ANSWERS LATEST UPDATE.
1. Digoxin (lanoxin) SE: blurred/double vision
2. Guaifenesin SE: can cause drowsiness
3. Estrogen (premarin) SE: ‘ risk of Thromboembolism with s/s: SOB, severe
headache, vomiting, sudden acute pain in the calves, legs, chest, abdomen.
4. Doxepin (Sinequan) [anticholinergic] SE: urinary retension, constipation, dry-
ing of nasal/oral secretons, ‘HR
5. Albuterol (Proventil) [sympathomimetic/ adrenergic beta-2 agonist] Con-
traindicated: with MAOIs (can‘ action of albuterol and ’ HTN crisis);²b- lockers can
inhibit the therapeutic effects Use: invert canister, shake before use, rinse mouth
after use, w/new inhaler perform test spray
6. Levothryoxine (T4) Indication: hypothyroidism RT dysfxn of hypothalamus, pi-
tuitary, or thyroid gland
7. Cephalosporins (Keflex): allergy to cephalosporins is considered a precaution
for taking penicillins
8. Phenobarbital [Barbiturates]; interventions for anticonvulsant therapy: as-
sess for resp. depression, excess sedation from toxic effects, IV at < 50mg/min,
avoid extravasation (alkaline’skin damage)
9. Sumatriptan (Imitrex) use: when migraine symptoms appear and again in 1 hr
if symptoms persist
10. Route—fastest/most effective: intravenous
11. Narcan [opioid antagonist]: therapeutic action: improvement of respiratory rate
12. Baclofen (Lioresal) Therapeutic action: “ frequency & severity of muscle
spasms
13. Erythromycin (Erythrocin) [macrolide] SE: liver toxicity
14. What do need to avoid when taking Spironolactone (Aldactone) [K sparing
diuretic]: foods w/ ‘ K such as salt substitutes
15. Chloroquine phosphate (Aralen): Indication: malaria prevention; Use: take
weekly starting 1 week before departure and continued for 4 weeks after return.
16. Heparin (anticoagulant) Use: w/alteplase for acute MI
17. Warfarin (Coumadin) Use: long-term prophylaxis of thrombosis [antidote—Vit
K]
18. Clopidogrel (Plavix) Use: reduce long-term risk of clotting w/ atherosclerosis
and recent MI of CVA
19. Alteplase (Activase) [antithrombolytic] Use: Acute MI/CVA (has short
1/5
, half-life)
20. Methylphenidate (Concerta) Use: marcolepsy Precaution: avoid caffeine use
21. Testosterone IM use: 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.
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