Pharm Final 😭

HCTZ class

thiazide diuretic, antihypertensive

HCTZ Nursing Assessment

No severe renal impairments/what's the BP?

HCTZ Monitoring + Education

Electrolyte levels + Risk for Falls

Furosemide class

loop diuretic; antihypertensive

Furosemide Nursing Assessment

Are they near a bathroom?

Furosemide black box or pregnancy warning?

CAT C

Furosemide Monitoring + Education

Electrolyte levels (potassium) + dehydration

Lisinopril Class

ACE inhibitor, antihypertensive

Lisinopril Nursing Assessment

Blood pressure (pril)

Lisinopril black box or pregnancy

NO pregnancy

Lisinopril Monitoring + Education

Angioedema + Dry Cough common se

losartan class

Angiotensin II Receptor Blocker (ARB), Antihypertensive

losartan Nursing Assessment

Blood pressure (artan)

Losartan Preg or Blackbox?

NONE

losartan Monitoring + Education

Angioedema + LIMIT grapefruit juice

verapamil class

calcium channel blocker, antihypertensive

verapamil Nursing Assessment

blood pressure (ver)

verapamil Monitoring + Education

Fluid Imbalance (edema) + constipation

amlodipine class

Calcium channel blocker, anti-hypertensive

amlodipine Nursing Assessment

Blood pressure (am)

amlodipine Monitoring + Education

Fluid Imbalance (edema) + constipation (am)

Metoprolol class

Beta-Blocker

Antihypertensive/Antiarrhythmic

Metoprolol Nursing Assessment

Heart Rate

Metoprolol Monitoring + Education

bradycardia + fatigue and drowsiness

carvedilol class

beta-blocker, antihypertensive

carvedilol Nursing Assessment

Heart Rate (carv)

Carvedilol Monitoring + Education

bradycardia + fatigue and drowsiness (ilol)

Hydralazine class

Vasodilator; Antihypertensive

Hydralazine Nursing Assessment

blood pressure (hy)

Hydralazine Monitoring + Education

Edema (h20 + Na retention) + lowers bp (could become dizzy and fall)

Nitroglycerin class

nitrate, vasodilator, antianginal

Nitroglycerin Nursing Assessment

blood pressure (n)

Nitroglycerin Monitoring + Education

Hypotension + don't use if taking viagra OR 1...wait 5 min...2.. call 911...3...MAX

Sildenafil Class

PDE-5 inhibitor, erectile dysfunction drug

Sildenafil Nursing Assessment

blood pressure

Sildenafil with or without food?

Fine either, fatty foods slow absorption

Sildenafil Monitoring + Education

Falls (dizzy/lightheaded) + No Nitrates with this drug

Clonidine class

central (alpha-2) adrenergic blocker, antihypertensives

clonidine Nursing Assessment

Blood Pressure / Heart Rate

clonidine Monitoring + Education

Na + h20 retention + TAPER/BEERS

doxazosin class

Alpha 1 Blocker, antihypertensive (BPH)

doxazosin Nursing Assessment

Blood Pressure

doxazosin Monitoring + Education

dizziness (hypotension) + 1st dose syncope take at night first

Tamsulosin class

alpha 1 blocker, antihypertensive/BPH

Tamsulosin Nursing Assessment

Blood Pressure (t)

Tamsulosin Monitoring + Education

hypotension (dizzy) + 1st dose syncope take at night

Citalopram class

SSRI, antidepressant

citalopram Nursing Assessment

new/unusual behavior changes

citalopram black box or pregnancy warning

BLACK BOX: 18-26 suicidality

citalopram Monitering + Education

serotonin syndrome (fever, sweats, muscle spasms) + TAPER

fluoxetine class

SSRI, antidepressant

fluoxetine Nursing Assessment

mood/behavioral changes (f)

Fluoxetine Black Box warning

BLACK BOX 18-26

Fluoxetine Monitoring + Education

serotonin syndrome (fever, sweats, muscle spasms) + TAPER

sertraline class

SSRI, antidepressant

sertraline Nursing Assessment

mood/behavioral changes

sertraline black box or pregnancy

BLACK BOX: 18-26 suicide

sertraline Monitoring + Education

serotonin syndrome (fever, sweats, muscle spasms) + TAPER

Venlafaxine class

SNRI, atypical antidepressant

venlafaxine Nursing Assessment

mood/behavior changes (v)

venlafaxine black box or pregnancy

Black box: 18-26 suicide

venlafaxine Monitor + Education

hypersensitivity + avoid alcohol

diazepam class

Benzodiazepine, sedative-hypnotic; anticonvulsant

diazepam Nursing Assessment

respirations/oreintation (not too sedated)

diazepam Monitoring + Education

FALLS (BEERS!) + TAPER

lorazepam class

Benzodiazepine, sedative-hypnotic; anticonvulsant (lo)

- same everything for all benzodiazepine

alprazolam

Benzodiazepine, sedative-hypnotic; anticonvulsant (al)

- same everything for all benzodiazepine

clonazepam

Benzodiazepine, sedative-hypnotic; anticonvulsant (cl)

- same everything for all benzodiazepine

Lithium class

mood stabilizer/antimanic

lithium Nursing Assessment

sodium level

lithium food or black box warning?

give with food

lithium Monitoring + Education

renal function (GFR) or hand tremors, n/d, muscle weakness + Toxicity can occur with this drug (more tremors, hypotension, confusion, coma)

selegline class

MAOI antidepressant

selegiline Nursing Assessment

change in moods/feelings/behaviors

selegiline blackbox or food parameters

Black box: 18-26 suicide

Selegiline Monitoring + Education

hypersensitivity/hepatoxicity + NO foods w tyramine (beer cheese yeast sausage) and NO anti allergy, decongestant, depressant, histamine, HTN, levodopa) *off drug 14 days before other drugs*

methylphenidate class

ADHD med, NDRI

methylphenidate Nursing Assessment

Monitor mood/cardiac

methylphenidate Monitoring + Education

hypersensitivity (tics/agitation) + Schedule II addictive (watch abuse)

haloperidol class

First generation antipsychotic, high potency

haloperidol Nursing Assessment

How sedated someone is (blood pressure/HR)

haloperidol black box or food

Black BOX: increased death in patients with dementia

haloperidol Monitoring + Education

CBC Test + if you have NMS symptoms (Parkinson's) contact your provider

olanzapine class

Second Generation (Atypical) Antipsychotic

olanzapine Nursing Assessment

conscious level/orientation (BP/HR)

olanzapine Black Box or food

BLACK BOX: increased death in pt w dementia

olanzipine Monitoring + Education

FALLS (BP lowers) + Wt gain is a common side effect

aripiprazole class

Second Generation (Atypical) Antipsychotic (a)

aripiprazole Nursing Assessment

Conscious level/sedation level

aripiprazole Black Box or food

BLACK BOX: increased death in pt w dementia

aripiprazole Monitoring + Education

CBC Test + Its very expensive and takes 6 weeks to 6 months for improvement

morphine class

Opioid Analgesic

morphine Nursing Assessment

Respirations or pain level

Morphine Black box or pregnancy

no breastfeeding

morphine Monitoring + Education

Monitor VS (RR) + benzo, alcohol, CNS depressants contradicted because they add to the sedation

oxycontin class

Opioid Analgesic

oxycontin Nursing Assessment

respirations (ox) or pain level

oxycontin Monitoring + Education

VS (RR) due to sedation + they are addicting and have potential abuse so take as prescribed + don't share

codeine class

opioid analgesic, antitussive

codeine Nursing Assessment

VS (RR) or pain level