(-)infection E -best taken after meals, to decrease GI upset C -report oliguria, it indicates nephrotoxicity

 K -ncrease fluids; monitor BP and pulse; the drug causes ototoxicity, nephrotoxicity and nuerotoxicity

SUDAFED (Pseudoephedrine)
C - antihistamine; decongestant H -(-) allergy; relieves E -best taken in the morning, to prevent insomnia C -avoid taking the drug near bedtime K -monitor BP and pulse rate

SULFAMYLON (Mafenide)
C -anti-infective H -(-) infection E -no specific C -cover burns at all times with the drug K -apply to debrided wound with gloved hands; bathe the patient in a whirlpool daily to aid debridement; monitor for toxicity (nephrotoxicity, bone marrow, depression, metabolic acidosis)

SYMMETREL (Amantadine)
C -antiparkinsonian, dopaminergic, antiviral H -muscle become less stiff E -no specific C -report swelling of fingers K do not discontinue abruptly

SYNTHROID (Levothyroxine sodium)

C -thyroid hormone replacement H -normal T4 levels; in female patients there will be resumption of menstruation E -best taken in the morning, to prevent insomnia C -treatment is lifelong K -monitor BP and pulse

TAGAMET (Cimetidine)
C -histamine antagonist; inhibit gastric acid secretions H -relief of symptoms of heartburn, acid indigestion E -best given with food, when administering it with an antacid, give C -avoid smoking, it decrease drug efficacy

 K administer IM dose undiluted deep into large muscle; infusion should be diluted in at least 50 cc of D5W

TAMOFEN (Tamoxifen)
C -anti-estrogen H -decreased tumor size E -usually taken twice in the morning and in the evening C -avoid driving, it causes corneal opacity; have small frequent meals, it causes nausea and vomiting; stay cool environment, it causes hot flashes K -not given during pregnancy

THEODUR (Theophylline)
C -bronchodilator H -easy breathing E -best taken in the morning to prevent insomnia C -avoid smoking K -signs of toxicity include: vomiting, agitation, and apical pulse above 200 beats per minute

THORAZINE (Chlorpromazine Hydrochloride)

C -antipsychotic; anti-emetic H -decreased hallucinations, delusions and looseness of association E -best given after meals C -avoid exposure to sunlight K monitor the BP, it can cause hypotension

TIMOLOL MALEATE (Timoptic)

C -antihypertensive; antiglaucoma H -decreased BP; IOP E -no specific C -avoid driving K -administer opthalmic eye drops in the lower conjunctival sac; the drug may cause hyperglycemia or hypoglycemia

TOFRANIL (Imipramine)
C -tricyclic antidepressant H -increased appetite; adequate sleep E -best taken after meals C -change position slowly K -monitor the heart rate, it may cause palpitations or cardiac arrythmias

TYLENOL WITH CODEINE

C -analgesic; used to treat headache in a patient taking heparin H -(-) pain E -no specific C -hard stools is a common side effect K -assess the patients bowel elimination pattern

TYLENOL (Acetaminophen)
C -analgesic; antipyretic H -relief of pain, fever E -take with food if GI upset is noted C -it can cause hepatoxicitty K keep acetylcysteine (antidote) at the bedside

 C -live attenuated virus vaccines H -(-) measles, polio E -MMR is given at 12 months; OPV beginning at 2 months C -have written record of the vaccines K -before administering the vaccines, ask the parent if they are living with an immunosuppressed individual (those with AIDS, undergoing chemotherapy, taking steroids; keep the vaccines refrigerated.

VACCINES (MMR, OPV)

VALIUM (Diazepam)
C -antianxiety; given as a muscle relaxant to patients in traction H -decreased anxiety, adequate sleep E -best taken before meals, food in the stomach delays absorption C -avoding driving, intake of alcohol and caffeine containing foods, since it alters the effect of the drug K administer it separately, it is incompatible with any drug

VANCOVIN (Vancomycin Hcl)

C -antibiotic; drug of choice for methicillin resistant staphylococcus aureus H -(-) infections E -no specific C -report ringing in the ears, difficulty of voiding, rah, flushing; may cause nausea and hypotension K- red man syndrome

 K dilute the contents of 500 mg vial for injection, in 30 ml of water for oral or nasogastric tube administration administration; monitor renal function test with prolonged therapy; Monitor the patient for signs of red neck or red man syndrome (sudden and profound fall in BP, fever, chills, paresthesias, erythema of the neck and back)

VITAMIN K
C -antidote; promotes formation of prothrombin, given in neonates to prevent bleeding H -(-) bleeding E -no specific C -report the development of rash K -monitor prothrombin time, to determine dosage effectiveness

XYLOCAINE (Lidocaine)
C - antiarrhythmic, anesthetic; used to treat premature ventricular contractions H - normal heart rate E - no specific C - tinnitus is a side effect K - monitor BP and serum electrolytes; convulsion is the first sign of toxicity

YAZ

YUTOPAR (Ritodrine)
C - tocolytic, used to treat pre-term labor by decreasing the intensity and frequency of uterine contractions H - relaxed uterus E - no specific C - report increase in pulse rate, it causes palpitations

 K - contraindicated before 20th week of pregnancy, in patients with hemorrhage, hypertension, infection, bleeding disorders and spontaneous abortion

ZYLOPRIM (Allupurinol)
C - antigout; used to prevent or treat attacks of gout H - decreased uric acid levels E - best taken with food C - instruct the patient to report sore throat, it signals the development of agranulocystosis

 K increased fluid intake to facilitate excretion of uric acid crystals; avoid over the counter medications, most of these contain vitamin C which can increase the likelihood of renal stone formation

THE END..

GOD BLESS EACH ONE OF YOU!