o Steroid
o Glucocorticoid
o Side effect = bone loss and weight loss, PUD, muscle weakness (myalgia),
hyperglycemia, and hypokalemia
Fluoxetine
o Depression
o Takes a couple weeks to work
o Don’t with St. John’s Wart
Cushing’s Triad
o Cushing’s Disease: A metabolic disorder characterized by abnormally increased
secretion of the corticosteroids
o Hypertension (high BP)
o Bradycardia (Low HR)
o Bradypnea (Decreased respirations)
Suppository
o Clean gloves
o Lubricate finger
o Insert just past external sphincter (1-2 inches)
Insulin
o Lispro – regular/clear/rapid acting/administered first before NPH
o NPH = intermediate acting
Calcium Carbonate
o Tums
o Treats hypophosphatemia
o Prevents calcium deficiency
Spironolactone
o Potassium Sparring
o At risk for hyperkalemia
Insulin
o Don’t aspirate
Lidocaine
o Prevents dysrhythmias after MI
o Lidocaine can also use BP medication beta blockers
o Lidocaine for a fib and a flutter
Corticosteroids
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, o Perform mouth care
o Metallic taste
Saba before laba
o Saba = albuterol
o Labe = Cromolyn
Dilantin
o Causes gingival hyperplasia
Ritalin
o Don’t administer at night
o Give before or after meals
o CNS Stimulant
o Don’t drink caffeine
No hypertensive drugs with Viagra
o Will cause hypotension
Two hypertensive drugs together
o Cause hypotension
Digoxin
o Take apical pulse first
o Don’t give less than 60 or more than 100
o S&S nausea, vomiting, anorexia
o See halos
o Green and yellow colors
o Antidote: Digibind
o At risk: dehydration – low potassium – low magnesium – kidney problems –
thyroid problems
Nitro
o Headache is normal and will go away
o Increases coronary blood flow by dilating coronary arteries and improving
collateral flow to ischemic regions.
o Produces vasodilation (venous greater than arterial). Decreases left ventricular
end-diastolic pressure and left ventricular end-diastolic volume (preload).
o Reduces myocardial oxygen consumption.
o Therapeutic Effects: Relief or prevention of anginal attacks. Increased cardiac
output. Reduction of BP.
o Take every five minutes up to three doses, call 911 after first dose
Massage the tragus to absorb otic drugs
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