Pharm Proctored Retake

Furosemide

indications: pulmonary edema, edema (related to heart failure, liver disease, kidney disease), hypertension

GETS RID OF EXCESS SODIUM AND WATER

furosemide teachings

side: dehydration, electrolyte imbalances (ex. hypokalemia, hyponatremia), hypotension, ototoxicity, hyperglycemia, rash

PT: consume foods high in potassium (bananas, dark leafy greens, potatoes, cantaloupe, tomatoes)

citalopram

indications: used to treat major depressive disorders, mood related conditions, anxiety, obsessive compulsive disorders

paroxetine

indications: anxiety, depression, OCD, PTSD

inhibits serotonin reuptake

paroxetine teachings

side: sexual dysfunction, weight gain, insomnia

SUICIDAL THOUGHTS AND BEHAVIORS

NC: assess for symptoms, of serotonin syndrome (ex: agitation, fever, diaphoresis, tremors)

PT: full effect not felt for 2 or more weeks

doxorubicin

indications: solid tumors

doxorubicin teachings

side: GI upset, alopecia (hair loss), red discolorations of urine/sweat/tears

CARDIAC TOXICITY, AML, BONE MARROW SUPPRESSION

—> causes red discoloration of secretions, and cardiac toxicity

NC: monitor cardiac function, CBC levels, administer antiemetics for nausea/vomiting

warfarin

indications: prevention and treatment of thromboembolic disorders (ex: DVT, PE, AFIB, with thrombus). prevention of complications following an MI

Warfarin teaching

side: Gi upset, hepatitis

LIFE THREATENING BLEEDING

NC: closely monitor PT/ INR levels. antidote is vitamin K

PT: maintain a consistent dietary intake of vitamin K

BLEEDING PRECATIONS

atorvastatin

indications: hypercholesterolemia, prevention of CAD

atorvastatin teachings

Side: hepatotoxicity, muscle pain, rhabdomyolysis

NC: monitor liver functions and CK levels

PT: avoid alcohol and grapefruit juice. report muscle pain or cola-colored urine immediately. take in the evening

filgrastim

indications: neutropenia related to chemotherapy

• you will full up neutrophils with…

filgrastim teachings:

side: bone pain, leukocytosis, splenomegaly

monitor CBC

verapamil, diltiazem (class IV)

(calcium channel blockers) ..Calcium channel blockers are “very nice drugs”

indications: atrial fibrillation, atrial flutter, supraventricular tachycardia

verapamil, diltiazem teachings

side: facial flushing, shortness of breath, brief period of asystole after administration

cc blockers: peripheral edema, hypotension, bradycardia, constipation

NC: monitor EKG rhythm, BP and HR

no grapefruit

nitroglycerin

indications: angina

nitroglycerin teachings

side: ORTHOSTATIC HYPOTENSION, HEADACHE, reflex tachycardia

interactions: erectile dysfunction medications

lisinopril (ACE)

indications: hypertension, heart failure, MI, diabetic nephropathy

Lisinopril teachings

side: angioedema, cough, elevated potassium, hypotension, dizziness

FETAL TOXICITY

NC: monitor BP and potassium levels

change position slowly

Amp B

Indications: systemic fungal infections

amphotericin B teachings

side: highly toxic (given only for life threatening fungal infections). fever chills, nausea/vomiting, nephrotoxicity, inc. liver enzymes, phlebitis

tericin: will TERRORIZE body (very toxic)

NC: monitor for liver dysfunction (S/S: pale stools, dark urine, N/V, fatigue, jaundice)