Pharmacology I Final NUR 334 @
Arizona College (Tempe)
NSAIDs and Steroids - answer Aspirin
Acetaminophen
Ibuprofen
Ketorolac (Toradol)
Prednisone/Methylprednisolone
Naloxone (Narcan)
Morphine
Aspirin - answer-Contraindicated for children
-Risk for Reye's syndrome
Acetaminophen - answer-Contraindicated with liver damage, liver disease, severe
alcoholic, impaired liver function (liver)
-Pt. w/ fatty liver give ibuprofen instead
Ibuprofen - answer-Affects kidneys
-Increase risk for GI bleeding (sub acetaminophen)
Ketoralac (Toradol) - answer-Orthopedic
-Stronger than ibuprofen
-Given IV
Prednisone/Methylprednisolone - answer-Steroids
-Can increase risk for GI bleeding (no NSAIDs so use acetaminophen)
-Don't use with active infection because it will mask the s/s
-Should be tapered d/t effects of adrenal glad (cortisol production)
-S/S: weight gain, fluid retention, hyperglycemia
-Pt. ed.: (diabetes) adjust insulin, watch blood sugars very closely
Naloxone (Narcan) - answer-Antidote for opiate (Morphine, Percocet) overdose
-Gets rid of full effectiveness of opioids
-Monitor for withdrawal
-All or nothing drug
Morphine - answer-High risk for addiction and abuse
-Controlled substance
-Keep Naloxone on hand
-Signs of overdose: respiratory depression
, Antibiotics - answerPenicillin G
Cephalosporins (Rocephin)
Macrolide (Azithromycin)
Tetracycline (Doxycycline)
Aminoglycosides (Gentamicin, Vancomycin)
Penicillin G - answer-Avoid: cephalosporins (Rocephin) if allergic to penicillin d/t cross
sensitivity
-Alternatives: Macrolides, Erythromycin, Azithromycin (most common)
Cephalosporins (Rocephin) - answer-Alternative for Penicillin
Macrolide (Azithromycin) - answer-Risk for C. Diff and prolonged QT wave
Tetracycline (Doxycycline) - answer-Can cause teeth discoloration, photosensitivity
(avoid sunlight)
-Contraindicated in pregnant or children <8y/o
-Avoid taking calcium, iron, milk, and antacids
Aminoglycosides (Gentamicin, Vancomycin) - answer-Vancomycin s/s: red man
syndrome (slow the rate)
-S/S: tinnitus (ototoxicity, nephrotoxicity)
-Monitor for peak and trough d/t narrow therapeutic index
-Mostly used for pneumonia
-Broad spectrum
Antimetabolites - answerTamoxifen
Hydroxyurea
Methotrexate
Folinic acid
Extra:
Cancer patient has a temperature of 99.8 is it high? - answerNo it is normal
Tamoxifen - answer-Monitor for signs of uterine cancer (post menopausal bleeding- big
sign) and stroke (facial drooping, arm weakness)
-Pt. education: watch for spotting in between periods, irregular bleeding
-Treats breast cancer
Hydroxyurea - answer-For sickle cell anemia and leukemia
-Pt. education: watch for thrombocytopenia, avoid large crowds because
immunocompromised (neutropenia)
-Increased risk for infection
Methotrexate - answer-Used for rheumatoid arthritis (autoimmune disease)
-Can cause bone marrow suppression, decrease blood cell count, neutropenia, anemia
Arizona College (Tempe)
NSAIDs and Steroids - answer Aspirin
Acetaminophen
Ibuprofen
Ketorolac (Toradol)
Prednisone/Methylprednisolone
Naloxone (Narcan)
Morphine
Aspirin - answer-Contraindicated for children
-Risk for Reye's syndrome
Acetaminophen - answer-Contraindicated with liver damage, liver disease, severe
alcoholic, impaired liver function (liver)
-Pt. w/ fatty liver give ibuprofen instead
Ibuprofen - answer-Affects kidneys
-Increase risk for GI bleeding (sub acetaminophen)
Ketoralac (Toradol) - answer-Orthopedic
-Stronger than ibuprofen
-Given IV
Prednisone/Methylprednisolone - answer-Steroids
-Can increase risk for GI bleeding (no NSAIDs so use acetaminophen)
-Don't use with active infection because it will mask the s/s
-Should be tapered d/t effects of adrenal glad (cortisol production)
-S/S: weight gain, fluid retention, hyperglycemia
-Pt. ed.: (diabetes) adjust insulin, watch blood sugars very closely
Naloxone (Narcan) - answer-Antidote for opiate (Morphine, Percocet) overdose
-Gets rid of full effectiveness of opioids
-Monitor for withdrawal
-All or nothing drug
Morphine - answer-High risk for addiction and abuse
-Controlled substance
-Keep Naloxone on hand
-Signs of overdose: respiratory depression
, Antibiotics - answerPenicillin G
Cephalosporins (Rocephin)
Macrolide (Azithromycin)
Tetracycline (Doxycycline)
Aminoglycosides (Gentamicin, Vancomycin)
Penicillin G - answer-Avoid: cephalosporins (Rocephin) if allergic to penicillin d/t cross
sensitivity
-Alternatives: Macrolides, Erythromycin, Azithromycin (most common)
Cephalosporins (Rocephin) - answer-Alternative for Penicillin
Macrolide (Azithromycin) - answer-Risk for C. Diff and prolonged QT wave
Tetracycline (Doxycycline) - answer-Can cause teeth discoloration, photosensitivity
(avoid sunlight)
-Contraindicated in pregnant or children <8y/o
-Avoid taking calcium, iron, milk, and antacids
Aminoglycosides (Gentamicin, Vancomycin) - answer-Vancomycin s/s: red man
syndrome (slow the rate)
-S/S: tinnitus (ototoxicity, nephrotoxicity)
-Monitor for peak and trough d/t narrow therapeutic index
-Mostly used for pneumonia
-Broad spectrum
Antimetabolites - answerTamoxifen
Hydroxyurea
Methotrexate
Folinic acid
Extra:
Cancer patient has a temperature of 99.8 is it high? - answerNo it is normal
Tamoxifen - answer-Monitor for signs of uterine cancer (post menopausal bleeding- big
sign) and stroke (facial drooping, arm weakness)
-Pt. education: watch for spotting in between periods, irregular bleeding
-Treats breast cancer
Hydroxyurea - answer-For sickle cell anemia and leukemia
-Pt. education: watch for thrombocytopenia, avoid large crowds because
immunocompromised (neutropenia)
-Increased risk for infection
Methotrexate - answer-Used for rheumatoid arthritis (autoimmune disease)
-Can cause bone marrow suppression, decrease blood cell count, neutropenia, anemia
