med mania

carvidopa levedopa antiparkinon

• dyskanesia

• \psychosis

• orthostat hypotension

• dark urine/ sweat

• nausea diahrea

  PT- doo’t eat high protein meals due to decrease in therapeutic affect

donepizil alzhimers’s

• headache diarrhea nausea

  PT- take medication at night

  • this is not a cure for memory

memantine alzhimer

• nausea headache diahreaa

  PT- not a cure for memory

amphetamine/ methlyphenditae adhd focus

• insomina

• weight loss

• low appetite

  PT- don’t take at bedtime (overstimulation) give holiday drug breaks

beclmethaSONE predinSONE fluticaSONE (steroid) asthma inflammation

• oarl candadiasis

• bone demineralization

• immune suppression

• inflammation decreaser

  PT- not for asthma attack use clean tools weakly taper medication rinse mouth (thrush)

theoPHYLLINE aminoPHYLLINE (Bronchodialators)

• arrythmia

• sezuirs

  PT don’t drink coffee with this med and Plasma levels should be 10-20mcg notify provider >20

  “people stand in line for coffee”

Salmeterol Albuterol (beta 2Agonist) asthma copd

• chest pain

• tachycardia

• tremors

  PT- take this first if taken with steroids ALbuterol for emergency short acting Salmeterol Long acting medication

montilukast zafirlukast (leukotrines) inflamation airway

• can be HEPATOTOXICITY

• can cause adverse mental health issues

-decreases inflammation by blocking leukotrine release

PT monitor liver enzymes take 2 hours before exercise

ipatropium titotropium (anticholinergic)

• dry mouth

• bitter taste

• nasal throat irritation

  -block ach in lungs causing bronchodialation

  PT increase fluid intake suck on sugarless candy

odanestron (antimetiic) nausea vomiting

• QT PROLONGATION

• headache

• constipation diahrea

  PT take before chemotherapy

  blocks sertonin in the chemo trigger zone inhibitingnausea vomit

magnesium hydroxide (osmotic laxative )

• cramping

• bloating

• diahreaa

• high magnesium

  PT monitor for magnesium toxicity (Lethargy slowed tendon reflex irregular heart rate paralysis)

draws water into the intestine to promote peristalsis in constipatation

methylcellulose (bulk laxative)

• cramping

• nausea vomitting

  PT take with full glass of water increase fiber intake mobility

  combines with water to soften stool

omeprazole (decrease acid secretion)

• cdiff

  - bone fractures

• pt report diahreaa abdominal pain and bloody stool

Sucralfate ulcer mucosal protection

• constipation

  PT -take one hour BEFORE take on empty stomach don’t take with anti acids

Docusate sodium constipation prevention

-mild cramps

Diahreea

PT take with water

“The doc said if you ate more fiber you wouldn’t need Docusate”

Aluminum hydroxide netrulize stomach acid

• constipation

• PT-take after meals hour before meds

Dextromethorphan cough suppressant

• dizziness

• Sedation

Codein cough suppressant

• respiratory depression

• Low BP

• Sedation

• Constipation

Spirolactone potassium sparing diuretic

• high k+

• Amen oh gynecomastia

  PT monitor k+ avoid salt substitute don’t use with kidney failure

Hydrochlorithiazide antihypertensive diuretic

• dehydration

• Low k+

• Low Na+

  PT weigh daily don’t give at bedtime high potassium foods (banana avocado dark leafy green tomato cantaloupe)

Furosemide pulmonary edema anti hypertension diuretic

• low k+ Na BP

• Ototoxic

• High blood sugar

Digoxin strengths cardiacs contraction strength (glycoside)

• bradycardia arythmic

• Digoxin toxicity(vision change Gi upset fatigue weak)

  Pt don’t give if hr less than sixty monitor dig levels >2 toxic

  atropine - fix bradycardia

• Immune fab- fix toxicity

Verapamil nifedipine dilatzem anti rhythm hypertension angina

• peripheral edema

• Low BP

• Bradycardia

• Constipation

  PT hold if BP less than <60 don’t drink grapefruit juice

Epelerone antihypertensive

• hyper k+

• Dissiness

  PT monitor blood pressure and potassium

Losartan antihypertensive (ARB)

• Low BP

• Cough

• Elevated k+

  Pt - monitor BP and slow position change don’t give with ACE

Captopril

• angioedema

• Dry cough

• Elevated potassium

• Hypotension

  PT monitor BP and potassium slow position change don’t give with a ARB

Aliskerin Antihypertensive

• hypotension

• Angioedema

• Gi upset

  Pt monitor BP

Dopamine (shock renal failure vaso constrictor)

• arrhythmia

• ANGINA

  Increases BP and renal perfusion

Verapamil dilatizalem

Adenosine antiarrythmic

• face flushing

• Asystole after administering

• Supra ventricular arrhythmia treatment

  monitor ekg

Amioderone antiarrythmic

• low BP

• Tachycardia

• BLUE GRAY SKIN

• Thyroid dysfunction

  lung liver heart Rocio don’t drink grapefruit