Generic Name vancomycin Trade Name

Vancocin

Indication

life threatening infections, sepsis

Action

bactericidal, inhibits cell wall synthesis

Therapeutic Class

anti-infectives

Pharmacologic Class

glycopeptides

Nursing Considerations

• can cause ototoxicity, nausea, vomiting, nephrotoxicity, anaphylaxis, red-man syndrome • assess for infection • obtain culture prior to initiating therapy • monitor blood pressure • dose dependent draw serum trough levels frequently • administer over at least 60 minutes to avoid skin irritation

Generic Name metoprolol Trade Name

Lopressor, Toprol XL

Indication

tachyarrhythmias, HTN, angina, prevention of MI, heart failure management, may be used for migraine prophylaxis

Action

blocks the stimulation of beta1 receptors in the SNS, does not usually effect on beta2 receptors (cardioselective)

Therapeutic Class

antianginal, antihypertensive

Pharmacologic Class

beta blocker

Nursing Considerations

• monitor hemodynamics • may lead to bradycardia, pulmonary edema • use caution with MAOIs • assess I&Os and monitor for signs of CHF

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name tetracycline Trade Name

Doxycycline

Indication

treatment of infection, gonorrhea and syphilis with penicillin allergy, chronic bronchitis

Action

bacteriostatic by inhibiting protein synthesis

Therapeutic Class

anti-infectives

Pharmacologic Class

Tetracyclines

Nursing Considerations

• use caution with liver impairment • may cause pseudomembranous colitis, diarrhea, nausea, vomiting, photosensitivity, rash • may increase effects of warfarin • assess for infection • obtain culture prior to initiating therapy • monitor renal and liver labs • instruct patient to complete entire dose

Generic Name terbutaline Trade Name

Brethine, Brethaire

Indication

asthma, COPD, preterm labor

Action

produces smooth muscle relaxation, bronchodilator, and inhibits hypersensitivity reactions

Therapeutic Class

bronchodilators

Pharmacologic Class

adrenergics

tocolytics

Nursing Considerations

• may cause nervousness, restlessness, tremors • beta blockers can reduce effect • assess respiratory status • monitor maternal/fetal vital signs if using for preterm labor • monitor for hypoglycemia • may cause decreased potassium level

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name Ferrous sulfate Trade Name

Feosol

Indication

Prevention and treatment of iron-deficiency anemia

Action

Iron is essential for hemoglobin, myoglobin and enzymes, it is transported to organs where it becomes part of iron stores

Therapeutic Class

Antianemics

Pharmacologic Class

Iron supplements

Nursing Considerations

• May cause seizures, hypotension, constipation, epigastric pain, diarrhea, skin staining, anaphylaxis • Assess nutritional status, bowel function • Monitor hemoglobin, hematocrit, iron levels • May cause elevated liver enzymes • Take on an empty stomach to increase absorption/vitamin c helps with absorption • Use z-track for IM injections

Generic Name trimethoprim/sulfamethoxazole Trade Name Bactrim/TMP-SMZ Indication

bronchitis, UTI, diarrhea, pneumonia, multiple types of infection

Action

bacteriacidal by preventing metabolism of folic acid

Therapeutic Class

anti-infectives, antiprotozoals

Pharmacologic Class

folate antagonists, sulfonamides

Nursing Considerations

• may cause renal damage, Steven Johnsons Syndrome – rash, pseudomembranous colitis, nausea, vomiting, diarrhea, rash, agranulocytosis, aplastic anemia, phlebitis • contraindicated with sulfa allergies • monitor CBC • obtain cultures prior to initiating therapy • monitor intake and output • instruct patient to complete dose • drink 8-10 glasses of water

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name sucralfate Trade Name

Carafate

Indication

management of GI ulcers, GI injury prevention from high dose aspirin and NSAID treatment

Action

reacts with gastric acid to form a paste that adheres to ulcer

Therapeutic Class

antiulcer agent

Pharmacologic Class

GI protectant

Nursing Considerations

• use caution in renal failure patients • concurrent use of antacids may decrease the effect of sucralfate – administer 30 min before or after • administer on empty stomach 1 hour before meals

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name streptokinase Trade Name

Streptase

Indication

pulmonary embolism, DVT, occluded lines, arterial thrombus

Action

converts plasminogen to plasmin which degrades fibrin clots

Therapeutic Class

Thrombolytic

Pharmacologic Class

plasminogen activators

Nursing Considerations

• contraindicated with active bleeding, hypersensitivity, bronchospasm, intracranial hemorrhage, hypotension • begin therapy as soon as possible • monitor vital signs continuously • monitor closely for bleeding • monitor hemodynamics • avoid invasive procedures

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name spironolactone Trade Name

Aldactone

Indication

potassium loss, hypertension, edema, CHF

Action

inhibits sodium reabsorption while sparing potassium and hydrogen

Therapeutic Class

Diuretics

Pharmacologic Class

potassium sparing diuretics

Nursing Considerations

• contraindicated with hyperkalemia • monitor intake and output • monitor blood pressure • monitor potassium levels and renal panel

Download the cheat: https://bit.ly/50-meds  View the lesson:     Generic Name sertraline Trade Name

Zoloft

Indication

major depressive disorder, OCD, anxiety

Action

inhibits uptake of serotonin allowing for higher quantities available within synaptic cleft

Therapeutic Class

Antidepressant

Pharmacologic Class

SSRI

Nursing Considerations

• do not use with MAOIs • can cause neurolyptic malignant syndrome, suicidal thoughts, drowsiness, insomnia, diarrhea, dry mouth, tremors, serotonin syndrome, sexual dysfunction • monitor mood changes in patient • takes 1-4 weeks for therapy to be effective.