ANSWERS
anticonvulsants - CORRECT ANSWER✅✅hydantoins & barbiturates
•use contraceptives
•urine discoloration is common
•may increase blood sugar
•avoid alcohol
•admin IV slowly
•avoid mixing drugs in syringe
antiparkinsonian agents - CORRECT ANSWER✅✅anticholinergics & dopaminergic agents
•give after meals
•harmless dark urine and sweat
•avoid vitamin B6
•change positions slowly
•elevate legs to reduce edema
sedatives, hypnotics, anxiolytics - CORRECT ANSWER✅✅benzodiazepines & barbiturates
•prone to falls and injuries
•confusion or excitement is common after waking
•DO NOT discontinue abruptly
•avoid alcohol
•don't shake or mix with other drugs
•associated with cleft lip
,mood disorder drugs - CORRECT ANSWER✅✅tricyclic antidepressant, MAOI, second-generation
antidepressant
•rise slowly
•take with food
•may take several weeks for full response
•assess for constipation
•avoid tyramine
•withhold fluoxetine if rash occurs
antipsychotic - CORRECT ANSWER✅✅phenothiazines & others (olanzapine/haloperidol)
•signs of EPS and NMS
•symptoms may not normalize for weeks
•orthostatic hypotension
•photosensitivity
•ensure doses are taken and not hoarded
analgesics - CORRECT ANSWER✅✅narcotic & non-narcotic
•respiratory depression
•hypotension
•injury precaution
•possibility for dependency (DO NOT discontinue abruptly)
•take with foods
•monitor for bleeding
•monitor for signs of ototoxicity
•NO aspirin in under 18 years
, anticoagulants - CORRECT ANSWER✅✅heparin: PTT
warfarin: INR
•reduce leafy green vegetable intake
antiplatelets - CORRECT ANSWER✅✅apririn, dipyridamole, clopidogrel
•monitor bleed time
•take with food
cardiac glycosides - CORRECT ANSWER✅✅digoxin
•monitor for toxicity (nausea, vomit, anorexia, halo vision, confusion)
•do not admin if pulse less than 60 bpm
•use caution with those with hypothyroidism and hypokalemia
nitrates - CORRECT ANSWER✅✅isosorbide dinitrate
•apply patch to hairless area (new patch & location daily, allow 10-12hr patchless daily)
•note BP before administering
•sips of water before
•one tablet, repeat every 5 until resolved (up to 3 doses)
•fresh tablet = sting and burn
•DO NOT SWALLOW OR CRUSH
•protect from light
ACE inhibitor - CORRECT ANSWER✅✅captopril, enalapril, quinapril, lisinopril