CCRI NURS 1020 Exam 2 Medications Questions And Answers Graded A+

Gabapentin - Class: analgesic adjuncts anticonvulsants mood stabilizers Indications: partial seizures neuropathic pain migraine prevention diabetic peripheral neuropathy Side Effects: confusion depression suicidal thoughts rhabdomyolysis ataxia (loss of control of full body movements) H2 Blockers ( - D I N E drugs) - ranitiDINE famotiDINE nizatiDINE Decrease gastric acid secretions by blocking histamine receptors in parietal cells Give at bedtime for: GI ulcers, heartburn, PUDCommon side effects: GI distress altered liver function tests headche dizziness rash fatigue Antacids - magnesium hydroxide aluminum hydroxide Increases pH of gastric contents by deactivating pepsin Give 1-2h after meals & at bedtime. Use liquid form if possible. Aluminum hydroxide better for PTs w/ renal failure. GI side effects (Mg - diarrhea, Al - constipation) Proton Pump Inhibitors ( - P R A Z O L E drugs) - 30 mins before main meal of day: omePRAZOLE lansoPRAZOLE take after morning meal: rabePRAZOLE pantoPRAZOLEesomePRAZOLE Suprresses H,K-ATPase enzyme system of gastric acid secretion. Indications: short-term, long-term PUD, symptomatic heartburn, and H. pylori treatment Do not mix with other medications. Side effects: CDAD GI side effects vit b12 deficiency bone fracture Prostaglandin Analogs - misoprostol Synthetic prostaglandin that stimulates mucosal protection and decreases gastric acid secretions. Avoid magnesium containing antacids. (both cause diarrhea) Contraindicated in pregnancy. Side effects: headache GI distress miscarriage / menstrual disorders Antimicrobials - *clarithromycin* - caution w/ renal impairment*amoxicillin* - take w/ food *tetracycline* - 1h before or 2h after meals, avoid direct sunlight *metronidazole* - take w/ food Treats H. pylori infection Side effects: cardiac issues CDAD hepatotoxicity angioedema alteplase tPA - Thrombolytic Monitor very closely for BLEEDING Therapeutic window: within 3-4 h of onset of symptoms argatroban - anticoagulant: thrombin inhibitors Side effects: hypotension D/N/V *bleeding* aspirin - Anti-platelet drug / antipyreticSide effects: GI distress *bleeding* Take w/ a full glass of water & remain upright for 30 mins after taking! carbamazepine - anticonvulsant / mood stabilizer Indications: tonic-clonic seizures decreased mania (bipolar) Side effects: suicidal thoughts ataxia agranulocytosis aplastic anemia thrombocytopenia Monitor: CBC platelet coun