Correct Answers)
Digoxin (lanoxin) SE —Answer: blurred/double vision
Guaifenesin SE —Answer: can cause drowsiness
Estrogen (premarin) SE —Answer: ↑ risk of Thromboembolism with s/s: SOB, severe headache,
vomiting, sudden acute pain in the calves, legs, chest, abdomen.
Doxepin (Sinequan) [anticholinergic] SE —Answer: urinary retension, constipation, drying of
nasal/oral secretons, ↑HR
Albuterol (Proventil) [sympathomimetic/ adrenergic beta-2 agonist] Contraindicated —Answer:
with MAOIs (can↑ action of albuterol and → HTN crisis); β-blockers can inhibit the therapeutic
effects Use: invert canister, shake before use, rinse mouth after use, w/new inhaler perform test
spray
Levothryoxine (T4) Indication —Answer: hypothyroidism RT dysfxn of hypothalamus,
pituitary, or thyroid gland
Cephalosporins (Keflex) —Answer: allergy to cephalosporins is considered a precaution for
taking penicillins
Phenobarbital [Barbiturates]; interventions for anticonvulsant therapy —Answer: assess for
resp. depression, excess sedation from toxic effects, IV at < 50mg/min, avoid extravasation
(alkaline→skin damage)
Sumatriptan (Imitrex) use —Answer: when migraine symptoms appear and again in 1 hr if
symptoms persist
Route—fastest/most effective —Answer: intravenous
Narcan [opioid antagonist] —Answer: therapeutic action: improvement of respiratory rate
Baclofen (Lioresal) Therapeutic action —Answer: ↓ frequency & severity of muscle spasms
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, Erythromycin (Erythrocin) [macrolide] SE —Answer: liver toxicity
What do need to avoid when taking Spironolactone (Aldactone) [K sparing diuretic] —Answer:
foods w/ ↑ K such as salt substitutes
Chloroquine phosphate (Aralen): Indication —Answer: malaria prevention; Use: take weekly
starting 1 week before departure and continued for 4 weeks after return.
Heparin (anticoagulant) Use —Answer: w/alteplase for acute MI
Warfarin (Coumadin) Use —Answer: long-term prophylaxis of thrombosis [antidote—Vit K]
Clopidogrel (Plavix) Use —Answer: reduce long-term risk of clotting w/ atherosclerosis and
recent MI of CVA
Alteplase (Activase) [antithrombolytic] Use —Answer: Acute MI/CVA (has short half-life)
Methylphenidate (Concerta) Use —Answer: marcolepsy Precaution: avoid caffeine use
Testosterone IM use —Answer: If use to correct delayed puberty→assess bone maturation with
bi-annual x-rays of hand and wrist; monitor liver function (can ↑ hypoglycemia, potentiate sleep
apnea, exacerbate heart failure due to fluid retention.
Diphenoxylate & Atropine (Lomotil) Caution —Answer: With Renal impairment ↓ elimination
of atropine → ↑ anticholinergic effects of atropine like confusion
Loperamide (Imodium) use —Answer: anti-diarrheal (poorly absorbed from GI tract; difficulty
crossing the blood-brain barrier)
Methylcellulose (Citrucel) use —Answer: bulk-forming agent with minimal Side Effects (SE)
Psyllium (Metamucil) use —Answer: bulk-forming agent with minimal Side Effects (SE)
Acetazolamide (Diamox) [diuretic] indication —Answer: edema, epilepsy, acute mountain
sickness, glaucoma (↓ intraocular pressure by ↓ amount of aqueous humor in the eye) Contra:
allergy to sulfonamides
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