TOP 30 NCLEX Meds

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1.

Ace Inhibitors

"PRIL" Captopril, Enalapril, Afosiopril

Antihypertensive. Blocks ACE in lungs
from converting angiotensin I to
angiotensin II (powerful vasoconstrictor).
Decreases BP, Decreased Aldosterone
secretions, Sodium and fluid loss.

9.

Atopine
(Caridiac Use)

4D's:
Dry Mouth, Dry Stool, Dilated Pupils,
Dilated Bladder (urinary retention)
10.

Beta Blockers

Check BP before giving (hypotension)

3.

Allupurinol
(Zyloprim)

G - Gulp 3L fluid per day

O - (NO) Organ Meats
U - Output up to 2 L/day
T - Teach

Antihypertensive. Blocks beta-adrenergic

receptors in heart, decreases excitability of
the heart, reduces caridac workload and
O2 consumption. Lowers BP.

Aminoglycosides

Gentamycin, Kanamycin sulfate,

Neomycin sulate, Steptomycin Sulfate

Check BP before giving (hypotension)

*Orthostatic Hypotension

OTOTOXICITY
KIDNEY DAMAGE
4.

Aminophylline

* Do not D/C abruptly (2wks)

Bronchodilator - Decreases SOB

*Blocks normal signs of Hypoglycemia

(sweating, tachycardia). Monitor Blood
glucose!!

Therapeutic levels 10-20 mcg/dl

TOXIC > 20
CANT MIX WITH ANYTHING
5.

Amphotericin B

Antifungal
IVPB SLOW - 2+ hrs
Hydrate pt - very toxic to kidneys, monitor
BUN.
Check Hearing
Check K+ levels.

6.

Antacids

Aluminum - Constipation
Magnesium - Diarrhea

7.

Anticholinergics

Atropine

11.

Bronchodilators

Anticoagulants

12.

Calcium
Channel Blocker

SE: Constipation
Procardia sometimes causes peripheral
edema
13.

Coumadin (Antecdote - Vit K.)

14.

PPT - Heparin
PT/INR - Coumadin

"CA" Calan, Procardia, Cardizem

Slow the HR and decrease BP (check HR
and BP before). Inhibits mvmt of Calcium
ions across membrane or cardiac and
arterial muscle cells. Results in slowed
impulse conduction, depression of
myocardial constractility, dilation of
coroanry arteries.

Heparin (Antecdote - Protamine Sulfate)

Bleeding precautions

Epinephrine (adrenalin)
Careful with Cardiac Pts

GI - Slows motility, spasm

Eyes - Dilates pupils DO NOT GIVE TO
GLAUCOME PTS
Heart - Increase HR
Resp - bronchodilator (Atrovent)
8.

*** DO NOT give with ASTHMA,

BRONCHIAL CONSTRICTIVE
DISEASE!!!***
"LOL" Antenolol, metoprolol. labetolol

*Orthostatic Hypotension
2.

Tx Heart Blocks (increase HR)

Cancer Drugs

Wear gloves, mask when preparing or

giving. Can be absorbed throught skin

Cortisone
(Steroids)

Wt gain, Na+ retention, K+ Loss

NEVER STOP SUDDENLY

15.

Digitalis

Strengthens cardiac muscle contraction

Antiarrhythmic

26.

Nitro

CANT MIX WITH ANYTHING

TOXICITY:
Pulse (slows - Check Apical Pulse before
giving)
Photosensitivity
Puke (vomiting, nausea)
Yellow-Green Halos
Light Flashes
16.

Dilantin

17.

Direct - Acting
Vasodilator

ORTHOSTATIC HYPOTENSION
27.
28.

Penicillines

Take all 10 days

Potassium
Chloride

Check labs before giving, Never give IV

PUSH
Give with FOOD (GI distresss))

Anti-convolsant
Therapeutic level 10-20 (same as
amminophylline)
Toxicity > 20
Causes hyperplasia of gums - bleeding
gums
Give extra VIT. D

Extreme caution if pt. receiving potassiumsparing diuretic.

NOT for pts with RENAL DISEASE.
29.

Premarin

Hydralazine (apresoline)

Diuretics

K+ and NA+ follows the walter -->

electrolytes imbalances

Librium and
Valume

To prevent DT's in acute alcohol

withdrwal
Can produce physical dependency.

Lidocaine

Decrease cardiac irritability

Titate IV
Use with V. TACH

21.

Lithium

Bipolar Disorder
Decrease Na+ (risk of toxicity)
Increase Na+ levels (causes sodium
diuresis)
Toxic Level > 2 mEq/L

22.

Miotics

CONSTRICT (Pilo-Carpine)
For glaucoma - increased outflow of
aqueaous humor

23.

Morphine

IV for chest pain

Check Respirations

24.

Mydriatics

DILATES (Atropine)
Dont use in pts with gaucoma (build up
IOP)

25.

Narcan

Counteracts Morphine - opioid narcotics.

18.

19.

20.

1. Hormone Replacement - Estrogen

Tx Menopause Sxs
SD - Vascular Headaches
Periods continue
2. Prempro (comination estrogen and
progesteron)
No periods

Relaxes smooth muscle of blood vessels,

lowing peripheral esistance.
Teach pt to check pulse d/t change in C.O.
If HR <60 Contact physician.

Vasodilator
Angina (1 tab 3x, 5 min apart)
Keep med dry, cool, only effective for 6 mo.
(Tingling under tongue = good)

30.

Sulfa Drugs

Drink lots of fluids

Can cause blood dyscrasias - REPORT
SORE THROAT, RASH IMMEDIATELY.
UTI (Bactrim, sulfisoxazole)
Ulcerative colitis (Sulfasalazine)

31.

32.

Tylenol

Bad for Liver - DO NOT GIVE TO

ALCOHOLICS

Urinary
Antispasmodics

Pyridium (cystitis) - Orange/Red urine