Kava patient education
Do not drive or operate heavy equipment machinery until you know how this product will affect you
Diazepam (valium) example of when you would take
Panicking, need help to settle after receiving traumatic news
Suvoresant (Belsomra) side effect
Next day drowsiness
Nonbenzodiazepine
Eszopiclone (Lunesta)
Barbiturates are contraindicated in
Pregnancy, severe COPD, severe liver disease
Barbiturates additive effects
Alcohol, antihistamines, benzodiazepines, opioids, tranquilizers, anticoagulants, and oral contraceptives
Most commonly relaxer used for a musculoskeletal injury
Cyclobenzaprine (Flexeril)
CNS stimulants appropriate human needs statement?
Altered need for sleep
Give 4-6 hours before bedtime to help prevent insomnia
Methylphenidate (Ritalin)
Mechanism of action and drug effects for Triptans
Intended to relieve the migraine and not to prevent it or reduce the number of attacks
Estrogen contraindications and why
thromboembolic disorder active or history and smoking due to increased risk for thrombosis
What must you do before starting contraceptive drugs?
Have a pregnancy test
Drug that stimulates labor contractions during childbirth via IV infusion pump at a consistent rate
Oxytocin (Pitocin)
Used for prevention of preterm labor in the 22nd week of pregnancy
Indomethacin (Indocin)
Osteoporosis risk factors
White or Asian descent
Contraindication for selective estrogen receptor modulators (SERMs)
Venous thromboembolism
Fertility drug
Clomiphene (Serophene)
Adverse reaction of fertility drugs
headache
Why use transdermal androgens
Because it allows for better absorption of the medication
Androgens mechanism of action
Must monitor for fluid retention
ED drugs are contraindicated with nitrates. What can happen?
Severe drop in blood pressure can occur when combined
Saw palmetto
Patients should have a PSA blood test and a digital rectal exam prior to starting any herbal products
Mupirocin (Bactroban) used for
Impetigo and MRSA
Patients need two contraceptive methods while on this medication
Antiacne Drugs
Tretinoin (retinoic acid, vitamin A acid) (Renova, Retin-A) adverse effects
Crusted skin, altered skin pigmentation, and red and edematous blisters
Spinosad topical dermatologic drugs and instructions
Anti parasite used to treat head lice. It is not necessary to comb the nits. Educate that all personal belongings including clothes will have to be decontaminated
Wound care drugs when surgery is contraindicated related to anticoagulants. Removes necrotic tissue
Collangenase (Santyl)
Wound care drug for 2nd and 3rd degree burns. Antibiotic ointment. Caution in patients with sulfa drugs
Silver sulfadiazine (Silvadene)
Antibacterial and Antifungal Otic Drugs topical applied where?
external ear
Name of antibacterial and antifungal otic drugs
Floxin Otic and Cipro HC Otic Drops
Medication combined with other drugs, such as glycerin, to loosen and help remove cerumen
Carbamide peroxide (Debrox)
What anatomically is important to keep in mind for otic drug contraindications
Perforated eardrums
Nursing Implications Contraindications for the ear
Drainage from the ear canal
Nursing implications for refrigerated ear drops
Remove from fridge one hour before the dose is due
When administering eardrops to adults hold the
pinna up and back
Nursing Implications for ear drops administration
Have patient lie on the opposite to the side of the affected ear for about 5 minutes after instilling ear drops and remain sitting for abut 5 minutes
Which lubricant and moisturizer for the eyes should be used first
Cyclosporine (Restasis)
When can artificial tears be used after cyclosporine drops
15 minutes
Where should be ophthalmic drugs be administered?
in the conjunctival sac and NOT directly in the eye
What glaucoma medication can be given intravenously to reduce intraocular pressure when other medications are not successful
Mannitol
Proparacaine eye drops are use for?
Local anesthesia in ocular surgical cases
Sympathomimetics adverse effects
Burning and stinging
May cause permanent eye color to change i.e. blue eyes to turn brown
Prostaglandin Agonists