Monday, October 1, 2007

Medications

Schedualed Meds


Cipro (Fluoroquinolone antiinfective)
- Interferes with DNA synthesis of bacteria

- Side effects include restlessness, confusion, nausea, flushing, hypersensitivity

- assess patient for previous sensitivity


Flagyl ( amebicide antiinfective)

- Binds to and degrades DNA in bacteria

- Side effects include headache, dizziness, abdominal cramps, metallic taste, nephrotoxicity

- Assess for allergic reactions, monitory I&O


Lantus ( Long acting insulin)

- Onset : 1 hr

- Peak : 2-20 hr

- Duration: 24 hr

- monitor BS, and hypoglycemic reactions at peak times


Novolog ( Rapid Acting insulin)

- Onset: 15- 30 min

- Peak: 1/2 hr - 1 1/2 hr

- Duration: 3-4 hr

- monitor BS, and hypoglycemic reactions at peak times


Novolin R (Regular Insulin)

- Onset: 1hr

- Peak: 2-5 hr

- Duration: 8 hr

- monitor BS, assess for hypoglycemic reactions at peak times


Pepcid ( H2 histamine receptor antagonist)

- Inhibits histamine at the H2 receptor site in gastric parietal cells, which inhibits gastric acid.

- Side effects include dizziness, depression, dysrhythmias, constipation

- assess for signs of bleeding ulcers ( abdominal pain, hematemesis, occult blood in stools)


PRN Meds


Tylenol ( Non opiod analgesic)

- May block pain impulses peripherally that occur in response to inhibition of prostaglandin synthesis. Does not possess antiinflammatory, antipyretic action results from inhibition of prostaglandins in CNS

- Side effects include hepatotoxicity, hepatic seizure, renal failure

- Do not exceed 4g a day


Surfak (Laxative, emollient)

- Increases the water, fat penetration in intestine, allows for easier passage of stools.

- Side effects include bitter taste, throat irritation, anorexia, diarrhea


Reglan ( Cholinergic, antiemetic)

- enhances response to acetlycholine of tissue in upper GI tract, which causes contraction of gastric muscle, increases peristalsis

- Side effects include sedation, fatigue, restlessness, suicide ideation

- assess GI complaints, mental status





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