GRADED
Benzodiazepines adverse effects
Mild and infrequent:
Headache
Drowsiness
Dizziness
Cognitive impairment
Vertigo
Lethargy
Fall hazard for older adults
"Hangover" effect or daytime sleepiness
Ginkgo biloba
improves memory can cause bleeding
Lithium teaching
Require adequate amount of sodium intake (6-10 grams per day, should consume
2,500 - 3,000 fluid daily
can cause low thyroid monitor for symptoms
diuretics are contraindicated due to sodium depletion
SSRIs (selective serotonin reuptake inhibitors)
end in [pram], [ine]
citalopram [Celexa];
escitalopram [Lexapro];
fluoxetine [Prozac];
paroxetine [Paxil]
Antidotes
Digoxin...Digiband
Coumadin...Vitamin K+ (keep PT/INR@1-1.5xnormal)
Benzodiazapines...Flumzaemil (Tomazicon)
Magnesium sulfate...Calcium gloconate
Heparin...Proamine sulfate (keep APTT/PTT@1.5- 2.5xnormal)
Tylenol...Mucomist (17 doses+loading dose)
Opiates (eg. narcotic analgesics, heroin, morphine)...Narcan (Naloxone)
Cholinergic meds (eg. Myesthenic Bradycardia)...Atropine
Methotrexate...Leucovorin
Epoetin alfa MOA
stimulates production of RBC's in the bone marrow. Natural hormone is produced by the
kidneys
Iron supplements
-should be taken with high-fiber foods to prevent constipation
-Should take with VIT C
-avoid taking with milk because it interferes with absorption