PHARMACOLOGY

Cardiac Drug (Myocardial Injury)

Age Age Diet

Sex - Male Exercise

Hereditary Smoking ; Stress

Anti hypertensive drugs

Calcium channel blocker
Side effects:
o Constipation
o Beta blocker block SNS effect olol
-Constrict for bronchiole
-not to asthma

SNS:

Heart rate -
Respiration rate -
GUI retention
GIT constipation
Pupil dilate
Brochioles dilate
Blood vessels - BP
Mouth dry + blurring of vision

Ace inhibitors Pril

-Kidney and pruritis

Dizzy Drowsy
Hypertension Tachy tachy

Antilipidimis Statins
-bedtime due to peak of cholesterol 7 9
-monitor LOL and HDL

Myocardial Injury

Myocardial Ischemia Angine pectoris
-O2 therapy distilled water
Vasodilator Nitroglycemia pattern/SL
Sublingual 3 5 minutes
-3 maximum doses
-tingling sensation
Patch OD (Remove hair , oil, sweat)
-Can swim
-rotate the site
Myocardial Infarction Morphine SO4

Anticoagulant = prevent coagulation

Thrombolytic dissolve blood clot

-streptokenase

-Urokenase

Monitor bleeding Morphine SO4 - depressant

VS

Constipation

Respiratory Depressant

Drug dependence

With meals GI irritation

 T tagamett = Ulcer

A AIlopurind = Gout

P Pancreatin = Cystic fibrosis (No panc. Juice)

A Antibiotic = Infection

After meals Anti Psychiatric Medicines

Anxiety Constipation
Psychotic Constipation ; hypotension
Anti cholinergic Retention ; POP
Anti depressant Dry mouth / Blurry vision

Dopamine = schizophrenia = anti psychotic Pseudopeukinsonson

(EPSE)

dopamine

Less S/Sx of schizophrenia

Dopamine - Parkinsonism

Epi = depression

Architilcholin = Alzheimer

-Myasthenia Gravis destroyed act

Anti Psychotic > Typical Old/90

Serentyl Miloperidol

Mellaril Chlorpromazine (+)

Trilafon EPSE

>Atypical not old/after 90

-Olanzaphrine Quetiapine
 - Risperdal Sertindole

-Clozaril

- EPSE

- (+) (-) EFFECT REMOVE

S/Sx of schizophrenia

+ -
Argumentative Withdrawal
Talkative Hypoactive
Del/Hal/Illusion Catatonic
Good prognosis Poor prognosis

EPS = Give Anti Cholinergic

Cogentin

Artane

Benadryl

Akineton

Dystoria

*Akathesia unable to sit

*Oculogyric crisis

*Torticolis wry neck

*Opisthonis arching of the back

*Aknesia absence of movement (Muscle rigidity)

*Tardive dyskenesia puffing of cheek

*Pseudo lip smacking ; tongue protrusion = parkinsonism

Medication Administration
 -Fundamental Rule

Pharm

>Never give an unfamiliar medicine to not commit error

-ptar

-license

6 Rs

1. Right patient
2. Dry
3. Dose
4. Frequency
5. Route
6. Documantation

MO VS. TO

(Med order) (Telephone Order)

>Name of patient >Name of patient

>Drug >Drug drug

>Dose >No signature

>Give 1 yes with 24 hrs.

sign

>Emergency cases

>RN beside you (validation

witness)

>Spell the med

2 Types of Patient
a. Conscious ask the client to state the name
b. Unconscious Find ID bracelet
 -MAR (Medication Administration Record)
-Check the name on old board

Right Drug

Check expiration date

Check color
Check spelling (3x)
Check label (3x)

Right Dose

*Double checking

Instances:

a. Multiple drug
b. Abrupt change of order
c. Available med is not equal to the order dose

Right Frequency and Interval

OD 8

BID 86

TID 816

QID 81248

H8 9

94 around the clock

Right Route

Oral

Otic

Optic

Parenteral Inject/Infuse

Right Documentation
-After the procedure

-no erasure = mistaken entry

-no super imposition

-Univ. abbreviation