ness, hot flashes, painful sex, prevent bone loss when older
Risks associated with hormonal replacement therapy - ANSWER breast and cancer devel-
opment, risk of blood clots, bone loss, risk of fractures, cardiovascular disease
Penicillin and aminoglycosides interaction - ANSWER pencillin may react with aminogly-
cosides and cause it to be less effective in treating infection. Do NOT combine these antibiot-
ics in same IV solution
Side effects of steroids - ANSWER SHORT TERM
O Insomnia
O Mood alterations or Psychosis
O GI upset
O Increased appetite/weight gain
O Fluid retention
O Hyperglycemia
O Hypokalemia
LONG TERM
O Hyperglycemia
O Osteoporosis
O Thin skin, easy bruising, poor wound healing
O Rare: HTN, PUD, AVN, Allergic reaction
O Adrenal suppression if > 4 courses/year
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, TMP-SMZ - ANSWER trimethoprim/sulfamethoxazole
Combination drug
-treat a variety of bacterial infections
-utis, ear infections, pneumonia
How to protect kidneys - ANSWER drink lots of water
When to take diuretics - ANSWER in the morning
Diuretics Side Effects - ANSWER increased urination, dehydration, increased thirst, weak-
ness, and impotence.
Antacids - ANSWER neutralize the acids in the stomach
Affect acid level, have a lot of interaction so need to take a few hours apart from other meds
Cimetidine - ANSWER type of antihistamine that blocks the release of stomach acid.
Used to treat stomach or intestinal ulcers
Can relieve ulcer pain and discomfort and heartburn from acid reflux
Naloxone (Narcan) - ANSWER opiate antagonist (antidote), reverses opioid induced resir-
atory depression
Signs of overdose - ANSWER Slow breathing, blue lips and finger tips, cold damp skin,
shaking, vomiting and gurgling noises
Education with anti-effectives (antibiotic, antifungal) - ANSWER make sure patient goes
through whole course of treatment, go beyond "feeling better", still continue taking at least
a week to get it all out
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